Septic System Estimate Form

PLEASE NOTE: To prepare the most accurate estimate, an on-site inspection will be conducted.

Name

Phone

Soil Conditions around your home
Mostly sand and rocks
Mostly sand and rocks w/mix of top soil
Mostly clay soil
Mostly solid rock
Don’t know

What is the approx. square footage of your home?

Which of the following items do you have in your home?
Sink Garbage Disposal Dishwasher
Washing Machine Shower

What is the distance from your home to the septic tank
Less than 10 ft
11 - 20 ft
More than 20 ft

Is your home within 500 ft of a river or wetland?
Yes No Don’t know

Do you need a permit for this project?
Yes No Don’t know

Do you have a permit for this project?
Yes No

Do you need to install or replace a septic system?
Install Replace

You will be contacted by one of our staff to set up an on-site evaluation.