Well and Septic Inspection Water Supply and Sewerage System Inspection Request for Conveyance of Property Inspection Fees:(Required) Existing Property: $320 Community Water: $235 Water Update: $150 Lead Test: $30 PH Test: $10 No Refunds for Monies Received Once Initial Inspection has Started or After 14 Days. The initial fees include up to Four (4) site visits. Additional site visits to be charged at an additional $30 per trip plus any additional lab fees. Property Address to be Inspected:(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Number of bedrooms home has been listed for:(Required)Please enter a number from 0 to 999.Property TypeRange:(Required) Township:(Required) Section:(Required) Subdivision: Lot/Tract: Block: Requesting Party:(Required) ATTN: Address:(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone (work):(Required)Phone (home):(Required)Phone (cell):(Required)Email:(Required) Enter Email Confirm Email **All paperwork to and from this office will be handled through the requesting party only. **Seller(s):(Required) Phone (work):(Required)Phone (home):(Required)Loan Type:(Required) Conventional VA* FHA* Cash Other *May require Lead and or PH testing. Fees listed below.Proposed Closing Date:(Required) Month Day Year Turnaround time is 7 business days – if lead sample is needed, allow an additional 14 daysTo expedite the evaluation, please submit the following information:Well Registration Number:(Required) Well Depth:(Required) For well info, please call the state ground water engineer at 307.777.6163Upload Copy of Septic Pumping Receipt:(Required)Max. file size: 50 MB.Must have been pumped within the last three (3) years.Is Property: Occupied Vacant Winterized Locked Gates Pets Outside Water Available Check all that apply.Does the property have: Sprinkler System Backflow Preventer Water Filter System Reverse Osmosis Deionization Filter New / Additional Well Check all that apply. Δ