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  • 542-0191 2008

Get 542-0191 2008-2026

Time of Transfer Inspection Report DNR Form 542-0191 Property information Current Owner Buyer Realtor Mailing Address Site Address/County No. of Bedrooms Last Occupied Disposal Y / N Softener Y / N H2O Supply Records Available Permit/Installation Date Installer Septic System Information Septic Tank s Size Material Condition Tank Pumped Date Licensed Pumper Septic/Trash/Processing Tank Size Material Condition Aerobic treatment unit ATU MFGR Size M.

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How to fill out the 542-0191 online

Completing the 542-0191 form is an essential step in ensuring compliance with local regulations regarding private sewage disposal systems. This guide provides clear, step-by-step instructions on how to fill out the form online, making the process straightforward for all users.

Follow the steps to successfully complete the 542-0191 form online.

  1. Click the ‘Get Form’ button to obtain the form and open it in the online editor.
  2. Begin filling out the property information section. Enter the current owner's name, the buyer's name, the realtor's name, mailing address, and site address/county. Also, specify the number of bedrooms, whether the property was last occupied, and if a disposal and water softener are present.
  3. Move on to the septic system information. Fill in the size, material, condition of the septic tank(s), and whether it has been pumped, including the pumping date and licensed pumper's information.
  4. Record the details of any aerobic treatment unit (ATU), including the manufacturer's name, size, maintenance contract status, and the service provider's name.
  5. Detail the condition of pump tanks/vaults and the distribution system by entering their type, size, and condition, as well as the status of outlets and header pipes.
  6. Complete the secondary treatment section by entering information about absorption fields, trench material, sand filter size, vent pipes, and discharge pipe locations.
  7. Input information regarding media filters, including type, maintenance contract, and service provider details.
  8. Evaluate the overall condition of the sewage disposal system by marking whether it is acceptable or unacceptable and provide explanations as necessary.
  9. Finalize the site status at the conclusion of the inspection to ensure all controls are set, power is on, and the lids are secure. Verify that the site is clean and that no sewage is present on the ground surface.
  10. Prepare a narrative report of the inspection results using this worksheet. Submit a copy of the report to the relevant environmental health office and other required authorities.
  11. At the end, ensure the signature of the certified inspector, along with their printed name, certificate number, address, and phone number are all filled in accurately.
  12. Once you have completed all sections, you can save your changes, download the form for your records, print it, or share it as needed.

Start completing your 542-0191 form online today for a smooth inspection process.

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An inspection is valid for two years and must be completed prior to the deed transfer. The inspection should be completed with enough time to allow the county sanitarian to review the application and determine if any repairs are required.

Iowa's Time of Transfer (ToT) septic system inspection law requires that every home or building served by a septic system have that septic system inspected prior to the sale or deed transfer of the home or building. All inspections must be conducted by an inspector that has been certified by the Iowa DNR.

An inspection is valid for a period of two years for any ownership transfers during that period. 69.2(2) Certified time of transfer inspectors. Inspections shall be conducted by an inspector certified by the department.

How much does a routine septic tank inspection cost? ServiceAverage cost[1]Septic tank inspection for home transaction$250-500Septic tank inspection for regular maintenance$100-150Septic tank camera inspection$250-900 Mar 16, 2023

The State of Iowa requires a homeowner to have a permit to construct — and in some counties to operate — an on-site wastewater treatment system. This permit is normally issued by the local county board of health or its agent. This agent is the county environmental health office or county sanitarian.

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