Thank you for choosing Ruby Septic for your septic inspection needs. Please complete the below survey to the best of your ability, as much of this information is required in order to complete the county required permit paperwork. If you aren’t sure how to answer a specific question, you can leave it blank, and we will follow up with you to discuss it if necessary. If you have any trouble filling out the form, or would prefer to discuss these questions with us directly feel free to call at 303-578-6715. We appreciate your cooperation in filling out this short survey to ensure we are able to provide you the best service possible.

Client Information *

Name and information of person requesting septic inspeciton

First Name

Last Name

Email *

Phone

(###)

###

####

Relation To Property *

Owner, Buyers Agent, Sellers Agent, Purchaser, etc.

Property For Which Inspection Is Requested *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Property Owner Information

Current Owner of the Property if Different From Above

First Name

Last Name

Phone

(###)

###

####

Property Owners Address

(If different from above)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Dwelling Type:

Single Family

Multi-Family

Commercial

Other

Number of Bedrooms

Water Supply

Public Community or City Water

Private Well

Public Non-Community

Unknown

Other

Is more than one building connected to the septic system (owts)?

Yes

Reason for Use Permit Inspection

Sale

Bedrooms Added

Change in Use (Commercial or Business)

Addition of Mobile Home

Other

Is the property:

Vacant

Occupied

Will water be turned on to the property at the time of inspection?

(Water may need to be run in the home to complete the inspection)

Yes

To your knowledge, when was the system last pumped out?

Additional Information

Thank you! We will let you know if any additional information is necessary to complete your permit paperwork and inspection.

Contact Us

(303)-578-6715

Info@RubySeptic.com

P.O. Box #350303
Westminster, CO 80035

Service Request

Name *

First Name

Last Name

Email *

Phone

(###)

###

####

Site Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Desired Service

(Inspection, O&M, Repair, Locate, etc.)

Message

Thank you for reaching out to Ruby Septic, LLC. A company representative will reach out to you shortly.

Ruby Septic Serves the Following Counties:

Adams
Arapahoe
Broomfield
Douglas
Elbert
Jefferson
Larimer
Weld

Ruby Septic Performs Use Permit Inspections in the Following Counties

Adams
Arapahoe
Broomfield
Douglas
Elbert