A septic inspection in Massachusetts, known as the Title 5 inspection, is required when selling a home with a residential septic system. These inspections are conducted by licensed and certified septic system inspectors. They ensure the system’s efficient functioning and compliance with construction and usage regulations. The inspection covers all components, including the septic tank, distribution box, and drainage field. The inspection report may result in approval, conditional approval, or failure, requiring repairs or replacement. The cost of a septic system is very expensive. In my experience as a real estate agent for the past thirty-seven years, many homeowners are on pins and needles waiting for the results. I sold my home two years ago and felt the same way. Additional information and resources can be obtained from the Massachusetts Department of Environmental Protection.