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On average, you should call a pro to pump your cesspool once per year. If you have a larger home with a lot of family members, you may need to pump more (up to six times per year). On the flip side, if you’re talking about a cesspool for a home you don’t use much or if you’re the only occupant in a home, you won’t have to pump nearly as much.

Your septic tank naturally contains the good bacteria it needs, so you typically don't have to add more as the system produces them on its own. However, if you wish to replenish the bacteria, you can use natural methods. For example, you can add three rotten tomatoes to your garbage disposal or flush 1/4 ounce of active yeast down the toilet every three months. While store-bought septic enzymes and chemicals are available, many additives are unnecessary and may even harm your system. The most effective way to maintain a healthy bacterial balance is to avoid using chemical drain cleaners, which can kill the beneficial bacteria in your tank.

To keep your septic tank healthy, be careful of what you flush and be conservative with water usage, as even flushing too much water down the drain can throw off the septic system’s delicate balance. Never flush anything but human waste and toilet paper down your toilet, and be sure to have the tank inspected and pumped every two to five years, depending on the size of your household and your water usage.

Cesspools do not have an outlet or discharge area, so they must be emptied regularly. A professional cesspool cleaning company should come at least every six weeks and empty the contents. If it’s not emptied, it can begin to overflow sewage waste onto your property.