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Home My WebLink About1494DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 34. -3 -34 BOX 14 ■ am - - :: r- .. .. . - - :: .. .. .� . .� r , f� . , al �: 01494 Yorktown Medical Laboratory, Inc. LAB 321 Kear Street Date Taken: 2/12/90 Time: 8;30alll T c'd Time Xorktown.H hts N. Y. 10598... e I a. (914) 245 -2800 Date Reported: Director: Albert H. Padovani M. T. (A SCP) Collected By: D.Wallace " r DOUGLAS WALLACE RFD 95FAIR STREET CARMEL,NY. 10512 Referred By. Sample Location: Titcnen Tap Subdivision Map:or bural= Glen TT h Phone # SYO-�)t)40 Phone it I Sample Type: L_ J Repeat Test? _ (check each) LABORATORY REPORT ON THE QUALITY OF WATER INORGANIC NON- METALS mg/L7 MICROBIOLOGICAL' CFU /100mL _ Acidity _ Alkalinity _ Chloride Detergents, MBAS _ Hardness, Total _ Nitrogen, Ammonia _ Nitrogen, Nitrate Phosphate, Total _ Sulfate _ Sulfide Sulfite METALS (mg /L) Copper _ Iron Lead _ Manganese _ Mercury _ Sodium Zinc MISCELLANEOUS pH (units) Color (units) Odor (TON) Turbidity (NTU) GENERAL BACTERIA _ Standard Plate Count (CFU /1.OmL) MEMBRANE FILTRATION TECHNIQUE- Total Coliform Fecal Coliform . Fecal Streptococcus MOST PROBABLE NUMBER TECHNIQUE Total Coliform Index Fecal Coliform Index KEY FO.R TERMINOLOGY CFU = Colony Forming Units CON = Confluent (q.v. TNTC) LT = < = Less Than GT = > = Greater Than N/A = Not Applicable S/A = See Attached TNTC= Too Numerous To Count REMARKS /COMMENTS (For Lab Use)_ Potable Non-;-potable _ STP INF _ STP EFF Other: Sample Status: (check each) Outgoing _ HNO3 HC1 _ H2SO4 _ NaOH _ ZnOAc Na2S-203 Other: +Incoming" LE 1} °C _ GT u °C _ pH LE 2 _ pH GE 9 _ pH GE 12 Other: ELAP No . 10323 THESE RESULTS INDICATE THAT THE WATER SAMPLE Wa (Wasn't) (N /A) OF A SATISFACTORY SANITARY QUALITY ACCORDING TO THE NEW YORK STATE PUBLIC DRINKING WATER CODES, FOR THE PARAMETERS TESTED, AT THE TIME OF SAMPLE COLLECTION. THESE RESULTS INDICATE THAT.THE WATER SAMPLE (Did) (Didn't) (N /A) MEET THE SATISFACTORY CHEMICAL QUALITY STANDARDS OF THE NEW YORK PUBLIC DRINKING WATER CODES, FOR THE PARAMETERS TESTED, AT THE TIME OF SAMPLE COLLECTION. Albert H. Padovani, M.T. ASCP) ,(�Direect:'or : 2 /86(RvsdT /87)RWE 4 ®O�i' WP�LL lrVl'irLP�11V1V nr•.CVA1 �, ►� DEPARTMENT OF HEALTH 4*c, ® r Division Of Environmental Health Services W Y PUTNAM COUNTY DEPARTMENT OF HEALTH ' ^ Office Use Only o C) �--y WELL LOCATION STREET ADDRESS: wNIVIC 1 111 O - TAX GAtO MEd: WELL OWNER NAME: / ADDRESS: �1 sad C�� pQIVATE O PUBLIC USE OF WELL 1 - primary 2 - secondary dRESIDENTIAL ❑ PUBLIC SUPPLY ❑ AA/COND./HEAT PUMP 1i ABANDONED BUSINESS 0 FARM O TEST /OBSERVATION O OTHER (specify) p INDUSTRIAL ❑ INSTITUTIONAL ❑ STAND -BY ❑ MOUNT OF USE YIELD SOUGHT gpm. /N0. PEOPLE SERVED / EST. OF DAILY USAGE gal. REASON FOR DRILLING 13KNEW SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY ❑ TEST /OBSERVATION O REPLACE EXISTING SUPPLY ❑ DEEPEN EXISTING WELL DEPTH DATA � � WELL DEPTH T ft. STATIC WATER LEVEL 0' ft. e DATE MEASURED DRILLING EQUIPMENT O ROTARY ffCOMPRESSED AIR PERCUSSION ❑ DUG ❑ WELL POINT ❑ CABLE PERCUSSION ❑ OTHER (specify): WELL TYPE ❑ SCREENED O OPEN END CASING. ® OPEN HOLE IN BEDROCK ❑ OTHER CASING DETAILS TOTAL LENGTH ft- MATERIALS: STEEL ❑ PLASTIC O OTHER LENGTH.BELOW GRADE ft. JOINTS: ❑ WELDED 9THREADED ❑ OTHER DIAMETER in. SEAL: ❑ CEMENT GROUT 198ENTONITE ❑ OTHER WEIGHT PER FOOT lb./ft. DRIVE SHOE: 9YES ❑ NO LINER: ❑ YES NO SCREEN DETAILS DIAMETER (in) 'SLOT SIZE LENGTH (ft) DEPTH TO SCREEN (It) DEVELOPED? FIRST O YES ONO __- .SECONOI-- ..__. -__.. . URS' GRAVEL PACK °YES 0 NO GRA EL S1ZE IAM ER rOF PAC in. T DE ft. BOiT hi DEPTH it. WELL YIELD TEST if detailed um in P. P 9 MFH00: ❑ PUMPED tests were done is in- 0 COMPRESSED AIR , formation attached? O BAILED O OTHER ',OYES Q NO WFLL LOG 'a 're detailed formation descriptions orsieve'analyses are available, please attach. DEPTH FROM sURFACE Water Bear- ing well Dia- meter In FORMATION DESCRIPTION taoE_ tt. fi. WELL DEPTH ft. DURATION hr. min. DRAWOOWN It, YIELD gym. Land i . ea r 0 C. . -7 <- WATER YCLEAR TEMP. QUALITY ❑ CLOUDY HARDNESS ❑ COLORED ANALYZED? O YES ❑ NO ANALYSIS ATTACHED? O YES O NO STORAGE TANK: TYPE L0_8, i r: CAPACITY GAL. PUMP INFORMATION! TYPE a CAPACITY v MAKER �� DEPTH MODEL �� VOLTAGE 2nP WELL DRILLER NAME . (p� P�ERT M. HYATT & SONS, INC. _ oatE Af)O ESS Well Drilling SIGfffMRE Rte. 311 R.R. 2 Box 171A EATIERSOULNEW YORK 125153 ra ._ ,., -. '^ -- - -� .__,_� - -- ---.. -.. •- lll�/- 1�lEJPI-- UC=-- �:L VUL` tU1Vl�1r: l�L1A1. ra- Yik1�1 ,:L'�i-- ariCV,1.L,:r.S.. --. - er or chaser of Building Section Block Lot C " a Vj. Building Constructed by ki Location - S eet - N� C.;'U i icipality Building Type Subdivision Name -4-V q Subdivision Lot GUARANTEE OF SUBSURFACE SE;_GE DISPGSAL SYST 4 I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage disposal system serving the above described property, and that it has been constructed as shown on the approved plan or approved amendment thereto, and in accordance with the standards, rules and regulations of the Putnam County I epar -rent of Health, and hereby guarantee to the owner, his successors, heirs or assigns, to place in good operating condition any part of said system constructed by me which fails to operate for a period of two years immediately following the date of approval of the - "Certifica-te -of -Construction- Compliance" for- the setiage- disposal, - system, or any repairs made by me to such system, except where the failure to operate properly is caused by the willful or negligent act of the occupant of the building utilizing the system. The undersigned further agrees to accept as conclusive the determination of the Director of the Division of Environmental Health Services of the Putnam County Department of Health as to whether or not the failure of the systan to operate was caused by the willful or negligent act of the occupant of the building utilizing the system. Dated this day of 19'T C!' i, If'.0 General ntr or (Cwner) - Signature Signature Title JL'4 1J t� Corporation Name (if Corp.) Corporation Name (if Corp.) Address n Address rev. 9/85 Mk I i VIP CrA1 -- S 7)4N C3� lo.' x 87 �cr�iwy Pins ; •�N�TR1_l. -E1J _. 175OCR . L a.22 ENDWALL J MAP . LOT 4 BURDICK GLEN NORTH PREPARED FOR 'DORCHESTER CONSTRUCTION CORP. TOWN OF PATTERSON PUTNAM COUNTY N.Y. ' •I HORlH t_OCRTIO[v S R = 50.00' L = 81.29' cq l 'J � R = 25.00' L = 25.37' R= 175.00' / L = 104.68' / 69.3 * i S . � I >n N/F STIEBLING / ell LOT STORY '0 51,337 SQ. FT. e /e /eo i" • ` 108.3Y 55.4'* GRAVEL ` \ SCALE 1" =40' AUGUST 9, 1990 �6� I THIS IS TO CERTIFY THAT THIS SURVEY IS BASED 8,A 1990 ANDRTHATC HISLMAP BARCLAYS BANK. nRST AMERICAN TfRE WAS OMPLEREO ON ST 9, 1990 ,TED ON INSURANCE CO.. ALLSTATE ABSTRACT. I hereby certify to DORCHESTER CONSTRUCTION CORP.,- - - -_ -- f ' that this survey and the measurements shown hereon Putnam County Department of Health -- - -- - - - -- - ---- - - - - -- - are .abstantfany correct; that the rue fines and Division of Environmental Health Services Il.l ".S. LAND SURVE :O o LiC. #4 :53: line. of actual possession ore the aam e ; that the buildings ore located as shown and do not encroach ' -- "---- T - -' - -- over and upon the street, title, or building lines; 8/9%90 that mere ore na violation. or zoning ordlnancee. App d L r conformance with oeAew er. - OEE { aA�. (..frictions or other rule. and regulation. with I pli Regulation. •Of the reterence to the location of said buildings, and thot Slth Department. arc'ar[p sr. DLR arAAwc there ore no easements or encroachments affecting this . - - -_. -- — �--- �--- - --'-- --- property careful physical inspection y pparent from o ys y 888904 3NCCr 1 cr 1 of the same. other man those shown and depicted hereon. Date N 31'28'48' E 22.44' AC. ,0 \ 0M h LOT 5 I HOUSE PLANS HOUSE INSPECTIONS ARNOLD J. CELENTAIVO, P.E. CONSULTING ENGINEER P.O. BOX 68 BUCHANAN 914 - 737 -3777 N.V. 10511 914. 628 -3292 T1 I I{ 1 i 1 . f I ' f { Q s r.+re-- a i • . 7-7 P •r I L 110, 2 11 IJo 9 lcpb N 31'28'48' E 22.44' AC. ,0 \ 0M h LOT 5 I HOUSE PLANS HOUSE INSPECTIONS ARNOLD J. CELENTAIVO, P.E. CONSULTING ENGINEER P.O. BOX 68 BUCHANAN 914 - 737 -3777 N.V. 10511 914. 628 -3292 T1 I I{ 1 i 1 . f I ' f { in ca PETER C. ALEXANDERSON County Executive DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 November 8, 1990 JOHN KARELL Jr., P.E., M.S. Public Health Director Arnold Celentano Re: SSDS - Wallace PO Box 68 (T) Patterson Buchanan, NY 10511 TM #73 -3 -37 Burdick Glen North Sub - Dear Mr. Celentano: Division, Lot #4 Deep test holes were inspected by the writer and the following was observed: 1) Groundwater was recorded at 1 foot, 1.5 and 2 feet below grade. 2) It appears that the deep test holes were excavated into an impervious layer (shale). At the time of the above observations I notified a representative of your Department of the above findings. A reinspection was conducted on November 5, 1990, at that time the i.t h -o.- u nise -e page - -p i -t -s._ -h-ad- b -e-en i n s.t a 1 -1 e d -w o .f.ic.a.t.io n. _o.f__t h i_s .: D.e_p.a r - :...... ment. The following is required: 1) A deep test hole is constructed, adjacent to the existing pits, that extends 2 feet below the bottom of the existing pits. 2) The pits are to be reinspected at the time that the groundwater table is at its highest level. A Certificate of Construction Compliance will not be issued until the above conditions are met and deemed satisfactory. If there are any questions I may be contacted at Ext. 320. Yo rs truly, Robert Morris RM:jr Assistant Public Health Engineer cc:J Calbo -B.I. PA DESIGN DATA SHEET- SUBSUFACE SFWAGE DISPOSAL SYSTEM FILE NO. Owner C9 C)r leur, _ Address Located, at (Street) Cgpg2Luj4j '7� �1 Sec. z.,! Block ?j Lot ? (indices nearer s street )J 5 c.+b�pcG Municipality t'- T.�"��c�� Watershed SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMII= WITH APPLICATIONS Date of Pre- Soaking 6 p Date of Percolation Test HOLE -- NUMBER CI= TIME PII2COLATION PERCOLATION Run Elapse Depth to Water Fran Water Level No. Time Ground Surface , In Inches Soil Rate Start -Stop Min.;.' Start Stop Drop In Min /In Drop Inches Inches Inches S 1 5 2 taoS -1010 5 C) t S 3 4 10 W'. 5 y 1 1160 — 110 3 Q b 17 1 2 1163 �IVa 5 9'I 98 I 5 - 41I15 II2-2— ? X60 1 5 1122- 112& 160 IC( 1 NOTES: 1. Tests to be repeated at same depth until approximately equal soil rates are. obtained at each percolation test hole. All data to* be submitted for review. 2. Depth measurements to be made fran top of hole. rev. 9/85 TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES, DEPTH - HOLE_ NO HOLE NO _ 1 G.L. � 1 csp �49 it 1' 0&-0 $P t LS e>-c- 2' 3' j" l�� iD tt91.7 4' 04 i. tOti tnC]O�.tA/� 5' t.'s78.v�5 6' 7' 9' -.\ G 10' G 1ra�vio t..cy..�. "- 12' 13' ,— 14' L 4q t4-T to ifwev, t tM trot�u . - .C9- P�•��► �c� t � S 1 °► �� eta- n Ulf t�4 1000 P%k- ,.t MMe�v�. Im 'Row 0 0 -M M_ Z� INDICATE LEVEL AT WHICH GROUNDWATER IS ENCOUNTERED ` - t A n Au E' INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING.12=UNTERED DEEP HOLE OBSERVATIONS MADE BY : `+Jeo a I l� n �,, e 1�1 L"ke w V e� uc, DATE: - 2F3 --ZD DESIGN Soil Rate Used 8—/0 Min /1" Drop: S.D. Usable Area Provided SE060 J- No. of Bedrocros 3 Septic Tank Capacity I o0 o gals. Type _M��q Absorption Area Provided By Signature Ed 0 "m Name ' A Address ` J L SEAL C ICS-71 THIS SPACE FOR USE BY HEALTH ...ti ONLY:_— Soil Rate Approved sq.ft /gal. Checked by Date 7 . Z 1 Z 0 = limcm Dgt& lo Am Odiw be, Cow County "'Dowenlint 'w in ow limcm ...... .. ...... - � DEPARTMENT OF HEALTH Division of Environmental Health Services 110 OLD ROUTE SIX CENTER,' CARMEL, N.Y. 10512 (914) 225 -0310 APPLICATION TO.CONSTRUCT A WATER WELL PCHD PERMIT !k / �� /C✓ WELL LOCATION Street Add re GA�L s Town/Village/City A-14 Tax Grid Number WELL OWNER Name RESIDENTIAL ® BUSINESS ® INDUSTRIAL Mailin Address 88 rivate sm G "'m e 6 tekst,21 O Public ® PUBLIC SUPPLY O AIR /CONDNEAT PUMP O ABANDONED O FARM O TEST /OBSERVATION O OTHER (specify O INSTITUTIONAL O STAND -BY Q. USE OF WELL 1 - primary 2 - secondary AMOUNT OF USE YIELD SOUGHT gpm /# PEOPLE SERVED 6 . /EST. OF DAILY USAGE 600 gal REASON FOR DRILLING ❑ REPLACE EXISTING SUPPLY O TEST /OBSERVATION . SUPPLY NEW DWELLING) ® DEEPEN EXISTTNG WELL 0 ADDITIONAL SUPPLY DETAILED REASON FOR DRILLING $ C,K WELL TYPE MMILLED ®DRIVEN ®DUG ® GRAVEL ® OTHER IS WELL SITE SUBJECT TO FLOODING? YESNO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION:.. _!au P-4z�o%G1G- l-k AO'KZ; A Lot No. WATER WELL CONTRACTOR: Name Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DISTANCE -TO,, PROP -ERTY- FROM - NEAREST -WATER MAIN: - -� LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED ON SEPARATE SHEET (date) (signature) PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provisions of Subpart 5 -2 of Part 5 of the New Yokk State Sanitary Code, and provided that within thirt; (30) days of the completion of water well construction, the applicant shall: 1. Pump the well until the water is clear. 2. Disinfect the well in accordance with the requirements of.the Putnam County Health Department attached to this permit. 3. Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant shall take appropriate action to assure that any and all water or waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or of w se contaminate surface or groundwater. Date of Issue: 3 Z Z 19 z f ('14 Date of Expiration Z Z 19 L Permit Issuing Official Permit is Non - Transferrable White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller c APPUENDIX B CU1 RtiLT OF �F�TTi - DItiZSICN OF �Q�Z�OI�IL h :�LT� SERVICES N R INDIT- IDUL Wes?= SUPPLY & SUBSURFACE SZQ GE DISITI r3_L SYSTI S EEv! i Sr�T - CCNSTP�� IIGN DA_ tr : (N=�.•e of Owner) (Street =tion) DXUV 'WS Permit Aoolication -Corporate Resolution Plans - Three sets Engineers Authorization Design Data Sheet (DDS) Deep Hole Log Consistent Perc Results Perc Hole Deoth s/s S — : -v SIGN Per (3) Fill cd -House Play - Two sets well permit; P'Y-S left _r Variance Rejuest =vZ � L Legal Subdivision Subdivision Amroval Checked Fx- approval SSDS Adj. Lots Checked W- atl.and (Town/DEC Permit R & D) Data On DDS Plans & Permit S3rra R~QliI�R]M DZI21=1 ON PLANS Sewage S- stem Plan - r� ) ��ae S s �` �,ic r= . , - y P_orile C_�._ Flow F. _ofile umel ons - Volume D Or ; lrcnch /Gallery; PN np P4 = 11s Septic Tank - Size, Detail Well Detail, Ser,ice Line if over Construction Notes (grinder rats.),.. _ _ ....._ D°Sign 'D3ta: DerC a_ d deep results �'I`wo -Foot Contours Existing & Proposes Dr i v&, ay & Slopes Cut FOOtin _/Gutter,C'urtain D=ins (6isch =z e_ 010 Perc & Deep Holes Located Representative of prim.: ry and ex_-- ans_on Expansion Area;shown;gravity fldw,su =. size If Pu ->ed Pit & D Box Sham & Det. i _ed House - No. of Bedrocrs Wells & SSDS's w /in 200 ft. of Pro cs= Systprs Property Mates & + oLmds House See Jack Necessary ('fight lot) House Seger - 1/4 " /ft. 4 "0 Type pi�T No Bends; tax. Bends 45° w /cleanout SEPARATION DISTAN= SPECL F IE1) ON PL -1, Fields 10' to P.L., Driveway, Large Trees,Tc_o of fill 20' to Foundation Walls 100' to well; 2001 in D.L.O.D, 1501 pits 100' to Strom, W'aterco'- -arse, Lae (inc. exq. an) 15' to Dra, ns- 'urt -a n, seder, Foot_':g 35't0 catch hcsin,stormdrain,DiTM._.3 wa'ercO'::se 10 to hater Line (pits -20') 50' inter- 7,dttent dreinac_e course Seotic Tans 10' fran Foundation; 50' to well 15' well to PL I i ( I I I I I I Pre -1969 Neiglftr notification { LF t-rench provided required 60 ft. nom. Parellel to conto- s 100. - I i { � /c.L � U - f✓L { I FILL SYS E•S I cla barrier 10 ft. - fill notes new spec. -depth sauces • I 100 vr. flood elev. 200 ft. reservoir, etc. 150 ft. t_ri; all, /ya_l. I /- I' I DXUV 'WS Permit Aoolication -Corporate Resolution Plans - Three sets Engineers Authorization Design Data Sheet (DDS) Deep Hole Log Consistent Perc Results Perc Hole Deoth s/s S — : -v SIGN Per (3) Fill cd -House Play - Two sets well permit; P'Y-S left _r Variance Rejuest =vZ � L Legal Subdivision Subdivision Amroval Checked Fx- approval SSDS Adj. Lots Checked W- atl.and (Town/DEC Permit R & D) Data On DDS Plans & Permit S3rra R~QliI�R]M DZI21=1 ON PLANS Sewage S- stem Plan - r� ) ��ae S s �` �,ic r= . , - y P_orile C_�._ Flow F. _ofile umel ons - Volume D Or ; lrcnch /Gallery; PN np P4 = 11s Septic Tank - Size, Detail Well Detail, Ser,ice Line if over Construction Notes (grinder rats.),.. _ _ ....._ D°Sign 'D3ta: DerC a_ d deep results �'I`wo -Foot Contours Existing & Proposes Dr i v&, ay & Slopes Cut FOOtin _/Gutter,C'urtain D=ins (6isch =z e_ 010 Perc & Deep Holes Located Representative of prim.: ry and ex_-- ans_on Expansion Area;shown;gravity fldw,su =. size If Pu ->ed Pit & D Box Sham & Det. i _ed House - No. of Bedrocrs Wells & SSDS's w /in 200 ft. of Pro cs= Systprs Property Mates & + oLmds House See Jack Necessary ('fight lot) House Seger - 1/4 " /ft. 4 "0 Type pi�T No Bends; tax. Bends 45° w /cleanout SEPARATION DISTAN= SPECL F IE1) ON PL -1, Fields 10' to P.L., Driveway, Large Trees,Tc_o of fill 20' to Foundation Walls 100' to well; 2001 in D.L.O.D, 1501 pits 100' to Strom, W'aterco'- -arse, Lae (inc. exq. an) 15' to Dra, ns- 'urt -a n, seder, Foot_':g 35't0 catch hcsin,stormdrain,DiTM._.3 wa'ercO'::se 10 to hater Line (pits -20') 50' inter- 7,dttent dreinac_e course Seotic Tans 10' fran Foundation; 50' to well 15' well to PL u F lie. JCS , iY qty ' I /J i W A I O- � oa sj FA 0 /;0000,., 4111 0,8811) a -061N 5_19po IS IV Co S' GQ��SI1 10 0! 61 • *1i1 R�•Y 8 1� 9• P. D PUIMM ODUN'I'Y DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA:SHEET- SUBSUFACE SEWAGE DISPOSAL S!'STEM FILE- NO.' Owner �o►TCr �c�ss�� Address Located at ( Street) 1 `r"'i �. �c� Sec. Block Lot (indicate nearest cross street) municipality T J 'I Watershed crdw SOIL PEROMFLTION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Date of Pre - Soaking Date of Percolation Test HOLE NUMBER CLOCK TIE. PERCOLATION PERCOLATION Run Elapse Depth to Water From Water Level No. Time Ground Surface In Inches Soil Rate Start -Stop Min. Start Stop Drop In Min /In Drop Inches Inches Inches 5 fL l.+ L& 1 - 3 4 fz-C 1 ''�" S PA 10 4 ./ 5 NOTES: 1. Tests to be repeated at same depth until approximately equal soil rates are obtained at each percolation test hole. All data to'be submitted for review. 2. Depth measurements to be made fran top of hole. rev. 9/85 Ok-) �I �I TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS IN TEST HOLES DEPTH HOLE NO. HOLE NO. HOLE NO. G.L. 1° 2° 4° 5° 6° 70 8° 9° 10° 121 .. 13° 14° INDICATE LEVEL AT,, WHICH GROUNDWATER IS ENCOUNTERED INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED DEEP HOLE OBSERVATIONS MADE BY: DATE:��— �- DESIGN Soil Rate Used L_ Min /1 " Drop: S.D. Usable Area Provided S %-e No. of Bedroams _� Septic Tank Capacity /c-X::9U gals. Type AZ Absorption Area Provided By L.F. x 24" width trench Other .30" F 5`0 jS� THIS SPACE FOR USE BY HEALTH DEPAR21ENT ONLY: Soil Rate Approved sq.ft /gal. Checked by Date