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PUTNAM COUNTY DEPARTMENT OF HEALTH
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DIVISION OF ENVIRONMENTAL HEALTH SERVICE S
DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM
Owner Z A401Z 7- e Address - 55 1
Located at (Street) 7,yAl -s-jME:5,r_7Af gj, Tax Map 4'-,/ Block 3 Lot _�,
(indicate nearest cross street)
Municipality
4:rrok-5,yN Drainage Basin
-SOIL PERCOLATION TEST DATA
Date of Pre-soaking 7'116 'z9 la Date of Percolation Test E3
Hole No.
Run No.
Time
Start - Stop
Elapse Time
(Min.)
Depth to Water
From Ground
Surface (Inches)
Start Stop
Water
Level
Dro In
Inches
Percolation
. Rate
MinAnch
/a 13 'S/
Z 7
13 1
2
101*5"f _/1"14
30
2 7
3
to
3
7
03 0
_31
4
5
JQJ`�L4 — OX6
2
leg 57-6
17
3
2,5- - a6'�o
17
4
ti
5
2
3
4
5
NOTES: 1. Tests to be repeated arsame depth until approximately equal percolation rates are obtained at each
percolation test hole. (i.e. s I min for 1-30 min/inch, s 2 min for 31-60 min/inch) All data to'be
submitted for review.
2. Depth measurements to be made from top of hole.
Form DD-97