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PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
_ :ter . r: - COUNTY .:OFFTCE�BUILDING,'> - CARMI;_ N y ; 1G
512:r =,.�
DESIGN DATA.SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FIL2-'NO,:
Owner:" Vincent Bombs, 'Address ` Route 6, Muhegau lake.., N;y.
Located at (Street Crescent Une SecNaP 1317 Block - Lo 21
�Indicate nearest cross street)
Municipality. Putnam Valley (T) Watershed reekskill, 10ye
SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS
Hole
Number CLOCK TIME PERCOLATION PERCOLATION
Run Elapse Depth to Water a er level
No. Time From Ground Surface in Inches Soil Rate
Start -Stop Min. Start Stop Drop in Min. /in drop
Inches Inches Inches
(1 1 9 :20 9 :30 10 24.5 276'5 3.00 3.33
2 9 :31 9 :4t 13 24.0 27.0 3.00 4.33
-,, 9 :45 10.00 15 23.75 26.75 3.00 3.fl0
4
(2) 1 9i2'2 9:28 6 26.5 29.5 3.00 2900
2...9 :a9 9:37- :8: 26va _2..0 ..._ _ _. 3..t....w.... 2;67
3 9:38 9:47 9 26.5 29.5 3.00 3.00
4
5
3
4
5
Notes: 1) Td:�ts 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 from top of hole.
TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION
DESCRIPTION-OF SOILS ENCOUNTERED - IN TEST HOLES
DEPTH HOLE.... NO. 3 HOLE NO. 2 HOLE NO. 3
TO Topsoil
IN
1211 3.4" Topsoil
18" axed -letit 24'00BG
with lafte-sunee
2411 -
30"
36"
.
42"
4811
54 It
6011
6611
7211
7811
8411
120 Topsoil
1211 Topsoil
5 c.93jent R,O.B.
* Nor
INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED Ae None
,INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED
TESTS MADE. BY So MWO Date -,1vne.4#,1975
DESIGN_.
5611 te-us6a- -- C ze+ -
Septic t
No. of 'Be'droorns 5�� bapaci y' '1500
Gills. FY
Absorption Area Provided By_ L.F.x2411 3b" x WIR
4 bedrooms designed as 5
Name J&hn S® Rmas Signature
Address
1 NoxtbiAdge RUad SEA
0 CPI 278 6 0
9 N.Y. 10566 0
a Nrmw
0 09
THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY:
Soil Rate Approved
Sq. Ft/Cal.
Checked by
Date