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HomeMy WebLinkAbout0212DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 4.15 -1 -14 BOX 3 11 16 :1"6, R m - K' ,. 4 ..� 00021 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner _,75Tg: Address Bj g_- j, HILL pA Located at (Street) Tax Map ` l /6 Block _� Lot.�c� (indicate nearest cross street) Municipality P Drainage Basin —A-1, T 'R ek A AZZ H SOIL PERCOLATION TEST DATA Date of Pre - soaking 7 // Zf_6_ Date of Percolation Test 7 / I3 , f V Hole No. Run No. Time Start - Stop Ela se Time (pilin.) Dep th to Water )From Ground Surface (Inches) Start Stop Water Level Drop In Inches Percolation Rate Min/Inch 2 -��s - 3 3 ' 5 1 _.;55 2 all 5 7 _ 31V 13 3 3 - ' 0.1 % �2 S� 4 5 1 2 3 4 5 NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are odtainea aE each percolation test hole. (i.e. s 1 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 vsT�iZ (T) P47-F., "B12C/4 I-/ /G` 72,e, x,15 -1-�yc TEST PIT PROFILES Depth to rock/imp. 4 `- D Depth to rock/imp. Hole # �_ Lot # Hole # Lot # Hole # 3 Lot # Depth to water p Depth to water jV o vtP Depth to water Depth to mottling /( 2 1�1�P Depth to mottling.A &x p Depth to mottling Ally ✓l L°' Depth to rock/imp. Depth to rock/imp. Al o Pte Depth to rock/imp.. '-6 " G.L. G.L. G.L. 1.0 0.5 �„ T.mpsoi/ 0.5 �o�� ©'j 0.5 2.0 1.0 2.0 1.0 1.0 �aP lg ©wry 2.0 Q 2.0 2.0 1 14-e' 5 3.0 Grekvej 3.0 f' 3.0 e 2d�k 5.0 5.0 6.0 6.0 4.0 b 4.0 k 4.0 7.0 5.0 5.0 5.0 6.0 6.0 " c ° »'�'a� -f- 6.0 9.0 10.0 7.0 7.0 ` - o " 7.0 8.0 8.0 8.0 9.0 9.0 9.0 10.0 10.0 10.0 Hole #_ Lot # Hole # Lot # Hole # Lot # Depth to water N0,4-6p Depth to water Non e Depth to water Depth to mottling %_ Depth to mottling &© yI Depth to mottling Depth to rock/imp. 3 '- 3 Depth to rock/imp. 4 `- D Depth to rock/imp. G.L. G.L. G.L. 0.5 G T�� f�p i 0.5 7-op 50 / 0.5 �OfJsti" 1.0 ;0ewl 'Bt-0,z4-/4 1.0 Co C9 1.0 ANEW* r'f" 2.0 2.0 2.0 5�. h e" 3.0 1.0 .X 3.0 3 4.0 e 4.0 5.0 5.0 5.0 6.0 6.0 6.0 7.0 7.0 7.0 8.0 8.0 8.0 9.0 9.0 9.0 10.0 10.0 10.0 RECORD OF PHONE CONVERSATION Time: Date: Person calling: C a Phone # oe Reason ( ) Inspection: () Deeps and/ eres: S'ce led Field ivleeting �i Time: , pry Tf, Date: � /r H AGYt� Y N Tentative /to be c firmed () ( ) Town- Road/Street: R ! Tax Map #:, / 5- — / -- Comments: I4 'Nr�g 2- 1f8-61�lev �l V 11V I!/ Y ? Ye Me�c 5 Signature and' Lacknovi/ledge receipt of thi s M-/96 h y 5 3 j "y'" - �' _z 9 -� 6 `'a' LJ.. k'- - F ,f -- 3� O 4 �' F'£` F - iF e,. t,. .i - 6 'Y' ^f Z f' rte , .,.- Q K '{ - r ! 5 , F Sri % z F A 4 5 is -.StL gyp•,! 9 «j .a k fil. £� § y. � K .7 r pnomw > .° , g A A a, x 5y s _. # .f t.4. b - $ r g` r" � 3 - TES ! 3 !r• f 9p P , y 6 } h ,, 4 t - 3 } t 1, 1 1 C• P ') S sw i r' y, r7a a.,Z - ,5-�+' ? £ .4 a Y 3_ aT y i. k , z' r t ', a .yy�' 3 f! MS. -.+y t t ziA s� - �& 3a f lw, l j { � y{ y C� s yr r" �, `` x S a L�ti r an 4 { ,� _ 9 tr .;,. " §1 , . 4K ± . e fi *. : ? - , z r j. f ,e> V/ Lt X ' �1., 9 3 r 1 * a I. �. q C T @ tr E a ,t e s y ..F C X l 2,- �n - vtf . �'� i'S 5 d,:f e b 4 A 'i .� �' 3 i' MAN ''� E` a. rt �_ 0110 .S iu'' F� r b , - .t 'v S { E- f Tx M1 f i ; #" � �T 1 'G, 4 A€ 3 i J 3. 3 ? a c .a .cti' i p 2 4 i4 � 50471 rr• ( �,� ` .i r' _ o- a � .. 1 'F a w � 7_- C e, `dL. g -d _j , , +p < n t 1 k.- '� T S 'v F� . L b ry i Q I , - I 3 i.. ' g _ ,_ n "I 2 F. 'A,' _ dk ,' d. T f J .1 C y N 'P y d -S 54,_ r a„ �, � Y x - E s, .x -' n u` , ! 3 �-," '. `E , d .4 2 1s r � k4 s4 - /`- 1 L ¢ t 1 w S 4 .3 SZ11 I .. h 'd r 4# -� 1 . t t �3 g 3 y 1 3 'A k, C d .!`i 8 C s i j r 3 i4 b� w #E r S' 7` d ' .. dry. 'v 3 Y S Oy km } F S dY E � k £ T , �y � r _ r x„ s r .r k -, .. �4^ S 3 y y . r g ar :u _ 1- .c z : 2- 9 k L 'Y F 2 a V { ,1 = > s., `ma y`-i-. Y i(' X. +'6 { 'E',< -. T ' x" y G 3'w `, �-- � s � r, "R 3 ; d x.. N J d a s ,z �� ate. _ 4 , to > ,� f I r }i k v �- �.�. $ . d v 4 .v i 3 '�a a UY vS. 'F' T 3 i` f ty :` A c a S �, °� y ''�.,,y 7 i S 4 eR �s d $ f 2 k', . ' "r 'F A ' SWWA_ -,­,<>t n"` S "1$ k Sp­-, 4 f 3 x }' ) " `r >x " i '_ xx y—' ,� r Y - � 1. � �ff o T } t t S y 3 ` �. L J S t d I