Dutchess County, NY · Dutchess County
Percolation Test Data
This form records percolation test results and is completed by the person conducting or directing the tests for the Dutchess County Department of Health.
At a glance
- Issued by
- City of Dutchess County · Dutchess County, Dutchess County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- dutchessny.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
The Percolation Test Data form records test-hole details, soil type, soaking information, and test-run results for the Dutchess County Department of Health. The document does not state when the county requires it or give submission instructions. The signer certifies that the tests followed standard procedure and that the reported data and results are true and correct.
Who needs it
A person who conducts or directs percolation tests and certifies the test data may need to complete and sign this form.
How to submit it
Submit it to the county department named on the form; check the county website for current contact details.
About notarization
This document is signed without a notary; the signer certifies the test procedure and results, then dates and signs the form.
How to submit this form
- 1
Download the Form
Download the Percolation Test Data form.
- 2
Complete Test Details
Enter the name, tax grid number, date, lot and test-hole details, soil type, and test-run data.
- 3
Certify and Sign
Certify that the tests followed standard procedure and the data and results are true and correct; date and sign the form and enter a license number.
- 4
Submit to the County
Submit the form to the county department named on it; check the county website for current contact details.
Frequently asked questions
- What does the Percolation Test Data form record?
- It records test-hole details, soil type, soaking information, test-run results, and the signer’s certification of the test procedure and data.
- Who completes the Percolation Test Data form?
- The person who conducted the percolation tests, or directed them, fills in the test data and signs the certification.
- Do I need a notary for the Percolation Test Data form?
- No. The document has no notary block; the signer certifies the test procedure and results, then dates and signs it.
- How do I submit the Percolation Test Data form?
- The document gives no submission instructions. Submit it to the county department named on the form and check the county website for current contact details.