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Less than 70 years ago, my mother lived on a largely self sufficient farm that had a handpump in the kitchen sink, new electric lights, a woodstove for heat ..... and there was an outhouse out back. Just because there were A-Bombs being made in Oak Ridge TN at the time does not mean that modern tech was ubiquitous, or even common, in rural America.
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To this day my county does not have complete water service to the entire county. There are many, many homes that still rely on a well or springhouse for their water. It's only been recently (15 years or less) that the church I belong to put in indoor plumbing and running water. Before that we had an outhouse. Some still do.