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Driller Report Summary

WELL NUMBER

Well Number
20241795
Driller Tag Number
D0131022
Inspection Tag Number
-
Date Received
07/24/2024

WELL CONTRACTOR

License Number
982
Driller Name
Rodney D. Tatum
Rig Operator
TYSON BARNES

WELL LOCATION

County Name
MADISON
Driller Map No.
-
Quad Name
CLAYBROOK
Quad Number
0446NW
Quad Nth
5
Address
62 COUNTRY CHASE DR
Address Line 2
-
City Name
JACKSON
State Name
Tennessee
Zip
38305
Zip Ext
9029
Distance From Landmark (miles)
0.22
Direction From Landmark
S
Nearest Landmark
intersection of Hwy 412 & Country Chase Rd
Latitude
35.6866644
Longitude
-88.6858308

TYPE OF WORK

Date Drill Rig Left Site
05/28/2024
Type of Work
New Well

WELL COMPLETION DATA

Completion Date
05/28/2024
Total Depth (ft-bgs)
130
Depth To Bedrock (ft)
-
Static Level (ft-bgs)
75
Estimated Yield (GPM)
60

WATER-BEARING ZONES

WELL TEST

Tested By
Blowing
Static Level (ft-bgs)
75
Pumping Level (ft-bgs)
-
Test After Hours
1
Test After Mins
-
Test Yield (GPM)
60
Hours Prior to Test
1
Minutes Prior to Test
-

FORMATION LOG

05TOPSOIL
515BROWN SAND
1560WHOITE SAND
60110COARSE WHTE SAND
110115GRAY CLAY
110115GRAY CLAY
115120SAND
120130GRAY CLAY

WELL OWNER INFORMATION

Company Name
-
Owner Name
DAVID MCCOY
Address
62 COUNTRY CHASE DRIVE
Address (Line 2)
-
City
JACKSON
State
Tennessee
Zip Code
38305

PROPOSED USE OF WELL

Well Use
Other

PRIMARY CASING

Diameter (in)
4
Top Set (in-above ground)
6
Primary Casing Depth (ft-bgs)
100
Primary Casing Type
Plastic
Wall Thickness
40
SDR#
-

WELL FINISH

Well Finish
Screen
From (ft-bgs)
100
To (ft-bgs)
130
Screen Type
Plastic
Slot Size (in)
0.01
Gravel Pack From (ft-bgs)
90
Gravel Pack To (ft-bgs)
130

BACK FILL MATERIAL

Bentonite310
Cuttings1090

LINER CASING

Type
-
Diameter (in)
-
From (ft-bgs)
-
To (ft-bgs)
-
Packers Installed?
-
Packer 1 Depth (ft-bgs)
-
Packer 2 Depth (ft-bgs)
-

ANTICIPATED WATER QUALITY

Appearance
Clear
Taste
Good
Odor
-
Other
-

GENERAL INFORMATION

Well Disinfected?
Y
Well Capped?
Y
50ft From Septic System?
Y
Septic Distance Provided By
Driller Determination
Drilling Process Water Obtained From
Well
Pump Installed By Driller?
N

COMMENTS

Comments
no pump test well was developed by blowing