Driller Report Summary

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Well Number: 20242555
Driller Tag Number: D0131415
Inspection Tag Number: -
Date Received: 10/25/2024

License Number: 1086
Driller Name: Carl W. Johnson
Rig Operator: CARL JOHNSON

County Name: CARROLL
Driller Map No.: -
Quad Name: MANSFIELD
Quad Number: 0009NE
Quad Nth: 8
Address: 26710 HWY 77
Address Line 2: -
City Name: HOLLOW ROCK
State Name: Tennessee
Zip: 38342
Zip Ext: -
Distance From Landmark (miles): -
Direction From Landmark: -
Nearest Landmark: -
Latitude: 36.14305
Longitude: -88.3221516

Date Drill Rig Left Site: 03/18/2024
Type of Work: New Well

Completion Date: 03/18/2024
Total Depth (ft-bgs): 95
Depth To Bedrock (ft): -
Static Level (ft-bgs): 40
Estimated Yield (GPM): 10

Depth (ft-bgs)	GPM	GPH	Water Quality
85	10	-	clear

Tested By: Pumping
Static Level (ft-bgs): 40
Pumping Level (ft-bgs): 49
Test After Hours: 1
Test After Mins: -
Test Yield (GPM): 10
Hours Prior to Test: -
Minutes Prior to Test: -

Depth from (ft)	Depth to (ft)	Description
0	15	TOPSOIL
15	70	MEDIUM SAND
70	75	WHITE CLAY
75	95	BROWN SAND

Company Name: -
Owner Name: BECKY COX
Address: 26710 STATE ROUTE 77
Address (Line 2): -
City: HOLLOW ROCK
State: Tennessee
Zip Code: 38342

Well Use: Residential

Diameter (in): 4
Top Set (in-above ground): 12
Primary Casing Depth (ft-bgs): 85
Primary Casing Type: Plastic
Wall Thickness: -
SDR#: 160

Well Finish: Screen
From (ft-bgs): 85
To (ft-bgs): 95
Screen Type: Plastic
Slot Size (in): 0.01
Gravel Pack From (ft-bgs): 70
Gravel Pack To (ft-bgs): 95

Back Fill Type	From (ft-bgs)	To (ft-bgs)
Bentonite	3	10
Cuttings	10	70

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

Appearance: Clear
Taste: -
Odor: -
Other: -

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

Comments: -