Driller Report Summary

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Well Number: 20242368
Driller Tag Number: D0123210
Inspection Tag Number: -
Date Received: 09/18/2024

License Number: 906
Driller Name: Russell Grant Basford
Rig Operator: RUSSELL BASFORD

County Name: CARROLL
Driller Map No.: -
Quad Name: HENRY
Quad Number: 0009NW
Quad Nth: 7
Address: 458 SYCAMORE LN
Address Line 2: -
City Name: MC KENZIE
State Name: Tennessee
Zip: 38201
Zip Ext: -
Distance From Landmark (miles): 0.03
Direction From Landmark: N
Nearest Landmark: Cloverfield Ln
Latitude: 36.1308429
Longitude: -88.4774936

Date Drill Rig Left Site: 04/17/2024
Type of Work: New Well

Completion Date: 04/17/2024
Total Depth (ft-bgs): 200
Depth To Bedrock (ft): -
Static Level (ft-bgs): 80
Estimated Yield (GPM): 30

Depth (ft-bgs)	GPM	GPH	Water Quality
190	30	-	good fair

Tested By: Pumping
Static Level (ft-bgs): 80
Pumping Level (ft-bgs): -
Test After Hours: 24
Test After Mins: -
Test Yield (GPM): 30
Hours Prior to Test: -
Minutes Prior to Test: -

Depth from (ft)	Depth to (ft)	Description
0	5	TOPSOIL
5	40	BROWN CLAY
40	80	CLAY
80	160	STRIP SAND / CLAY
160	180	FINE SAND
180	200	MEDIUM GRAIN SAND

Company Name: -
Owner Name: JON & CINDY ROMINES
Address: 458 SYCAMORE LANE
Address (Line 2): -
City: MCKENZIE
State: Tennessee
Zip Code: 38201

Well Use: Residential

Diameter (in): 4
Top Set (in-above ground): 6
Primary Casing Depth (ft-bgs): 190
Primary Casing Type: Plastic
Wall Thickness: 40
SDR#: 26

Well Finish: Screen
From (ft-bgs): 190
To (ft-bgs): 200
Screen Type: Plastic
Slot Size (in): 0.01
Gravel Pack From (ft-bgs): 180
Gravel Pack To (ft-bgs): 200

Back Fill Type	From (ft-bgs)	To (ft-bgs)
Bentonite Chips	3	10
Cuttings	10	180

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

Appearance: Clear
Taste: Good
Odor: -
Other: Fair

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

Comments: well used for residential and irrigation no septic pitless installed Constant Press. Installed Frostproof Hydr Installed