Driller Report Summary

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Well Number: 20242590
Driller Tag Number: D0127419
Inspection Tag Number: -
Date Received: 10/25/2024

License Number: 1085
Driller Name: Channing Wade Johnson
Rig Operator: CHANNING JOHNSON

County Name: GIBSON
Driller Map No.: -
Quad Name: MEDINA
Quad Number: 0437SE
Quad Nth: 4
Address: 17 ESQUIRE PEEK RD
Address Line 2: -
City Name: HUMBOLDT
State Name: Tennessee
Zip: 38343
Zip Ext: -
Distance From Landmark (miles): -
Direction From Landmark: -
Nearest Landmark: -
Latitude: 35.7972012
Longitude: -88.842133

Date Drill Rig Left Site: 12/14/2023
Type of Work: New Well

Completion Date: 12/14/2023
Total Depth (ft-bgs): 140
Depth To Bedrock (ft): -
Static Level (ft-bgs): 92
Estimated Yield (GPM): 10

Depth (ft-bgs)	GPM	GPH	Water Quality
130	10	-	clear

Tested By: Pumping
Static Level (ft-bgs): 92
Pumping Level (ft-bgs): 96
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	10	TOPSOIL
10	84	BROWN SAND
84	90	WHITE CLAY
90	110	WHITE SAND
110	140	COARSE SAND

Company Name: -
Owner Name: WILL LUCKEY
Address: 17 ESQUIRE PEEK ROAD
Address (Line 2): -
City: HUMBOLDT
State: Tennessee
Zip Code: 38343

Well Use: Residential

Diameter (in): 4
Top Set (in-above ground): 12
Primary Casing Depth (ft-bgs): 130
Primary Casing Type: Plastic
Wall Thickness: -
SDR#: 160

Well Finish: Screen
From (ft-bgs): 130
To (ft-bgs): 140
Screen Type: -
Slot Size (in): 0.013
Gravel Pack From (ft-bgs): 115
Gravel Pack To (ft-bgs): 140

Back Fill Type	From (ft-bgs)	To (ft-bgs)
Bentonite	3	10
Cuttings	10	115

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: -