Driller Report Summary

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Well Number: 20221518
Driller Tag Number: D0120774
Inspection Tag Number: -
Date Received: 06/29/2022

License Number: 843
Driller Name: Keith Wayne Starks
Rig Operator: KEITH STARKS

County Name: HENRY
Driller Map No.: 3DW
Quad Name: PURYEAR
Quad Number: 0008NE
Quad Nth: 8
Address: 1385 SHANKLE RD
Address Line 2: -
City Name: PURYEAR
State Name: Tennessee
Zip: -
Zip Ext: -
Distance From Landmark (miles): 5
Direction From Landmark: E
Nearest Landmark: Puryear
Latitude: 362317
Longitude: 881807

Date Drill Rig Left Site: 06/02/2022
Type of Work: New Well

Completion Date: 06/02/2022
Total Depth (ft-bgs): 100
Depth To Bedrock (ft): -
Static Level (ft-bgs): 60
Estimated Yield (GPM): 15

Depth (ft-bgs)	GPM	GPH	Water Quality
60	15	-	good

Tested By: Pumping
Static Level (ft-bgs): 60
Pumping Level (ft-bgs): 75
Test After Hours: 1
Test After Mins: -
Test Yield (GPM): 15
Hours Prior to Test: 2
Minutes Prior to Test: -

Depth from (ft)	Depth to (ft)	Description
1	10	soil
10	40	clay
40	100	sand

Company Name: -
Owner Name: LINDA OLSEN
Address: 1385 SHANKLE RD
Address (Line 2): -
City: PURYEAR
State: Tennessee
Zip Code: -

Well Use: Residential

Diameter (in): 4
Top Set (in-above ground): 12
Primary Casing Depth (ft-bgs): 100
Primary Casing Type: Plastic
Wall Thickness: 40
SDR#: -

Well Finish: Screen
From (ft-bgs): 80
To (ft-bgs): 100
Screen Type: Plastic
Slot Size (in): 0.01
Gravel Pack From (ft-bgs): -
Gravel Pack To (ft-bgs): -

Back Fill Type	From (ft-bgs)	To (ft-bgs)
Bentonite	3	10
Sand	10	100

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: -

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?: Y

Comments: -