Driller Report Summary

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Well Number: 20242595
Driller Tag Number: D0127424
Inspection Tag Number: -
Date Received: 10/25/2024

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

County Name: MADISON
Driller Map No.: -
Quad Name: CLAYBROOK
Quad Number: 0446NW
Quad Nth: 3
Address: 499 LAKEWOOD DR E
Address Line 2: -
City Name: JACKSON
State Name: Tennessee
Zip: 38305
Zip Ext: -
Distance From Landmark (miles): -
Direction From Landmark: -
Nearest Landmark: -
Latitude: 35.7356739
Longitude: -88.6475555

Date Drill Rig Left Site: 12/09/2024
Type of Work: New Well

Completion Date: 01/29/2024
Total Depth (ft-bgs): 160
Depth To Bedrock (ft): -
Static Level (ft-bgs): 85
Estimated Yield (GPM): 15

Depth (ft-bgs)	GPM	GPH	Water Quality
150	15	-	clear

Tested By: Pumping
Static Level (ft-bgs): 85
Pumping Level (ft-bgs): 90
Test After Hours: 1
Test After Mins: -
Test Yield (GPM): 15
Hours Prior to Test: -
Minutes Prior to Test: -

Depth from (ft)	Depth to (ft)	Description
0	10	TOPSOIL
10	80	COARSE BROWN SAND
80	160	MEDIUM SAND

Company Name: -
Owner Name: JORDAN SANDERS
Address: 499 LAKEWOOD DRIVE
Address (Line 2): -
City: JACKSON
State: Tennessee
Zip Code: 38305

Well Use: Residential

Diameter (in): 4
Top Set (in-above ground): 12
Primary Casing Depth (ft-bgs): 150
Primary Casing Type: Plastic
Wall Thickness: -
SDR#: -

Well Finish: Screen
From (ft-bgs): 150
To (ft-bgs): 160
Screen Type: Plastic
Slot Size (in): 0.01
Gravel Pack From (ft-bgs): 135
Gravel Pack To (ft-bgs): 160

Back Fill Type	From (ft-bgs)	To (ft-bgs)
Bentonite	3	10
Cuttings	10	135

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: -