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Driller Report Summary

WELL NUMBER

Well Number
20221520
Driller Tag Number
D0120776
Inspection Tag Number
-
Date Received
06/29/2022

WELL CONTRACTOR

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

WELL LOCATION

County Name
HENRY
Driller Map No.
2DX
Quad Name
PURYEAR
Quad Number
0008NE
Quad Nth
3
Address
101 RAY LN
Address Line 2
-
City Name
PURYEAR
State Name
Tennessee
Zip
-
Zip Ext
-
Distance From Landmark (miles)
3
Direction From Landmark
E
Nearest Landmark
Hazel
Latitude
36.49888888
Longitude
-88.28111111

TYPE OF WORK

Date Drill Rig Left Site
06/17/2022
Type of Work
New Well

WELL COMPLETION DATA

Completion Date
06/17/2022
Total Depth (ft-bgs)
90
Depth To Bedrock (ft)
-
Static Level (ft-bgs)
40
Estimated Yield (GPM)
15

WATER-BEARING ZONES

WELL TEST

Tested By
Pumping
Static Level (ft-bgs)
40
Pumping Level (ft-bgs)
60
Test After Hours
1
Test After Mins
-
Test Yield (GPM)
15
Hours Prior to Test
3
Minutes Prior to Test
-

FORMATION LOG

110soil
1030clay
3070gravel
7090sand

WELL OWNER INFORMATION

Company Name
-
Owner Name
KAREN HOUSDEN
Address
101 RAY LN
Address (Line 2)
-
City
PURYEAR
State
Tennessee
Zip Code
-

PROPOSED USE OF WELL

Well Use
Residential

PRIMARY CASING

Diameter (in)
4
Top Set (in-above ground)
12
Primary Casing Depth (ft-bgs)
90
Primary Casing Type
Plastic
Wall Thickness
40
SDR#
-

WELL FINISH

Well Finish
Screen
From (ft-bgs)
70
To (ft-bgs)
90
Screen Type
Plastic
Slot Size (in)
0.02
Gravel Pack From (ft-bgs)
-
Gravel Pack To (ft-bgs)
-

BACK FILL MATERIAL

LINER CASING

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

ANTICIPATED WATER QUALITY

Appearance
Clear
Taste
Good
Odor
-
Other
-

GENERAL INFORMATION

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

Comments
-