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Driller Report Summary

WELL NUMBER

Well Number
20242600
Driller Tag Number
D0131354
Inspection Tag Number
-
Date Received
10/25/2024

WELL CONTRACTOR

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

WELL LOCATION

County Name
GIBSON
Driller Map No.
-
Quad Name
MILAN
Quad Number
0437NE
Quad Nth
7
Address
128 JIM JACKSON RD
Address Line 2
-
City Name
HUMBOLDT
State Name
Tennessee
Zip
38343
Zip Ext
5813
Distance From Landmark (miles)
-
Direction From Landmark
-
Nearest Landmark
-
Latitude
35.905415
Longitude
-88.8745376

TYPE OF WORK

Date Drill Rig Left Site
06/05/2024
Type of Work
New Well

WELL COMPLETION DATA

Completion Date
06/05/2024
Total Depth (ft-bgs)
160
Depth To Bedrock (ft)
-
Static Level (ft-bgs)
85
Estimated Yield (GPM)
10

WATER-BEARING ZONES

WELL TEST

Tested By
Pumping
Static Level (ft-bgs)
85
Pumping Level (ft-bgs)
92
Test After Hours
2
Test After Mins
-
Test Yield (GPM)
10
Hours Prior to Test
-
Minutes Prior to Test
-

FORMATION LOG

130160COARSE WHITE SAND
88130MEDIUM WHITE SAND
010TOPSOIL
1088WHITE BROWN CLAY

WELL OWNER INFORMATION

Company Name
-
Owner Name
JACOB COTHER
Address
128 JIM JACKSON ROAD
Address (Line 2)
-
City
HUMBOLDT
State
Tennessee
Zip Code
38343

PROPOSED USE OF WELL

Well Use
Residential

PRIMARY CASING

Diameter (in)
4
Top Set (in-above ground)
12
Primary Casing Depth (ft-bgs)
150
Primary Casing Type
Plastic
Wall Thickness
40
SDR#
-

WELL FINISH

Well Finish
Screen
From (ft-bgs)
150
To (ft-bgs)
160
Screen Type
Plastic
Slot Size (in)
0.013
Gravel Pack From (ft-bgs)
135
Gravel Pack To (ft-bgs)
160

BACK FILL MATERIAL

Bentonite310
Cuttings10135

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
-
Odor
-
Other
-

GENERAL INFORMATION

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

Comments
-