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Driller Report Summary

WELL NUMBER

Well Number
20241568
Driller Tag Number
D0131883
Inspection Tag Number
-
Date Received
07/01/2024

WELL CONTRACTOR

License Number
475
Driller Name
William Watkins
Rig Operator
WESTON WATKINS

WELL LOCATION

County Name
MADISON
Driller Map No.
-
Quad Name
JACKSON-SOUTH
Quad Number
0438SE
Quad Nth
1
Address
20 OLD BOONE LN
Address Line 2
-
City Name
JACKSON
State Name
Tennessee
Zip
38301
Zip Ext
5767
Distance From Landmark (miles)
0.07
Direction From Landmark
W
Nearest Landmark
Boone Ln
Latitude
35.5989112
Longitude
-88.8649975

TYPE OF WORK

Date Drill Rig Left Site
06/17/2024
Type of Work
New Well

WELL COMPLETION DATA

Completion Date
06/17/2024
Total Depth (ft-bgs)
85
Depth To Bedrock (ft)
-
Static Level (ft-bgs)
13
Estimated Yield (GPM)
20

WATER-BEARING ZONES

WELL TEST

Tested By
Pumping
Static Level (ft-bgs)
13
Pumping Level (ft-bgs)
28
Test After Hours
-
Test After Mins
40
Test Yield (GPM)
20
Hours Prior to Test
-
Minutes Prior to Test
-

FORMATION LOG

518BRIWN GRAY CLAY
2085COARSE YELLOW & BROWN SAND
1820SANDSTONE YELLOW SAND
05TOPSOIL

WELL OWNER INFORMATION

Company Name
-
Owner Name
RICK COLLINS
Address
20 OLD BOONE LN
Address (Line 2)
-
City
JACKSON
State
Tennessee
Zip Code
38301

PROPOSED USE OF WELL

Well Use
Residential

PRIMARY CASING

Diameter (in)
4
Top Set (in-above ground)
10
Primary Casing Depth (ft-bgs)
80
Primary Casing Type
Plastic
Wall Thickness
160
SDR#
-

WELL FINISH

Well Finish
Slotted
From (ft-bgs)
80
To (ft-bgs)
85
Screen Type
-
Slot Size (in)
0.012
Gravel Pack From (ft-bgs)
75
Gravel Pack To (ft-bgs)
85

BACK FILL MATERIAL

Bentonite310
Cuttings10175

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?
Y
Septic Distance Provided By
Driller Determination
Drilling Process Water Obtained From
Well
Pump Installed By Driller?
Y

COMMENTS

Comments
QueryTNQuad9 issuefor this location - PARCEL ID: 057 088 02601 000 2023 - PARCEL Owner: COLLINS RICKY L ETUX