Driller Report Summary

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Well Number: 20242617
Driller Tag Number: D0131371
Inspection Tag Number: -
Date Received: 10/25/2024

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

County Name: CARROLL
Driller Map No.: -
Quad Name: VALE
Quad Number: 0009SE
Quad Nth: 8
Address: 3840 MAYTOWN RD
Address Line 2: -
City Name: BUENA VISTA
State Name: Tennessee
Zip: 38317
Zip Ext: 7450
Distance From Landmark (miles): -
Direction From Landmark: -
Nearest Landmark: -
Latitude: 36.003308
Longitude: -88.3038272

Date Drill Rig Left Site: 08/28/2024
Type of Work: New Well

Completion Date: 08/28/2024
Total Depth (ft-bgs): 120
Depth To Bedrock (ft): -
Static Level (ft-bgs): 70
Estimated Yield (GPM): 10

Depth (ft-bgs)	GPM	GPH	Water Quality
90	10	-	clear

Tested By: Pumping
Static Level (ft-bgs): 70
Pumping Level (ft-bgs): 84
Test After Hours: 1
Test After Mins: -
Test Yield (GPM): 10
Hours Prior to Test: -
Minutes Prior to Test: -

Depth from (ft)	Depth to (ft)	Description
0	10	TOPSOIL
10	60	BROWN SAND
60	90	MEDIUM SAND
90	120	COARSE SAND

Company Name: -
Owner Name: ZOE KING
Address: 3840 MAYTOWN ROAD
Address (Line 2): -
City: BUENA VISTA
State: Tennessee
Zip Code: 38317

Well Use: Residential

Diameter (in): 4
Top Set (in-above ground): 12
Primary Casing Depth (ft-bgs): 110
Primary Casing Type: Plastic
Wall Thickness: 40
SDR#: -

Well Finish: -
From (ft-bgs): 110
To (ft-bgs): 120
Screen Type: Plastic
Slot Size (in): -
Gravel Pack From (ft-bgs): 105
Gravel Pack To (ft-bgs): 120

Back Fill Type	From (ft-bgs)	To (ft-bgs)
Bentonite	3	10
Cuttings	10	105

Type: -
Diameter (in): -
From (ft-bgs): -
To (ft-bgs): -
Packers Installed?: N
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: -