Driller Report Summary

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Well Number: 20242536
Driller Tag Number: D0127368
Inspection Tag Number: -
Date Received: 10/25/2024

License Number: 1086
Driller Name: Carl W. Johnson
Rig Operator: CARL JOHNSON

County Name: MADISON
Driller Map No.: -
Quad Name: CLAYBROOK
Quad Number: 0446NW
Quad Nth: 2
Address: 143 DOAK MASON RD
Address Line 2: -
City Name: JACKSON
State Name: Tennessee
Zip: 38305
Zip Ext: 9214
Distance From Landmark (miles): 0.001
Direction From Landmark: W
Nearest Landmark: Barn
Latitude: 35.7469139
Longitude: -88.6881877

Date Drill Rig Left Site: 09/25/2023
Type of Work: New Well

Completion Date: 09/25/2023
Total Depth (ft-bgs): 120
Depth To Bedrock (ft): -
Static Level (ft-bgs): 60
Estimated Yield (GPM): 10

Depth (ft-bgs)	GPM	GPH	Water Quality
80	10	-	good

Tested By: Pumping
Static Level (ft-bgs): 60
Pumping Level (ft-bgs): 65
Test After Hours: 1
Test After Mins: 0
Test Yield (GPM): 10
Hours Prior to Test: 1
Minutes Prior to Test: -

Depth from (ft)	Depth to (ft)	Description
0	15	TOPSOIL
15	65	BROWN SAND W/WHITE CLAY
65	120	MEDIUM

Company Name: -
Owner Name: TIM KILBOY
Address: 143 DOAK MASON ROAD
Address (Line 2): -
City: SPRING CREEK
State: Tennessee
Zip Code: 38305

Well Use: Residential

Diameter (in): 4
Top Set (in-above ground): 12
Primary Casing Depth (ft-bgs): 120
Primary Casing Type: Plastic
Wall Thickness: 40
SDR#: -

Well Finish: Screen
From (ft-bgs): 110
To (ft-bgs): 120
Screen Type: Plastic
Slot Size (in): 0.013
Gravel Pack From (ft-bgs): 100
Gravel Pack To (ft-bgs): 120

Back Fill Type	From (ft-bgs)	To (ft-bgs)
Bentonite	3	10
Cuttings	10	120

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

Appearance: Clear
Taste: Good
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: -