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Driller Report Summary

WELL NUMBER

Well Number
20242557
Driller Tag Number
D0131417
Inspection Tag Number
-
Date Received
10/25/2024

WELL CONTRACTOR

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

WELL LOCATION

County Name
HENRY
Driller Map No.
-
Quad Name
MANSFIELD
Quad Number
0009NE
Quad Nth
3
Address
5835 HIGHWAY 641 S
Address Line 2
-
City Name
PARIS
State Name
Tennessee
Zip
38242
Zip Ext
7744
Distance From Landmark (miles)
-
Direction From Landmark
-
Nearest Landmark
-
Latitude
36.249669
Longitude
-88.2515612

TYPE OF WORK

Date Drill Rig Left Site
03/26/2024
Type of Work
New Well

WELL COMPLETION DATA

Completion Date
03/26/2024
Total Depth (ft-bgs)
100
Depth To Bedrock (ft)
-
Static Level (ft-bgs)
60
Estimated Yield (GPM)
10

WATER-BEARING ZONES

WELL TEST

Tested By
Pumping
Static Level (ft-bgs)
60
Pumping Level (ft-bgs)
85
Test After Hours
1
Test After Mins
-
Test Yield (GPM)
10
Hours Prior to Test
-
Minutes Prior to Test
-

FORMATION LOG

010TOPSOIL
1035RED SAND
3560WHITE CLAY
60100BROWN SAND

WELL OWNER INFORMATION

Company Name
-
Owner Name
AMANDA LONG
Address
5835 HWY 641 S
Address (Line 2)
-
City
PARIS
State
Tennessee
Zip Code
38242

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
160
SDR#
-

WELL FINISH

Well Finish
Screen
From (ft-bgs)
90
To (ft-bgs)
100
Screen Type
Plastic
Slot Size (in)
0.01
Gravel Pack From (ft-bgs)
75
Gravel Pack To (ft-bgs)
100

BACK FILL MATERIAL

Bentonite310
Cuttings1075

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
-