Driller Report Summary

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Well Number: 20241964
Driller Tag Number: D0128881
Inspection Tag Number: -
Date Received: 08/13/2024

License Number: 721
Driller Name: Timothy Hawn
Rig Operator: TIM HAWN

County Name: VAN BUREN
Driller Map No.: -
Quad Name: CURTISTOWN
Quad Number: 0328SE
Quad Nth: 2
Address: TEMPLIN LN
Address Line 2: -
City Name: MCMINNVILLE
State Name: Tennessee
Zip: 37110
Zip Ext: -
Distance From Landmark (miles): -
Direction From Landmark: -
Nearest Landmark: -
Latitude: 35.5944435
Longitude: -85.5677765

Date Drill Rig Left Site: 07/18/2024
Type of Work: New Well

Completion Date: 07/18/2024
Total Depth (ft-bgs): 244
Depth To Bedrock (ft): 3
Static Level (ft-bgs): 35
Estimated Yield (GPM): 6

Depth (ft-bgs)	GPM	GPH	Water Quality
40	3	-	iron
113	3	-	iron

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

Depth from (ft)	Depth to (ft)	Description
0	3	SOIL
3	35	BROWN SANDSTONE
35	138	GRAY SANDSTONE & STREAKS OF SHALE
138	173	SHALE
173	234	GRAY SANDSTONE & STREAKS OF SHALE
234	244	PINK SHALE

Company Name: -
Owner Name: JESSE KJORSTAD
Address: 67 TEMPLIN LANE
Address (Line 2): -
City: ROCK ISLAND
State: Tennessee
Zip Code: 38581

Well Use: Residential

Diameter (in): 6
Top Set (in-above ground): 12
Primary Casing Depth (ft-bgs): 20
Primary Casing Type: Steel
Wall Thickness: .188
SDR#: -

Well Finish: Open Hole
From (ft-bgs): 20
To (ft-bgs): 244
Screen Type: -
Slot Size (in): -
Gravel Pack From (ft-bgs): -
Gravel Pack To (ft-bgs): -

Back Fill Type	From (ft-bgs)	To (ft-bgs)
Bentonite	3	10
Bentonite	10	20
Cuttings	10	20

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: Iron

Well Disinfected?: Y
Well Capped?: Y
50ft From Septic System?: Y
Septic Distance Provided By: Property Owner
Drilling Process Water Obtained From: SpringBox
Pump Installed By Driller?: N

Comments: -