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Driller Report Summary

WELL NUMBER

Well Number
20221507
Driller Tag Number
D0122824
Inspection Tag Number
-
Date Received
06/29/2022

WELL CONTRACTOR

License Number
750
Driller Name
Haskell Milton Mills
Rig Operator
HM MILLS JR

WELL LOCATION

County Name
VAN BUREN
Driller Map No.
3BX
Quad Name
WELCHLAND
Quad Number
0328NE
Quad Nth
9
Address
1116 WOLFHAVEN RD
Address Line 2
-
City Name
SPENCER
State Name
Tennessee
Zip
38585
Zip Ext
-
Distance From Landmark (miles)
-
Direction From Landmark
-
Nearest Landmark
-
Latitude
35.65305555
Longitude
-85.50055555

TYPE OF WORK

Date Drill Rig Left Site
05/04/2022
Type of Work
New Well

WELL COMPLETION DATA

Completion Date
05/04/2022
Total Depth (ft-bgs)
231
Depth To Bedrock (ft)
4
Static Level (ft-bgs)
75
Estimated Yield (GPM)
4

WATER-BEARING ZONES

WELL TEST

Tested By
-
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
-

FORMATION LOG

04dirt
413soft sandrock
13131sandrock
131190slate
190211sandrock
211231slate to limstone

WELL OWNER INFORMATION

Company Name
-
Owner Name
JILL KOHRS
Address
27582 STATE ROUTE 30
Address (Line 2)
-
City
PIKEVILLE
State
Tennessee
Zip Code
37367

PROPOSED USE OF WELL

Well Use
Residential

PRIMARY CASING

Diameter (in)
6
Top Set (in-above ground)
12
Primary Casing Depth (ft-bgs)
27
Primary Casing Type
Galvanized
Wall Thickness
0.19
SDR#
-

WELL FINISH

Well Finish
Open Hole
From (ft-bgs)
27
To (ft-bgs)
231
Screen Type
-
Slot Size (in)
-
Gravel Pack From (ft-bgs)
-
Gravel Pack To (ft-bgs)
-

BACK FILL MATERIAL

Cuttings03
Bentonite310
Cuttings1027

LINER CASING

Type
None
Diameter (in)
-
From (ft-bgs)
-
To (ft-bgs)
-
Packers Installed?
N
Packer 1 Depth (ft-bgs)
-
Packer 2 Depth (ft-bgs)
-

ANTICIPATED WATER QUALITY

Appearance
Clear
Taste
Good
Odor
Iron
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
SpringBox
Pump Installed By Driller?
N

COMMENTS

Comments
-