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Driller Report Summary

WELL NUMBER

Well Number
20221495
Driller Tag Number
D0123116
Inspection Tag Number
-
Date Received
06/28/2022

WELL CONTRACTOR

License Number
639
Driller Name
Rickey Dale Samples
Rig Operator
JASON BARNARD

WELL LOCATION

County Name
GRAINGER
Driller Map No.
3DY
Quad Name
AVONDALE
Quad Number
0162SW
Quad Nth
7
Address
576 CAMERON RD
Address Line 2
-
City Name
RUTLEDGE
State Name
Tennessee
Zip
37861
Zip Ext
-
Distance From Landmark (miles)
-
Direction From Landmark
-
Nearest Landmark
-
Latitude
36.26222222
Longitude
-83.4825

TYPE OF WORK

Date Drill Rig Left Site
05/12/2022
Type of Work
New Well

WELL COMPLETION DATA

Completion Date
05/12/2022
Total Depth (ft-bgs)
305
Depth To Bedrock (ft)
110
Static Level (ft-bgs)
200
Estimated Yield (GPM)
12

WATER-BEARING ZONES

WELL TEST

Tested By
Blowing
Static Level (ft-bgs)
-
Pumping Level (ft-bgs)
-
Test After Hours
3
Test After Mins
-
Test Yield (GPM)
-
Hours Prior to Test
-
Minutes Prior to Test
-

FORMATION LOG

0110clay
110305limestone

WELL OWNER INFORMATION

Company Name
-
Owner Name
JORDAN SYKES
Address
1939 CENTRAL POINT RD
Address (Line 2)
-
City
RUTLEDGE
State
Tennessee
Zip Code
37861

PROPOSED USE OF WELL

Well Use
Residential

PRIMARY CASING

Diameter (in)
6
Top Set (in-above ground)
12
Primary Casing Depth (ft-bgs)
125
Primary Casing Type
Steel
Wall Thickness
0.19
SDR#
-

WELL FINISH

Well Finish
Open Hole
From (ft-bgs)
125
To (ft-bgs)
305
Screen Type
-
Slot Size (in)
-
Gravel Pack From (ft-bgs)
-
Gravel Pack To (ft-bgs)
-

BACK FILL MATERIAL

Bentonite010
Cuttings10125

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
Cloudy
Taste
-
Odor
-
Other
-

GENERAL INFORMATION

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

COMMENTS

Comments
-