Driller Report Summary

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

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

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: 353911
Longitude: 853002

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

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

Depth (ft-bgs)	GPM	GPH	Water Quality
128	4	-	-

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: -

Depth from (ft)	Depth to (ft)	Description
0	4	dirt
4	13	soft sandrock
13	131	sandrock
131	190	slate
190	211	sandrock
211	231	slate to limstone

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

Well Use: Residential

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: 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 Type	From (ft-bgs)	To (ft-bgs)
Cuttings	0	3
Bentonite	3	10
Cuttings	10	27

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

Appearance: Clear
Taste: Good
Odor: Iron
Other: -

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: -