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Driller Report Summary

WELL NUMBER

Well Number
20242236
Driller Tag Number
D0131991
Inspection Tag Number
-
Date Received
09/13/2024

WELL CONTRACTOR

License Number
698
Driller Name
Kenneth Warren Gentry
Rig Operator
JEREMY ADAMS

WELL LOCATION

County Name
WAYNE
Driller Map No.
-
Quad Name
NEGRO-HOLLOW
Quad Number
0042SW
Quad Nth
6
Address
4837 S FORTY EIGHT CREEK RD
Address Line 2
-
City Name
WAYNESBORO
State Name
Tennessee
Zip
38485
Zip Ext
-
Distance From Landmark (miles)
-
Direction From Landmark
-
Nearest Landmark
-
Latitude
35.2933176
Longitude
-87.6474957

TYPE OF WORK

Date Drill Rig Left Site
07/17/2024
Type of Work
New Well

WELL COMPLETION DATA

Completion Date
07/17/2024
Total Depth (ft-bgs)
303
Depth To Bedrock (ft)
13
Static Level (ft-bgs)
-
Estimated Yield (GPM)
1

WATER-BEARING ZONES

450.5 - good
2400.5 - good

WELL TEST

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

FORMATION LOG

010SOIL
1013CLAY
13140DARK GRAY LS
140150BLUE LS
150220LIGHT GRAY LS
220303MEDIUM GRAY LS

WELL OWNER INFORMATION

Company Name
-
Owner Name
JESSICA HOLT
Address
2010 COLLINWOOD HWY
Address (Line 2)
-
City
-
State
-
Zip Code
38450

PROPOSED USE OF WELL

Well Use
Residential

PRIMARY CASING

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

Well Finish
Open Hole
From (ft-bgs)
220
To (ft-bgs)
303
Screen Type
-
Slot Size (in)
-
Gravel Pack From (ft-bgs)
-
Gravel Pack To (ft-bgs)
-

BACK FILL MATERIAL

Bentonite310
Cuttings1020

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
Good
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
Well
Pump Installed By Driller?
-

COMMENTS

Comments
-