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Driller Report Summary

WELL NUMBER

Well Number
20221493
Driller Tag Number
D0123112
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
COCKE
Driller Map No.
6BZ
Quad Name
HARTFORD
Quad Number
0173SW
Quad Nth
8
Address
1196 S HWY 32
Address Line 2
-
City Name
COSBY
State Name
Tennessee
Zip
37722
Zip Ext
-
Distance From Landmark (miles)
-
Direction From Landmark
-
Nearest Landmark
-
Latitude
35.78666666
Longitude
-83.17027777

TYPE OF WORK

Date Drill Rig Left Site
05/03/2022
Type of Work
New Well

WELL COMPLETION DATA

Completion Date
05/01/2022
Total Depth (ft-bgs)
405
Depth To Bedrock (ft)
215
Static Level (ft-bgs)
170
Estimated Yield (GPM)
15

WATER-BEARING ZONES

WELL TEST

Tested By
Blowing
Static Level (ft-bgs)
-
Pumping Level (ft-bgs)
-
Test After Hours
-
Test After Mins
30
Test Yield (GPM)
-
Hours Prior to Test
-
Minutes Prior to Test
-

FORMATION LOG

WELL OWNER INFORMATION

Company Name
-
Owner Name
DAVID OAKLEY
Address
1196 S HWY 32
Address (Line 2)
-
City
COSBY
State
Tennessee
Zip Code
37722

PROPOSED USE OF WELL

Well Use
Residential

PRIMARY CASING

Diameter (in)
6
Top Set (in-above ground)
12
Primary Casing Depth (ft-bgs)
230
Primary Casing Type
Steel
Wall Thickness
0.19
SDR#
-

WELL FINISH

Well Finish
Open Hole
From (ft-bgs)
230
To (ft-bgs)
405
Screen Type
-
Slot Size (in)
-
Gravel Pack From (ft-bgs)
-
Gravel Pack To (ft-bgs)
-

BACK FILL MATERIAL

Bentonite010
Cuttings10230

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
-
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
-