Driller Report Summary

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Well Number: 20221506
Driller Tag Number: D0122823
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: WOLFHAVEN RD
Address Line 2: -
City Name: SPENCER
State Name: Tennessee
Zip: 38585
Zip Ext: -
Distance From Landmark (miles): -
Direction From Landmark: -
Nearest Landmark: apprx 1200 Wolfhaven Rd
Latitude: 35.65888888
Longitude: -85.50055555

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

Completion Date: 05/03/2022
Total Depth (ft-bgs): 202
Depth To Bedrock (ft): -
Static Level (ft-bgs): 64
Estimated Yield (GPM): 15

Depth (ft-bgs)	GPM	GPH	Water Quality
92	15	-	-

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	5	dirt
5	108	sandrock
108	202	slate

Company Name: -
Owner Name: CLIFF PHILLIPS
Address: 1755 LAKESHORE CR
Address (Line 2): -
City: WESTON
State: Florida
Zip Code: 33326

Well Use: Residential

Diameter (in): 6
Top Set (in-above ground): 16
Primary Casing Depth (ft-bgs): 34
Primary Casing Type: Steel
Wall Thickness: 0.19
SDR#: -

Well Finish: Open Hole
From (ft-bgs): 34
To (ft-bgs): 202
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	34

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: -