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Driller Report Summary

WELL NUMBER

Well Number
20221521
Driller Tag Number
D0123451
Inspection Tag Number
-
Date Received
06/30/2022

WELL CONTRACTOR

License Number
1078
Driller Name
Christopher Jordan Gilreath
Rig Operator
CLINT FERGE

WELL LOCATION

County Name
FAYETTE
Driller Map No.
2BZ
Quad Name
GALLAWAY
Quad Number
0415SE
Quad Nth
9
Address
10965 HWY 194
Address Line 2
-
City Name
OAKLAND
State Name
Tennessee
Zip
38060
Zip Ext
-
Distance From Landmark (miles)
1
Direction From Landmark
N
Nearest Landmark
Clay Pond Dr
Latitude
35.27277777
Longitude
-89.515

TYPE OF WORK

Date Drill Rig Left Site
06/24/2022
Type of Work
New Well

WELL COMPLETION DATA

Completion Date
06/24/2022
Total Depth (ft-bgs)
160
Depth To Bedrock (ft)
-
Static Level (ft-bgs)
110
Estimated Yield (GPM)
12

WATER-BEARING ZONES

WELL TEST

Tested By
Pumping
Static Level (ft-bgs)
110
Pumping Level (ft-bgs)
140
Test After Hours
-
Test After Mins
-
Test Yield (GPM)
-
Hours Prior to Test
-
Minutes Prior to Test
-

FORMATION LOG

020red clay
2040medium white sand
4060medium sand white clay
60100white clay
100110white gray clay
110120medium coarse white sand
120160medium white sand

WELL OWNER INFORMATION

Company Name
-
Owner Name
CHRIS LEERSKEV
Address
10965 HWY 194
Address (Line 2)
-
City
OAKLAND
State
Tennessee
Zip Code
38060

PROPOSED USE OF WELL

Well Use
Residential

PRIMARY CASING

Diameter (in)
4
Top Set (in-above ground)
6
Primary Casing Depth (ft-bgs)
150
Primary Casing Type
Plastic
Wall Thickness
160
SDR#
26

WELL FINISH

Well Finish
Screen
From (ft-bgs)
150
To (ft-bgs)
160
Screen Type
Plastic
Slot Size (in)
0.01
Gravel Pack From (ft-bgs)
140
Gravel Pack To (ft-bgs)
160

BACK FILL MATERIAL

Bentonite010
Cuttings10140

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
Public Supply
Pump Installed By Driller?
Y

COMMENTS

Comments
-