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Driller Report Summary

WELL NUMBER

Well Number
20221531
Driller Tag Number
D0124564
Inspection Tag Number
-
Date Received
07/07/2022

WELL CONTRACTOR

License Number
982
Driller Name
Rodney D. Tatum
Rig Operator
TYSON BARNES

WELL LOCATION

County Name
HAYWOOD
Driller Map No.
5DW
Quad Name
HILLVILLE
Quad Number
0431NW
Quad Nth
1
Address
376 COFFEY FARM RD
Address Line 2
-
City Name
STANTON
State Name
Tennessee
Zip
38069
Zip Ext
-
Distance From Landmark (miles)
0.4
Direction From Landmark
N
Nearest Landmark
intersection of Freedonia Loop & Coffey Farm Rd
Latitude
35.47305555
Longitude
-89.22444444

TYPE OF WORK

Date Drill Rig Left Site
04/27/2022
Type of Work
New Well

WELL COMPLETION DATA

Completion Date
04/27/2022
Total Depth (ft-bgs)
180
Depth To Bedrock (ft)
-
Static Level (ft-bgs)
80
Estimated Yield (GPM)
20

WATER-BEARING ZONES

WELL TEST

Tested By
Pumping
Static Level (ft-bgs)
80
Pumping Level (ft-bgs)
90
Test After Hours
1
Test After Mins
-
Test Yield (GPM)
20
Hours Prior to Test
1
Minutes Prior to Test
-

FORMATION LOG

05topsoil
515brown clay
1524white clay
24180coarse white sand

WELL OWNER INFORMATION

Company Name
-
Owner Name
CHRIS MCCOY
Address
376 COFFEY FARM RD
Address (Line 2)
-
City
STANTON
State
Tennessee
Zip Code
38069

PROPOSED USE OF WELL

Well Use
Residential

PRIMARY CASING

Diameter (in)
4
Top Set (in-above ground)
6
Primary Casing Depth (ft-bgs)
160
Primary Casing Type
Plastic
Wall Thickness
40
SDR#
-

WELL FINISH

Well Finish
Screen
From (ft-bgs)
160
To (ft-bgs)
180
Screen Type
Plastic
Slot Size (in)
0.01
Gravel Pack From (ft-bgs)
150
Gravel Pack To (ft-bgs)
180

BACK FILL MATERIAL

Bentonite310
Cuttings10150

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
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?
N

COMMENTS

Comments
-