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Driller Report Summary

WELL NUMBER

Well Number
20241979
Driller Tag Number
D0130787
Inspection Tag Number
-
Date Received
08/14/2024

WELL CONTRACTOR

License Number
639
Driller Name
Rickey Dale Samples
Rig Operator
WESLEY HICKLE

WELL LOCATION

County Name
HAWKINS
Driller Map No.
-
Quad Name
CAMELOT
Quad Number
0171NE
Quad Nth
3
Address
2767 HIGHWAY 70 N
Address Line 2
-
City Name
ROGERSVILLE
State Name
Tennessee
Zip
37857
Zip Ext
4150
Distance From Landmark (miles)
-
Direction From Landmark
-
Nearest Landmark
-
Latitude
36.4969738
Longitude
-83.0255823

TYPE OF WORK

Date Drill Rig Left Site
07/03/2024
Type of Work
New Well

WELL COMPLETION DATA

Completion Date
07/03/2024
Total Depth (ft-bgs)
485
Depth To Bedrock (ft)
50
Static Level (ft-bgs)
5
Estimated Yield (GPM)
15

WATER-BEARING ZONES

2601 - -
3802 - -
46012 - -

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

050SAND
50485BLUE SLATE

WELL OWNER INFORMATION

Company Name
-
Owner Name
GARY HENARD
Address
2767 HWY 70 N
Address (Line 2)
-
City
ROGERSVILLE
State
Tennessee
Zip Code
37857

PROPOSED USE OF WELL

Well Use
Residential

PRIMARY CASING

Diameter (in)
6
Top Set (in-above ground)
12
Primary Casing Depth (ft-bgs)
62
Primary Casing Type
Steel
Wall Thickness
.188
SDR#
-

WELL FINISH

Well Finish
Open Hole
From (ft-bgs)
62
To (ft-bgs)
485
Screen Type
-
Slot Size (in)
-
Gravel Pack From (ft-bgs)
-
Gravel Pack To (ft-bgs)
-

BACK FILL MATERIAL

Bentonite010
Cuttings1062

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
-
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
-