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Driller Report Summary

WELL NUMBER

Well Number
20242334
Driller Tag Number
D0132461
Inspection Tag Number
-
Date Received
09/17/2024

WELL CONTRACTOR

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

WELL LOCATION

County Name
GIBSON
Driller Map No.
-
Quad Name
MEDINA
Quad Number
0437SE
Quad Nth
6
Address
118 HARGROVE RD
Address Line 2
-
City Name
MEDINA
State Name
Tennessee
Zip
38355
Zip Ext
-
Distance From Landmark (miles)
0.03
Direction From Landmark
N
Nearest Landmark
intersection of Hwy 152 and Roy Hargrove Rd
Latitude
35.8058325
Longitude
-88.7669466

TYPE OF WORK

Date Drill Rig Left Site
08/19/2024
Type of Work
New Well

WELL COMPLETION DATA

Completion Date
08/19/2024
Total Depth (ft-bgs)
260
Depth To Bedrock (ft)
-
Static Level (ft-bgs)
72
Estimated Yield (GPM)
10

WATER-BEARING ZONES

WELL TEST

Tested By
Blowing
Static Level (ft-bgs)
72
Pumping Level (ft-bgs)
-
Test After Hours
1
Test After Mins
-
Test Yield (GPM)
10
Hours Prior to Test
1
Minutes Prior to Test
-

FORMATION LOG

05TOPSOIL
510BROWN CLAY
10100SAND
100135WHITE SAND AND SAND
135195CLAY
195260COARSE SAND

WELL OWNER INFORMATION

Company Name
-
Owner Name
CRAIG COLTHARP
Address
118 HARGROVE ROAD
Address (Line 2)
-
City
MEDINA
State
Tennessee
Zip Code
38355

PROPOSED USE OF WELL

Well Use
Residential

PRIMARY CASING

Diameter (in)
4
Top Set (in-above ground)
6
Primary Casing Depth (ft-bgs)
240
Primary Casing Type
Plastic
Wall Thickness
40
SDR#
-

WELL FINISH

Well Finish
Screen
From (ft-bgs)
240
To (ft-bgs)
260
Screen Type
Plastic
Slot Size (in)
0.01
Gravel Pack From (ft-bgs)
230
Gravel Pack To (ft-bgs)
260

BACK FILL MATERIAL

Bentonite310
Cuttings10230

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
Well
Pump Installed By Driller?
N

COMMENTS

Comments
no pump test well was developed by lowing see NOI 43668 for 1st well, driller paid for both