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Driller Report Summary

WELL NUMBER

Well Number
20242571
Driller Tag Number
D0127352
Inspection Tag Number
-
Date Received
10/25/2024

WELL CONTRACTOR

License Number
1085
Driller Name
Channing Wade Johnson
Rig Operator
CHANNING JOHNSON

WELL LOCATION

County Name
HENDERSON
Driller Map No.
-
Quad Name
CLARKSBURG
Quad Number
0010SW
Quad Nth
5
Address
455 RUE HAMNER RD
Address Line 2
-
City Name
CEDAR GROVE
State Name
Tennessee
Zip
38321
Zip Ext
-
Distance From Landmark (miles)
-
Direction From Landmark
-
Nearest Landmark
-
Latitude
35.799117
Longitude
-88.4515397

TYPE OF WORK

Date Drill Rig Left Site
07/20/2023
Type of Work
New Well

WELL COMPLETION DATA

Completion Date
07/20/2023
Total Depth (ft-bgs)
300
Depth To Bedrock (ft)
-
Static Level (ft-bgs)
145
Estimated Yield (GPM)
15

WATER-BEARING ZONES

WELL TEST

Tested By
Pumping
Static Level (ft-bgs)
145
Pumping Level (ft-bgs)
170
Test After Hours
1
Test After Mins
-
Test Yield (GPM)
15
Hours Prior to Test
-
Minutes Prior to Test
-

FORMATION LOG

020TOPSOIL
20115BROWN SAND
115210GRAY CLAY
210300WHITE SAND

WELL OWNER INFORMATION

Company Name
-
Owner Name
ANN MULLINS
Address
4555 RUE HAMMER ROAD
Address (Line 2)
-
City
WILDERSVILLE
State
Tennessee
Zip Code
38388

PROPOSED USE OF WELL

Well Use
Farm

PRIMARY CASING

Diameter (in)
4
Top Set (in-above ground)
12
Primary Casing Depth (ft-bgs)
290
Primary Casing Type
Plastic
Wall Thickness
40
SDR#
-

WELL FINISH

Well Finish
Screen
From (ft-bgs)
290
To (ft-bgs)
300
Screen Type
Plastic
Slot Size (in)
0.01
Gravel Pack From (ft-bgs)
275
Gravel Pack To (ft-bgs)
300

BACK FILL MATERIAL

Bentonite310
Cuttings10275

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
Driller Determination
Drilling Process Water Obtained From
Public Supply
Pump Installed By Driller?
Y

COMMENTS

Comments
-