Driller Report Summary

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Well Number: 20243047
Driller Tag Number: D0131936
Inspection Tag Number: -
Date Received: 11/18/2024

License Number: 925
Driller Name: James Michael Haynes
Rig Operator

County Name: WARREN
Driller Map No.: -
Quad Name: CENTERTOWN
Quad Number: 0092NW
Quad Nth: 4
Address: 137 BERTHA OWENS RD
Address Line 2: -
City Name: MORRISON
State Name: Tennessee
Zip: 37357
Zip Ext: -
Distance From Landmark (miles): -
Direction From Landmark: -
Nearest Landmark: -
Latitude: 35.685
Longitude: -85.9602483

Date Drill Rig Left Site: 09/05/2024
Type of Work: New Well

Completion Date: 09/05/2024
Total Depth (ft-bgs): 120
Depth To Bedrock (ft): 79
Static Level (ft-bgs): 30
Estimated Yield (GPM): 10

Depth (ft-bgs)	GPM	GPH	Water Quality
60	10	-	cloudy

Tested By: Blowing
Static Level (ft-bgs): 30
Pumping Level (ft-bgs): 120
Test After Hours: 1
Test After Mins: 30
Test Yield (GPM): 10
Hours Prior to Test: -
Minutes Prior to Test: -

Depth from (ft)	Depth to (ft)	Description
0	79	DIRT CHERT GRAVEL BED
79	120	SOAPSTONE

Company Name: -
Owner Name: JENNIFER JONES
Address: 137 BERTHA OWENS ROAD
Address (Line 2): -
City: MORRISON
State: Tennessee
Zip Code: 37357

Well Use: Residential

Diameter (in): 6
Top Set (in-above ground): 12
Primary Casing Depth (ft-bgs): 83
Primary Casing Type: Galvanized
Wall Thickness: .188
SDR#: -

Well Finish: Open Hole
From (ft-bgs): 83
To (ft-bgs): 120
Screen Type: -
Slot Size (in): 0.25
Gravel Pack From (ft-bgs): 60
Gravel Pack To (ft-bgs): 79

Back Fill Type	From (ft-bgs)	To (ft-bgs)
Bentonite	3	10
Cuttings	10	60

Type: -
Diameter (in): -
From (ft-bgs): -
To (ft-bgs): -
Packers Installed?: -
Packer 1 Depth (ft-bgs): -
Packer 2 Depth (ft-bgs): -

Appearance: Cloudy
Taste: -
Odor: -
Other: -

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?: N

Comments: -