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Driller Report Summary

WELL NUMBER

Well Number
20243073
Driller Tag Number
D0128892
Inspection Tag Number
-
Date Received
11/19/2024

WELL CONTRACTOR

License Number
721
Driller Name
Timothy Hawn
Rig Operator
TIM HAWN

WELL LOCATION

County Name
BLEDSOE
Driller Map No.
-
Quad Name
BRAYTON
Quad Number
0111NW
Quad Nth
1
Address
HIDDEN HILLS LOT 16
Address Line 2
-
City Name
GRAYSVILLE
State Name
Tennessee
Zip
37338
Zip Ext
-
Distance From Landmark (miles)
-
Direction From Landmark
-
Nearest Landmark
-
Latitude
35.4691623
Longitude
-85.2316533

TYPE OF WORK

Date Drill Rig Left Site
10/28/2024
Type of Work
New Well

WELL COMPLETION DATA

Completion Date
10/28/2024
Total Depth (ft-bgs)
244
Depth To Bedrock (ft)
4
Static Level (ft-bgs)
11
Estimated Yield (GPM)
5

WATER-BEARING ZONES

20 - - iron, spring
35 - - iron, spring
451 - iron
1904 - iron

WELL TEST

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

FORMATION LOG

04SOILK
410BROWN SANDSTONE
1086GRAY SANDSTONE
86244SAND SHALE STREAKS GRAY SANSTONE

WELL OWNER INFORMATION

Company Name
-
Owner Name
MISTY TATE
Address
HIDDEN HILLS LOT 16
Address (Line 2)
-
City
GRAYSVILLE
State
Tennessee
Zip Code
37388

PROPOSED USE OF WELL

Well Use
Residential

PRIMARY CASING

Diameter (in)
6
Top Set (in-above ground)
12
Primary Casing Depth (ft-bgs)
20
Primary Casing Type
Steel
Wall Thickness
.188
SDR#
-

WELL FINISH

Well Finish
Open Hole
From (ft-bgs)
20
To (ft-bgs)
244
Screen Type
-
Slot Size (in)
-
Gravel Pack From (ft-bgs)
-
Gravel Pack To (ft-bgs)
-

BACK FILL MATERIAL

Bentonite310
Bentonite1020
Cuttings1020

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
Iron

GENERAL INFORMATION

Well Disinfected?
Y
Well Capped?
Y
50ft From Septic System?
Y
Septic Distance Provided By
Property Owner
Drilling Process Water Obtained From
SpringBox
Pump Installed By Driller?
N

COMMENTS

Comments
-