Driller Report Summary

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Well Number: 20241522
Driller Tag Number: D0131901
Inspection Tag Number: -
Date Received: 06/17/2024

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

County Name: HUMPHREYS
Driller Map No.: -
Quad Name: HALLS-CREEK
Quad Number: 0030NE
Quad Nth: 6
Address: 6400 HALLS CREEK RD
Address Line 2: -
City Name: WAVERLY
State Name: Tennessee
Zip: 37185
Zip Ext: -
Distance From Landmark (miles): -
Direction From Landmark: -
Nearest Landmark: -
Latitude: 36.1947365
Longitude: -87.7613961

Date Drill Rig Left Site: 04/04/2024
Type of Work: New Well

Completion Date: 04/04/2024
Total Depth (ft-bgs): 450
Depth To Bedrock (ft): 160
Static Level (ft-bgs): 40
Estimated Yield (GPM): .5

Depth (ft-bgs)	GPM	GPH	Water Quality
295	0.5	-	clear

Tested By: Blowing
Static Level (ft-bgs): 40
Pumping Level (ft-bgs): 450
Test After Hours: 1
Test After Mins: 30
Test Yield (GPM): 0.5
Hours Prior to Test: -
Minutes Prior to Test: -

Depth from (ft)	Depth to (ft)	Description
0	160	DIRT
160	450	LIMESTONE

Company Name: -
Owner Name: JOSH LAVEY
Address: 6400 HALLS CREEK RD
Address (Line 2): -
City: WAVERLY
State: Tennessee
Zip Code: 37185

Well Use: Residential

Diameter (in): 6
Top Set (in-above ground): 12
Primary Casing Depth (ft-bgs): 168
Primary Casing Type: Galvanized
Wall Thickness: .188
SDR#: -

Well Finish: Open Hole
From (ft-bgs): 160
To (ft-bgs): 450
Screen Type: -
Slot Size (in): -
Gravel Pack From (ft-bgs): -
Gravel Pack To (ft-bgs): -

Back Fill Type	From (ft-bgs)	To (ft-bgs)
Bentonite	3	10
Cuttings	10	160

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

Appearance: Clear
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: -