Driller Report Summary

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Well Number: 20243200
Driller Tag Number: D0131596
Inspection Tag Number: -
Date Received: 11/25/2024

License Number: 1014
Driller Name: J. Brandon Allen
Rig Operator: DAN RYMER

County Name: HICKMAN
Driller Map No.: -
Quad Name: PLEASANTVILLE
Quad Number: 0041NW
Quad Nth: 5
Address: MORGAN BRANCH RD
Address Line 2: -
City Name: CENTERVILLE
State Name: Tennessee
Zip: 37033
Zip Ext: -
Distance From Landmark (miles): -
Direction From Landmark: -
Nearest Landmark: -
Latitude: 35.7019444
Longitude: -87.6963808

Date Drill Rig Left Site: 11/05/2024
Type of Work: New Well

Completion Date: 11/05/2024
Total Depth (ft-bgs): 240
Depth To Bedrock (ft): 233
Static Level (ft-bgs): 120
Estimated Yield (GPM): 20

Depth (ft-bgs)	GPM	GPH	Water Quality
210	20	-	clear

Tested By: Blowing
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: -

Depth from (ft)	Depth to (ft)	Description
0	233	CHERT GRAVEL
233	240	BLUE GRAY

Company Name: -
Owner Name: RUBEN BALMEZ
Address: 866 SWAN CREEK ROAD
Address (Line 2): -
City: CENTERVILLE
State: Tennessee
Zip Code: 37033

Well Use: Residential

Diameter (in): 6
Top Set (in-above ground): 24
Primary Casing Depth (ft-bgs): 240
Primary Casing Type: Galvanized
Wall Thickness: .188
SDR#: -

Well Finish: Slotted
From (ft-bgs): 200
To (ft-bgs): 230
Screen Type: -
Slot Size (in): 0.25
Gravel Pack From (ft-bgs): 180
Gravel Pack To (ft-bgs): 240

Back Fill Type	From (ft-bgs)	To (ft-bgs)
Bentonite	3	10
Cuttings	10	170
Bentonite	170	180

Type: -
Diameter (in): -
From (ft-bgs): -
To (ft-bgs): -
Packers Installed?: N
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: -