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Driller Report Summary

WELL NUMBER

Well Number
20221505
Driller Tag Number
D0122822
Inspection Tag Number
-
Date Received
06/29/2022

WELL CONTRACTOR

License Number
750
Driller Name
Haskell Milton Mills
Rig Operator
HM MILLS JR

WELL LOCATION

County Name
VAN BUREN
Driller Map No.
3BX
Quad Name
WELCHLAND
Quad Number
0328NE
Quad Nth
9
Address
WOLFHAVEN RD
Address Line 2
-
City Name
SPENCER
State Name
Tennessee
Zip
38585
Zip Ext
-
Distance From Landmark (miles)
-
Direction From Landmark
-
Nearest Landmark
apprx 1200 Wolfhaven Rd
Latitude
35.65833333
Longitude
-85.50055555

TYPE OF WORK

Date Drill Rig Left Site
05/03/2022
Type of Work
New Well

WELL COMPLETION DATA

Completion Date
05/03/2022
Total Depth (ft-bgs)
240
Depth To Bedrock (ft)
5
Static Level (ft-bgs)
56
Estimated Yield (GPM)
4

WATER-BEARING ZONES

WELL TEST

Tested By
-
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

05dirt
597sandrock
97188slate
188189coal
189192sandrock
192240slate to limeshell

WELL OWNER INFORMATION

Company Name
-
Owner Name
CLIFF PHILLIPS
Address
1755 LAKESHORE CR
Address (Line 2)
-
City
WESTON
State
Florida
Zip Code
33326

PROPOSED USE OF WELL

Well Use
Residential

PRIMARY CASING

Diameter (in)
6
Top Set (in-above ground)
16
Primary Casing Depth (ft-bgs)
41
Primary Casing Type
Steel
Wall Thickness
0.19
SDR#
-

WELL FINISH

Well Finish
Open Hole
From (ft-bgs)
41
To (ft-bgs)
240
Screen Type
-
Slot Size (in)
-
Gravel Pack From (ft-bgs)
-
Gravel Pack To (ft-bgs)
-

BACK FILL MATERIAL

Cuttings03
Bentonite310
Cuttings1041

LINER CASING

Type
None
Diameter (in)
-
From (ft-bgs)
-
To (ft-bgs)
-
Packers Installed?
N
Packer 1 Depth (ft-bgs)
-
Packer 2 Depth (ft-bgs)
-

ANTICIPATED WATER QUALITY

Appearance
Clear
Taste
Good
Odor
Iron
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
SpringBox
Pump Installed By Driller?
N

COMMENTS

Comments
-