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Driller Report Summary

WELL NUMBER

Well Number
20243233
Driller Tag Number
D0132550
Inspection Tag Number
-
Date Received
12/30/2024

WELL CONTRACTOR

License Number
742
Driller Name
John Joseph Bingham
Rig Operator
RYAN KING

WELL LOCATION

County Name
HUMPHREYS
Driller Map No.
-
Quad Name
HARMON-CREEK
Quad Number
0030NW
Quad Nth
6
Address
310 HILLS HOLLOW DR
Address Line 2
-
City Name
WAVERLY
State Name
Tennessee
Zip
37185
Zip Ext
6601
Distance From Landmark (miles)
-
Direction From Landmark
-
Nearest Landmark
-
Latitude
36.1852013
Longitude
-87.894572

TYPE OF WORK

Date Drill Rig Left Site
09/25/2024
Type of Work
New Well

WELL COMPLETION DATA

Completion Date
09/25/2024
Total Depth (ft-bgs)
335
Depth To Bedrock (ft)
175
Static Level (ft-bgs)
90
Estimated Yield (GPM)
35

WATER-BEARING ZONES

WELL TEST

Tested By
Blowing
Static Level (ft-bgs)
-
Pumping Level (ft-bgs)
-
Test After Hours
-
Test After Mins
-
Test Yield (GPM)
-
Hours Prior to Test
2
Minutes Prior to Test
-

FORMATION LOG

0174CLAY GRAVEL
174189HARD GRAY SHALE SET 190 FT 6 IN STEEL
189260SMALL CHERT SOFT SHALE
260318SHALEY LIMESTONE
318335WHITE WEATHERED LIME

WELL OWNER INFORMATION

Company Name
-
Owner Name
LARRY & APRIL MOSHER
Address
310 HILLS HOLLOW DRIVE
Address (Line 2)
-
City
WAVERLY
State
Tennessee
Zip Code
37185

PROPOSED USE OF WELL

Well Use
Residential

PRIMARY CASING

Diameter (in)
6
Top Set (in-above ground)
12
Primary Casing Depth (ft-bgs)
189
Primary Casing Type
Steel
Wall Thickness
.188
SDR#
-

WELL FINISH

Well Finish
Slotted
From (ft-bgs)
285
To (ft-bgs)
335
Screen Type
-
Slot Size (in)
0.4
Gravel Pack From (ft-bgs)
-
Gravel Pack To (ft-bgs)
-

BACK FILL MATERIAL

Cuttings03
Bentonite310
Cuttings10189

LINER CASING

Type
Plastic
Diameter (in)
4
From (ft-bgs)
135
To (ft-bgs)
335
Packers Installed?
Y
Packer 1 Depth (ft-bgs)
285
Packer 2 Depth (ft-bgs)
-

ANTICIPATED WATER QUALITY

Appearance
Clear
Taste
Good
Odor
-
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
Public Supply
Pump Installed By Driller?
N

COMMENTS

Comments
Well Report received from Homeowner 12/30/2024, see attached email string-sr 12/30/2024