Driller Report Summary

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Well Number: 20221570
Driller Tag Number: BA4717
Inspection Tag Number: -
Date Received: 08/04/2022

License Number: 571
Driller Name: David A. Mills
Rig Operator: DAVID MILLS - J J MILLS

County Name: RHEA
Driller Map No.: 2EZ
Quad Name: SPRING-CITY
Quad Number: 0118NE
Quad Nth: 6
Address: 832 SHERWOOD SHORES LOT 7
Address Line 2: -
City Name: SPRING CITY
State Name: Tennessee
Zip: 37381
Zip Ext: -
Distance From Landmark (miles): -
Direction From Landmark: -
Nearest Landmark: -
Latitude: 354136
Longitude: 844624

Date Drill Rig Left Site: 06/15/2022
Type of Work: Backfill and Abandon

Completion Date: 06/15/2022
Total Depth (ft-bgs): 96
Depth To Bedrock (ft): -
Static Level (ft-bgs): 30
Estimated Yield (GPM): -

Depth (ft-bgs)	GPM	GPH	Water Quality
-	-	-	-

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: -

Depth from (ft)	Depth to (ft)	Description
-	-	-

Company Name: -
Owner Name: EDWARD & JUDY STATEN
Address: 832 SHERWOOD SHORES LOT 7
Address (Line 2): -
City: SPRING CITY
State: Tennessee
Zip Code: 37381

Well Use: -

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

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

Back Fill Type	From (ft-bgs)	To (ft-bgs)
-	0	0

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

Appearance: -
Taste: -
Odor: -
Other: -

Well Disinfected?: -
Well Capped?: -
50ft From Septic System?: -
Septic Distance Provided By: -
Drilling Process Water Obtained From: -
Pump Installed By Driller?: -

Comments: pump and piping removed, casing left in place and cut below ground level, no liner, backfill: soi 0-2.5, bentonite 2.5-10 3 50 lb bags gravity, gravel 10-20 3 cuft gravity, 20-30 3 50 lb bags gravity, gravel 30-60 7 cuft gravity, bentonite 60-70 4 50 lb bags gravity, gravel 70-96 9 cuft gravity, 1/2 lb Chlorine HTH