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Driller Report Summary

WELL NUMBER

Well Number
20242891
Driller Tag Number
D0132159
Inspection Tag Number
-
Date Received
11/08/2024

WELL CONTRACTOR

License Number
698
Driller Name
Kenneth Warren Gentry
Rig Operator
STEPHEN KEENER

WELL LOCATION

County Name
WAYNE
Driller Map No.
-
Quad Name
NEGRO-HOLLOW
Quad Number
0042SW
Quad Nth
4
Address
1012 WAYNESBORO HWY
Address Line 2
-
City Name
WAYNESBORO
State Name
Tennessee
Zip
38485
Zip Ext
-
Distance From Landmark (miles)
-
Direction From Landmark
-
Nearest Landmark
-
Latitude
35.3211199
Longitude
-87.7119418

TYPE OF WORK

Date Drill Rig Left Site
08/14/2024
Type of Work
New Well

WELL COMPLETION DATA

Completion Date
08/14/2024
Total Depth (ft-bgs)
185
Depth To Bedrock (ft)
185
Static Level (ft-bgs)
-
Estimated Yield (GPM)
10

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)
10
Hours Prior to Test
1
Minutes Prior to Test
-

FORMATION LOG

03DRY SOIL
312BIGGER ROCKS AND GRAVEL
1219RED CLAY
19120CLAY AND GRAVEL
120155THICK C
155185(WATER) LIHGT COLORED GRAVEL TAN CLAY

WELL OWNER INFORMATION

Company Name
-
Owner Name
RYAN WEBB
Address
1012 WAYNESBORO HWY
Address (Line 2)
-
City
WAYNESBORO
State
Tennessee
Zip Code
38485

PROPOSED USE OF WELL

Well Use
Residential

PRIMARY CASING

Diameter (in)
6
Top Set (in-above ground)
12
Primary Casing Depth (ft-bgs)
165
Primary Casing Type
Plastic
Wall Thickness
-
SDR#
26

WELL FINISH

Well Finish
Screen
From (ft-bgs)
165
To (ft-bgs)
185
Screen Type
Plastic
Slot Size (in)
0.02
Gravel Pack From (ft-bgs)
155
Gravel Pack To (ft-bgs)
185

BACK FILL MATERIAL

Bentonite310
Cuttings10155

LINER CASING

Type
-
Diameter (in)
-
From (ft-bgs)
-
To (ft-bgs)
-
Packers Installed?
-
Packer 1 Depth (ft-bgs)
-
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
Well
Pump Installed By Driller?
N

COMMENTS

Comments
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