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Driller Report Summary

WELL NUMBER

Well Number
20243133
Driller Tag Number
D0130831
Inspection Tag Number
-
Date Received
11/22/2024

WELL CONTRACTOR

License Number
639
Driller Name
Rickey Dale Samples
Rig Operator
JASON BARNARD

WELL LOCATION

County Name
WASHINGTON
Driller Map No.
-
Quad Name
LEESBURG
Quad Number
0189SE
Quad Nth
2
Address
646 WOODMONT RD
Address Line 2
-
City Name
JONESBOROUGH
State Name
Tennessee
Zip
37659
Zip Ext
-
Distance From Landmark (miles)
-
Direction From Landmark
-
Nearest Landmark
-
Latitude
36.3576957
Longitude
-82.5531973

TYPE OF WORK

Date Drill Rig Left Site
10/31/2024
Type of Work
New Well

WELL COMPLETION DATA

Completion Date
10/31/2024
Total Depth (ft-bgs)
565
Depth To Bedrock (ft)
127
Static Level (ft-bgs)
127
Estimated Yield (GPM)
5

WATER-BEARING ZONES

WELL TEST

Tested By
Blowing
Static Level (ft-bgs)
-
Pumping Level (ft-bgs)
-
Test After Hours
1
Test After Mins
-
Test Yield (GPM)
-
Hours Prior to Test
-
Minutes Prior to Test
-

FORMATION LOG

127565LIMESTONE
0127SAND CLAY

WELL OWNER INFORMATION

Company Name
-
Owner Name
MARK DEHART
Address
646 WOODMONT ROAD
Address (Line 2)
-
City
JONESBOROUGH
State
Tennessee
Zip Code
37659

PROPOSED USE OF WELL

Well Use
Residential

PRIMARY CASING

Diameter (in)
6
Top Set (in-above ground)
12
Primary Casing Depth (ft-bgs)
146
Primary Casing Type
Steel
Wall Thickness
.188
SDR#
-

WELL FINISH

Well Finish
Open Hole
From (ft-bgs)
146
To (ft-bgs)
565
Screen Type
-
Slot Size (in)
-
Gravel Pack From (ft-bgs)
-
Gravel Pack To (ft-bgs)
-

BACK FILL MATERIAL

Bentonite010
Cuttings10146

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
-
Odor
-
Other
-

GENERAL INFORMATION

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

COMMENTS

Comments
36.3577 -82.5532