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Driller Report Summary

WELL NUMBER

Well Number
20242015
Driller Tag Number
D0131474
Inspection Tag Number
-
Date Received
08/16/2024

WELL CONTRACTOR

License Number
750
Driller Name
Haskell Milton Mills
Rig Operator
H M MILLS

WELL LOCATION

County Name
CUMBERLAND
Driller Map No.
-
Quad Name
VANDEVER
Quad Number
0109SE
Quad Nth
9
Address
238 USGIYA RD
Address Line 2
-
City Name
CROSSVILLE
State Name
Tennessee
Zip
38572
Zip Ext
-
Distance From Landmark (miles)
-
Direction From Landmark
-
Nearest Landmark
-
Latitude
35.7850013
Longitude
-85.0405523

TYPE OF WORK

Date Drill Rig Left Site
06/12/2024
Type of Work
New Well

WELL COMPLETION DATA

Completion Date
06/12/2024
Total Depth (ft-bgs)
60
Depth To Bedrock (ft)
14
Static Level (ft-bgs)
15
Estimated Yield (GPM)
60

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

014DIRT
1426SLATE
2660SANDROCK

WELL OWNER INFORMATION

Company Name
-
Owner Name
JEFF STRIKER
Address
238 USGIYA ROAD
Address (Line 2)
-
City
CROSSVILLE
State
Tennessee
Zip Code
38572

PROPOSED USE OF WELL

Well Use
Residential

PRIMARY CASING

Diameter (in)
6
Top Set (in-above ground)
16
Primary Casing Depth (ft-bgs)
31
Primary Casing Type
Steel
Wall Thickness
.188
SDR#
-

WELL FINISH

Well Finish
Open Hole
From (ft-bgs)
31
To (ft-bgs)
60
Screen Type
-
Slot Size (in)
-
Gravel Pack From (ft-bgs)
-
Gravel Pack To (ft-bgs)
-

BACK FILL MATERIAL

Cuttings03
Bentonite310
Cuttings1031

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
Iron

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
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