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Driller Report Summary

WELL NUMBER

Well Number
20221496
Driller Tag Number
D0123118
Inspection Tag Number
-
Date Received
06/28/2022

WELL CONTRACTOR

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

WELL LOCATION

County Name
GRAINGER
Driller Map No.
2EY
Quad Name
AVONDALE
Quad Number
0162SW
Quad Nth
3
Address
1325 STEVE BROWN RD
Address Line 2
-
City Name
BEAN STATION
State Name
Tennessee
Zip
37708
Zip Ext
-
Distance From Landmark (miles)
-
Direction From Landmark
-
Nearest Landmark
-
Latitude
36.33611111
Longitude
-83.41138888

TYPE OF WORK

Date Drill Rig Left Site
05/18/2022
Type of Work
New Well

WELL COMPLETION DATA

Completion Date
05/18/2022
Total Depth (ft-bgs)
145
Depth To Bedrock (ft)
68
Static Level (ft-bgs)
8
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
35
Test Yield (GPM)
-
Hours Prior to Test
-
Minutes Prior to Test
-

FORMATION LOG

WELL OWNER INFORMATION

Company Name
-
Owner Name
JAMES LANE
Address
PO BOX 294
Address (Line 2)
-
City
DUNGANNON
State
Virginia
Zip Code
24245

PROPOSED USE OF WELL

Well Use
Residential

PRIMARY CASING

Diameter (in)
6
Top Set (in-above ground)
12
Primary Casing Depth (ft-bgs)
82
Primary Casing Type
Steel
Wall Thickness
0.19
SDR#
-

WELL FINISH

Well Finish
Open Hole
From (ft-bgs)
82
To (ft-bgs)
145
Screen Type
-
Slot Size (in)
-
Gravel Pack From (ft-bgs)
-
Gravel Pack To (ft-bgs)
-

BACK FILL MATERIAL

Bentonite010
Cuttings1082

LINER CASING

Type
None
Diameter (in)
-
From (ft-bgs)
-
To (ft-bgs)
-
Packers Installed?
N
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
-