Driller Report Summary

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Well Number: 20241985
Driller Tag Number: D0130789
Inspection Tag Number: -
Date Received: 08/14/2024

License Number: 639
Driller Name: Rickey Dale Samples
Rig Operator: WESLEY HICKLE

County Name: HAWKINS
Driller Map No.: -
Quad Name: CHURCH-HILL
Quad Number: 0188SW
Quad Nth: 4
Address: 1059 MORNING STAR RD
Address Line 2: -
City Name: CHURCH HILL
State Name: Tennessee
Zip: 37642
Zip Ext: -
Distance From Landmark (miles): -
Direction From Landmark: -
Nearest Landmark: -
Latitude: 36.5788943
Longitude: -82.7213907

Date Drill Rig Left Site: 07/22/2024
Type of Work: Rework

Completion Date: 07/22/2024
Total Depth (ft-bgs): 505
Depth To Bedrock (ft): -
Static Level (ft-bgs): 90
Estimated Yield (GPM): 4

Depth (ft-bgs)	GPM	GPH	Water Quality
360	2	-	-
425	2	-	-

Tested By: Blowing
Static Level (ft-bgs): -
Pumping Level (ft-bgs): 425
Test After Hours: 2
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: JEFF PARSON
Address: 1059 MORNING STAR ROAD
Address (Line 2): -
City: CHURCH HILL
State: Tennessee
Zip Code: 37642

Well Use: Residential

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

Well Finish: Open Hole
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)
Bentonite	3	10

Type: Steel
Diameter (in): 5.625
From (ft-bgs): 160
To (ft-bgs): 265
Packers Installed?: Y
Packer 1 Depth (ft-bgs): 154
Packer 2 Depth (ft-bgs): 158

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

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?: -

Comments: Drilled well deeper, total depth 505 ft (240 additional feet)