Driller Report Summary

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Well Number: 20242203
Driller Tag Number: D0130002
Inspection Tag Number: -
Date Received: 09/09/2024

License Number: 1076
Driller Name: Michael Wayne Norman
Rig Operator: MICHAEL NORMAN

County Name: HUMPHREYS
Driller Map No.: -
Quad Name: HARMON-CREEK
Quad Number: 0030NW
Quad Nth: 6
Address: 480 BLUFF POINT RD
Address Line 2: -
City Name: WAVERLY
State Name: Tennessee
Zip: 37185
Zip Ext: -
Distance From Landmark (miles): 7
Direction From Landmark: NW
Nearest Landmark: Waverly
Latitude: 36.1769427
Longitude: -87.9024957

Date Drill Rig Left Site: 08/02/2024
Type of Work: New Well

Completion Date: 08/02/2024
Total Depth (ft-bgs): 211
Depth To Bedrock (ft): -
Static Level (ft-bgs): -
Estimated Yield (GPM): 30

Depth (ft-bgs)	GPM	GPH	Water Quality
210	30	-	good

Tested By: Blowing
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: -

Depth from (ft)	Depth to (ft)	Description
0	190	CHERT CLAY
190	211	CLEAN CHERT

Company Name: -
Owner Name: MIKE ROTHER
Address: 7N092 KEARNS ST
Address (Line 2): -
City: SOUTH ELGIN
State: Illinois
Zip Code: 60177

Well Use: Residential

Diameter (in): 6
Top Set (in-above ground): 12
Primary Casing Depth (ft-bgs): 210
Primary Casing Type: Galvanized
Wall Thickness: .188
SDR#: -

Well Finish: Open Hole
From (ft-bgs): 210
To (ft-bgs): 211
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
Cuttings	10	210

Type: -
Diameter (in): -
From (ft-bgs): -
To (ft-bgs): -
Packers Installed?: -
Packer 1 Depth (ft-bgs): -
Packer 2 Depth (ft-bgs): -

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

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

Comments: -