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Driller Report Summary

WELL NUMBER

Well Number
20241481
Driller Tag Number
D0128873
Inspection Tag Number
-
Date Received
06/24/2024

WELL CONTRACTOR

License Number
721
Driller Name
Timothy Hawn
Rig Operator
TIM HAWN

WELL LOCATION

County Name
VAN BUREN
Driller Map No.
-
Quad Name
WELCHLAND
Quad Number
0328NE
Quad Nth
9
Address
975 HORSESHOE DR
Address Line 2
-
City Name
SPENCER
State Name
Tennessee
Zip
38585
Zip Ext
-
Distance From Landmark (miles)
-
Direction From Landmark
-
Nearest Landmark
-
Latitude
35.6411413
Longitude
-85.5169419

TYPE OF WORK

Date Drill Rig Left Site
05/24/2024
Type of Work
New Well

WELL COMPLETION DATA

Completion Date
05/24/2024
Total Depth (ft-bgs)
144
Depth To Bedrock (ft)
5
Static Level (ft-bgs)
90
Estimated Yield (GPM)
15

WATER-BEARING ZONES

44 - - iron, spring
12615 - iron

WELL TEST

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
-

FORMATION LOG

05SOIL
517BROWN SANDSTONE & STREAKS CLAY
1744BROWN SANDSTONE
4480GRAY SANDTONE STREAKS SHALE
80112SHALE & STREAKS SANDSTONE
112144GRAY SANDSTONE

WELL OWNER INFORMATION

Company Name
-
Owner Name
STEPHEN VICTORIA
Address
975 HORSESHOE DR
Address (Line 2)
-
City
SPENCER
State
Tennessee
Zip Code
38585

PROPOSED USE OF WELL

Well Use
Residential

PRIMARY CASING

Diameter (in)
6
Top Set (in-above ground)
12
Primary Casing Depth (ft-bgs)
20
Primary Casing Type
Steel
Wall Thickness
.188
SDR#
-

WELL FINISH

Well Finish
Open Hole
From (ft-bgs)
20
To (ft-bgs)
144
Screen Type
-
Slot Size (in)
-
Gravel Pack From (ft-bgs)
-
Gravel Pack To (ft-bgs)
-

BACK FILL MATERIAL

Bentonite310
Bentonite1020
Cuttings1020

LINER CASING

Type
-
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
Iron

GENERAL INFORMATION

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

COMMENTS

Comments
-