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Driller Report Summary

WELL NUMBER

Well Number
20241520
Driller Tag Number
D0130466
Inspection Tag Number
-
Date Received
06/17/2024

WELL CONTRACTOR

License Number
925
Driller Name
James Michael Haynes
Rig Operator
DEWAYNE HAYNES

WELL LOCATION

County Name
CANNON
Driller Map No.
-
Quad Name
SHORT-MTN
Quad Number
0323SW
Quad Nth
4
Address
JOE BLANTON RD LOT 11
Address Line 2
-
City Name
WOODBURY
State Name
Tennessee
Zip
37190
Zip Ext
-
Distance From Landmark (miles)
-
Direction From Landmark
-
Nearest Landmark
-
Latitude
35.8033239
Longitude
-85.9644517

TYPE OF WORK

Date Drill Rig Left Site
04/19/2024
Type of Work
New Well

WELL COMPLETION DATA

Completion Date
04/19/2024
Total Depth (ft-bgs)
120
Depth To Bedrock (ft)
79
Static Level (ft-bgs)
40
Estimated Yield (GPM)
15

WATER-BEARING ZONES

WELL TEST

Tested By
Blowing
Static Level (ft-bgs)
40
Pumping Level (ft-bgs)
120
Test After Hours
1
Test After Mins
30
Test Yield (GPM)
15
Hours Prior to Test
-
Minutes Prior to Test
-

FORMATION LOG

WELL OWNER INFORMATION

Company Name
-
Owner Name
MARK SMITH
Address
JOE BLANTON RD LOT 11
Address (Line 2)
-
City
WOODBURY
State
Tennessee
Zip Code
37190

PROPOSED USE OF WELL

Well Use
Residential

PRIMARY CASING

Diameter (in)
6
Top Set (in-above ground)
12
Primary Casing Depth (ft-bgs)
83
Primary Casing Type
Galvanized
Wall Thickness
.188
SDR#
-

WELL FINISH

Well Finish
Open Hole
From (ft-bgs)
83
To (ft-bgs)
120
Screen Type
-
Slot Size (in)
-
Gravel Pack From (ft-bgs)
-
Gravel Pack To (ft-bgs)
-

BACK FILL MATERIAL

Bentonite310
Cuttings1083

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
-

GENERAL INFORMATION

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

COMMENTS

Comments
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