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Driller Report Summary

WELL NUMBER

Well Number
20242218
Driller Tag Number
D0132074
Inspection Tag Number
-
Date Received
09/09/2024

WELL CONTRACTOR

License Number
927
Driller Name
George Benson Page
Rig Operator
BENSON PAGE

WELL LOCATION

County Name
SUMNER
Driller Map No.
-
Quad Name
HICKORY-FLAT
Quad Number
0312NW
Quad Nth
8
Address
530 COOK RD
Address Line 2
-
City Name
PORTLAND
State Name
Tennessee
Zip
37148
Zip Ext
-
Distance From Landmark (miles)
-
Direction From Landmark
-
Nearest Landmark
-
Latitude
36.6402829
Longitude
-86.4300043

TYPE OF WORK

Date Drill Rig Left Site
08/06/2024
Type of Work
New Well

WELL COMPLETION DATA

Completion Date
08/06/2024
Total Depth (ft-bgs)
195
Depth To Bedrock (ft)
23
Static Level (ft-bgs)
-
Estimated Yield (GPM)
0

WATER-BEARING ZONES

WELL TEST

Tested By
-
Static Level (ft-bgs)
-
Pumping Level (ft-bgs)
-
Test After Hours
-
Test After Mins
-
Test Yield (GPM)
0
Hours Prior to Test
-
Minutes Prior to Test
-

FORMATION LOG

2350BLUE LIMESTONE
5095BROWN LIMESTONE
95150WHITE LIMESTONE
150185BLUE LIMESTONE
185195DARK BLUE LIMESTONE

WELL OWNER INFORMATION

Company Name
-
Owner Name
DALTON HODGES
Address
530 COOK RD
Address (Line 2)
-
City
PORTLAND
State
Tennessee
Zip Code
37148

PROPOSED USE OF WELL

Well Use
Residential

PRIMARY CASING

Diameter (in)
6
Top Set (in-above ground)
12
Primary Casing Depth (ft-bgs)
28
Primary Casing Type
Steel
Wall Thickness
.188
SDR#
-

WELL FINISH

Well Finish
Open Hole
From (ft-bgs)
28
To (ft-bgs)
195
Screen Type
-
Slot Size (in)
-
Gravel Pack From (ft-bgs)
-
Gravel Pack To (ft-bgs)
-

BACK FILL MATERIAL

Bentonite310
Cuttings1028

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
-
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
Well
Pump Installed By Driller?
N

COMMENTS

Comments
-