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Driller Report Summary

WELL NUMBER

Well Number
20221494
Driller Tag Number
D0123113
Inspection Tag Number
-
Date Received
06/28/2022

WELL CONTRACTOR

License Number
639
Driller Name
Rickey Dale Samples
Rig Operator
JASON BARNARD

WELL LOCATION

County Name
COCKE
Driller Map No.
5BY
Quad Name
HARTFORD
Quad Number
0173SW
Quad Nth
1
Address
3530 DENTON KNOB WAY
Address Line 2
-
City Name
COSBY
State Name
Tennessee
Zip
37722
Zip Ext
-
Distance From Landmark (miles)
-
Direction From Landmark
-
Nearest Landmark
-
Latitude
35.84861111
Longitude
-83.23888888

TYPE OF WORK

Date Drill Rig Left Site
05/04/2022
Type of Work
New Well

WELL COMPLETION DATA

Completion Date
05/04/2022
Total Depth (ft-bgs)
285
Depth To Bedrock (ft)
90
Static Level (ft-bgs)
130
Estimated Yield (GPM)
8

WATER-BEARING ZONES

WELL TEST

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

FORMATION LOG

WELL OWNER INFORMATION

Company Name
-
Owner Name
STEVEN WEEKS
Address
3531 DENTON KNOW WAY
Address (Line 2)
-
City
COSBY
State
Tennessee
Zip Code
37722

PROPOSED USE OF WELL

Well Use
Residential

PRIMARY CASING

Diameter (in)
6
Top Set (in-above ground)
12
Primary Casing Depth (ft-bgs)
104
Primary Casing Type
Steel
Wall Thickness
0.19
SDR#
-

WELL FINISH

Well Finish
Open Hole
From (ft-bgs)
104
To (ft-bgs)
285
Screen Type
-
Slot Size (in)
-
Gravel Pack From (ft-bgs)
-
Gravel Pack To (ft-bgs)
-

BACK FILL MATERIAL

Bentonite010
Cuttings10104

LINER CASING

Type
None
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
-

GENERAL INFORMATION

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

COMMENTS

Comments
-