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Driller Report Summary

WELL NUMBER

Well Number
20241835
Driller Tag Number
D0127032
Inspection Tag Number
-
Date Received
07/29/2024

WELL CONTRACTOR

License Number
703
Driller Name
Aubrey Lynn Phillips
Rig Operator
W PHILLIPS

WELL LOCATION

County Name
FAYETTE
Driller Map No.
-
Quad Name
MOSCOW-SE
Quad Number
0424SE
Quad Nth
3
Address
LAGRANGE RD
Address Line 2
-
City Name
SOMERVILLE
State Name
Tennessee
Zip
38039
Zip Ext
-
Distance From Landmark (miles)
7
Direction From Landmark
-
Nearest Landmark
Hwy 765
Latitude
35.1146458
Longitude
-89.2713714

TYPE OF WORK

Date Drill Rig Left Site
06/04/2024
Type of Work
New Well

WELL COMPLETION DATA

Completion Date
06/04/2024
Total Depth (ft-bgs)
180
Depth To Bedrock (ft)
-
Static Level (ft-bgs)
110
Estimated Yield (GPM)
12

WATER-BEARING ZONES

WELL TEST

Tested By
Pumping
Static Level (ft-bgs)
110
Pumping Level (ft-bgs)
140
Test After Hours
4
Test After Mins
-
Test Yield (GPM)
-
Hours Prior to Test
-
Minutes Prior to Test
-

FORMATION LOG

130180WHITE SAND
100130WHITE CLAY
30100WHITE SAND
1030RED SAND
010TOPSOIL

WELL OWNER INFORMATION

Company Name
-
Owner Name
JOSH BRYAN
Address
9320 LAGRANGE ROAD
Address (Line 2)
-
City
SOMERVILLE
State
Tennessee
Zip Code
38039

PROPOSED USE OF WELL

Well Use
Residential

PRIMARY CASING

Diameter (in)
4
Top Set (in-above ground)
6
Primary Casing Depth (ft-bgs)
170
Primary Casing Type
Plastic
Wall Thickness
160
SDR#
26

WELL FINISH

Well Finish
Screen
From (ft-bgs)
170
To (ft-bgs)
180
Screen Type
Plastic
Slot Size (in)
0.01
Gravel Pack From (ft-bgs)
150
Gravel Pack To (ft-bgs)
180

BACK FILL MATERIAL

Bentonite310
Cuttings10150

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
Good
Odor
-
Other
-

GENERAL INFORMATION

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

COMMENTS

Comments
DRILLER NOTE: LOST GPS DEVICE used location address for lat and long-sr 9/4/24