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Driller Report Summary

WELL NUMBER

Well Number
20221503
Driller Tag Number
D0122820
Inspection Tag Number
-
Date Received
06/29/2022

WELL CONTRACTOR

License Number
750
Driller Name
Haskell Milton Mills
Rig Operator
HM MILLS JR

WELL LOCATION

County Name
VAN BUREN
Driller Map No.
3CW
Quad Name
SPENCER
Quad Number
0103NW
Quad Nth
7
Address
ROLLING HILLS RD
Address Line 2
-
City Name
SPENCER
State Name
Tennessee
Zip
38585
Zip Ext
-
Distance From Landmark (miles)
-
Direction From Landmark
-
Nearest Landmark
apprx 500 Rolling HIlls Rd
Latitude
35.63277777
Longitude
-85.5

TYPE OF WORK

Date Drill Rig Left Site
04/22/2022
Type of Work
New Well

WELL COMPLETION DATA

Completion Date
04/22/2022
Total Depth (ft-bgs)
282
Depth To Bedrock (ft)
4
Static Level (ft-bgs)
61
Estimated Yield (GPM)
3

WATER-BEARING ZONES

WELL TEST

Tested By
-
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

04dirt
442sandrock
4244clay
44129sandrock
129209slate
209219sandrock
219282slate to limeshell

WELL OWNER INFORMATION

Company Name
-
Owner Name
MATT BLEASDALE
Address
496 WALLING RD
Address (Line 2)
-
City
SPENCER
State
-
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)
49
Primary Casing Type
Galvanized
Wall Thickness
0.19
SDR#
-

WELL FINISH

Well Finish
Open Hole
From (ft-bgs)
49
To (ft-bgs)
282
Screen Type
-
Slot Size (in)
-
Gravel Pack From (ft-bgs)
-
Gravel Pack To (ft-bgs)
-

BACK FILL MATERIAL

Cuttings03
Bentonite310
Cuttings1049

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
Good
Odor
Iron
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
SpringBox
Pump Installed By Driller?
N

COMMENTS

Comments
-