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Driller Report Summary
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WELL NUMBER
Well Number
20221531
Driller Tag Number
D0124564
Inspection Tag Number
-
Date Received
07/07/2022
WELL CONTRACTOR
License Number
982
Driller Name
Rodney D. Tatum
Rig Operator
TYSON BARNES
WELL LOCATION
County Name
HAYWOOD
Driller Map No.
5DW
Quad Name
HILLVILLE
Quad Number
0431NW
Quad Nth
1
Address
376 COFFEY FARM RD
Address Line 2
-
City Name
STANTON
State Name
Tennessee
Zip
38069
Zip Ext
-
Distance From Landmark (miles)
0.4
Direction From Landmark
N
Nearest Landmark
intersection of Freedonia Loop & Coffey Farm Rd
Latitude
35.47305555
Longitude
-89.22444444
TYPE OF WORK
Date Drill Rig Left Site
04/27/2022
Type of Work
New Well
WELL COMPLETION DATA
Completion Date
04/27/2022
Total Depth (ft-bgs)
180
Depth To Bedrock (ft)
-
Static Level (ft-bgs)
80
Estimated Yield (GPM)
20
WATER-BEARING ZONES
Depth (ft-bgs)
GPM
GPH
Water Quality
-
-
-
-
WELL TEST
Tested By
Pumping
Static Level (ft-bgs)
80
Pumping Level (ft-bgs)
90
Test After Hours
1
Test After Mins
-
Test Yield (GPM)
20
Hours Prior to Test
1
Minutes Prior to Test
-
FORMATION LOG
Depth from (ft)
Depth to (ft)
Description
0
5
topsoil
5
15
brown clay
15
24
white clay
24
180
coarse white sand
WELL OWNER INFORMATION
Company Name
-
Owner Name
CHRIS MCCOY
Address
376 COFFEY FARM RD
Address (Line 2)
-
City
STANTON
State
Tennessee
Zip Code
38069
PROPOSED USE OF WELL
Well Use
Residential
PRIMARY CASING
Diameter (in)
4
Top Set (in-above ground)
6
Primary Casing Depth (ft-bgs)
160
Primary Casing Type
Plastic
Wall Thickness
40
SDR#
-
WELL FINISH
Well Finish
Screen
From (ft-bgs)
160
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
Back Fill Type
From (ft-bgs)
To (ft-bgs)
Bentonite
3
10
Cuttings
10
150
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
-
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
-