Driller Report Summary

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Well Number: 20242770
Driller Tag Number: D0130809
Inspection Tag Number: -
Date Received: 10/25/2024

License Number: 639
Driller Name: Rickey Dale Samples
Rig Operator: WESLEY HICKLE

County Name: HAWKINS
Driller Map No.: -
Quad Name: PLUM-GROVE
Quad Number: 0179SE
Quad Nth: 4
Address: COLLINS RD
Address Line 2: -
City Name: SURGOINSVILLE
State Name: Tennessee
Zip: 37873
Zip Ext: -
Distance From Landmark (miles): -
Direction From Landmark: -
Nearest Landmark: -
Latitude: 36.568618
Longitude: -82.8608321

Date Drill Rig Left Site: 09/03/2024
Type of Work: New Well

Completion Date: 09/03/2024
Total Depth (ft-bgs): 265
Depth To Bedrock (ft): 195
Static Level (ft-bgs): 60
Estimated Yield (GPM): 30

Depth (ft-bgs)	GPM	GPH	Water Quality
215	30	-	-

Tested By: Bailing
Static Level (ft-bgs): -
Pumping Level (ft-bgs): -
Test After Hours: 1
Test After Mins: -
Test Yield (GPM): -
Hours Prior to Test: -
Minutes Prior to Test: -

Depth from (ft)	Depth to (ft)	Description
195	265	LIMESTONE
0	195	YELLOW CLAY

Company Name: -
Owner Name: ERIC & PAMELA JOHNSON & UNDERWOOD
Address: CANEY VALLEY ROAD
Address (Line 2): -
City: SURGOINSVILLE
State: Tennessee
Zip Code: 37873

Well Use: Farm

Diameter (in): 6
Top Set (in-above ground): 12
Primary Casing Depth (ft-bgs): 209
Primary Casing Type: Steel
Wall Thickness: .188
SDR#: -

Well Finish: Open Hole
From (ft-bgs): 209
To (ft-bgs): 265
Screen Type: -
Slot Size (in): -
Gravel Pack From (ft-bgs): -
Gravel Pack To (ft-bgs): -

Back Fill Type	From (ft-bgs)	To (ft-bgs)
Bentonite	0	10
Cuttings	10	209

Type: -
Diameter (in): -
From (ft-bgs): -
To (ft-bgs): -
Packers Installed?: -
Packer 1 Depth (ft-bgs): -
Packer 2 Depth (ft-bgs): -

Appearance: Clear
Taste: -
Odor: -
Other: -

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: -