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Driller Report Summary

WELL NUMBER

Well Number
20241567
Driller Tag Number
D0131042
Inspection Tag Number
-
Date Received
07/01/2024

WELL CONTRACTOR

License Number
982
Driller Name
Rodney D. Tatum
Rig Operator
RODNEY TATUM

WELL LOCATION

County Name
HENRY
Driller Map No.
-
Quad Name
OSAGE
Quad Number
0008SW
Quad Nth
1
Address
JONES BEND RD
Address Line 2
-
City Name
COTTAGE GROVE
State Name
Tennessee
Zip
38224
Zip Ext
-
Distance From Landmark (miles)
0.04
Direction From Landmark
N
Nearest Landmark
9095 Jones Bend Rd
Latitude
36.3492371
Longitude
-88.4721077

TYPE OF WORK

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

WELL COMPLETION DATA

Completion Date
06/06/2024
Total Depth (ft-bgs)
185
Depth To Bedrock (ft)
-
Static Level (ft-bgs)
66
Estimated Yield (GPM)
250

WATER-BEARING ZONES

WELL TEST

Tested By
Blowing
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

510BROWN CLAY
90185COARSE SAND
1530SAND
4590SAND
05TOPSOIL
1015WHITE CLAY
3045WHITE CLAY

WELL OWNER INFORMATION

Company Name
-
Owner Name
PAUL WENGERD
Address
1882 STEELE RD
Address (Line 2)
-
City
PARIS
State
Tennessee
Zip Code
38242

PROPOSED USE OF WELL

Well Use
Irrigation

PRIMARY CASING

Diameter (in)
10
Top Set (in-above ground)
10
Primary Casing Depth (ft-bgs)
145
Primary Casing Type
Plastic
Wall Thickness
-
SDR#
26

WELL FINISH

Well Finish
Screen
From (ft-bgs)
145
To (ft-bgs)
185
Screen Type
Plastic
Slot Size (in)
0.032
Gravel Pack From (ft-bgs)
125
Gravel Pack To (ft-bgs)
185

BACK FILL MATERIAL

Bentonite310
Cuttings10125

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?
Y
50ft From Septic System?
Y
Septic Distance Provided By
Driller Determination
Drilling Process Water Obtained From
Well
Pump Installed By Driller?
Y

COMMENTS

Comments
- PARCEL ID: 040 078 01900 000 2023 - PARCEL Owner: BERTSCHI SAMUEL &