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Driller Report Summary

WELL NUMBER

Well Number
20221522
Driller Tag Number
D0123450
Inspection Tag Number
-
Date Received
06/30/2022

WELL CONTRACTOR

License Number
1078
Driller Name
Christopher Jordan Gilreath
Rig Operator
CLINT FERGE

WELL LOCATION

County Name
FAYETTE
Driller Map No.
3CZ
Quad Name
MACON
Quad Number
0424NW
Quad Nth
5
Address
660 BURNETTE RD
Address Line 2
-
City Name
WILLISTON
State Name
Tennessee
Zip
38067
Zip Ext
-
Distance From Landmark (miles)
0.25
Direction From Landmark
S
Nearest Landmark
Hwy 193
Latitude
35.16916666
Longitude
-89.42361111

TYPE OF WORK

Date Drill Rig Left Site
06/23/2022
Type of Work
New Well

WELL COMPLETION DATA

Completion Date
06/23/2022
Total Depth (ft-bgs)
160
Depth To Bedrock (ft)
-
Static Level (ft-bgs)
100
Estimated Yield (GPM)
25

WATER-BEARING ZONES

WELL TEST

Tested By
Pumping
Static Level (ft-bgs)
100
Pumping Level (ft-bgs)
140
Test After Hours
-
Test After Mins
-
Test Yield (GPM)
-
Hours Prior to Test
-
Minutes Prior to Test
-

FORMATION LOG

014red sand
1418grave;
1820coarse pink sand
2040medium coase white pink sand
4060medium white sand
6080medium coarse white sand
80160medium white sand

WELL OWNER INFORMATION

Company Name
LEE UPCHURCH BUILDERS
Owner Name
Address
11289 MILLINGTON ARLINGTON RD
Address (Line 2)
-
City
ARLINGTON
State
Tennessee
Zip Code
38002

PROPOSED USE OF WELL

Well Use
Residential

PRIMARY CASING

Diameter (in)
4
Top Set (in-above ground)
6
Primary Casing Depth (ft-bgs)
150
Primary Casing Type
Plastic
Wall Thickness
160
SDR#
26

WELL FINISH

Well Finish
Screen
From (ft-bgs)
150
To (ft-bgs)
160
Screen Type
Plastic
Slot Size (in)
0.01
Gravel Pack From (ft-bgs)
140
Gravel Pack To (ft-bgs)
260

BACK FILL MATERIAL

Bentonite010
Cuttings10140

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
Public Supply
Pump Installed By Driller?
Y

COMMENTS

Comments
NOI received with well report