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Driller Report Summary

WELL NUMBER

Well Number
20221533
Driller Tag Number
D0124552
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.
2AZ
Quad Name
DURHAMVILLE
Quad Number
0422NW
Quad Nth
5
Address
EMMA DIXON RD
Address Line 2
-
City Name
RIPLEY
State Name
Tennessee
Zip
38063
Zip Ext
-
Distance From Landmark (miles)
0.52
Direction From Landmark
S
Nearest Landmark
intersection of Hwy 19 & Springhill Rd
Latitude
354218
Longitude
892632

TYPE OF WORK

Date Drill Rig Left Site
03/29/2022
Type of Work
New Well

WELL COMPLETION DATA

Completion Date
03/29/2022
Total Depth (ft-bgs)
225
Depth To Bedrock (ft)
-
Static Level (ft-bgs)
75
Estimated Yield (GPM)
20

WATER-BEARING ZONES

WELL TEST

Tested By
Pumping
Static Level (ft-bgs)
75
Pumping Level (ft-bgs)
85
Test After Hours
1
Test After Mins
-
Test Yield (GPM)
20
Hours Prior to Test
1
Minutes Prior to Test
-

FORMATION LOG

05topsoil
520brown clay
2050sand
5060white clay
60100sand
100150gray clay
150225coarse sand

WELL OWNER INFORMATION

Company Name
-
Owner Name
RICK NELSON
Address
2685 ASBURY GLIMP RD
Address (Line 2)
-
City
RIPLEY
State
Tennessee
Zip Code
38063

PROPOSED USE OF WELL

Well Use
Residential

PRIMARY CASING

Diameter (in)
4
Top Set (in-above ground)
6
Primary Casing Depth (ft-bgs)
205
Primary Casing Type
Plastic
Wall Thickness
40
SDR#
-

WELL FINISH

Well Finish
Screen
From (ft-bgs)
205
To (ft-bgs)
225
Screen Type
Plastic
Slot Size (in)
0.01
Gravel Pack From (ft-bgs)
195
Gravel Pack To (ft-bgs)
225

BACK FILL MATERIAL

Bentonite310
Cuttings10195

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
-