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Driller Report Summary

WELL NUMBER

Well Number
20242003
Driller Tag Number
D0132681
Inspection Tag Number
-
Date Received
08/14/2024

WELL CONTRACTOR

License Number
714
Driller Name
Roger S. Carr
Rig Operator
CHRIS FARMER

WELL LOCATION

County Name
FENTRESS
Driller Map No.
-
Quad Name
WILDER
Quad Number
0334SE
Quad Nth
6
Address
575 BIG PINEY LOOP
Address Line 2
-
City Name
WILDER
State Name
Tennessee
Zip
38589
Zip Ext
-
Distance From Landmark (miles)
3.5
Direction From Landmark
NE
Nearest Landmark
Wilder Post Office
Latitude
36.314174
Longitude
-85.0377796

TYPE OF WORK

Date Drill Rig Left Site
06/26/2024
Type of Work
New Well

WELL COMPLETION DATA

Completion Date
06/26/2024
Total Depth (ft-bgs)
350
Depth To Bedrock (ft)
-
Static Level (ft-bgs)
60
Estimated Yield (GPM)
1

WATER-BEARING ZONES

WELL TEST

Tested By
Blowing
Static Level (ft-bgs)
300
Pumping Level (ft-bgs)
-
Test After Hours
-
Test After Mins
60
Test Yield (GPM)
1
Hours Prior to Test
3
Minutes Prior to Test
-

FORMATION LOG

04SOIL
455SANDSTONE
5575SLATE
75345SANDSTONE
345350RED ROCK

WELL OWNER INFORMATION

Company Name
-
Owner Name
MARIUSZ KRYSTOWCZYK
Address
2078 FOSTER AVENUE
Address (Line 2)
-
City
WHEELING
State
Illinois
Zip Code
60090

PROPOSED USE OF WELL

Well Use
Residential

PRIMARY CASING

Diameter (in)
6
Top Set (in-above ground)
12
Primary Casing Depth (ft-bgs)
20
Primary Casing Type
Steel
Wall Thickness
.188
SDR#
-

WELL FINISH

Well Finish
Open Hole
From (ft-bgs)
20
To (ft-bgs)
350
Screen Type
-
Slot Size (in)
-
Gravel Pack From (ft-bgs)
-
Gravel Pack To (ft-bgs)
-

BACK FILL MATERIAL

Bentonite010
Cuttings1020

LINER CASING

Type
-
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
Public Supply
Pump Installed By Driller?
Y

COMMENTS

Comments
well is located on right side of driveway approx 100 ft from house site