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Driller Report Summary

WELL NUMBER

Well Number
20242093
Driller Tag Number
D0131055
Inspection Tag Number
-
Date Received
08/20/2024

WELL CONTRACTOR

License Number
982
Driller Name
Rodney D. Tatum
Rig Operator
TYSON BARNES

WELL LOCATION

County Name
FAYETTE
Driller Map No.
-
Quad Name
COLLIERVILLE
Quad Number
0416SW
Quad Nth
3
Address
6900 RALEIGH LAGRANGE DR
Address Line 2
-
City Name
COLLIERVILLE
State Name
Tennessee
Zip
38017
Zip Ext
-
Distance From Landmark (miles)
0.26
Direction From Landmark
W
Nearest Landmark
intersection of Cold Creek Dr & Raleigh Lagrange Rd
Latitude
35.1033386
Longitude
-89.6364018

TYPE OF WORK

Date Drill Rig Left Site
06/12/2024
Type of Work
New Well

WELL COMPLETION DATA

Completion Date
06/12/2024
Total Depth (ft-bgs)
195
Depth To Bedrock (ft)
-
Static Level (ft-bgs)
53
Estimated Yield (GPM)
20

WATER-BEARING ZONES

WELL TEST

Tested By
Blowing
Static Level (ft-bgs)
53
Pumping Level (ft-bgs)
-
Test After Hours
1
Test After Mins
-
Test Yield (GPM)
20
Hours Prior to Test
1
Minutes Prior to Test
-

FORMATION LOG

05TOPSOIL
510BROWN CLAY
1017GRAVEL
1770SAND
70195COARSE WHITE SAND

WELL OWNER INFORMATION

Company Name
-
Owner Name
SHANE MARTIN
Address
6900 RALEIGH LAGRANGE ROAD
Address (Line 2)
-
City
PIPERTON
State
Tennessee
Zip Code
38017

PROPOSED USE OF WELL

Well Use
Residential

PRIMARY CASING

Diameter (in)
4
Top Set (in-above ground)
6
Primary Casing Depth (ft-bgs)
175
Primary Casing Type
Plastic
Wall Thickness
40
SDR#
-

WELL FINISH

Well Finish
Screen
From (ft-bgs)
175
To (ft-bgs)
195
Screen Type
Plastic
Slot Size (in)
0.01
Gravel Pack From (ft-bgs)
165
Gravel Pack To (ft-bgs)
195

BACK FILL MATERIAL

Bentonite310
Cuttings10165

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?
N

COMMENTS

Comments
no pump test well was developed by blowing