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Driller Report Summary

WELL NUMBER

Well Number
20242817
Driller Tag Number
D0132535
Inspection Tag Number
-
Date Received
10/29/2024

WELL CONTRACTOR

License Number
742
Driller Name
John Joseph Bingham
Rig Operator
TODD HAMMONS

WELL LOCATION

County Name
-
Driller Map No.
-
Quad Name
-
Quad Number
-
Quad Nth
-
Address
115 TANASI TRL
Address Line 2
-
City Name
DOVER
State Name
Tennessee
Zip
37058
Zip Ext
5554
Distance From Landmark (miles)
-
Direction From Landmark
-
Nearest Landmark
-
Latitude
36.4024469
Longitude
-88.0124187

TYPE OF WORK

Date Drill Rig Left Site
08/03/2024
Type of Work
New Well

WELL COMPLETION DATA

Completion Date
08/03/2024
Total Depth (ft-bgs)
170
Depth To Bedrock (ft)
70
Static Level (ft-bgs)
45
Estimated Yield (GPM)
30

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
2
Minutes Prior to Test
-

FORMATION LOG

101155BLACK SHALE
270GRAY HARD SHALE SEAMS
70101HARD BLACK SHALE
02TOPSOIL
155170WEATHERED LIMESTONE

WELL OWNER INFORMATION

Company Name
-
Owner Name
SHAWN BERNER
Address
115 TANASI TRAIL
Address (Line 2)
-
City
DOVER
State
Tennessee
Zip Code
37058

PROPOSED USE OF WELL

Well Use
Residential

PRIMARY CASING

Diameter (in)
6
Top Set (in-above ground)
12
Primary Casing Depth (ft-bgs)
101
Primary Casing Type
Steel
Wall Thickness
.188
SDR#
-

WELL FINISH

Well Finish
Slotted
From (ft-bgs)
30
To (ft-bgs)
170
Screen Type
Plastic
Slot Size (in)
0.4
Gravel Pack From (ft-bgs)
-
Gravel Pack To (ft-bgs)
-

BACK FILL MATERIAL

Cuttings03
Bentonite310
Cuttings10101

LINER CASING

Type
Plastic
Diameter (in)
4
From (ft-bgs)
30
To (ft-bgs)
170
Packers Installed?
Y
Packer 1 Depth (ft-bgs)
110
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?
N

COMMENTS

Comments
-