Driller Report Summary

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Well Number: 20221531
Driller Tag Number: D0124564
Inspection Tag Number: -
Date Received: 07/07/2022

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

County Name: HAYWOOD
Driller Map No.: 5DW
Quad Name: HILLVILLE
Quad Number: 0431NW
Quad Nth: 1
Address: 376 COFFEY FARM RD
Address Line 2: -
City Name: STANTON
State Name: Tennessee
Zip: 38069
Zip Ext: -
Distance From Landmark (miles): 0.4
Direction From Landmark: N
Nearest Landmark: intersection of Freedonia Loop & Coffey Farm Rd
Latitude: 352823
Longitude: 891328

Date Drill Rig Left Site: 04/27/2022
Type of Work: New Well

Completion Date: 04/27/2022
Total Depth (ft-bgs): 180
Depth To Bedrock (ft): -
Static Level (ft-bgs): 80
Estimated Yield (GPM): 20

Depth (ft-bgs)	GPM	GPH	Water Quality
-	-	-	-

Tested By: Pumping
Static Level (ft-bgs): 80
Pumping Level (ft-bgs): 90
Test After Hours: 1
Test After Mins: -
Test Yield (GPM): 20
Hours Prior to Test: 1
Minutes Prior to Test: -

Depth from (ft)	Depth to (ft)	Description
0	5	topsoil
5	15	brown clay
15	24	white clay
24	180	coarse white sand

Company Name: -
Owner Name: CHRIS MCCOY
Address: 376 COFFEY FARM RD
Address (Line 2): -
City: STANTON
State: Tennessee
Zip Code: 38069

Well Use: Residential

Diameter (in): 4
Top Set (in-above ground): 6
Primary Casing Depth (ft-bgs): 160
Primary Casing Type: Plastic
Wall Thickness: 40
SDR#: -

Well Finish: Screen
From (ft-bgs): 160
To (ft-bgs): 180
Screen Type: Plastic
Slot Size (in): 0.01
Gravel Pack From (ft-bgs): 150
Gravel Pack To (ft-bgs): 180

Back Fill Type	From (ft-bgs)	To (ft-bgs)
Bentonite	3	10
Cuttings	10	150

Type: None
Diameter (in): -
From (ft-bgs): -
To (ft-bgs): -
Packers Installed?: N
Packer 1 Depth (ft-bgs): -
Packer 2 Depth (ft-bgs): -

Appearance: Clear
Taste: Good
Odor: -
Other: -

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: -