Driller Report Summary

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Well Number: 20242767
Driller Tag Number: D0130812
Inspection Tag Number: -
Date Received: 10/25/2024

License Number: 639
Driller Name: Rickey Dale Samples
Rig Operator: WESLEY HICKLE

County Name: HANCOCK
Driller Map No.: -
Quad Name: KYLES-FORD
Quad Number: 0170SE
Quad Nth: 2
Address: 799 WALLEN RD
Address Line 2: -
City Name: KYLES FORD
State Name: Tennessee
Zip: 37765
Zip Ext: -
Distance From Landmark (miles): -
Direction From Landmark: -
Nearest Landmark: -
Latitude: 36.5880663
Longitude: -83.0463974

Date Drill Rig Left Site: 09/05/2024
Type of Work: New Well

Completion Date: 09/05/2024
Total Depth (ft-bgs): 6
Depth To Bedrock (ft): -
Static Level (ft-bgs): 225
Estimated Yield (GPM): 30

Depth (ft-bgs)	GPM	GPH	Water Quality
130	6	-	-

Tested By: Blowing
Static Level (ft-bgs): -
Pumping Level (ft-bgs): -
Test After Hours: -
Test After Mins: 30
Test Yield (GPM): -
Hours Prior to Test: -
Minutes Prior to Test: -

Depth from (ft)	Depth to (ft)	Description
30	225	BLUE SLATE
0	30	BROWN SLATE

Company Name: -
Owner Name: DOUG & ALETA GROAT
Address: 799 WALLEN ROAD
Address (Line 2): -
City: KYLES FORD
State: Tennessee
Zip Code: 37765

Well Use: Residential

Diameter (in): 6
Top Set (in-above ground): 12
Primary Casing Depth (ft-bgs): 41
Primary Casing Type: Steel
Wall Thickness: .188
SDR#: -

Well Finish: Open Hole
From (ft-bgs): 41
To (ft-bgs): 225
Screen Type: -
Slot Size (in): -
Gravel Pack From (ft-bgs): -
Gravel Pack To (ft-bgs): -

Back Fill Type	From (ft-bgs)	To (ft-bgs)
Bentonite	0	10
Cuttings	10	41

Type: -
Diameter (in): -
From (ft-bgs): -
To (ft-bgs): -
Packers Installed?: N
Packer 1 Depth (ft-bgs): -
Packer 2 Depth (ft-bgs): -

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

Well Disinfected?: Y
Well Capped?: Y
50ft From Septic System?: Y
Septic Distance Provided By: Property Owner
Drilling Process Water Obtained From: Well
Pump Installed By Driller?: -

Comments: -