Driller Report Summary

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Well Number: 20241840
Driller Tag Number: D0129591
Inspection Tag Number: -
Date Received: 07/29/2024

License Number: 886
Driller Name: Calvin W. Rose
Rig Operator: JAMES ROSE

County Name: POLK
Driller Map No.: -
Quad Name: DUCKTOWN
Quad Number: 0133SW
Quad Nth: 9
Address: 108 RIVER MIST RD
Address Line 2: -
City Name: COPPERHILL
State Name: Tennessee
Zip: 37317
Zip Ext: -
Distance From Landmark (miles): -
Direction From Landmark: -
Nearest Landmark: corner of Grassy Creek / River Mist
Latitude: 35.0019513
Longitude: -84.3986147

Date Drill Rig Left Site: 05/20/2024
Type of Work: New Well

Completion Date: 05/20/2024
Total Depth (ft-bgs): 700
Depth To Bedrock (ft): 40
Static Level (ft-bgs): -
Estimated Yield (GPM): 7

Depth (ft-bgs)	GPM	GPH	Water Quality
400	2	-	good
660	5	-	good

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

Depth from (ft)	Depth to (ft)	Description
40	700	GRANITE
12	40	SOLFT BLUE GRANITE
0	12	SAND

Company Name: -
Owner Name: STEFANIE MICALLEF
Address: 108 RIVER MIST ROAD
Address (Line 2): -
City: COPPERHILL
State: Tennessee
Zip Code: 37317

Well Use: Residential

Diameter (in): 6
Top Set (in-above ground): 12
Primary Casing Depth (ft-bgs): 63
Primary Casing Type: Steel
Wall Thickness: 188
SDR#: -

Well Finish: Open Hole
From (ft-bgs): 63
To (ft-bgs): 700
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	3	10
Cuttings	10	63

Type: -
Diameter (in): -
From (ft-bgs): -
To (ft-bgs): -
Packers Installed?: -
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: -