Driller Report Summary

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Well Number: 20242644
Driller Tag Number: BA5271
Inspection Tag Number: -
Date Received: 10/30/2024

License Number: 855
Driller Name: Herman T. Clark
Rig Operator: HERMAN T CLARK

County Name: BEDFORD
Driller Map No.: -
Quad Name: ROVER
Quad Number: 0071NE
Quad Nth: 4
Address: 382 BUNKER HILL RD
Address Line 2: -
City Name: ROCKVALE
State Name: Tennessee
Zip: 37153
Zip Ext: -
Distance From Landmark (miles): -
Direction From Landmark: -
Nearest Landmark: -
Latitude: 35.6937274
Longitude: -86.5989458

Date Drill Rig Left Site: 10/13/2024
Type of Work: Backfill and Abandon

Completion Date: 10/13/2024
Total Depth (ft-bgs): 10
Depth To Bedrock (ft): -
Static Level (ft-bgs): -
Estimated Yield (GPM): -

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

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
-	-	-

Company Name: HERMAN CLARK WATER SYSTEMS
Owner Name: TAM CLARK
Address: -
Address (Line 2): -
City: ROCKVALE
State: Tennessee
Zip Code: 37153

Well Use: Residential

Diameter (in): 5
Top Set (in-above ground): -
Primary Casing Depth (ft-bgs): -
Primary Casing Type: -
Wall Thickness: -
SDR#: -

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

No Data Found

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

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

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

Comments: Septic pump and piping removed, casing left in place and cut below ground level, no liner, 1/2 gal chlorine backfill: Neat cement grout (bentonite) 0-10 2 80lb bags