Driller Report Summary

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Well Number: 20242142
Driller Tag Number: D0130538
Inspection Tag Number: -
Date Received: 08/26/2024

License Number: 707
Driller Name: Richard L. Welch
Rig Operator: NICK BARNARD

County Name: CLAIBORNE
Driller Map No.: -
Quad Name: MIDDLESBORO-SOUTH
Quad Number: 0153SW
Quad Nth: 5
Address: 210 SHADY REST LN
Address Line 2: -
City Name: CUMBERLAND GAP
State Name: Tennessee
Zip: 37724
Zip Ext: -
Distance From Landmark (miles): -
Direction From Landmark: -
Nearest Landmark: -
Latitude: 36.566947
Longitude: -83.676391

Date Drill Rig Left Site: 07/03/2024
Type of Work: New Well

Completion Date: 07/03/2024
Total Depth (ft-bgs): 100
Depth To Bedrock (ft): 6
Static Level (ft-bgs): 10
Estimated Yield (GPM): 15

Depth (ft-bgs)	GPM	GPH	Water Quality
40	15	-	gppd

Tested By: Blowing
Static Level (ft-bgs): 10
Pumping Level (ft-bgs): 40
Test After Hours: 1
Test After Mins: -
Test Yield (GPM): 15
Hours Prior to Test: -
Minutes Prior to Test: -

Depth from (ft)	Depth to (ft)	Description
6	100	SHALE LIMESTONE
0	6	SOIL

Company Name: -
Owner Name: DIANE MONTANA
Address: 210 SHADY REST LANE
Address (Line 2): -
City: CUMBERLAND GAP
State: Tennessee
Zip Code: 37724

Well Use: Residential

Diameter (in): 6
Top Set (in-above ground): 12
Primary Casing Depth (ft-bgs): 20
Primary Casing Type: Steel
Wall Thickness: .188
SDR#: -

Well Finish: Open Hole
From (ft-bgs): 20
To (ft-bgs): 100
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	20

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: Public Supply
Pump Installed By Driller?: Y

Comments: -