Driller Report Summary

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Well Number: 20241826
Driller Tag Number: D0130735
Inspection Tag Number: -
Date Received: 07/26/2024

License Number: 727
Driller Name: Warren Landers
Rig Operator: DREW CLANTON

County Name: BEDFORD
Driller Map No.: -
Quad Name: BELFAST
Quad Number: 0072NW
Quad Nth: 3
Address: 120 MONTGOMERY RD
Address Line 2: -
City Name: SHELBYVILLE
State Name: Tennessee
Zip: 37160
Zip Ext: 6258
Distance From Landmark (miles): -
Direction From Landmark: -
Nearest Landmark: -
Latitude: 35.4861089
Longitude: -86.6358406

Date Drill Rig Left Site: 12/01/2023
Type of Work: New Well

Completion Date: 12/01/2023
Total Depth (ft-bgs): 372
Depth To Bedrock (ft): 8
Static Level (ft-bgs): 0
Estimated Yield (GPM): 0

Depth (ft-bgs)	GPM	GPH	Water Quality
0	0	-	dry

Tested By: Blowing
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
8	85	GRAY
128	140	GRAY
221	279	GRAY
360	372	GRAY
85	128	LIGHT TAN
140	221	TAN
279	360	TAN

Company Name: -
Owner Name: VERA DMITRIYEV
Address: 120 MONTGOMERY ROAD
Address (Line 2): -
City: SHELBYVILLE
State: Tennessee
Zip Code: 37160

Well Use: Irrigation

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

Well Finish: Open Hole
From (ft-bgs): 20
To (ft-bgs): 372
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: -
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: -