Driller Report Summary

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Well Number: 20242947
Driller Tag Number: D0132330
Inspection Tag Number: -
Date Received: 11/12/2024

License Number: 598
Driller Name: Tony Morgan
Rig Operator: TRAVIS MORGAN

County Name: POLK
Driller Map No.: -
Quad Name: OSWALD-COME
Quad Number: 0126NE
Quad Nth: 9
Address: 166 WILLIE SHELL RD
Address Line 2: -
City Name: RELIANCE
State Name: Tennessee
Zip: 37369
Zip Ext: 6218
Distance From Landmark (miles): -
Direction From Landmark: -
Nearest Landmark: -
Latitude: 35.141951
Longitude: -84.5152764

Date Drill Rig Left Site: 08/02/2024
Type of Work: New Well

Completion Date: 08/02/2024
Total Depth (ft-bgs): 205
Depth To Bedrock (ft): -
Static Level (ft-bgs): 20
Estimated Yield (GPM): 9

Depth (ft-bgs)	GPM	GPH	Water Quality
60	2	-	dingy
72	2	-	dingy
100	-	-	dingy

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
0	2	CLAY
12	70	BROWN & BLUE SHALE
70	5	LIMESTONE

Company Name: -
Owner Name: BRIAN GILLENWATER
Address: 166 WILLIE SHALE RD
Address (Line 2): -
City: RELIANCE
State: Tennessee
Zip Code: 37369

Well Use: Residential

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): 0
To (ft-bgs): 205
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	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?: -

Comments: -