Driller Report Summary

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Well Number: 20241993
Driller Tag Number: D0130798
Inspection Tag Number: -
Date Received: 08/14/2024

License Number: 639
Driller Name: Rickey Dale Samples
Rig Operator: JASON BARNARD

County Name: SULLIVAN
Driller Map No.: -
Quad Name: INDIAN-SPRINGS
Quad Number: 0197SW
Quad Nth: 9
Address: 811 SHIPLEY FERRY RD
Address Line 2: -
City Name: BLOUNTVILLE
State Name: Tennessee
Zip: 37617
Zip Ext: -
Distance From Landmark (miles): -
Direction From Landmark: -
Nearest Landmark: -
Latitude: 36.5130458
Longitude: -82.4091641

Date Drill Rig Left Site: 07/31/2024
Type of Work: New Well

Completion Date: 07/31/2024
Total Depth (ft-bgs): 565
Depth To Bedrock (ft): 170
Static Level (ft-bgs): 140
Estimated Yield (GPM): 5

Depth (ft-bgs)	GPM	GPH	Water Quality
280	3	-	-
470	2	-	-

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

Depth from (ft)	Depth to (ft)	Description
0	170	CLAY
170	565	LIMESTONE

Company Name: -
Owner Name: ROB WEATHERLY
Address: 449 VIRGIL AVE
Address (Line 2): -
City: KINGSPORT
State: Tennessee
Zip Code: 37665

Well Use: Residential

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

Well Finish: -
From (ft-bgs): 565
To (ft-bgs): -
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	188

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

Appearance: Clear
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: -