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Driller Report Summary

WELL NUMBER

Well Number
20241561
Driller Tag Number
D0132354
Inspection Tag Number
-
Date Received
07/01/2024

WELL CONTRACTOR

License Number
722
Driller Name
Tony Ownby
Rig Operator
TONY OWNBY

WELL LOCATION

County Name
SEVIER
Driller Map No.
-
Quad Name
PIGEON-FORGE
Quad Number
0156SE
Quad Nth
1
Address
1157 W NEW ERA RD
Address Line 2
-
City Name
SEVIERVILLE
State Name
Tennessee
Zip
37876
Zip Ext
-
Distance From Landmark (miles)
-
Direction From Landmark
-
Nearest Landmark
-
Latitude
35.839917
Longitude
-83.6093854

TYPE OF WORK

Date Drill Rig Left Site
04/27/2024
Type of Work
New Well

WELL COMPLETION DATA

Completion Date
04/27/2024
Total Depth (ft-bgs)
300
Depth To Bedrock (ft)
9
Static Level (ft-bgs)
40
Estimated Yield (GPM)
10

WATER-BEARING ZONES

WELL TEST

Tested By
Blowing
Static Level (ft-bgs)
40
Pumping Level (ft-bgs)
40
Test After Hours
-
Test After Mins
30
Test Yield (GPM)
10
Hours Prior to Test
-
Minutes Prior to Test
-

FORMATION LOG

09BROWN SHALE
9300BLUE SHALE

WELL OWNER INFORMATION

Company Name
-
Owner Name
CARMEN MEDINA
Address
1157 W NEW ERA RD
Address (Line 2)
-
City
SEVIERVILLE
State
Tennessee
Zip Code
37876

PROPOSED USE OF WELL

Well Use
Residential

PRIMARY CASING

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

Well Finish
Open Hole
From (ft-bgs)
22
To (ft-bgs)
300
Screen Type
-
Slot Size (in)
-
Gravel Pack From (ft-bgs)
-
Gravel Pack To (ft-bgs)
-

BACK FILL MATERIAL

LINER CASING

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

ANTICIPATED WATER QUALITY

Appearance
Clear
Taste
-
Odor
-
Other
-

GENERAL INFORMATION

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?
N

COMMENTS

Comments
- PARCEL ID: 078 071 09302 000 2023 - PARCEL Owner: MEDINA CARMEN A