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Driller Report Summary

WELL NUMBER

Well Number
20221500
Driller Tag Number
D0123119
Inspection Tag Number
066669
Date Received
06/28/2022

WELL CONTRACTOR

License Number
639
Driller Name
Rickey Dale Samples
Rig Operator
PHIL MALBROUGH

WELL LOCATION

County Name
JEFFERSON
Driller Map No.
4EW
Quad Name
SHADY-GROVE
Quad Number
0164NW
Quad Nth
3
Address
1955 CHESTNUT HILL RD
Address Line 2
-
City Name
DANDRIDGE
State Name
Tennessee
Zip
37725
Zip Ext
-
Distance From Landmark (miles)
-
Direction From Landmark
-
Nearest Landmark
-
Latitude
35.98611111
Longitude
-83.39472222

TYPE OF WORK

Date Drill Rig Left Site
05/25/2022
Type of Work
New Well

WELL COMPLETION DATA

Completion Date
05/25/2022
Total Depth (ft-bgs)
545
Depth To Bedrock (ft)
28
Static Level (ft-bgs)
120
Estimated Yield (GPM)
5

WATER-BEARING ZONES

1601 - -
3601 - -
4452 - -
4901 - -

WELL TEST

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

FORMATION LOG

WELL OWNER INFORMATION

Company Name
-
Owner Name
CHRISTINE VESTWEBER
Address
1963 CHESTNUT HILL RD
Address (Line 2)
-
City
DANDRIDGE
State
Tennessee
Zip Code
37725

PROPOSED USE OF WELL

Well Use
Residential

PRIMARY CASING

Diameter (in)
6
Top Set (in-above ground)
12
Primary Casing Depth (ft-bgs)
41
Primary Casing Type
Steel
Wall Thickness
0.19
SDR#
-

WELL FINISH

Well Finish
Open Hole
From (ft-bgs)
41
To (ft-bgs)
545
Screen Type
-
Slot Size (in)
-
Gravel Pack From (ft-bgs)
-
Gravel Pack To (ft-bgs)
-

BACK FILL MATERIAL

Bentonite010
Cuttings1041

LINER CASING

Type
None
Diameter (in)
-
From (ft-bgs)
-
To (ft-bgs)
-
Packers Installed?
N
Packer 1 Depth (ft-bgs)
-
Packer 2 Depth (ft-bgs)
-

ANTICIPATED WATER QUALITY

Appearance
Cloudy
Taste
-
Odor
-
Other
-

GENERAL INFORMATION

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

Comments
-