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Driller Report Summary

WELL NUMBER

Well Number
20241840
Driller Tag Number
D0129591
Inspection Tag Number
-
Date Received
07/29/2024

WELL CONTRACTOR

License Number
886
Driller Name
Calvin W. Rose
Rig Operator
JAMES ROSE

WELL LOCATION

County Name
POLK
Driller Map No.
-
Quad Name
DUCKTOWN
Quad Number
0133SW
Quad Nth
9
Address
108 RIVER MIST RD
Address Line 2
-
City Name
COPPERHILL
State Name
Tennessee
Zip
37317
Zip Ext
-
Distance From Landmark (miles)
-
Direction From Landmark
-
Nearest Landmark
corner of Grassy Creek / River Mist
Latitude
35.0019513
Longitude
-84.3986147

TYPE OF WORK

Date Drill Rig Left Site
05/20/2024
Type of Work
New Well

WELL COMPLETION DATA

Completion Date
05/20/2024
Total Depth (ft-bgs)
700
Depth To Bedrock (ft)
40
Static Level (ft-bgs)
-
Estimated Yield (GPM)
7

WATER-BEARING ZONES

4002 - good
6605 - good

WELL TEST

Tested By
-
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
-

FORMATION LOG

012SAND
1240SOLFT BLUE GRANITE
40700GRANITE

WELL OWNER INFORMATION

Company Name
-
Owner Name
STEFANIE MICALLEF
Address
108 RIVER MIST ROAD
Address (Line 2)
-
City
COPPERHILL
State
Tennessee
Zip Code
37317

PROPOSED USE OF WELL

Well Use
Residential

PRIMARY CASING

Diameter (in)
6
Top Set (in-above ground)
12
Primary Casing Depth (ft-bgs)
63
Primary Casing Type
Steel
Wall Thickness
188
SDR#
-

WELL FINISH

Well Finish
Open Hole
From (ft-bgs)
63
To (ft-bgs)
700
Screen Type
-
Slot Size (in)
-
Gravel Pack From (ft-bgs)
-
Gravel Pack To (ft-bgs)
-

BACK FILL MATERIAL

Bentonite310
Cuttings1063

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
Good
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
Well
Pump Installed By Driller?
N

COMMENTS

Comments
-