Driller Report Summary

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Well Number: 20242839
Driller Tag Number: D0130562
Inspection Tag Number: -
Date Received: 11/08/2024

License Number: 707
Driller Name: Richard L. Welch
Rig Operator: NICK BARNARD

County Name: CLAIBORNE
Driller Map No.: -
Quad Name: HOWARD-QUARTER
Quad Number: 0162NW
Quad Nth: 6
Address: 2545 UPPER CANEY VALLEY RD
Address Line 2: -
City Name: TAZEWELL
State Name: Tennessee
Zip: 37879
Zip Ext: 5905
Distance From Landmark (miles): -
Direction From Landmark: -
Nearest Landmark: -
Latitude: 36.4416618
Longitude: -83.4002765

Date Drill Rig Left Site: 09/17/2024
Type of Work: New Well

Completion Date: 09/17/2024
Total Depth (ft-bgs): 100
Depth To Bedrock (ft): 6
Static Level (ft-bgs): 1
Estimated Yield (GPM): 20

Depth (ft-bgs)	GPM	GPH	Water Quality
81	20	-	good

Tested By: Blowing
Static Level (ft-bgs): 1
Pumping Level (ft-bgs): 81
Test After Hours: 1
Test After Mins: -
Test Yield (GPM): 20
Hours Prior to Test: -
Minutes Prior to Test: -

Depth from (ft)	Depth to (ft)	Description
0	6	SOIL
6	100	SHALE / LIMESTONE

Company Name: -
Owner Name: BOZENA CISZEK
Address: 2545 UPPERCANEY VALLEY ROAD
Address (Line 2): -
City: TAZEWELL
State: Tennessee
Zip Code: 37879

Well Use: Residential

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: Open Hole
From (ft-bgs): 20
To (ft-bgs): 100
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	3	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?: Y

Comments: -