Driller Report Summary

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Well Number: 20250008
Driller Tag Number: D0130693
Inspection Tag Number: -
Date Received: 11/27/2024

License Number: 727
Driller Name: Warren Landers
Rig Operator: DREW CLANTON

County Name: FRANKLIN
Driller Map No.: -
Quad Name: WINCHESTER
Quad Number: 0087NE
Quad Nth: 7
Address: 139 JACKIE SUMMERS LN
Address Line 2: -
City Name: BELVIDERE
State Name: Tennessee
Zip: -
Zip Ext: 1834
Distance From Landmark (miles): -
Direction From Landmark: -
Nearest Landmark: -
Latitude: 35.1591667
Longitude: -86.1244431

Date Drill Rig Left Site: 07/12/2024
Type of Work: New Well

Completion Date: 07/12/2024
Total Depth (ft-bgs): 85
Depth To Bedrock (ft): 85
Static Level (ft-bgs): 56
Estimated Yield (GPM): 40

Depth (ft-bgs)	GPM	GPH	Water Quality
83	40	-	good

Tested By: Blowing
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: -

Depth from (ft)	Depth to (ft)	Description
0	85	OVERBURDEN

Company Name: -
Owner Name: MICHA STOLTZFUS
Address: 139 JACKIE SUMMERS LN
Address (Line 2): -
City: BELVIDERE
State: Tennessee
Zip Code: -

Well Use: Residential

Diameter (in): 6
Top Set (in-above ground): 12
Primary Casing Depth (ft-bgs): 85
Primary Casing Type: Plastic
Wall Thickness: -
SDR#: 26

Well Finish: Slotted
From (ft-bgs): 77
To (ft-bgs): 85
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	75

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?: -
Septic Distance Provided By: -
Drilling Process Water Obtained From: Well
Pump Installed By Driller?: N

Comments: no septic system