Driller Report Summary

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Well Number: 20242639
Driller Tag Number: BA5267
Inspection Tag Number: -
Date Received: 10/30/2024

License Number: 855
Driller Name: Herman T. Clark
Rig Operator: HERMAN T CLARK

County Name: BEDFORD
Driller Map No.: -
Quad Name: ROVER
Quad Number: 0071NE
Quad Nth: 4
Address: 382 BUNKER HILL RD
Address Line 2: -
City Name: ROCKVALE
State Name: Tennessee
Zip: 37153
Zip Ext: -
Distance From Landmark (miles): -
Direction From Landmark: -
Nearest Landmark: -
Latitude: 35.6967313
Longitude: -86.5993792

Date Drill Rig Left Site: 10/13/2024
Type of Work: Backfill and Abandon

Completion Date: 10/13/2024
Total Depth (ft-bgs): 10
Depth To Bedrock (ft): -
Static Level (ft-bgs): 0
Estimated Yield (GPM): -

Depth (ft-bgs)	GPM	GPH	Water Quality
-	-	-	-

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: -

Depth from (ft)	Depth to (ft)	Description
-	-	-

Company Name: HERMAN CLARK WATER SYSTEMS
Owner Name
Address: 382 BUNKER HILL RD
Address (Line 2): -
City: ROCKVALE
State: Tennessee
Zip Code: 37153

Well Use: Unknown

Diameter (in): 5
Top Set (in-above ground): -
Primary Casing Depth (ft-bgs): -
Primary Casing Type: -
Wall Thickness: -
SDR#: -

Well Finish: -
From (ft-bgs): -
To (ft-bgs): -
Screen Type: -
Slot Size (in): -
Gravel Pack From (ft-bgs): -
Gravel Pack To (ft-bgs): -

No Data Found

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

Appearance: -
Taste: -
Odor: -
Other: -

Well Disinfected?: Y
Well Capped?: -
50ft From Septic System?: -
Septic Distance Provided By: -
Drilling Process Water Obtained From: -
Pump Installed By Driller?: -

Comments: no pump or piping, casing left in place and cut below ground level, no liner, 1/2 gal chlorine, backfill: neat cement grout 0-10 2 80 lb bags gravity this was likely a rope and bucket well which has dried up. The casing was cast iron with a bell end up. We backfilled and abandoned just to be sure there would be no risk of ground water contamination with septic installed less than 25 ft away from the well.