Driller Report Summary

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Well Number: 20242283
Driller Tag Number: D0128359
Inspection Tag Number: -
Date Received: 09/13/2024

License Number: 698
Driller Name: Kenneth Warren Gentry
Rig Operator: JEREMY ADAMS

County Name: LAWRENCE
Driller Map No.: -
Quad Name: SANDY-HOOK
Quad Number: 0058NW
Quad Nth: 4
Address: 63 ANDERSON CREEK RD
Address Line 2: -
City Name: SUMMERTOWN
State Name: Tennessee
Zip: 38483
Zip Ext: -
Distance From Landmark (miles): -
Direction From Landmark: -
Nearest Landmark: -
Latitude: 35.4172345
Longitude: -87.2283462

Date Drill Rig Left Site: 06/26/2024
Type of Work: New Well

Completion Date: 06/26/2024
Total Depth (ft-bgs): 188
Depth To Bedrock (ft): -
Static Level (ft-bgs): 80
Estimated Yield (GPM): -

Depth (ft-bgs)	GPM	GPH	Water Quality
135	0	-	to be determined (TBD)

Tested By: Blowing
Static Level (ft-bgs): -
Pumping Level (ft-bgs): -
Test After Hours: -
Test After Mins: -
Test Yield (GPM): 0
Hours Prior to Test: 1
Minutes Prior to Test: -

Depth from (ft)	Depth to (ft)	Description
0	10	SOIL
10	188	CLAY AND GRAVEL

Company Name: -
Owner Name: ANDY YODER
Address: 63 ANDERSON CREEK ROAD
Address (Line 2): -
City: SUMMERTOWN
State: Tennessee
Zip Code: 38483

Well Use: Residential

Diameter (in): 6
Top Set (in-above ground): 12
Primary Casing Depth (ft-bgs): 135
Primary Casing Type: Steel
Wall Thickness: .188
SDR#: -

Well Finish: Slotted
From (ft-bgs): 135
To (ft-bgs): 175
Screen Type: -
Slot Size (in): -
Gravel Pack From (ft-bgs): 125
Gravel Pack To (ft-bgs): 188

Back Fill Type	From (ft-bgs)	To (ft-bgs)
Bentonite	3	10
Cuttings	10	125

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: Well
Pump Installed By Driller?: -

Comments: NOI submitted by Lic 953 but drilled by 698