Driller Report Summary

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Well Number: 20241561
Driller Tag Number: D0132354
Inspection Tag Number: -
Date Received: 07/01/2024

License Number: 722
Driller Name: Tony Ownby
Rig Operator: TONY OWNBY

County Name: SEVIER
Driller Map No.: -
Quad Name: PIGEON-FORGE
Quad Number: 0156SE
Quad Nth: 1
Address: 1157 W NEW ERA RD
Address Line 2: -
City Name: SEVIERVILLE
State Name: Tennessee
Zip: 37876
Zip Ext: -
Distance From Landmark (miles): -
Direction From Landmark: -
Nearest Landmark: -
Latitude: 35.839917
Longitude: -83.6093854

Date Drill Rig Left Site: 04/27/2024
Type of Work: New Well

Completion Date: 04/27/2024
Total Depth (ft-bgs): 300
Depth To Bedrock (ft): 9
Static Level (ft-bgs): 40
Estimated Yield (GPM): 10

Depth (ft-bgs)	GPM	GPH	Water Quality
240	10	-	-

Tested By: Blowing
Static Level (ft-bgs): 40
Pumping Level (ft-bgs): 40
Test After Hours: -
Test After Mins: 30
Test Yield (GPM): 10
Hours Prior to Test: -
Minutes Prior to Test: -

Depth from (ft)	Depth to (ft)	Description
9	300	BLUE SHALE
0	9	BROWN SHALE

Company Name: -
Owner Name: CARMEN MEDINA
Address: 1157 W NEW ERA RD
Address (Line 2): -
City: SEVIERVILLE
State: Tennessee
Zip Code: 37876

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): 22
To (ft-bgs): 300
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

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

Appearance: Clear
Taste: -
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?: N

Comments: - PARCEL ID: 078 071 09302 000 2023 - PARCEL Owner: MEDINA CARMEN A