FORM 1000 – APPLICATION TO DRILL, RECOMPLETE OR REENTER

1. FORM 1000 – APPLICATION TO DRILL, RECOMPLETE OR REENTER

2. FORM 1000 – APPLICATION TO DRILL, RECOMPLETE OR REENTER This presentation will assist you in the completion of the Form 1000. The application to drill, recomplete or reenter. Date of Last Revision: 2007 Rule Requirement: OAC 165:10-3-1 Explanation of Form: All operators shall file Form 1000 before any oil, gas, injection, disposal, service well or stratigraphic test hole is drilled, recompleted, re-entered or deepened. Such notice shall include the name(s) and address(s) of the surface owner(s) of the land upon which the well is to be located. The Commission shall process the application and mail a copy of the permit to drill or re-enter to the surface owner(s). Upon approval, the operator will have six months to commence the permitted operations. A six month extension may be granted without fee providing the Conservation Division staff determines that no material change of condition has occurred, if written request for such extension is received from the operator prior to the expiration of the original permit. Only one extension may be granted. A copy of the approved permit shall be posted at the well site. [Reference OAC 165:10-3-1 and 165:10-1-25 and 165:10-7-31] Question concerning this Form: Geology Department (405) 521-3086

3. FORM 1000 – APPLICATION TO DRILL, RECOMPLETE OR REENTER Box 1: OTC/OCC OPERATOR NUMBER – This is the five digit number that you were given when you became a registered operator with the State of Oklahoma

4. FORM 1000 – APPLICATION TO DRILL, RECOMPLETE OR REENTER Box 2: API NUMBER: Leave blank for drilling of a new well. Complete this box only if well is being recompleted, reentered, deepen or amended.

5. FORM 1000 – APPLICATION TO DRILL, RECOMPLETE OR REENTER Box 3: NOTICE OF INTENT: Be sure and check the appropriate operation.

6. FORM 1000 – APPLICATION TO DRILL, RECOMPLETE OR REENTER Box 4: TYPE OF DRILLING OPERATION: Check type of operation and type of well that will be either drilled, recompleted or reentered.

7. FORM 1000 – APPLICATION TO DRILL, RECOMPLETE OR REENTER Box 5: SURFACE LOCATION OF WELL

8. FORM 1000 – APPLICATION TO DRILL, RECOMPLETE OR REENTER Box 6: MARK SURFACE LOCATION AND OUTLINE LEASE OR SPACING UNIT IN INK

9. FORM 1000 – APPLICATION TO DRILL, RECOMPLETE OR REENTER Box 7: Well will be ________ feet from nearest spacing unit or lease boundary

10. FORM 1000 – APPLICATION TO DRILL, RECOMPLETE OR REENTER Box 8: LEASE NAME and WELL NUMBER

11. FORM 1000 – APPLICATION TO DRILL, RECOMPLETE OR REENTER Box 9: COMPLETEOPERATOR INFORMATION

12. FORM 1000 – APPLICATION TO DRILL, RECOMPLETE OR REENTER Box 10: COMPLETE SURFACE OWNER INFORMATION

13. FORM 1000 – APPLICATION TO DRILL, RECOMPLETE OR REENTER Box 11: Is well located on lands under federal jurisdiction?

14. FORM 1000 – APPLICATION TO DRILL, RECOMPLETE OR REENTER Box 12: Will a water well be drilled? And Will surface water be used?

15. FORM 1000 – APPLICATION TO DRILL, RECOMPLETE OR REENTER Box 13: Date Operation to Begin

16. FORM 1000 – APPLICATION TO DRILL, RECOMPLETE OR REENTER Box 14: LIST TARGET FORMATIONS AND DEPTHS (LIMITED TO TEN)

17. FORM 1000 – APPLICATION TO DRILL, RECOMPLETE OR REENTER Box 15: SPACING ORDER NUMBER(S) AND SIZE OF UNIT(S)

18. FORM 1000 – APPLICATION TO DRILL, RECOMPLETE OR REENTER Box 16: PENDING APPLICATION C.D. NUMBER(S)

19. FORM 1000 – APPLICATION TO DRILL, RECOMPLETE OR REENTER Box 17: LOCATION EXCEPTION ORDER NUMBER(S)

20. FORM 1000 – APPLICATION TO DRILL, RECOMPLETE OR REENTER Box 18: INCREASED DENSITY ORDER NUMBER(S)

21. FORM 1000 – APPLICATION TO DRILL, RECOMPLETE OR REENTER Box 19: WELL DEPTH: This is the same as measured depth for horizontal well

22. FORM 1000 – APPLICATION TO DRILL, RECOMPLETE OR REENTER Box 20: GROUND ELEVATION

23. FORM 1000 – APPLICATION TO DRILL, RECOMPLETE OR REENTER Box 21: BASE OF TREATABLE WATER

24. FORM 1000 – APPLICATION TO DRILL, RECOMPLETE OR REENTER Box 22: SURFACE CASING

25. FORM 1000 – APPLICATION TO DRILL, RECOMPLETE OR REENTER Box 23: ALTERNATE CASING PROGRAM USED?

26. FORM 1000 – APPLICATION TO DRILL, RECOMPLETE OR REENTER Box 24: CHECKALTERNATIVE CASING PROCEDURE TO BE USED

27. FORM 1000 – APPLICATION TO DRILL, RECOMPLETE OR REENTER Box 25.1: COMPLETE PIT INFORMATION

28. FORM 1000 – APPLICATION TO DRILL, RECOMPLETE OR REENTER Box 26.1: OCC USE ONLY – Do Not Write in this Box.

29. FORM 1000 – APPLICATION TO DRILL, RECOMPLETE OR REENTER Box 27: PROPOSED METHOD FOR DISPOSAL OF DRILLING FLUIDS (MUST BE COMPLETED)

30. FORM 1000 – APPLICATION TO DRILL, RECOMPLETE OR REENTER SIGNATURE BOX

31. FORM 1000 – APPLICATION TO DRILL, RECOMPLETE OR REENTER Box 25.2: PIT INFORMATION for additional pits (attach separate sheet if more than two pits will be used)

32. FORM 1000 – APPLICATION TO DRILL, RECOMPLETE OR REENTER Box 26.2: OCC USE ONLY – Do Not Write in this Box.

33. FORM 1000 – APPLICATION TO DRILL, RECOMPLETE OR REENTER Box 28: Mark Bottom Hole location(s) and outline lease or spacing unit in ink

34. FORM 1000 – APPLICATION TO DRILL, RECOMPLETE OR REENTER Box 29: Complete Bottom Hole Information for Directional Well

35. FORM 1000 – APPLICATION TO DRILL, RECOMPLETE OR REENTER Box 30: CompleteBottom Hole Information for Horizontal Lateral(s)

36. FORM 1000 – APPLICATION TO DRILL, RECOMPLETE OR REENTER Box 31: AFFIDAVIT FOR ALTERNATIVE CASING PROGRAM (Complete if using alternate casing per Box 23 and 24 from the front of this form)

37. FORM 1000 – APPLICATION TO DRILL, RECOMPLETE OR REENTER INTENT TO DRILL CHECKLIST - : OCC USE ONLY – Do Not Write in this Box.