Transcript FORM 1000 – APPLICATION TO DRILL, RECOMPLETE OR …

FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
This presentation will assist you in the
completion of the Form 1021A. The hardship
well application (limited deviation rule).
Date of Last Revision: 2001
Rule Requirement: 10-17-12(h)
Explanation of Form: The applicant shall file
Form 1021A and the necessary attachments
with the Technical Services Department for
review prior to any hearing for deviation
from the priority gas rules. In addition, a
formal application for hearing must be filed
with the Court Clerk's Office of the
Commission. [Reference 165:10-17-12]
Question concerning this Form: For more
information contact the Geology
Department at (405) 521-6044.
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
OPERATOR’S NAME
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
OTC/OCC OPERATOR NUMBER
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
MAILING ADDRESS, PHONE NUMBER,
CITY, STATE, AND ZIP CODE
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
PIPLINE COMPANY
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
OTC/OCC NUMBER
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
PHONE NUMBER OF PIPELINE
COMPANY
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
LEASE NAME AND NUMBER
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
API NUMBER
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
OTC PRODUCTION UNIT NUMBER
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
LEGAL LOCATION – include quarter
section calls, section, township, range
and the county where the well is
located
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
TYPE OF COMPLETION
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
ORDER NUMBER
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
DATE OF ORDER
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
TOTAL DEPTH
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
COMPLETION DATE
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
DATE OF 1ST SALES
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
PRODUCING ZONE(S)
ALL OF THE DATA CONCERNING THE
LEASE MATCH WITH THE
INFORMATION PROVIDED ON THE
FORM 1002A
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
PERFORATIONS
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
SPECIAL ALLOCATED POOL
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
FIELD NAME
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
POOL NUMBER
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
CLASSIFICATION ON FORM 1002A
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
INITIAL TEST - DATE
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
INITIAL TEST – Gas (in MCF)
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
INITIAL TEST – Oil (in Bbls)
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
INITIAL TEST – Water (in Bbls)
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
INITIAL TEST – GOR (Gas/Oil Ratio)
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
INITIAL TEST - SITP
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
INITIAL TEST - FTP
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
INITIAL TEST - BHP
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
INITIAL TEST - Actual
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
INITIAL TEST - Calculated
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
LATEST TEST - Date
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
LATEST TEST – Gas (in MCF)
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
LATEST TEST – Oil (in Bbls)
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
LATEST TEST – Water (in Bbls)
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
LATEST TEST – GOR (Gas/Oil Ratio)
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
LATEST TEST - SITP
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
LATEST TEST - FTP
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
LATEST TEST - BHP
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
LATEST TEST - Actual
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
LATEST TEST - Calculated
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
PRODUCTION HISTORY
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
CUMULATIVE PRODUCTION AS OF
(Give Date)
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
GAS (in MCF)
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
OIL (in Bbls)
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
REMAINING RESERVES AS OF (give
Date)
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
GAS (in MCF)
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
OIL (in Bbls)
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
METHOD OF CALCULATING RESERVES
(attach a copy of calculations or curve)
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
AVERAGE PIPELINE PRESSURE
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
IS COMPRESSION NECESSARY
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
ARE THE WELLS IN THE AREA BEING
PRODUCED RATABLY (IF NOT, EXPLAIN)
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
PRODUCTION PROBLEMS
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
WAS THE PIPELINE AND OFFSET
OPERATORS NOTIFIED OF HEARING
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
NET REV. INT. TO WORKING INTEREST
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
NET PRICE RECEIVED PER MCF
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
NET PRICE RECEIVED PER Bbls
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
TOTAL GROSS INCOME FOR THE LAST 3
MONTHS
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
AVERAGE GROSS INCOME PER MONTH
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
OPERATIONAL COSTS FOR THE LAST 3
MONTHS
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
NET MONTHLY AVERAGE INCOME FOR
THE LAST 3 MONTHS
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
REMARKS
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
BE SURE AND INCLUDE ALL OF THE
FOLLOWING
FORM 1021A – HARDSHIP
WELL APPLICATION
(Limited Deviation Rule)
FOR OCC USE ONLY – Do not write
below this line