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FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule)

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Presentation on theme: "FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule)"— Presentation transcript:

1 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule)

2 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: (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: ] Question concerning this Form: For more information contact the Geology Department at (405)

3 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) OPERATOR’S NAME

4 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) OTC/OCC OPERATOR NUMBER

5 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) MAILING ADDRESS, PHONE NUMBER, CITY, STATE, AND ZIP CODE

6 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) PIPLINE COMPANY

7 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) OTC/OCC NUMBER

8 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) PHONE NUMBER OF PIPELINE COMPANY

9 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) LEASE NAME AND NUMBER

10 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) API NUMBER

11 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) OTC PRODUCTION UNIT NUMBER

12 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

13 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) TYPE OF COMPLETION

14 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) ORDER NUMBER

15 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) DATE OF ORDER

16 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) TOTAL DEPTH

17 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) COMPLETION DATE

18 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) DATE OF 1 ST SALES

19 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

20 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) PERFORATIONS

21 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) SPECIAL ALLOCATED POOL

22 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) FIELD NAME

23 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) POOL NUMBER

24 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) CLASSIFICATION ON FORM 1002A

25 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) INITIAL TEST - DATE

26 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) INITIAL TEST – Gas (in MCF)

27 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) INITIAL TEST – Oil (in Bbls)

28 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) INITIAL TEST – Water (in Bbls)

29 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) INITIAL TEST – GOR (Gas/Oil Ratio)

30 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) INITIAL TEST - SITP

31 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) INITIAL TEST - FTP

32 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) INITIAL TEST - BHP

33 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) INITIAL TEST - Actual

34 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) INITIAL TEST - Calculated

35 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) LATEST TEST - Date

36 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) LATEST TEST – Gas (in MCF)

37 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) LATEST TEST – Oil (in Bbls)

38 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) LATEST TEST – Water (in Bbls)

39 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) LATEST TEST – GOR (Gas/Oil Ratio)

40 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) LATEST TEST - SITP

41 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) LATEST TEST - FTP

42 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) LATEST TEST - BHP

43 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) LATEST TEST - Actual

44 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) LATEST TEST - Calculated

45 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) PRODUCTION HISTORY

46 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) CUMULATIVE PRODUCTION AS OF (Give Date)

47 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) GAS (in MCF)

48 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) OIL (in Bbls)

49 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) REMAINING RESERVES AS OF (give Date)

50 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) GAS (in MCF)

51 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) OIL (in Bbls)

52 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) METHOD OF CALCULATING RESERVES (attach a copy of calculations or curve)

53 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) AVERAGE PIPELINE PRESSURE

54 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) IS COMPRESSION NECESSARY

55 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) ARE THE WELLS IN THE AREA BEING PRODUCED RATABLY (IF NOT, EXPLAIN)

56 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) PRODUCTION PROBLEMS

57 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) WAS THE PIPELINE AND OFFSET OPERATORS NOTIFIED OF HEARING

58 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) NET REV. INT. TO WORKING INTEREST

59 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) NET PRICE RECEIVED PER MCF

60 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) NET PRICE RECEIVED PER Bbls

61 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) TOTAL GROSS INCOME FOR THE LAST 3 MONTHS

62 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) AVERAGE GROSS INCOME PER MONTH

63 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) OPERATIONAL COSTS FOR THE LAST 3 MONTHS

64 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) NET MONTHLY AVERAGE INCOME FOR THE LAST 3 MONTHS

65 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) REMARKS

66 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) BE SURE AND INCLUDE ALL OF THE FOLLOWING

67 FORM 1021A – HARDSHIP WELL APPLICATION (Limited Deviation Rule) FOR OCC USE ONLY – Do not write below this line


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