1. FORM 1022 – FLARING OF GAS APPLICATION

2. This presentation will assist you in the completion of the Form 1022. The flaring of gas application. Date of Last Revision: 2001 Rule Requirement: 10-3-15 Explanation of Form: Operator shall file one copy of Form 1022 with the Technical Services Department of the Conservation Division listing OTC assigned county lease number. [Reference 165:10-3-15] Question concerning this Form: For more information contact Geology Department at (405) 521-6044.

3. FORM 1022 – FLARING OF GAS APPLICATION TYPE OF APPLICATION

4. FORM 1022 – FLARING OF GAS APPLICATION OPERATOR’S NAME

5. FORM 1022 – FLARING OF GAS APPLICATION OTC/OCC OPERATOR NUMBER

6. FORM 1022 – FLARING OF GAS APPLICATION MAILING ADDRESS, PHONE NUMBER, CITY, STATE, AND ZIP CODE

7. FORM 1022 – FLARING OF GAS APPLICATION LEASE NAME AND NUMBER

8. FORM 1022 – FLARING OF GAS APPLICATION NUMBER OF WELLS ON LEASE

9. FORM 1022 – FLARING OF GAS APPLICATION API NUMBER

10. FORM 1022 – FLARING OF GAS APPLICATION OTC PRODUCTION UNIT NUMBER

11. FORM 1022 – FLARING OF GAS APPLICATION LEGAL LOCATION – include quarter section calls, section, township, range and the county

12. FORM 1022 – FLARING OF GAS APPLICATION PRODUCING FORMATION(S)

13. FORM 1022 – FLARING OF GAS APPLICATION LAST TEST

14. FORM 1022 – FLARING OF GAS APPLICATION IS LEASE TIED INTO A PIPELINE SYSTEM

15. FORM 1022 – FLARING OF GAS APPLICATION IF YES, REASON GAS IS NOT BEING PURCHASED

16. FORM 1022 – FLARING OF GAS APPLICATION PIPELINE COMPANIES WITHIN 1 MILE OF LEASE

17. FORM 1022 – FLARING OF GAS APPLICATION ALTERNATIVES TO VENTING OR FLARING OF GAS

18. FORM 1022 – FLARING OF GAS APPLICATION ESTIMATED COST TO LAY LINE TO COMPRESSOR OR TRUNK LINE

19. FORM 1022 – FLARING OF GAS APPLICATION ESTIMATED LENGTH OF TIME TO PAYOUT SYSTEM, IF CONTRUCTED

20. FORM 1022 – FLARING OF GAS APPLICATION HAS GAS PURCHASING CONTRACT BEEN DISCUSSED

21. FORM 1022 – FLARING OF GAS APPLICATION IF YES, WHAT IS THE STATUS OF NEGOTIATIONS

22. FORM 1022 – FLARING OF GAS APPLICATION ESTIMATED AMOUNT TO BE VENTED OR FLARED (IN MCF/D)

23. FORM 1022 – FLARING OF GAS APPLICATION NUMBER OF DAYS APPLIED FOR

24. FORM 1022 – FLARING OF GAS APPLICATION SPECIAL NOTE: IF 100 PPM OF HYDROGEN SULFIDE IS PRESENT, THE GAS MUST BE FLARED

25. FORM 1022 – FLARING OF GAS APPLICATION OCC USE ONLY – Do not write below this line