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