FORM 1072 – NOTICE OF TERMINATION

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Presentation transcript:

FORM 1072 – NOTICE OF TERMINATION

FORM 1072 – NOTICE OF TERMINATION This presentation will assist you in the completion of the Form 1072. The notice of termination. Date of Last Revision: 2010 Rule Requirement: OAC 165:10-5-7a Explanation of Form: Within 30 days of the termination of injection Form 1072 must be filed. [Reference 165:10-5-7] Question concerning this Form: For more information contact Pollution Abatement at (405) 521-2242

FORM 1072 – NOTICE OF TERMINATION OPERATOR – Name of Operator

FORM 1072 – NOTICE OF TERMINATION OPERATOR – OCC/OTC OPERATOR NUMBER

FORM 1072 – NOTICE OF TERMINATION OPERATOR – Mailing Address, Phone Number, City, State, Zip Code, and Fax Number along with an E-Mail Address if available

FORM 1072 – NOTICE OF TERMINATION WELL NAME AND NUMBER

FORM 1072 – NOTICE OF TERMINATION API NUMBER OF THE WELL

FORM 1072 – NOTICE OF TERMINATION LEGAL LOCATION OF THE WELL – Quarter Section Calls, Section, Township, and Range along with the County in which the well resides

FORM 1072 – NOTICE OF TERMINATION WELL CLASSIFICATION - Is the well? - a Disposal Well - an Enhanced Recovery Injection Well - an Enhance Recovery Project

FORM 1072 – NOTICE OF TERMINATION USE THE MOST CURRENT ORDER/PERMIT AUTHORIZING INJECTION NUMBER

FORM 1072 – NOTICE OF TERMINATION DATE THE ORDER/PERMIT WAS ISSUED

FORM 1072 – NOTICE OF TERMINATION INJECTION ZONE

FORM 1072 – NOTICE OF TERMINATION REASON FOR TERMINATION: Well to be: - Plugged - Returned to Production - Producing Interval - Temporarily Abandoned - Converting to New Permit Application Number Application Date

FORM 1072 – NOTICE OF TERMINATION SIGNATURE BLOCK OF OPERATOR