1. FORM 1014R – POST-LAND APPLICATION REPORT

2. FORM 1014R – POST-LAND APPLICATION REPORT
This presentation will assist you in the completion of the Form 1014R. The post-land application report.
Date of Last Revision: 2009
Rule Requirement: (h)(12); (h)(12)
Explanation of Form: A post land application report shall be submitted by the operator or the operator’s agent to the Manager of Field Operations within ninety (90) days of the completion of land application. [Reference 165: and 165: ]
Question concerning this Form: For more information contact Pollution Abatement at (405)

3. FORM 1014R – POST-LAND APPLICATION REPORT
OCC LOG-IN NUMBER: Do not write in this space. The number used in this box must be the same as used on Form 1014S.

4. FORM 1014R – POST-LAND APPLICATION REPORT
WELL NAME (include the Section, Township and Range with Quarter Calls).

5. FORM 1014R – POST-LAND APPLICATION REPORT
OPERATOR NAME

6. FORM 1014R – POST-LAND APPLICATION REPORT
PHONE NUMBER OF THE OPERATOR

7. FORM 1014R – POST-LAND APPLICATION REPORT
MAILING ADDRESS, CITY, STATE, AND ZIP CODE

8. FORM 1014R – POST-LAND APPLICATION REPORT
CONTRACTOR OR AGENT’S NAME

9. FORM 1014R – POST-LAND APPLICATION REPORT
PHONE NUMBER

10. FORM 1014R – POST-LAND APPLICATION REPORT
LAND APPLICATION PERMIT NUMBER
(The Land Application Permit Number must be the same of the OCC Log In Number)

11. FORM 1014R – POST-LAND APPLICATION REPORT
ANY EXCEPTIONS TO THE RULES NEED TO BE NOTED HERE

12. FORM 1014R – POST-LAND APPLICATION REPORT
LAND APPLICATION OF WATER-BASED DRILLING FLUIDS AND/OR CUTTINGS

13. FORM 1014R – POST-LAND APPLICATION REPORT
LAND APPLICATION OF PETROLEUM HYDROCARBON-BASED DRILL CUTTINGS

14. FORM 1014R – POST-LAND APPLICATION REPORT
LAND APPLICATION OF SOIL CONTAMINATED BY SALT OR CRUDE OIL

15. FORM 1014R – POST-LAND APPLICATION REPORT
NUMBER OF ACRES OF LAND APPLICATION

16. FORM 1014R – POST-LAND APPLICATION REPORT
TOTAL NUMBER OF ACRES PERMITTED

17. FORM 1014R – POST-LAND APPLICATION REPORT
NUMBER OF ACRES NOT USED

18. FORM 1014R – POST-LAND APPLICATION REPORT
TOTAL VOLUME OF LIQUIDS APPLIED (IN BARRELS)

19. FORM 1014R – POST-LAND APPLICATION REPORT
TOTAL VOLUME OF SOLIDS APPLIED (IN BARRELS OR CUBIC FEET)

20. FORM 1014R – POST-LAND APPLICATION REPORT
METHOD OF APPLICATION

21. FORM 1014R – POST-LAND APPLICATION REPORT
BE SURE TO ATTACH AERIAL PHOTOGRAPH.

22. FORM 1014R – POST-LAND APPLICATION REPORT
ATTACH TEST RESULTS AND LOADING CALCULATIONS

23. FORM 1014R – POST-LAND APPLICATION REPORT
SIGNATURE BLOCK