1. FORM 1001A – NOTIFICATION OF WELL SPUD

2. This presentation will assist you in the completion of the Form 1001A. The notification of well spud. Date of Last Revision: 2009 Rule Requirement: OAC 165:10-3-2 Explanation of Form: Operator shall file a Form 1001A with the Conservation Division within 14 days of spudding a new well or reentering a previously plugged well. [Reference 165:10-3-2] Question concerning this Form: Contact the appropriate District Office

3. FORM 1001A – NOTIFICATION OF WELL SPUD SPUD DATE – The commencement of the drilling of the string of casing that will be 50 feet or over the base of treatable water which is considered surface casing by the OCC.

4. FORM 1001A – NOTIFICATION OF WELL SPUD OPERATOR INFORMATION – the mailing address that is listed on this form must be the same as listed with the Surety Department.

5. FORM 1001A – NOTIFICATION OF WELL SPUD WELL INFORMATION – this information can be found on the approved intent to drill (permit).

6. FORM 1001A – NOTIFICATION OF WELL SPUD CORRESPONDENCE MAILING ADDRESS

7. FORM 1001 – NOTIFICATION OF WELL SPUD SURFACE CASING CEMENTED INFORMATION

8. FORM 1001 – NOTIFICATION OF WELL SPUD SIGNATURE BLOCK