FORM 1000B – APPLICATION
TO DRILL DEEP ANODE
GROUNDBED
FORM 1000B – APPLICATION
TO DRILL DEEP ANODE
GROUNDBED
This presentation will assist you in the
completion of the Form 1000b. The
application to drill deep anode
groundbed.
Date of Last Revision: 2007.
Rule Requirement: OAC 165:10-7-14
Explanation of Form: Form 1000B is
required to be filed for wells drilled for
deep anode groundbeds as required
by OAC 165:10-7-14. The purpose of
Commission Form 1000B is to ensure
groundwater is being protected in
construction of the deep anode
groundbed. [Reference 165:10-7-14]
Question concerning this Form:
Contact Pollution Abatement at (405)
522-2763.
FORM 1000B – APPLICATION
TO DRILL DEEP ANODE
GROUNDBED
WELL LOCATION: be sure to include
the quarter section calls. Contact
Pollution Abatement as they have a
special pamphlet on how to find this
information.
FORM 1000B – APPLICATION
TO DRILL DEEP ANODE
GROUNDBED
PLOT WELL LOCATION: make sure this
matches the quarter section calls in
the well location section.
FORM 1000B – APPLICATION
TO DRILL DEEP ANODE
GROUNDBED
OPERATOR
FORM 1000B – APPLICATION
TO DRILL DEEP ANODE
GROUNDBED
CONTRACTOR
FORM 1000B – APPLICATION
TO DRILL DEEP ANODE
GROUNDBED
SKETCH SUBSURFACE FACILITIES
FORM 1000B – APPLICATION
TO DRILL DEEP ANODE
GROUNDBED
DEEP ANODE GROUNDBED (D.A.G.):
This is for OCC use only.
BASE OF TREATABLE WATER: This will
be supplied by Geology Department of
the OCC – Leave Blank.
FORM 1000B – APPLICATION
TO DRILL DEEP ANODE
GROUNDBED
SIGNATURE BLOCK
FORM 1000B – APPLICATION
TO DRILL DEEP ANODE
GROUNDBED
OCC USE ONLY – Do Not Write in this
Box
FORM 1000B – APPLICATION
TO DRILL DEEP ANODE
GROUNDBED
INSTRUCTIONS FOR COMPLETING THE
D.A.G.