FORM 1022 – FLARING OF GAS APPLICATION FORM 1022 – FLARING OF GAS APPLICATION This presentation will assist you in the completion of the Form 1022. The flaring of gas application. Date of Last Revision: 2001 Rule Requirement: 10-3-15 Explanation of Form: Operator shall file one copy of Form 1022 with the Technical Services Department of the Conservation Division listing OTC assigned county lease number. [Reference 165:10-3-15] Question concerning this Form: For more information contact Geology Department at (405) 521-6044. FORM 1022 – FLARING OF GAS APPLICATION TYPE OF APPLICATION FORM 1022 – FLARING OF GAS APPLICATION OPERATOR’S NAME FORM 1022 – FLARING OF GAS APPLICATION OTC/OCC OPERATOR NUMBER FORM 1022 – FLARING OF GAS APPLICATION MAILING ADDRESS, PHONE NUMBER, CITY, STATE, AND ZIP CODE FORM 1022 – FLARING OF GAS APPLICATION LEASE NAME AND NUMBER FORM 1022 – FLARING OF GAS APPLICATION NUMBER OF WELLS ON LEASE FORM 1022 – FLARING OF GAS APPLICATION API NUMBER FORM 1022 – FLARING OF GAS APPLICATION OTC PRODUCTION UNIT NUMBER FORM 1022 – FLARING OF GAS APPLICATION LEGAL LOCATION – include quarter section calls, section, township, range and the county FORM 1022 – FLARING OF GAS APPLICATION PRODUCING FORMATION(S) FORM 1022 – FLARING OF GAS APPLICATION LAST TEST FORM 1022 – FLARING OF GAS APPLICATION IS LEASE TIED INTO A PIPELINE SYSTEM FORM 1022 – FLARING OF GAS APPLICATION IF YES, REASON GAS IS NOT BEING PURCHASED FORM 1022 – FLARING OF GAS APPLICATION PIPELINE COMPANIES WITHIN 1 MILE OF LEASE FORM 1022 – FLARING OF GAS APPLICATION ALTERNATIVES TO VENTING OR FLARING OF GAS FORM 1022 – FLARING OF GAS APPLICATION ESTIMATED COST TO LAY LINE TO COMPRESSOR OR TRUNK LINE FORM 1022 – FLARING OF GAS APPLICATION ESTIMATED LENGTH OF TIME TO PAYOUT SYSTEM, IF CONTRUCTED FORM 1022 – FLARING OF GAS APPLICATION HAS GAS PURCHASING CONTRACT BEEN DISCUSSED FORM 1022 – FLARING OF GAS APPLICATION IF YES, WHAT IS THE STATUS OF NEGOTIATIONS FORM 1022 – FLARING OF GAS APPLICATION ESTIMATED AMOUNT TO BE VENTED OR FLARED (IN MCF/D) FORM 1022 – FLARING OF GAS APPLICATION NUMBER OF DAYS APPLIED FOR FORM 1022 – FLARING OF GAS APPLICATION SPECIAL NOTE: IF 100 PPM OF HYDROGEN SULFIDE IS PRESENT, THE GAS MUST BE FLARED FORM 1022 – FLARING OF GAS APPLICATION OCC USE ONLY – Do not write below this line