(DO NOT USE THIS FORM FOR PROPOSALS TO DRILL OR TO DEEPEN OR PLUG BACK TO A DIFFERENT RESERVOIR. USE "APPLICATION FOR PERMIT" (FORM C-101) FOR SUCH PROPOSALS.)
Pit or Below-grade Tank Application or Closure
Pit Type Depth to Groundwater Distance from nearest fresh water well Distance from nearest surface water
Pit Liner Thickness: mil Below-Grade Tank: Volume bbls; Construction Material
NOTICE OF INTENTION TO:
SUBSEQUENT REPORT OF:
4/21/2008 Spudded well.4/21/08. MIRU Patterson drlg #142, spud well @ 9:00 a.m. on 4/21/08.