FORM 1014N – APPLICATION FOR COMMERICAL PIT CONSTRUCTION

FORM 1014N – APPLICATION FOR COMMERCIAL PIT CONSTRUCTION

This presentation will assist you in the completion of the Form 1014N. The application for commercial pit construction.

Date of Last Revision: 2011

Rule Requirement: 10-9-1

Explanation of Form: After a Commission order is obtained, Form 1014N must be submitted for approval by the Manager of Pollution Abatement prior to the construction of each commercial pit authorized by the order. [Reference 165:10-9-1]

Question concerning this Form: For more information contact Pollution Abatement at (405) 522-2763

FORM 1014N – APPLICATION FOR COMMERICAL PIT CONSTRUCTION

NAME OF OPERATOR, PHONE NUMBER, MAILING ADDRESS, FAX NUMBER, CITY, STATE, ZIP CODE

FORM 1014N – APPLICATION FOR COMMERICAL PIT CONSTRUCTION

LEGAL LOCATION OF THE PIT INCLUDE THE QUARTER SECTION CALLS ALONG WITH THE SECTION, TOWNSHIP, AND RANGE AND ALSO THE COUNTY IN WHICH THE PIT OCCURS

FORM 1014N – APPLICATION FOR COMMERICAL PIT CONSTRUCTION

PIT NUMBER

FORM 1014N – APPLICATION FOR COMMERICAL PIT CONSTRUCTION

AUTHORIZING ORDER NUMBER

FORM 1014N – APPLICATION FOR COMMERICAL PIT CONSTRUCTION

CONSTRUCTION START DATE

FORM 1014N – APPLICATION FOR COMMERICAL PIT CONSTRUCTION

CONSTRUCTION COMPLETION DATE

FORM 1014N – APPLICATION FOR COMMERICAL PIT CONSTRUCTION

NAME OF THE REGISTERED PROFESSIONAL ENGINEER

FORM 1014N – APPLICATION FOR COMMERICAL PIT CONSTRUCTION

MAXIMUM ALLOWABLE FLUID LEVEL

FORM 1014N – APPLICATION FOR COMMERICAL PIT CONSTRUCTION

PIT DIMENSIONS - WIDTH - LENGTH(ALL MEASURED IN FEET)

FORM 1014N – APPLICATION FOR COMMERICAL PIT CONSTRUCTION

SIGNATURE OF APPLICANT

FORM 1014N – APPLICATION FOR COMMERICAL PIT CONSTRUCTION

FOR OCC USE ONLY (DO NOT WRITE BELOW THIS LINE)