FORM 1000B

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FORM 1000B APPLICATION TO DRILL DEEP ANODE
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FORM 1000B APPLICATION TO DRILL DEEP ANODE
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• 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 16510-7-14
• Explanation of Form Form 1000B is required to
  be filed for wells drilled for deep anode
  groundbeds as required by OAC 16510-7-14. The
  purpose of Commission Form 1000B is to ensure
  groundwater is being protected in construction of
  the deep anode groundbed. Reference 16510-7-14
  
• Question concerning this Form Contact Pollution
  Abatement at [phone].

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FORM 1000B APPLICATION TO DRILL DEEP ANODE
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• 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.

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FORM 1000B APPLICATION TO DRILL DEEP ANODE
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• PLOT WELL LOCATION make sure this matches the
  quarter section calls in the well location
  section.

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FORM 1000B APPLICATION TO DRILL DEEP ANODE
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• OPERATOR

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FORM 1000B APPLICATION TO DRILL DEEP ANODE
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• CONTRACTOR

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FORM 1000B APPLICATION TO DRILL DEEP ANODE
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• SKETCH SUBSURFACE FACILITIES

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FORM 1000B APPLICATION TO DRILL DEEP ANODE
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• 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.

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FORM 1000B APPLICATION TO DRILL DEEP ANODE
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• SIGNATURE BLOCK

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FORM 1000B APPLICATION TO DRILL DEEP ANODE
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• OCC USE ONLY Do Not Write in this Box

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FORM 1000B APPLICATION TO DRILL DEEP ANODE
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• INSTRUCTIONS FOR COMPLETING THE D.A.G.