EQT Production Company v. Matthew Wender



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Appeal: 16-1938 Doc: 48 Filed: 08/30/2017 WW-9 (5/16) Pg: 1 of 2 API Number 47 - ________ - ____________ Operator's Well No._____________________ STATE OF WEST VIRGINIA DEPARTMENT OF ENVIRONMENTAL PROTECTION OFFICE OF OIL AND GAS FLUIDS/ CUTTINGS DISPOSAL & RECLAMATION PLAN Operator Name______________________________________________________ OP Code _________________________ Watershed (HUC 10)_____________________________________ Quadrangle ___________________________________ Do you anticipate using more than 5,000 bbls of water to complete the proposed well work? Will a pit be used? Yes _______ No _______ Yes _______ No _______ If so, please describe anticipated pit waste: __________________________________________________ _______ Will a synthetic liner be used in the pit? Yes _______ No _______ If so, what ml.?__________________ Proposed Disposal Method For Treated Pit Wastes: ______ ______ ______ ______ ______ Land Application (if selected provide a completed form WW-9-GPP) Underground Injection ( UIC Permit Number__________________________________________) Reuse (at API Number____________________________________________________________) Off Site Disposal (Supply form WW -9 for disposal location) Other (Explain___________________ ________________________________________________ 017 Drilling medium anticipated for this well (vertical and horizontal)? Air, freshwater, oil based, etc. _______________________ 2/2 0 -If oil based, what type? Synthetic, petroleum, etc.______________________________________________________ 08/ d Additives to be used in drilling medium?_____________________________________________________________________ we ie Drill cuttings disposal method? Leave in pit, landfill, removedv , offsite, etc.__________________________________________ 938 -If left in pit and plan to solidify what medium will be used? (cement, lime, sawdust)___________________________ 1 16- _____________________________________________________________ -Landfill or offsite name/permit number? . ______________________________________________________________________________________________________ No Will closed loop system be used? If so, describe: ______________________________________________________________ Permittee shall provide written notice to the Office of Oil and Gas of any load of drill cuttings or associated waste rejected at any West Virginia solid waste facility. The notice shall be provided within 24 hours of rejection and the permittee shall also disclose where it was properly disposed. I certify that I understand and agree to the terms and conditions of the GENERAL WATER POLLUTION PERMIT issued on April 1, 2016, by the Office of Oil and Gas of the West Virginia Department of Environmental Protection. I understand that the provisions of the permit are enforceable by law. Violations of any term or condition of the general permit and/or other applicable law or regulation can lead to enforcement action. I certify under penalty of law that I have personally examined and am familiar with the information submitted o n this application form and all attachments thereto and that, based on my inquiry of those individuals immediately responsible for o btaining the information, I believe that the information is true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine or imprisonment. Company Official Signature______________________________________________________________________________ Company Official (Typed Name)____________________ ______________________________________________________ Company Official Title__________________________________________________________________________________ ___________________________________________________________________________________________________ Subscribed and sworn before me this_____________ day of__________________________, 20_______ _______________________________________________________________________ Notary Public My commission expires_______________________________________________ __________________ Appeal: 16-1938 Doc: 48 Filed: 08/30/2017 Pg: 2 of 2 Form WW-9 Operator's Well No._____________________ _____________________________________________________________________________________________________ Proposed Revegetation Treatment: Acres Disturbed _______________________ Preveg etation pH ____________________ Lime _______________ Tons/acre or to correct to pH ___________________ Fertilizer type ______________________________ Fertilizer amount____________________________lbs/acre Mulch_________________________________Tons/acre Seed Mixtures Temporary Seed Type Permanent lbs/acre Seed Type lbs/acre ______________________________________________ _______________________________________________ ______________________________________________ _______________________________________________ 017 _____________________________________________________________________________________________________ 2/2 0 Attach: 08/ plans including this info ha ve been Maps(s) of road, location, pit and proposed area for land application (unless engineered d provided). If water from the pit will be land applied, provide water volume, include dimensions (L, W, D) of the pit, and dimensions we e (L, W), and area in acres, of the land application area. , vi Photocopied section of involved 7.5' topographic sheet. 938 1 16_____________________________________________________________________________________________________ . No Plan Approved by:______________________________________________________________________________________ ______________________________________________ _______________________________________________ Comments: ___________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ Title:___________________________________________ Field Reviewed? (________) Yes Date:________________________________ __________ (_________) No

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