FIR 1 - INSPECTION REPORT

Permit Holder: Lime Rock Resources III-A, L.P. Well Name/No: Crockett Permit: 40614
Lease Name: Crockett 6-21 Sec: 21 Twp: 10N Range 28W
GPS Well Location: Latitude: 35.51922 Longitude: -93.97621 Field: LONE ELM  
Lease/Tank Battery: Latitude: 0 Longitude: 0 County: FRANKLIN  
Entrance from nearest 911 address, public street or highway Lone Elm Road
Status:
Well equipment operational: Equipment plumbed properly: Excess equipment on lease:
Signs: At lease entrance:
At tank battery:
At well:
Signage compliance:

NoTypeConstructionSizeLeaksRemarks
No Vessels Found For This Inspection

Tank Containment:
Dimensions: Length: 0 Width: 0 Diameter: 0 Height: 0 Capacity (bbls): 0
Capacity compliance: Breaches/Erosion: Excessive vegetation present: Compliance agreement:
Containment Conditions: Fluids Present:
Well Site Compressor:
Is it in compliance?
Trash/Debris:
Use as storage area:
Unusual equipment:
Excessive erosion:
If yes to any, explain:
Entry Gate Present:
  Gate locked on arrival:
Gate locked on departure:
Is spill or discharge of drilling, completion or produced fluids present:
 
If yes, did spill or discharge of drilling, completion or produced fluids occur or travel off the well pad:
(If yes, complete FIR 5)
Compliance Summary Remarks:
Final Inspection, location returned to grade, dirt work is collapsing a little and several old cellar boards are sticking up through the dirt, entrance sign is still on fence, location is still being used by Black Hills Energy for storage well Crockett 1-21. No enforcement at this time.MP

Inspected by: DAYMON BLOUNT   Date:  10/18/2016 3:50:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: 10/25/2016
ADEQ referral:
Date of referral:  __________