FIR 1 - INSPECTION REPORT

Permit Holder:	Black Hills Energy Arkansas, Inc.			Well Name/No:	Sam	Permit:	35094
Lease Name:	Sam 1-20	Sec:	20	Twp:	10N	Range	28W
GPS Well Location:		Latitude:	35.52498	Longitude:	-93.99198	Field:	LONE ELM
Lease/Tank Battery:		Latitude:	35.525003	Longitude:	93.992143	County:	FRANKLIN
Entrance from nearest 911 address, public street or highway				Beth Lynn Road

Status:

Completing New not producing Operating Old not producing Not found

Single well pad Mutiple well pad NA

Well equipment operational:	Equipment plumbed properly:	Excess equipment on lease:
Yes No NA	Yes No NA	Yes No

Signs:

At lease entrance:

Yes No

At tank battery:

Yes No NA

At well:

Yes No NA

Signage compliance:

Yes No

Tank Containment:

Earthen Metal ring Tank in tank No Tanks Other

Dimensions:

Length:

0

Width:

0

Diameter:

12

Height:

5

Capacity (bbls):

101

Capacity compliance:		Breaches/Erosion:		Excessive vegetation present:			Compliance agreement:
Yes No NA		Yes No NA		Yes No NA			Yes No NA

Containment Conditions:

Fluids Present:

Yes No

Produced fluids Storm water Waste oil NA Other

Well Site Compressor:

Yes No

Is it in compliance?

Yes No NA

Trash/Debris:	Yes No	Use as storage area:	Yes No	Unusual equipment:	Yes No	Excessive erosion:	Yes No
If yes to any, explain:

Entry Gate Present:

Yes No

Gate locked on arrival:

Yes No

Gate locked on departure:

Yes No

Is spill or discharge of drilling, completion or produced fluids present:					Yes No
If yes, did spill or discharge of drilling, completion or produced fluids occur or travel off the well pad:								Yes No NA	(If yes, complete FIR 5)
Compliance Summary Remarks:
Production well both the well sign and the lease road sign has Lime Rock Resources listed as the operator approximately 27” of storm water in the secondary containment otherwise a clean site. (RJS - Operator contacted 10-4-2022)

Inspected by:	STEVEN PIKE				Date:  7/19/2022 2:49:00 PM
Review for NNC or NOV:	Yes No	If yes, check one	NNC NOV DNI NA	Ref #:	Date: __________
ADEQ referral:	Yes No	Date of referral:  __________