OGB -1A
INSTRUCTIONS
Read Carefully and Comply Fully
An application (in triplicate) shall be filed with the State Oil and Gas Board and approval obtained before reentry of a
plugged and abandoned well begins. One copy will be returned following approval.
This application must be accompanied by:
(1) $300.00 permit fee, except for permits to amend (Payable to State Treasurer, State of Alabama)
(2) Certified plat (triplicate)
(3) Affidavit of Ownership or Control, Form 0GB-2 (triplicate); or, Affidavit of Ownership or Control, Underground
Injection Control, Form OGB-2C (triplicate), whichever is appropriate.
(4) Bond (Single Well), Form OGB-3, or Bond (Blanket), Form OGB-4, if not on file with the Board
(5) Organization report, Form OGB-5, if a current report is not on file with the Board
(6) Form OGB-20, if a change of operator is involved
Make sure that you have given correctly all information requested. Much unnecessary correspondence will thus be
avoided. State Oil and Gas Board personnel will not make additions to or change any part of a notarized form.
The certified plat shall show the location of the well within the section or block. If the well is being drilled on a unit
greater than the 160-acre size specified in Rule 400-1-2-.02, the plat should also show the alternate unit. The plat shall show the
direction of North and be drawn to the scale of one inch equals 1,000 feet. Show distances of the well from the nearest unit
and section lines, and from the nearest wells in the same section completed in or drilling to the same reservoir. If this is a
deviated well, show both surface and bottom hole locations on plat. The plat shall also indicate the location and status of all
other wells that have been drilled in said section. For the purpose of designating the drilling or producing unit in which the well is
located, the boundaries of such shall be shown on the plat.
The permit number assigned to this well should always be used in correspondence relating to this well.