§22-6A Horizontal Well Permit Packet - Application Page

Please find below a link to the Horizontal Well Permit Packet. This application is for horizontal well drilling permits as defined by the Natural Gas Horizontal Well Control Act.

The file format is a writable PDF, with the ability to write and save the edited forms. You will also notice we have incorporated auto-fill fields for frequently entered information.

Also included are the individual forms that make up the Horizontal Well Permit Packet. Please check this site periodically for any updates to permit application forms or for updates on the application process.

Additional Resources

• Workshop Presentations

Update Log

• 09-23-2013 - Correction on WW-6B, Question 16, insert to Permit Packet.
• 09-25-2013 - Correction on WW-6B, Question 24, corrected formatting.
• 09-27-2013 - Correction of WW-9, permit packet, checkbox formatting.
• 11-08-2013 - WW-6A7, posted corrected form.
• 12-30-2013 - Update H6A Permit Checklist, Update Permit Packet.
• 02-13-2014 - Site Safety Plan Outline added to Permit Package and Individual Forms.
• 03-26-2014 - Site Safety Plan Outline updated, to Permit Package and Individual Forms.
• 05-05-2014 - Site Safety Plan Outline updated, to Permit Package and Individual Forms.
• 06-02-2014 - Updated Water Management Plan application link.
• 11-18-2014 - Added Wetland and Perennial Stream Waiver Request Form.
• 12-03-2014 - Update form WW-6B and Permit Packet.
• 02-09-2015 - Update form WW-9, inserted into Permit Packet.
• 04-15-2015 - Update form WW-6B, and inserted into Permit Packet.
• 06-12-2015 - Update Site Safety Plan.
• 11-18-2015 - Update WW-PN, Application Notice by Publication, and insert in Permit Package.
• 04-04-2016 - Update WW-9, insert into Permit Package.

Forms

• H6A Checklist

  Checklist for Horizontal 6A Permit (Updated 8/20/13)

• WW-6A

  Notice of Application (Updated 9/11/2013)

• WW-6A1

  Lease Information Form (Updated 5/07/13)

• WW-6A2

  Notice of Seismic Activity

• WW-6A3

  Notice of Entry for Plat Survey

• WW-6A4

  Notice of Intent to Drill

• WW-6A4W

  Notice of Intent to Drill Waiver

• WW-6A5

  Notice of Planned Operation

• WW-6A6

  Notice of Well Work or Site Preparation

• WW-6A7

  Well Restriction Checklist

• WW-6AC

  Notice Certification

• WW-6AW

  Voluntary Statement of No Objection

• WW-6B

  §22-6A Well Work Permit Application (Updated 04-15-2015)

• WW-6RW

  Well Location Restriction Waiver

• WW-9

  Fluids/Cuttings Disposal & Rec. Plan (Updated 04-04-2016)

• WW-PN

  Application Notice by Publication (Updated 11/18/2015)

• IMP-1A

  Permit Associated Impoundment / Pit Registration

• WMP

  Water Management Plan Application

• SSP Outline

  Site Safety Plan Outline (Updated 06/12/2015)

• Wetland ​Waiver

  Wetland and Perennial Stream Waiver Request

• Horizontal 6A Well Permit Packet

  Complete Permit Packet (Updated 04-04-2016)​