FORM
WW-72
(Rev.
12/99)
TO:
Name___________________________________________________________________
Address_________________________________________________________________
_________________________________________________________________
Name___________________________________________________________________
Address_________________________________________________________________
_________________________________________________________________
Name___________________________________________________________________
Address_________________________________________________________________
_________________________________________________________________
Pursuant to West Virginia Code 22-7, notice is hereby given that the undersigned well operator is commencing the reclamation of the surface disturbance caused by well work required by West Virginia Code 22-6-30 on the tract of land as follows:
API Permit No. 47-______________-__________________________;
Acreage______________________________________________________________;
Watershed____________________________________________________________;
District_______________________________________________________________;
County_______________________________________________________________;
Public Road Access_____________________________________________________;
Generally used farm name________________________________________________.
This tract of land was utilized in connection with the well work authorized by the permit listed above issued by the Office of Oil and Gas of the West Virginia Department of Environmental Protection.
Any claim for oil and gas production damage compensation from the undersigned must be made within 2 years of the publication of this notice.
Well Operator_________________________________________________
Address_______________________________________________
_______________________________________________
Telephone________________________________________________
www.msngr.org