Directive 065: Resources Applications for Oil and Gas Reservoirs ...

DECLARATION OF NOTIFICATION
________________________________, as applicant, hereby declares that notification of
(company name)
the application has been conducted in accordance with Directive 065: Resources Applications for Oil
and Gas Reservoirs, with all applicable mineral owners having been notified using the appropriate
notification template(s).
Dated at ________________, ____________________on _______________________.
(city)
(province)
Signature: _______________________
Authorized Representative
________________________
(print name)
________________________
(company name)
ERCB Directive 065: Resources Applications / Appendix N: Special Well Spacing Declaration Templates (October 2011) • A-75