| Form 27/27A |  Related  Doc |
| Date Submitted: | 5/25/2021 |
| Date Recv'd: | 5/25/2021 | Assigned by: | Chris Canfield |
| DocNum: | 402688966 | API number: | 05-123-30568 |
| Document Type: | FORM 27 | Project Number: | 18316 |
| Operator Information: |
| Operator: | KERR MCGEE OIL & GAS ONSHORE LP |
| Oper. No. | 47120 |
| Address: | P O BOX 173779 DENVER CO 80217-3779 |
| Type Of Facility: | WELL |
| Well Name/No. | ADAM FARM |
| County Name: | WELD |
| Operator contact: | Gregory Hamilton |
| qtrqtr: SWNE | section: 4 | township: 2N | range: 68W | meridian: 6 |
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| Remediation Details: |
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| Reason for Report: OTHER |
| Cause of Condition: OTHER |
| Potential Receptors: |
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| HOW REMEDIATE: | Potential impacts that meet the criteria in Rule 912.b. will be reported to the Director in accordance with that Rule and a site-specific soil and/or groundwater remediation plan will be developed and submitted to the COGCC via a supplemental Form 27 in accordance with Rule 913. If reportable impacts are not encountered, a supplemental Form 27 requesting closure will be submitted within 90 days following completion of sampling activities. Field screening and applicable laboratory analytical results will be reported in all submittals. E&P waste records of material transported off-site are kept on file and available upon request. |
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| INITIAL ACTION: | This form has been prepared to provide prior notice of the plugging and abandonment of the Adam Farm 8-4 and Adam George GU 1 wellheads and status change of the associated flowlines. The status change of the associated off-location flowlines will be changed from active to out-of-service, in accordance with Rule 1101.a.(3).A,B,&C. The flowline system pre-abandonment notices for Adam Farm 8-4 and Adam George GU 1 were submitted under Form 44 Document No. 402672637 and 402687025, respectively. In accordance with COGCC Rule 911.a., soil and groundwater (if present) samples will be collected and submitted for laboratory analysis to determine if concentrations and values are in compliance with COGCC Table 915-1. Visual inspection and field screening of soils around the wellheads and associated pumping equipment will be conducted during sampling activities. Soil vapor screening will also be performed around the wellheads. The topographic Site Location Map showing the geographic setting of the site is provided as Figure 1. |
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| RECLAMATION PLAN: | The site will be reclaimed in accordance with COGCC 1000 Series Reclamation Rules. |
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| SOURCE REMOVED: | If a suspected release is identified and confirmed through soil screening and/or laboratory analysis, soils will be removed and transported to a licensed disposal facility. Disposal records will be kept on file and available upon request. |
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| Correspondence Log: |
| Final Resolution | | Date | Case Closed? | Letter Sent? | CECMC Person | | N/A | N | | Chris Canfield | | | 4/18/2022 | Y | | Nikki Graber | |
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| Coordinates: |
| Type | Facility ID | Facility Name/Num | Lat/Long |
| Remediation | 240715 | ADAM, GEORGE GU
1 | 40.171317/-105.004270 |
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| Facility | 412874 | ADAM FARM
8-4 | 40.171241/-105.004041 |
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