| Form 27/27A |  Related  Doc |
| Date Submitted: | 1/31/2024 |
| Date Recv'd: | 1/31/2024 | Assigned by: | Chris Canfield |
| DocNum: | 403666824 | Facility ID: | 336380 |
| Document Type: | FORM 27 | Project Number: | 34305 |
| Operator Information: |
| Operator: | CRESTONE PEAK RESOURCES OPERATING LLC |
| Oper. No. | 10633 |
| Address: | 555 17TH STREET SUITE 3700 DENVER CO 80202 |
| Type Of Facility: | LOCATION |
| Fac. Name | DONIPHAN-SHIELDS-61N69W |
| County Name: | BOULDER |
| Operator contact: | Jacob Evans |
| qtrqtr: NENW | section: 11 | township: 1N | range: 69W | meridian: 6 |
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| Remediation Details: |
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| Reason for Report: OTHER |
| Cause of Condition: OTHER |
| Potential Receptors: There is an Un-Named Lake 630-ft to the S. The Boulder Creek is 730-ft to the SE. There is an Un-N |
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| HOW REMEDIATE: | NA |
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| INITIAL ACTION: | A site investigation will be conducted pursuant to COGCC rule 911 at the DONIPHAN-SHIELDS-61N69W 11NENW (336380) oil and gas location pertaining to the cut/cap of the DONIPHAN-SHIELDS 2 (05-013-06104), cut/cap of the DONIPHAN SHIELDS 12-11 (05-013-06541), decommission of production facilities and decommission of all on-location flowlines. See site map exhibit for details.
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| RECLAMATION PLAN: | Reclamation will be in accordance with COGCC 1000 Series Rules. |
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| SOURCE REMOVED: | NA |
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| Correspondence Log: |
| Final Resolution | | Date | Case Closed? | Letter Sent? | CECMC Person | | N/A | N | | Chris Canfield | | | N/A | N | | Chris Canfield | | | N/A | N | | Chris Canfield | | | N/A | N | | Alexander Ahmadian | |
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| Coordinates: |
| Type | Facility ID | Facility Name/Num | Lat/Long |
| Remediation | 206609 | DONIPHAN-SHIELDS
2 | 40.069674/-105.086651 |
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| Remediation | 289602 | DONIPHAN SHIELDS
12-11 | 40.069660/-105.086690 |
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| Facility | 336380 | DONIPHAN-SHIELDS-61N69W
11NENW | 40.069660/-105.086690 |
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| Remediation | 487161 | Doniphan-Shields-61N69W 11NENW
| 40.069418/-105.086268 |
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