| Agency | Form: (02) 1927636 10/28/2009 | <style type="text/css">
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<p><span class="Normal">24 HOUR SPUD NOTICE REQUIRED. E-MAIL: david.andrews@state.co.us</span></p>
<p> </p>
<p><span class="Normal">APPROVAL OF THIS FORM DOES NOT AUTHORIZE INJECTION. AUTHORIZATION TO INJECT </span><span class="Normal">REQUIRES APPROVAL OF FORM 31 AND FORM 33.</span></p>
<p> </p>
<p><span class="Normal">THE PROPOSED SURFACE CASING IS MORE THAN 50' BELOW THE DEPTH OF THE DEEPEST </span><span class="Normal">WATER WELL WITHIN 1MILE OF THE SURFACE LOCATION WHEN CORRECTED FOR ELEVATION </span><span class="Normal">DIFFERENCES. THE DEEPEST WATER WELL WITHIN 1 MILE IS 205 FEET DEEP. </span></p>
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| UIC | Form: (02) 401072966 08/08/2016 | 1. Injection is not authorized until approval of Forms 31 and 33.
2. Operator is required to contact COGCC to discuss Step Rate Test or Injectivity Test criteria for Maximum Surface Injection Pressure determination.
3. Prior approval of Form 4 is required for step rate and injectivity tests.
4. Prior approval of Form 4 is required for acid and fracturing jobs. (4/13/2016).
5. Retrieve water sample(s) from injection zone(s) before stimulating formation. Samples must be analyzed for Total Dissolved Solids at a minimum.
6. Operator must provide all tops of formations encountered from surface to TD on a Form 4 Sundry Notice or on the Form 5 if required by recompletion activities.
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| Engineer | Form: (02) 401072966 09/26/2016 | 1)Operator shall comply with the most current revision of the Northwest Colorado Notification Policy. See attached notice. |
| UIC | Form: (04) 401127976 10/11/2016 | Sequence of events should be acid wash, step rate test, and finally MIT. If operator chooses to collect water samples from Dakota and Lakota Formations that should be done prior to the acid wash so the water samples will not be contaminated. |
| UIC | Form: (04) 401135754 10/24/2016 | File Form 5A per Rule 308B upon completion of job. |
| UIC | Form: (04) 401135754 10/24/2016 | Injection limited to 300 barrels total and 3 days maximum. If problems occur contact COGCC. |
| UIC | Form: (04) 401351602 07/24/2017 | Maximum injecton volume must be less than 10,000 bbls. Maximum duration of treatment must be less than 10 days. Maximum injection pressure must be below 2,000 psi. |
| UIC | Form: (04) 401397545 09/11/2017 | File a Form 5A to report new tubing/packer configuration. |
| Engineer | Form: (04) 401769592 09/21/2018 | Correct Form 7 reproting within 30 days.
Submit corrected procedure that references Dak-Lak and not Entrada, no record of Entrada being completed, never SI. |
| UIC | Form: (04) 401945575 03/20/2019 | Operator required to collect water samples from Frontier Formation prior to acidizing. Sample collection is not listed in Summary but is discussed in Steps 17 and 18. Minimize injection volume during set up to get best quality formation water sample. |
| UIC | Form: (02) 401951186 03/20/2019 | Operator required to collect water samples from Frontier Formation prior to acidizing. Sample collection is not listed in Summary but is discussed in Steps 17 and 18. Minimize injection volume during set up to get best quality formation water sample. This is an injectivity test only. No injection for disposal or enhanced recovery without approved Form 31 and 33 for Frontier. |
| Engineer | Form: (02) 401951186 04/01/2019 | Operator shall comply with the most current revision of the Northwest Notification Policy. |
| UIC | Form: (04) 403360102 03/30/2023 | This Sundry reports the results of a step-rate test done on the Frontier Formation. No Forms 31/33 have been submitted to add the Frontier to the injection zone. No injection into the Frontier is permitted on this well. |