| UIC | Form: (04 )
400954716
12/16/2015 | After packer system is re-set perform witnessed MIT and submit:
1. Form 5A to confirm status (TA) of Weber Formation with tubing/packer information (please add brief description of work in Comments).
2. Form 21-MIT.
3. Form 4 with new CBL. |
| Engineer | Form: (04 )
401514027
3/13/2018 | This approval is good for one year and a new application must be made before January 16, 2019(1 year from prior application). Updates for the planned utilization of the well should be included with the application.
A Form 5A is required to report all plugs currently downhole which isolate the perforated interval.
Form 7 reporting must reflect the well status dates reported on the TA request.
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| Engineer | Form: (04 )
401705622
10/3/2018 | This approval is good for one year and a new application must be made before January 16, 2019(1 year from prior application). Updates for the planned utilization of the well should be included with the application. |
| UIC | Form: (02 )
401783193
1/15/2019 | 1. Injection is not authorized until approval of Subsequent Forms 31 and 33.
2. Retrieve water sample(s) from injection zone(s) before stimulating formation. Samples must be analyzed for Total Dissolved Solids at a minimum.
3. PRIOR TO PERFORMING OPERATIONS: Operator is required to contact COGCC to discuss acid and fracturing jobs. Approval of Form 4 may be required for acid and fracturing jobs. (As of 4/13/2016)
4. PRIOR TO PERFORMING OPERATIONS: Operator is required to contact COGCC to discuss Step Rate Test or Injectivity Test criteria for Maximum Surface Injection Pressure determination. Prior approval of Form 4 may be required for step rate and injectivity tests.
5. Cased hole CNL/GR log as proposed is required from a minimum of 5410 ft to surface. A PDF, TIFF, or PDS visual image and a LAS or DLIS file version is required.
6. Operator must provide all tops of formations encountered from surface to TD on a Form 4 Sundry Notice or on a Form 5 if one is appropriate.
7. Well must pass MIT witnessed by COGCC before Subsequent Forms 31 and 33 will be approved. Well in must be in injection configuration.
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| Engineer | Form: (04 )
401870589
4/16/2019 | This approval is good for one year and a new application must be made before January 16, 2020(1 year from prior application). Updates for the planned utilization of the well should be included with the application. |
| Engineer | Form: (04 )
402269673
3/30/2020 | 1) This approval is good for one year and a new application must be made before 1/09/2021 (1 year from prior application). Updates for the planned utilization of the well should be included with the application.
2) The Form 7 reporting must reflect the well status dates reported on the Form 4-TA request.
3) A Form 5A is required to report all plugs currently downhole which isolate the perforated interval.
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| Engineer | Form: (04 )
402561655
1/19/2021 | 1) This approval is good for one year and a new application must be made before 01/09/2022 (1 year from prior application). Updates for the planned utilization of the well should be included with the application.
2) The Form 7 reporting must reflect the well status dates reported on the Form 4-TA request.
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| Engineer | Form: (04 )
402910067
2/8/2022 | 1) This approval is good for one year and a new application must be made before 01/09/2023 (1 year from prior application). Updates for the planned utilization of the well should be included with the application.
2) The Form 7 reporting must reflect the well status dates reported on the Form 4-TA request. Please update production reporting status of all applicable months from SI to TA for 1/1999 forward. COGCC digital production reporting began in 1999 and does not go back to 1991. |
| UIC | Form: (04 )
403210427
3/1/2023 | Updated well classification to Observation Well. Used 11/04/2022 as date well is no longer an injector. Operator to report this well as AC (Active) on Form 7. |
| Engineer | Form: (04 )
403869969
8/1/2024 | 1) For applicable operations, submit a Form 5 within 30 days of the work with job related documents including a minimum of one of the following attachments: operations summary, cement job summary and/or wireline summary. Additionally, include CBL’s and any additional logs run. |