| Engineer | Form: (02 )
400107381
12/7/2010 | (1) COMPLIANCE WITH THE MOST CURRENT REVISION OF THE NORTHWEST COLORADO NOTIFICATION POLICY IS REQUIRED.
(2) CEMENT-TOP VERIFICATION BY CBL REQUIRED.
(3) APPROVAL OF THIS FORM DOES NOT AUTHORIZE INJECTION. AUTHORIZATION TO INJECT REQUIRES APPROVAL OF FORM 31 AND FORM 33.
(4) THE MOISTURE CONTENT OF ANY DRILL CUTTINGS IN A CUTTINGS PIT, TRENCH, OR PILE SHALL BE AS LOW AS PRACTICABLE TO PREVENT ACCUMULATION OF LIQUIDS GREATER THAN DE-MINIMIS AMOUNTS. AT THE TIME OF CLOSURE, THE DRILL CUTTINGS MUST ALSO MEET THE APPLICABLE STANDARDS OF TABLE 910-1.
(5) THE PROPOSED SURFACE CASING IS MORE THAN 50’ BELOW THE DEPTH OF THE DEEPEST WATER WELL WITHIN 1-MILE OF THE SURFACE LOCATION WHEN CORRECTED FOR ELEVATION DIFFERENCES. THE DEEPEST WATER WELL WITHIN 1-MILE IS 00 FEET DEEP.
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| Engineer | Form: (02 )
400190376
8/8/2011 | (1) COMPLIANCE WITH THE MOST CURRENT REVISION OF THE NORTHWEST COLORADO NOTIFICATION POLICY IS REQUIRED.
(2) APPROVAL OF THIS FORM DOES NOT AUTHORIZE INJECTION. AUTHORIZATION TO INJECT REQUIRES APPROVAL OF FORM 31 AND FORM 33.
(3) THE SURFACE CASING IS MORE THAN 50’ BELOW THE DEPTH OF THE DEEPEST WATER WELL WITHIN 1-MILE OF THE SURFACE LOCATION WHEN CORRECTED FOR ELEVATION DIFFERENCES. THE DEEPEST WATER WELL WITHIN 1-MILE IS 00 FEET DEEP.
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| OGLA | Form: (04 )
403149534
8/29/2022 | Operator will implement measures to capture, combust, or control emissions to protect health and safety, and to ensure that vapors and odors from well completion(s), well repair/maintenance, well perforating, temporary abandonment activities, additional equipment installation, and/or testing operations with a workover rig, wireline rig, or other heavy equipment do not constitute a nuisance or hazard to public health, welfare and the environment. |
| Engineer | Form: (04 )
403149534
8/30/2022 | 1) Report work completed with a Form 4 Sundry REPORT OF WORK DONE - Repair Well noting final pressure test results and include any operational or job summaries. If the wellbore geometry changes submit an updated WBD.
2) If wellbore geometry changes or cement work is executed, submit information on a Form 5 in lieu of a Form 4 Sundry
3) Complete a Form 21 MIT to verify repairs for injection wells
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