2013-10-31_HYDROLOGY - M1983194 - Laserfiche WebLink

Home Browse Search

Form 3160.5 UNITED STATES FORM APPROVED OMB 6 No. 1004-0137 (August ?007) DEPARTMENT OF THE INTERIOR Expires: July 31, 2010 5. Lease Serial No. BUREAU OF LAND MANAGEMENT ❑ Aci(lize C- 0118327 SUNDRY NOTICES AND REPORTS ON WELLS 6. If Indian, Allottee or Trite Name Do not use this form for proposals to drift or to re -enter an ❑ Fracture rreat abandoned well. Use Form 3160 -3 (APD) for such proposals. D Subsequent Report SUBMIT IN TRIPLICATE — Other instructions on page 2. 7. If Unit of GUAgreemcm. Name and/or No I Type of \Nell 88`1V Name and No ❑ oil Well ❑ Gas \\ell ED Other Subsidence Monitoring Well 2 Name of Operator 9. API Well Nu. Natural Soda, Inc ❑ Convert to injection 3a. Address 3b. Phone No (iurfude area code) 10. Field and Pool or Exploratory Arco 3200 Rio Bianco County Road 31 Rine CO 81550 (970) 878 -3674 4 Location of \yell (Frwtu Re, Sex , T.R .rt l , ar Stave%, Dayiption) Latitude 3993351 W Longitude 108 36081 N (NAD 27) S26 Ti R98W 11. Country or Parish. State Rio Blanco County, Colorado 12. CHECK THE APPROPRIATE BOX(ES) TO INDICATE NATURE OF NOTICE, REPORT OR OTHER DATA TYPE OF SUBNIISSION n'PE OF ACTION ❑ Notice of Intent ❑ Aci(lize ❑ Deepen ❑ Production (Stan Resume) ❑ Water Shut -Off ❑ Alter Casing ❑ Fracture rreat ❑ Reclamation ❑ Well Integrity D Subsequent Report ❑ Casing Repair ❑ New Construction El Recomplete El Other ❑ Change Plans 7L L3 Plug and Abandon ❑ Temporarily Abandon _ ❑ Final Abandonment Notice ❑ Convert to injection ❑ Plug Back ❑ Water Disposal 13 Describe Proposed or Completed Operation: Clearly stoic all pertinent details, including estimated starting date of any proposed work and approximate duration thereof If the proposal is to deepen directionally or recomplete horizontally, give subsurface locations and measured and true k eritcal depths of all pertinent markers and zones Attach the Bond under which the work will be performed or provide the Bond No on file with BLM /BIA Required subsequent reports must be filed within 30 days following completion of the intolk ed operations. If the operation results in a multiple completion or recompletion in a net% inten al, a Form 31604 must be filed once testing has been completed Final Abandonment Notices must be filed only after all requirements, including reclamation, hake been completed and the operator has determined that the site is ready for final inspection.) Ran in hole with casing scraper, cleaned out well and circulated, could not establish circulation. Ran gauge ring, gamma ray log, and set bridge plu at 1892'. Pumped 6.5 cu yards of Portland Type II cement (19 sacks /yard, 15% fly ash). Tagged top of cement at 1579' (BGL) Pumped 7 cu yards Portland Type II (19 sackstyard, 15% fly ash, 1% CaCI). Tagged lop of cement at 1234' (BGL). Pumped another 7 cu yards Portland Type II (19 sacks /yard, 15% fly ash, 1% CaCI). Tagged top of cement at 870' (BGL). Pumped another 7 cu yards Portland Type II (19 sacks/yard, 15% fly ash, 1% CaCI). Tagged top of cement at 471' (BGL). Pumped another 7 cu yards Portland Type 11 (19 sacks /yard, 15% fly ash, 1% CaCI). Top of cement at 13.6'. Topped off with —0.3 yards to 2' BGL. 14 1 hereby cenify that the foregoing is true and correct. Namc (PrintedTtped) Gerald J. Daub Title President, Daub & Associates, Inc. Signature Dale Id— Z F - 13 It THIS SPACE FOR FEDERAL OR STATE OFFICE USE Approved by • ----- - -- ------------ ------ - ------------ •--•-- -- -- •----•-- •----- - - Conditions of approk °nl, if any, arc attached. Approval of this notice does not wartant or certify that itu: applicant holds legal or equitable title to those rights in the subject lease which would 10fricc entitle the applicant to conduct operations thereon Title 18 U.S.C. Section 1001 and Title 43 U.S.C. Section 1212, make it a crime for any person knowingly and willfully to make to any department or agency orthe United States any false. fictitious or frrudulent statements or representations as to any matter within its jurisdiction . on pate 2)