2015-11-06_PERMIT FILE - C1981022 ‎(2)‎

• Permit No: C1981022
• IBM Index Class Name: Permit File
• Doc Date: 11/6/2015
• Doc Name: Colorado Oil And Gas Conservation Commission
• Media Type: D
• Archive: No

Will salt based (>15,000 ppm Cl) drilling fluids be used? No
Will oil based drilling fluids be used? No
BOP Equipment Type- ' Annular Preventor Double Ram 15Z Rotating Head
IGROUNDWATER BASELINE SAMPLING AND MONITORING AND WATER WELL SAMPLING
Water well sampling required per Rule 609
DRILLING WASTE MANAGEMENT PROGRAM
Drilling Fluids Disposal: ONSITE
Drilling Fluids Disposal Methods Evaporation
Cuttings Disposal: ONSITE Cuttings Disposal Method. Other
Other Disposal Description:
An aboveground container will be used as the drilling pit and cuttings pit.
Beneficial reuse or land application plan submitted? No
Reuse Facility ID:
CASING PROGRAM
or Document Number:
None
Casino Tvoe Size of Hole Size of Casino Wt/Ft Csa/Liner Top Settina Depth Sacks Cm t Cmt B m Cmt Top
CONDUCTOR
21
18 70.65
0
40
18
40
0
1ST
17
13+3/8 48
0
100
36
100
0
Conductor Casing is NOT planned
DESIGNATED SETBACK LOCATION EXCEPTIONS
Check all that apply:
Rule 604 a.(1)A. Exception Zone (within 500' of Building Unit)
Rule 604.b.(1)A. Exception Location (existing or approved Oil & Gas Location now within a Designated Setback as a result of
Rule 604.a.)
Rule 604.b.(1)B Exception Location (existing or approved Oil & Gas Location is within a Designated Setback due to Building Unit
construction after Location approval)
Rule 604.b.(2) Exception Location (SUA or site-specific development plan executed on or before August 1, 2013)
Rule 604 b (3) Exception Location (Building Units constructed after August 1, 2013 within setback per an SUA or site-specific
development plan)
GREATER WATTENBERG AREA LOCATION EXCEPTIONS
Check all that apply:
Rule 318A.a. Exception Location (GWA Windows).
Rule 318A.c. Exception Location (GWA Twinning).
RULE 502.b VARIANCE REQUEST
rx Rule 502.b. Variance Request from COGCC Rule or Spacing Order Number 603.a.(1)
OTHER LOCATION EXCEPTIONS
Check all that apply:
Rule 318.c. Exception Location from Rule or Spacing Order Number
Rule 603 a.(2) Exception Location (Property Line Setback).
ALL exceptions and variances require attached Request Letter(s). Refer to applicable rule for additional required attachments (e.g.
waivers, certifications, SUAs).
OPERATOR COMMENTS AND SUBMITTAL
Comments I Surface casing is to serve as the production casing. A cement bond log will be run to determine cement integrity.
Date Run: 10/1812013 Doc [#400469695] Well Name: Oxbow Mining LLC 2 Page 3 of 5