2019-04-25_REVISION - M2008080 ‎(7)‎

• Permit No: M2008080
• IBM Index Class Name: Revision
• Doc Date: 4/25/2019
• Doc Name: Adequacy Review Response
• From: J & T Consulting
• To: DRMS
• Type & Sequence: TR4
• Email Name: PSH
• Media Type: D
• Archive: No

FORM State of Colorado A
I DE JET JOE ES
6 Oil and Gas Conservation Commission
Rev 1120 Lincoln Street,Suite 801,Denver,Colorado 80203 Phone:[phone] Fax:(303)894 Document Number:
05/18 -2109 A
WELL ABANDONMENT REPORT . 401164413
This form is to be submitted as an Intent to Abandon whenever an abandonment is planned on a borehole. After the Date Received:
abandonment is complete,this form shall again be submitted as a Subsequent Report of the actual work completed.The
approved intent shall be valid for six months after the approval date,after that period,a new intent will be required.
Attachments required with the Intent to Abandon are wellbore diagrams of the current configuration and the proposed 12/09/2016
configuration with plugs set.
A Subsequent Report of Abandonment shall indicate the actual work completed. Attachments required with a Subsequent
Report are a wellbore diagram showing plugs that were set and casing remaining in the hole,the job summaries from all
plugging contractors used,including wireline and cementing(third party verification)and any logs that may have been run
during abandonment.
OGCC Operator Number: 69175 Contact Name: Jenifer Hakkarinen
Name of Operator: PDC ENERGY INC Phone: [phone]
Address: 1775 SHERMAN STREET-STE 3000 Fax:
City: DENVER State: CO Zip: 80203 Email: [e-mail]
For"Intent"24 hour notice required, Name: Tel:
COGCC contact: Email:
API Number 05-123-20402-00
Well Name: MOTIS Well Number: 7A
Location: QtrQtr: SESE Section: 7 Township: 5N Range: 64W Meridian: 6
County: WELD Federal, Indian or State Lease Number:
Field Name: WATTENBERG Field Number: 90750
Notice of Intent to Abandon fx Subsequent Report of Abandonment
Only Complete the Following Background Information for Intent to Abandon
Latitude: 40.409330 Longitude: -104.588080
GPS Data:
Date of Measurement: 08/21/2010 PDOP Reading: 1.7 GPS Instrument Operator's Name: Holly L.Tracy
Reason for Abandonment: i Dry i Production Sub-economic ( Mechanical Problems
i Other
Casing to be pulled: i Yes No Estimated Depth:
Fish in Hole: i_. Yes i No If yes,explain details below
Wellbore has Uncemented Casing leaks: I.- Yes I No If yes,explain details below
Details: 1
Current and Previously Abandoned Zones
Formation Perf.Top Perf. Btm Abandoned Date Method of Isolation Plug Depth
CODELL 6858 6868 11/13/2016 B PLUG CEMENT TOP 6808
Total: 1 zone(s)
Casing History
Casing Type Size of Hole Size of Casing Weight Per Foot Setting Depth Sacks Cement Cement Bot Cement Top Status
SURF 12+1/4 8+5/8 24 404 285 404 0 VISU
1ST 7+7/8 4+1/2 10.5 7,034 140 7,034 6,070 CBL
S.C. 1.1 7,034 220 6,070 2,653 CBL
Date Run:411512019 Doc[#401164413]Well Name:MOTIS 7A Page 1 of 3