2023-04-07_HYDROLOGY - M1983194 (9)

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Form 3160 5 UNITED STATES FORM APPROVED OMB No. 1004-0137 Expires: (June 2019) DEPARTMENT OF THE INTERIOR December 31,2024 BUREAU OF LAND MANAGEMENT 5.Lease Serial No. COC 0119985 SUNDRY NOTICES AND REPORTS ON WELLS 6.Iftndian,AllotteeorTribe Name Do not use this form for proposals to drill or to re-enter an abandoned well. Use Form 3160-3(APD)for such proposals, SUBMIT IN TRIPLICATE-Other instructions on page 2 7.If Unit of CA/Agreement,Name and/or No. 1.Type of Well ❑ S.Well Name and No Oil Well Gas Well m Other MWB-2 2.Name of Operator Natural Soda LLC 9.API Well No. 3a.Address 3200 Rio Blanco County Rd 31 3b.Phone No.(include area code) 10.Field and Pool or Exploratory Area Rifle,CO.81650 (970)878-3674 Piceance Creels Basin 4.Location ofWell(Footage,Sec.,T.,R.,M,or Survey Description) 11.Country or Parish,State 1438 FNL, 1964 FEL,S20,T1S,R98W,6th PM Rio Blanco County,CO 12.CHECK THE APPROPRIATE BOX(ES)TO INDICATE NATURE OF NOTICE,REPORT OR OTHER DATA TYPE OF SUBMISSION TYPE OF ACTION ©Notice of Intent ❑Acidize ❑Deepen ©Production(Start/Resume) ❑Water Shut-Off ❑Alter Casing ❑Hydrau€ic Fracturing ❑Reclamation ❑Well Integrity ❑Subsequent Report ❑Casing Repair ❑New Construction ❑Recomplete ❑Other ❑Change Plans ©Plug and Abandon ❑Temporarily Abandon ❑Final Abandonment Notice ❑Convert to Injection ❑Plug Back ❑Water Disposal 13. Describe Proposed or Completed Operation:Clearly state 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 vertical depths of all pertinent markers and zones.Attach the Bond under which the work will be perfonned or provide the Bond No.on file with BLMBIA.Required subsequent reports must be filed within 30 days following completion of the involved operations.If the operation results in a multiple completion or recompletion in a new interval,a Form 31604 must be filed once testing has been completed.Final Abandonment Notices must be filed only after all requirements,including reclamation,have been completed and the operator has determined that the site is ready for final inspection.) All depths referenced to GL.Remove all existing surface and downhole equipment from well, Run in hole with bit and 5.0-inch casing scraper to approximately 1,375 feet,airlift and clean hole as necessary. Run In the hole with a 4.125-inch bit to 1,398 feet and circulate and clean hole.Mix and pump 27.28 bbls(5.67 cubic yards)of Portland Type 1/11 cement down hole(Based on 10%excess). Top off as necessary,cut off casing 3-5 feet below surface,reclaim pad. 14.f hereby certify that the foregoing is true and correct. Name(Printed/Typed) Gerald J Daub Title President Daub&Associates, Inc. Signature Date ; /.7-0Z 2- THE SPACE FOR FEDERAL 09 STATe OFICE USE Approved by Title Date ------------------------------------------------------------------------ Conditions of approval,if any,are attached.Approval of this notice does not warrant or certify that the applicant holds legal or equitable title to those rights in the subject lease Office which would entitle the applicant to conduct operations thereon. Title 18 U.S.0 Section 1001 and Title 43 U.S.0 Section 1212,make it a crime for any person knowingly and willfully to make to any department or agency of the United States any false,fictitious or fraudulent statements or representations as to any matter within its jurisdiction. (Instructions on page 2)