HYDRO24576

• Permit No: M1999002
• IBM Index Class Name: Hydrology
• Doc Date: 9/20/2004
• Doc Name: Well Completion Reports
• From: American Soda L.L.P.
• To: DMG
• Media Type: D
• Archive: No

Form 3160-.'> UNITED STATES FORM APPROVED
(June 1990) DEPARTMENT OF THE INTERIOR Budget Bureau Nw Ilt3t4135
Et ves Mvch3l.19Ai
BUREAU OF LAND MANAGEMENT s. Le•ne DtsigneHou wd avid Nw
Yankee Gulch 00.118328
SUNDRY NOTICES AND REPORTS ON WELLS
Do not use this form far proposals to drill or to deepen or reentry to a different reservoir. c. utna;en,.uJOnea orr.:Be Ncr~e
Use "APPLICATION FOR PERMIT-" (or such ro N/A
SUBMIT IN TRIPLICATE r. uunitorG,Agxars~mtt]®~g~ution
A
1. Type of Well & Wrll Nerve ud Nw
^ Ott Well ^ Gas Well Q Other Nahcofite Solution Minin American Soda LLP 24.28
2 Name of Operator 9. API We0 Nw
Amerinn Soda, L.LP.
3, Address and Telephone No. [o. Pidd •od Pool or E:ploretary Are•
2717 C . Rd. 215 Parachute, CO 81635 970 2856500 Central Piceance Creek Basin
4. Location of WeB (Footage, Sec., T., R, M., or Survey Description) 11. cov<ny or P.mh.swe
E13,397.67 N 12,279.15 NW4a of NEt/a of Section 29, TIS, RrI/W 6o P.M. Rio 8tanco, CO
12 CHECK APPROPRIATE BOX(s) TO INDICATE NAT[JRE OF NOTTC$ REPORT OR OTFIEI2 DATA
TYPE OF SUBMISSION TYPE OF ACTION
^ Notire of Intent ^ Abandonment ^ Change of Plans
(7 RecvmpleROn ~ New Construction
OSubsequent Reports ^ Plugging Back ^Nora-Routine Fracturing
^ Casing Repair ^ Water Shut-0ff
Q Final Abandonntertt Notfce ^ Alfering Casing D Conversion to Injection
X Other. Long Tetra Standby ^ Dispose Water
Mvz eepgtmNymmvltiplerosPteemav Wdl
13. Unite Pmpwaorc.,mpmaope.wmtamt..ua.s p..®~e®v.map.errne.am..~m.s~aa a.eewmnmsmr ww~~u.m~eeammr sm tip=^~<mmu
.m• mavmen aetl eve ueau~al e,PU. is a0 matm aC.nm p etb~ ro ~ wmcr
This well is d~etLJ_.d Eor long term standby. B economics improve, this weB could be brought back into production.
WeB 29-2$ dissolution surface at 1612'.
8/?b/2(X14 Rig up Key Energy on well. PuB 2373' (all) of 4 Yz" long string. Set cast iron bridge plug in 7" long string rasing at tfi6>'.
8/71/2(104 Pull 1992' (all) of 4'/a'" short string. Set cast iron bridge plug in 7" shon string at 7665'. Rig down Key Energy.
t4 [hereby certify that the Eoregofng is true and correct.
Signed Maz Ramey (~ . ~~si~itle Pkeance Operations Manaeer Date September 1, 20(14
(This space for Federal or Slate office use)
Conditions of approval, rf any:
Title 18 US.C Section 1001, makes it a crime for any person knowbtgly and willfully to make to any department or agency of the United
States any false, fictitious or fraudulent statements or repre+tss nations as [o any master wfthin its jurisdiction.
'See Instruction on Reverse Side