REP16554

• Permit No: M1999002
• IBM Index Class Name: Report
• Doc Date: 8/5/2004
• Doc Name: Plugging and Abandonment of Wells & Reports
• From: American Soda LLP
• To: DMG
• Media Type: D
• Archive: No

Form 31685 UNITED STATES ~~ API'ImvE~
Qune 1990) DEPARTMENT OF THE INTERIOR ssd~smeas Naraoamss
Fi "e> Maxeh31, 1996
BUREAU OF LAND MANAGEMENT s. 1<we Dmigneeion."d serial Nu
SUNDRY NOTICES AND REPOR75 ON WELLS Yankee Gulch CO-118325
Do not use this form for proposals to drill or to deepen or reentry to a different reservoir. . a I.d+e.annouee ". T.ae Nare
Use "APPLICATION FOR PERMIT-" for such N/A
SUBMTT IN TRIPLICATE x' R ow °` ~' ~fe®p~`" °"~°~°"
N/A
1. Type Of Well & Well Name serf Nn
^ OIl Well ^ Gas Well ®Other Nahcolite Solution Minim American Soda LLP 20.76
2. Name of Operator 9. API WeI1 No.
American Soda, LLP.
3. Address and Telephone No. ro. Pield em Pmt "* E.ph~.I"ry AR.
2717 C . Rd. 215 Parachute, CO 81635 970 28SG500 Central Piceance Creek Basin
4. Location of Well (Footage, Sec., T., R., M., or Survey Description) rt. C"Was m P+~ ~^m
fi 12622.79 N 13007.% SW Ya arf SE Ya arf Section 20, TIS, R97W 6u P.M. Rio Blanc0. CO
12 CHECK APPROPRIATE BOX(s) TO INDICATE NATURE OF NOTICE, REPORT OA OT1iER. DATA
TYPE OF SUBMISSION TYPE OF ACTION
^ Notice of Intent ^ Abandonment ^ Change of Plans
^ Recompletion ^ New Construction
®Subsequent Reports ^ Plugging Back ^Nom-Routine Fracturing
^ Casing Repau ^ Water Shut-0ff
^ Final Abandonment Notice ^ Altering Casing ^ Conversion to Injection
X Other. Long Term Standby ^ Dispose Water
Wmc sepmi.vommmdtipi.mmplnmmwea
u. o~rmpw.amc®pemopm~m,(a®ar aeaa,apvuomeaaaa, ®a flroeeaaeme aan.mamimsea~+ma aae a++"ms+"x P~^P°'~`°k a.,mbansum+g ama.AK aannea mna®
and mmmM ma we veaical M+~ ~ M mmkna ma caw Pen~m aa..ohp
This well is scheduled for long term standby. If economies improve, this well could be brought back into production.
Well 20-76 dissolution surface at Ib24'.
6/11/2004 Rig up Key Energy on well and pull all (242Y) of 4'h" long string .
6/12/2004 Pub all (2244') of 4 I/r" short string. Set cast iron bridge plug in long T' casing string at 1900'
6/14/2004 Set cast iron bridge in short T' rasing string at 1900'.
14. I hereby certify that the foregoing is tme and correct.
Signed
(This space for Federal or State office use)
Approved by
Conditions of approval, if any:
Title 18 US.C. Section 1001, makes it a crime for any person knowingly and willfully to make to any depaxtmenl ox agency of the United
States any false, fiditiws ox fraudulent statements or representations as to any matter within its juri9diction
'See Instruction on Reverse Side