Laserfiche WebLink
Form 3160.5 UNITED STATES FORM APPROVED <br />(June 1990) DEPARTMENTOFTHEINTERIOR BudgelBweauNw10040135 <br /> E, ins MarcE 31, 19Ri <br />BUREAU OF LAND MANAGEMENT s. crarr D~ntion end sr~at Nw <br /> Yankee Gulch CO-118328 <br />SUNDRY NOTICES AND REPORTS ON WELLS <br />Do not use this form for proposals to drill or to deepen or reentry to a different reservoir. ~ u tnae.s Amara nrr.a,r Name <br />Use "APPLICATION FOR PERMIT-" for such ro s N/A <br />SUBMIT IN TRIPLICATE r. u uaa orcq a~enc Da~,anen <br /> A <br />1. Type of Well a WeE Nrme and Nw <br />^ Oil Web ^ Gas Well ®Other Nahcolite Solution Minin American Soda LLP 29-22 <br />2. Name of Operator s. APl weu Nw ~ <br />American Soda, L.LP. <br />3. Address and Telephone No. lo. Field a,a PooL mExpbrarory aea <br />2717 Ct . Rd. 215 Puachute, CO 81635 970 285-6500 Central Piceance Creek Basin <br />4. Location of Well (Footage, Sec., T., R., M., or Survey Ilesrziption) tl. courtly ur Parian,swr <br />E 1494282 N 11840.16 NE'/a of NE Yi of Section 29, TLS, R97W 6u P.M. Rio Blanco, CO <br />12. CHECK APPROPRIATE BOX(s) TO INDICATE NATIfRE OF NOTICE, REPORT OR OTI$L DATA <br />TYPE OF SIIBMLSSION TYPE OF ACTION <br />^ Notice of Intent ^ Abandonment ^ Change of Plans <br /> O Remmpletion ^ New Constmction <br />®5ubsequent Reports ^ Plugging Back ONan-Routine Fracturblg <br /> ^ Casing Repair ^ WaterShut-0fE <br />^ Final Abandomnent Notice ^ Altering Casing ^ Conversion to Injection <br /> X Other: Long Term Standby ^ Dispose Water <br /> 0`taa aepm<w,ummmwep~e~mpen~mwm <br />13. Onc hPmlv+.d a~Cmplaed Opmu®(Ootlr ~ateaaevWmdena+. as pveeenmm Mv, mrJedme amamlmeeasardosmr w^P®+.^n u.maapsum.q aAka. dve an®dre muom <br />aad meuand and aaa..mra aepw 4r as m+hm aed amn petmmt m tlm wary <br />This well is scheduled for long term standby. B economics improve, this well mold be brought back into production. <br />We1129-22 dissolution surface at 1534'. <br />5/24/04 Rig up Key Energy on well and pull all (1847') of 4 Yz" short string. <br />5/25/04 Pull all (225Y) of 4'h" long string. Set cast iron bridge plug in both short and long 7" casing strings at 1670'. <br />14. 1 hereby certi[y that the foregoing is tme and mrred. <br />Signed <br />(This spare for Federal or State offire use) <br />Conditions of approval, if any: <br />Title 18 US.C. Section 1001, makes it a crime for any person knowingly and willfiilly to make to any department or agency of the United <br />Staters any false, fictitious or fraudulent statements or representations as to any matter within ffs jurisdiction. <br />'See hlstruction on Reverse Side <br />