2010-09-22_REPORT - M1983194 - Laserfiche WebLink

Home Browse Search

Form 3160-5 UNITED STATES FORM APPROVED 1004-0137 OMB No (August 2007) DEPARTMENT OF THE INTERIOR . Expires: July 31, 2010 BUREAU OF LAND MANAGEMENT 5. Lease Serial No. C-0118327 SUNDRY NOTICES AND REPORTS ON WELLS 6. If Indian, Allottee or Tribe Name Do not use this form for proposals to drill or to re-enter an N/A 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 ? Oil Well E] Gas Well m Other Horizontal Brine Recovery 1 1AW-5HR Name and No. 2. Name of Operator 9. API Well No. Natural Soda, Inc 3a. Address 3b. Phone No. (include area code) 10. Field and Pool or Exploratory Area 3200 Rio Blanco County Road 31 Rifle, CO 81650 (970) 878-3674 Boies Bed 4. Location of Well (Footage, Sec., T.,R.,M., or Survey Description) Longitude 108.365469492 N (NAD 27), Section 35, T1S, R98W Latitudee 39.926239986 W 11. Country or Parish, State , Rio Blanco County, Colorado 12. CHECK THE APPROPRIATE BOX(ES) TO INDICATE NATURE OF NOTICE, REPORT OR OTHER DATA TYPE OF SUBMISSION I TYPE OF ACTION Notice of Intent ? Acidize ? Deepen ? Production (Start/Resume) ? Water Shut-Off ?AlterCasing ?FractureTreat ? Reclamation ? Well Integrity ?? Subsequent Report ? Casing Repair ? New Construction ? Recomplete ? Other ? Change Plans m 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 performed or provide the Bond No. on file with BLM/BIA. 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 3160-4 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.) See attached summary report for full description of operations. Cast iron bridge plug set at 1912 feet. The 7 5/8 inch casing was perforated at 1908 and 1892 feet to allow cement into annulus between 7 5/8 inch and 9 7/8 inch casing. 28.4 cu ft of cement was placed on top of the plug, rig tagged plug at 1828 feet. The 7 5/8 inch casing was cut with a Split Shot Cutter at 1816 feet. Hot water was pumped into the well, and the casing was pulled. 44 joints (all 1816 feet) were recovered. The 9 7/8 inch casing was then perforated at 1495 feet to 1582 feet (12 holes) and 295 feet to 297 feet (4 holes) to ensure annular seals between aquifers. 6300 gallons of 15 lb/gal with 0.5% CaCI cement was pumped downhole to cement it to surface. 14. I hereby certify that the foregoing is true and correct. Name (Printed/Typed) Gerald J Daub Title President of Daub & Associates, Inc. Signature Date THIS SPACE FOR FEDERAL OR STATE OFFICE USE itle Date Conditions of approval, if any, are attached. Approval of this notice does not warrantor certify that the applicant holds legal or equitable title to those rights in the subject lease which would Office entitle the applicant to conduct operations thereon. Title 18 U.S.C. Section 1001 and Title 43 U.S.C. 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)