FORMS

Issues with Application for Permit to Drill

 

Survey Plat Checklist

 

Instructions for Statements under Rule 510.

 

Additional forms for submittal with Form 2s for the Ignacio - Blanco Field (La Plata and Archuleta Counties):

San Juan Basin Check List

 

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Form Name Form Number Adobe PDF Other Format Online Form Instructions Example 
Directional Survey Template      

Directional Survey Template Instructions
Onsite Inspection Request   Form 1      
Well Log File Upload 00      

Form 00 Instructions

  
Operator Registration 1 Form 1    

Form 1 Instructions

 Form 1 Example

Designation of Agent

 1A Form 1A    

Form 1A Instructions

 Form 1A Example
Permit to Drill 2 Form 2  

Form 2 Instructions

 Form 2 Example
Oil and Gas Location Assessment 2A New Form 2A     Form 2A Instructions  
Interim Policy
Attachment A		 Attachment A Interim Attachment A        
Performance Bond 3 Form 3       Form 3 Example
Sundry Notice 4 Form 4     Form 3 Example
Sundry Notice - Tech Info page 4 Form 4 Page 2     Form 3 Example
Drilling Completion Rpt 5 Form 5     Form 3 Example
Completed Interval Rpt. 5A Form 5A     Form 3 Example
Well Abandonment 6 Form 6       Form 6 Example
Monthly Operations 7 Form 7   Form 7 Specifications
(Form 7 Specifications)		 Form 7 Example
Monthly Operations Cont. 7 Form 7 cont     Form 7 Instructions
(Form 7 Instructions)		  
Conservation Levy 8 Form 8     Form 8 Instructions Form 8 Example
Conservation Levy Cont. 8 Form 8 cont        
Cert. of Clearance/Change of Operator

10

 Form 10     Form 10 Example

Clearance/Change  

 multiple locations

10a

 Form 10A     Form 10A Example
Gas Plant Monthly Rpt

11

Form 11       Form 11 Example
Gas Facility Registration 12 Form 12       Form 12 Example
Bottom Hole Pressure 13 Form 13       Form 13 Example
Non-Produced Water Rpt 14 Form 14       Form 14 Example
Class II Waste Source Auth. 14A Form 14A       Form 14A Example
Pit Permit 15 Form 15   Colorado eForm Login   Form 15 Example
Bradenhead Test 17 Form 17       Form 17 Example
Complaint Report 18 Form 18       Form 18 Example
Spill/Report Report 19 Form 19       Form 19 Example
Seismic Intent 20 Form 20       Form 20 Example
Seismic Completion Rpt 20A Form 20A       Form 20A Example
Mechanical Integrity Test 21 Form 21       Form 21 Example
Accident Rpt 22 Form 22       Form 22 Example
Well Control Report 23 Form 23     Form 23 Example
Soil Analysis 24 Form 24       Form 24 Example
Source of Produced Water 26 Form 26       Form 26 Example
Remediation Workplan 27 Form 27       Form 27 Example
Remediation Workplan Pg 2 27 Form 27 cont       Form 27A Example
E&P Waste Mgmt Permit 28 Form 28       Form 28 Example
Local Govt. Designee 29 Form 29        
Injection Permit Application 31 Form 31        
Interim Reclamation Rpt 32 Form 32        
Interim Rclm. Rpt.  Pg 2 32 Form 32 cont        
Injection Well Permit Appl 33 Form 33       Form 33 Example
Confidentiality Agreement 35 Form 35        
Compliance Checklist 36 Form 36        
Payment of Proceeds - Sales Volume Reconciliation 37 Form 37        
Payment of Proceeds Hearing Request 38 Form 38        
Trade Secret Claim of Entitlement 41 Form 41    

Form 41 Instructions

  
Notice of Notification (Notice of Hydraulic Fracturing) 42 Form 42