Form
3160-5
UNITED STATES
(August
2007)
DEPARTMENT
OF
THE INTERIOR
APR 0 5 201
BUREAU
OF
LAND MANAGEMENT
Farmington Field
C
Bureau
of
Land
Mana
SUNDRY NOTICES
AND
REPORTS
ON
WELLS
Do
not
use
this form
for
proposals
to
drill
or
to
re-enter
an
abandoned well.
Use
Form 3160-3
(APD)
for
such proposals.
FORM APPROVED
| OMB No. 1004-0137
Expires: July 31,2010
Form
3160-5
UNITED STATES
(August
2007)
DEPARTMENT
OF
THE INTERIOR
APR 0 5 201
BUREAU
OF
LAND MANAGEMENT
Farmington Field
C
Bureau
of
Land
Mana
SUNDRY NOTICES
AND
REPORTS
ON
WELLS
Do
not
use
this form
for
proposals
to
drill
or
to
re-enter
an
abandoned well.
Use
Form 3160-3
(APD)
for
such proposals.
5?'Lease Serial No.
nompru SF-079658, SF-080456,
NM-0433
Form
3160-5
UNITED STATES
(August
2007)
DEPARTMENT
OF
THE INTERIOR
APR 0 5 201
BUREAU
OF
LAND MANAGEMENT
Farmington Field
C
Bureau
of
Land
Mana
SUNDRY NOTICES
AND
REPORTS
ON
WELLS
Do
not
use
this form
for
proposals
to
drill
or
to
re-enter
an
abandoned well.
Use
Form 3160-3
(APD)
for
such proposals.
6.
If
Indian,
Allottee
or
Tribe Name
SUBMIT IN TRIPLICATE
-
Other instructions
on
page
2.
7. If Unit
of
CA/Agreement,
Name and/or No.
HUERFANO UNIT i. Type of Well
|
|
Oil
Well
[~x]
Gas Well
Q
Other
7. If Unit
of
CA/Agreement,
Name and/or No.
HUERFANO UNIT i. Type of Well
|
|
Oil
Well
[~x]
Gas Well
Q
Other
8. Well Name and No.
Huerfano
Unit
HZMC1H
2.
Name of Operator
Burlington
Resources
Oil
&
Gas Company
LP
9. API Well No.
30-045-35370
3 a. Address
PO
Box 4289, Farmington,
NM
87499
3b.
Phone No. (include area code)
(505)
326-9700
10.
Field and Pool or Exploratory Area
Angel Peak Gallup
4. Location of Well
(Footage,
Sec,
T.,R.,M.,
or
Survey
Description)
Surface
Unit
M
(SW/SW), 645' FSL
&
615' FWL, Section
9,
T26N,
R10W
Bottomhole
Unit
L
(NW/SW),
1411"
FSL
&
517' FWL, Section 10, T26N,
R10W
11.
Country or
Parish,
State
San
Juan
,
New
Mexico
12.
CHECK THE APPROPRIATE BOX(ES) TO INDICATE NATURE OF NOTICE, REPORT OR OTHER DATA
TYPE
OF
SUBMISSION
TYPE
OF
ACTION
|
|
Notice
of
Intent
|
X
|
Subsequent
Report
-
|
|
Final
Abandonment
Notice
|
|
Acidize
|
|
Alter
Casing
|
|
Casing Repair
|
|
Change
Plans
.
|
|
Convert
to Injection
|
|
Deepen
|
|
Fracture Treat
|
|
New
Construction
|
|
Plug
and
Abandon
|
|
Plug
Back
|
|
Production
(Start/Resume)
|
|
Reclamation
|
|
Recomplete
|
|
Temporarily
Abandon
| )
Water
Disposal
|
|
Water
Shut-Off
|
|
Well Integrity
[~X~|
Other
COMPLETION
DETAIL
REPORT
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
Fonn
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
detennined that the site
is
ready
for
final
inspection.)
_ . _
RCUDftPR
9'13
PLEASE
SEE
ATTACHMENT
OIL
CONS.
DIU.
DIST.
3
ACCEPTED
FOR
RECORD
APR
18
2013
FARSS^TON
FIELD
OFFICE
14. I
hereby certify that
the
foregoing
is
true
and
correct. Name (Printed/Typed)
Arleen
White
Title
Staff
Regulatory
Tech
Signature
VAj^
Date
4
Ml*
THIS
SPACE
FOR
FEDERAL
OR
STATE OFFICE
USE
Approved
by
Title
Date
Conditions
of
approval,
if
any,
are attached.
Approval
of
this
notice
does
not
warrant
or certify
that the applicant holds
legal
or
equitable
title to
those
rights
in
the subject
lease
which would
entitle
the
applicant
to
conduct operations thereon.
Office
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
J
•
false,
fictitious or
fraudulent
statements
or
representations as
to
any matter
within
its
jurisdiction.
y
(
(instruction
on
page
2) NMOCDfy
(24 pagine)
(29 pagine)
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