2015 New Mexico Oil and Gas Handbook Procedures and Forms Required for Operation Under Provisions of the Rules and Regulations of the New Mexico Oil Conservation Commission. Copyright July 2002, July 2003, July 2006, January 2010, October 2013, and March 2015. R. W. Byram & Company All rights reserved. This book may not be reproduced in whole or in part without written permission. R. W. BYRAM & COMPANY 25 N. MAIN ST. ELGIN, TEXAS 78621 512 478-2551 800 252-3201 FAX 512 478-3318 INDEX New Mexico State Offices ............................................................................................................................................................................. A Map of Principal Oil and Gas Producing Areas of New Mexico...............................................................................................................B Administrative Application Checklist.......................................................................................................................................................... 117 Bradenhead Test Report...............................................................................................................................................................119 Affidavit of Responsibility Conversion to Water Well.............................................................................................................................. 118 Discharge Plan Application for Brine Extraction Facilities...................................................................................................................... 121 Discharge Plan Application for Service Companies, Gas Plants, Refineries, Compressor and Crude Oil Pump Stations.............................................................................................................................................. 120 Federal Land Forms Required........................................................................................................................................................................ 129 Financial Assurance.............................................................................................................................................................................................. 2 Hydraulic Fracturing Fluid Disclosure........................................................................................................................................................122 Application for Wellhead Price Ceiling (Category Determinations).....................................................................................................158 Surface Waste Management Facility - Cash Bond....................................................................................................................................... 76 Surface Waste Management Facility - Irrevocable Letter of Credit.......................................................................................................... 79 Surface Waste Management Facility - Surety Bond..................................................................................................................................... 83 Form C-101 Application for Permit to Drill, Deepen or Plug Back.................................................................................... 19 Form C-102 Well Location and Acreage Dedication Plat...................................................................................................... 21 Form C-103 Sundry Notices and Reports on Wells................................................................................................................ 23 Form C-104 Request for Allowable and Authorization to Transport................................................................................ 26 Form C-105 Well Completion or Recompletion Report and Log....................................................................................... 29 Form C-106 Notice of Intention to Utilize Automatic Custody Transfer Equipment.................................................... 31 Form C-107A Application for Downhole Commingling......................................................................................................... 33 Form C-107B Application Surface Commingling (Diverse Ownership)............................................................................. 34 Form C-108 Application for Authorization to Inject.............................................................................................................. 40 Form C-109 Application for Discovery Allowable and Creation of a New Pool............................................................ 44 Form C-111 Gas Transporter’s and Facility Monthly Report.............................................................................................. 46 Form C-111A Gas Transporter’s and Processor’s Monthly Report....................................................................................... 48 Form C-111B Gas Transporter’s and Processor’s Monthly Report....................................................................................... 49 Form C-112 Oil Transporter’s or Storer’s Monthly Report.................................................................................................. 50 Form C-112A Oil Transporter’s or Storer’s Monthly Report.................................................................................................. 52 Form C-112B Oil Transporter’s or Storer’s Monthly Report.................................................................................................. 53 Form C-115 Operator’s Monthly Report.................................................................................................................................. 54 Form C-116 Gas-Oil Ratio Test.................................................................................................................................................... 61 Form C-117-A Tank Cleaning, Sediment Oil Removal, Transportation of Miscellaneous Hydrocarbons and Disposal Permit..................................................................................... 57 Form C-117-B Monthly Sediment Oil Disposal Statement....................................................................................................... 58 Form C-118 Treating Plant Operator’s Monthly Report....................................................................................................... 60 Form C-120-A Monthly Water Disposal Report.......................................................................................................................... 85 Form C-122 Multipoint and One Point Back Pressure Test for Gas Well.......................................................................... 86 Form C-122-A Well Deliverability Test Report for Year............................................................................................................. 87 Form C-123 Request for the Creation of a New Pool............................................................................................................. 88 Form C-126 Permit to Transport Recovered Load Oil........................................................................................................... 89 Form C-127 Request for Allowable Change (Oil)................................................................................................................... 90 Form C-129 Application for Exception to No-Flare Rule 19.15.18.12................................................................................ 91 Form C-131-A Monthly Gas Storage Report................................................................................................................................ 93 Form C-131-B Annual LPG Storage Report................................................................................................................................. 94 Form C-133 Authorization to Move Produced Water........................................................................................................... 95 Form C-135 Gas Well Connection, Reconnection, or Disconnection Notice.................................................................... 97 Form C-136 Application for Approval to Use an Alternate Gas Measurement Method............................................. 98 Form C-137 Application for Surface Waste Management Facility..................................................................................... 99 Form C-137-EZ Registration/Final Closure Report for Small Landfarm..............................................................................101 Form C-138 Request for Approval to Accept Solid Waste.................................................................................................. 103 Form C-139 Application for Production Restoration Project - File Online - OCD........................................................ 104 Form C-140 Application for Well Workover Project - File Online - OCD....................................................................... 104 Form C-141 Release Notification and Corrective Action....................................................................................................105 APPLICATION FOR PERMIT TO DRILL, DEEPEN, OR PLUG BACK Form C-101 State of New Mexico District I 1625 N. French Dr., Hobbs, NM 88240 Phone: (575) 393-6161 Fax: (575) 393-0720 District II 811 S. First St., Artesia, NM 88210 Phone: (575) 748-1283 Fax: (575) 748-9720 District III 1000 Rio Brazos Road, Aztec, NM 87410 Phone: (505) 334-6178 Fax: (505) 334-6170 District IV 1220 S. St. Francis Dr., Santa Fe, NM 87505 Phone: (505) 476-3460 Fax: (505) 476-3462 Form C-101 Revised July 18, 2013 Energy Minerals and Natural Resources . AMENDED REPORT Oil Conservation Division 1220 South St. Francis Dr. Santa Fe, NM 87505 APPLICATION FOR PERMIT TO DRILL, RE-ENTER, DEEPEN, PLUGBACK, OR ADD A ZONE 1. 2. Operator Name and Address OGRID Number 3. 4. 5. Property Code 7. UL - Lot Section Township Range UL - Lot Section Township Range 6. Well No. Surface Location Lot Idn 8. API Number Property Name Feet from N/S Line Feet From E/W Line County Feet From E/W Line County Proposed Bottom Hole Location Lot Idn Feet from 9. N/S Line Pool Information Pool Name 11. 12. Work Type 16. 17. Multiple Additional Well Information 13. Well Type Cable/Rotary 18. Proposed Depth Depth to Ground water Pool Code Formation 14. Lease Type 19. Contractor Distance from nearest fresh water well 15. Ground Level Elevation 20. Spud Date Distance to nearest surface water We will be using a closed-loop system in lieu of lined pits 21. Type Hole Size Casing Size Proposed Casing and Cement Program Casing Weight/ft Setting Depth Sacks of Cement Estimated TOC Casing/Cement Program: Additional Comments 22. Type Proposed Blowout Prevention Program Working Pressure Test Pressure 23. I hereby certify that the information given above is true and complete to the best of my knowledge and belief. and/or I further certify that I have complied with 19.15.14.9 (A) NMAC , if applicable. 19.15.14.9 (B) NMAC Signature: Manufacturer OIL CONSERVATION DIVISION Approved By: Printed name: Title: Title: Approved Date: Expiration Date: E-mail Address: Date: Phone: Conditions of Approval Attached 19.15.7.12. APPLICATION FOR PERMIT TO DRILL, DEEPEN, OR PLUG BACK (FORM C-101) Form C-101 is the form an operator uses to apply for a permit to drill, deepen, re-enter or plug a well back to a different pool or complete or re-complete a well in an additional pool. Copyright 2015 R. W. Byram & Company 19
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