HomeMy WebLinkAbout20180421.tiffOGCC FORM 4
Rev. 8/89
STATE OF COLORADO
OIL AND GAS CONSERVATION COMMISSION
DEPARTMENT OF NATURAL RESOURCES
SUBMIT ORIGINAL AND I COPY
I I IIIII!1NIII
SUNDRY NOTICES AND REPORTS ON WELLS
(Pp not use this form for proposals to drill or to deepen or plug back to a different reservoir.
Ise "APPLICATION FOR PERMIT—" for such proposals.)
OIL.
WELL
GAS
WELL
COALBED
METHANE
INS£Cl1ON
WELL
OTHER
OR OFFICE
3. FEDERAL/ • a OR STA
6. PERMIT NO.
85-1,300
2. NAME OF OPERATOR
Conquest Oil Company
3. ADDRESS OF OPERATOR
• 3400 W 16th Street - Suite 6L
CITY
Greeley
STATE
ZIP CODE
CO 80631
4. LOCATION OF WELL (Report location clearly and in accordance with any State requirements.
Sec also space 17 below.)
At surface
660'fnl - 660' fwl (NW NW) Sec 19
At proposed prod. tone
drilled as a straight hole
1..AP O
0 -123-12191
B. WELL NAME
Monfort
9. WELL NUMBER
4-19
10. FIELD OR WILDC
Greeley
I I. QTR. QTR. SEC., T.R. AND ME3JDIAN
12. COUNTY
Weld
NW NW 19, T6N. R65W
Check Appropriate Box To Indicate Nature of Notice, Report or Notification
I3A. NOTICE OF INTENTION TO:
O PLUG 1ND ABANDON
O MULTIPLE COMPLETION
❑ COMMINGLE ZONES
❑ FRACTURE TREAT
O REPAIR WELL
O OTHER
13B. SUBSEQUENT REPORT OF:
❑ FINAL PLUG AND ABANDONMENT
(SUBMIT 3RD PARTY CEMENT VERIFICATION
AND JOB LOG)
O ABANDONED LOCATION (WELL NEVER DRILLED •
SITE MUST RE RES-rORED WITHIN 6 MONTHS)
O REPAIRED WELL
❑ O1 HER
•Usr Form S • Well Completion or Recompletion Report and Log
for subsequent report of Multiple/Commingkd Completions
and Recompletions
I3C. NOTIFICATION OF:
O SHUT-IN/TEMPORARILY ABANDONED
(DATE
(REQUIRED EVERY 6 MONTHS)
❑ PRODUCTION RESUMED
(DATE
O LOCATION CHANGE(SUBMIT NEW PLAT)
O WELL NAME H NGE
OTHER Well Number Change
14, DESCRIBE PROPOSED OR COMPLETED OPERATIONS ON THIS FORM (Clearly state al pertinent details, and give pertinent dates, including
estimated date of starting any proposed work. If well is directionally drilled, give subsurface locations and measured and true vertical depths for all markers and
zones pertinent
15. DATE OF WORK
16. 1 hereby certify that the foregoing is true and correct
SIGNED
NAME (PRINT) Doug Dowden
R CE1 ED
JUL 27 1990
OIL 6( GAS CONS. COMM
VI�MIIbIVIIIIIMIN
TITLE
(This space for Fed al or State office use) ,���//%%
APPROVED idi��ZN% 11�iA;24ZO
CONDITIONS OF APPROVAL, IF ANY:
TELEPHONE NO
Geolot� �, 77,_ Y�—
DATE
TITLE r'� 0,7rjUL 2 4 1990 DATE
7/11/90
AUG 0 re
1990
2018-0421
COW. OIL & GAS CONS. COMM
LEooD7 J
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