The Kansas CP-4 form serves as a vital document for reporting the plugging of oil and gas wells within the state. It ensures that all necessary information is collected and submitted to the Conservation Division in a timely manner. Proper completion of this form is essential for compliance with state regulations, and it must be returned within 60 days of the well's plugging date.
To fill out the Kansas CP-4 form, please click the button below.
The Kansas CP-4 form is an essential document for those involved in the oil and gas industry, specifically concerning well plugging procedures. This form must be filled out completely and submitted to the Conservation Division within 60 days of the well's plugging date. It gathers crucial information such as the operator's details, well type, and specific formations encountered during drilling. Additionally, the form requires a thorough description of the plugging process, including the materials used and their placement within the well. The operator must provide accurate depth measurements for oil, gas, and water formations, ensuring compliance with state regulations. Furthermore, the CP-4 form includes sections for the plugging contractor's information and the party responsible for plugging fees, emphasizing the importance of accountability in the process. By adhering to these guidelines, operators help maintain safety and environmental standards in Kansas's oil and gas sector.
To properly complete the Kansas CP-4 form, follow these steps carefully. Ensure all required information is filled out accurately to avoid any delays in processing. Once you have completed the form, it must be submitted to the Conservation Division within 60 days from the date the well was plugged.
After completing the form, mail it to the Kansas Corporation Commission's Conservation Division at the specified address. Ensure that all sections are filled out completely and accurately to facilitate a smooth review process.
When filling out the Kansas CP-4 form, follow these guidelines to ensure accuracy and compliance.
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Fill out COMPLETELY
and return to Conservation Division at the address below within
60 days from plugging date.
KANSAS CORPORATION COMMISSION
Form CP-4
OIL & GAS CONSERVATION DIVISION
March 2009
Type or Print on this Form
WELL PLUGGING RECORD
Form must be Signed
All blanks must be Filled
K.A.R. 82-3-117
OPERATOR: License #:
Name:
Address 1:
Address 2:
City:
State:
Zip:
+
Contact Person:
Phone: (
)
Oil Well
Gas Well
OG
D&A
Cathodic
Type of Well: (Check one)
Water Supply Well
Other:
SWD Permit #:
ENHR Permit #:
Gas Storage Permit #:
Is ACO-1 filed?
Yes
No
If not, is well log attached?
Producing Formation(s): List All (If needed attach another sheet)
Depth to Top:
Bottom:
T.D.
API No. 15 -
Spot Description:
-
Sec.
Twp.
S.
R.
East
West
Feet from
North /
South
Line of Section
East /
Footages Calculated from Nearest Outside Section Corner:
NE
NW
SE
SW
County:
Lease Name:
Well #:
Date Well Completed:
The plugging proposal was approved on:
(Date)
by:
(KCC DISTRICT Agent’s Name)
Plugging Commenced:
Plugging Completed:
Show depth and thickness of all water, oil and gas formations.
Oil, Gas or Water Records
Casing Record (Surface, Conductor & Production)
Formation
Content
Casing
Size
Setting Depth
Pulled Out
Describe in detail the manner in which the well is plugged, indicating where the mud fluid was placed and the method or methods used in introducing it into the hole. If cement or other plugs were used, state the character of same depth placed from (bottom), to (top) for each plug set.
Plugging Contractor License #:
Name of Party Responsible for Plugging Fees:
State of
County,
, ss.
Employee of Operator or
(Print Name)
Operator on above-described well,
being first duly sworn on oath, says: That I have knowledge of the facts statements, and matters herein contained, and the log of the above-described well is as filed, and the same are true and correct, so help me God.
Signature:
Mail to: KCC - Conservation Division, 130 S. Market - Room 2078, Wichita, Kansas 67202
Misconceptions about the Kansas CP-4 form can lead to confusion and potential issues in the well-plugging process. Here are nine common misunderstandings:
Understanding these misconceptions can help ensure that the well-plugging process is conducted smoothly and in accordance with state regulations.
The Kansas CP-4 form serves as a vital document for well plugging records in the oil and gas industry. Alongside this form, several other documents are commonly utilized to ensure compliance with regulations and to maintain accurate records. Below is a list of related forms and documents that may accompany the Kansas CP-4 form.
These forms and documents play a crucial role in the well plugging process, providing necessary information and ensuring compliance with state regulations. Operators must be diligent in completing and submitting these documents to maintain operational integrity and environmental safety.