U3C Kansas Template Prepare Form Here

U3C Kansas Template

The U3C Kansas form is an essential document used by operators in the oil and gas industry to report pressure monitoring, fluid injection, and enhanced recovery activities on a per well basis. This form must be typed and completed with all necessary details, ensuring compliance with regulations set by the Kansas Corporation Commission's Oil & Gas Conservation Division. Don't forget to fill out the form accurately and retain a copy for five years after filing.

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The U3C Kansas form is a crucial document for operators involved in the oil and gas industry, specifically focusing on pressure monitoring, fluid injection, and enhanced recovery processes. This annual report, mandated by the Kansas Corporation Commission's Oil & Gas Conservation Division, must be completed for each well individually. Operators are required to provide comprehensive information, including their license number, contact details, lease name, and well number. Additionally, the form requires a detailed legal description of the lease or unit, as well as data on the type of injection fluid used, its source, and quality, including total dissolved solids. Operators must also outline the well's specifications, such as completion type, maximum authorized injection pressure, and rates. The form captures monthly injection volumes and pressures, ensuring that all relevant data is recorded accurately. It is important to retain a copy of the completed form for five years following the filing date. This structured approach not only aids in regulatory compliance but also supports the safe and effective management of oil and gas resources in Kansas.

U3C Kansas - Usage Instruction

Completing the U3C Kansas form is a straightforward process that requires attention to detail. This form must be filled out for each well individually, ensuring all sections are completed accurately. After you fill out the form, you'll need to print it and mail it to the Kansas Corporation Commission's Conservation Division. Retain a copy for your records for five years following the filing date.

  1. Gather Required Information: Collect all necessary details about the well, including operator information, lease name, and permit number.
  2. Type the Form: Ensure that the form is typed, as handwritten forms will not be accepted.
  3. Complete Operator Information: Fill in the operator's license number, name, address, city, state, zip code, contact person, and phone number.
  4. Fill in Well Details: Enter the lease name, well number, permit number, API number, and reporting period.
  5. Provide Legal Description: Include the legal description of the lease or unit, specifying the county and the previous operator if applicable.
  6. Injection Fluid Section: Indicate the type of injection fluid, fresh water source, produced water quality, total dissolved solids, specific gravity, and any additives used.
  7. Well Data Section: Document the completion type, tubing and packer details, maximum authorized injection pressure, and maximum injection rate.
  8. Total Volume Injected: Record the total volume injected, number of days of injection, maximum injection pressure, and average pressure for each month.
  9. Print the Form: Once all sections are completed, print the form for submission.
  10. Mail the Form: Send the completed form to KCC - Conservation Division, 266 N Main St, Ste 220, Wichita, Kansas 67202-1513.

Dos and Don'ts

When filling out the U3C Kansas form, it’s important to ensure accuracy and completeness. Here’s a list of things you should and shouldn’t do:

  • Do type the form to ensure legibility.
  • Do complete the form on a per well basis, providing all necessary details for each well.
  • Do fill in all blanks; if you need more space, feel free to add pages as needed.
  • Do retain a copy of the completed form for five years after the filing date.
  • Don’t leave any sections incomplete; every part of the form is important for accurate reporting.
  • Don’t forget to include the contact person’s phone number, as it is crucial for communication.

Form Properties

Fact Name Description
Form Title The form is officially titled "Annual Report of Pressure Monitoring, Fluid Injection and Enhanced Recovery" and is designated as Form U3C.
Governing Law This form is governed by the regulations set forth by the Kansas Corporation Commission under the Oil & Gas Conservation Division.
Filing Requirements It must be typed and completed on a per well basis. All blanks must be filled, and additional pages may be added if necessary.
Retention Period Operators are required to retain a copy of the completed form for a period of five years after the filing date.
Contact Information Operators must provide detailed contact information, including name, address, and phone number of a designated contact person.

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Preview - U3C Kansas Form

KANSAS CORPORATION COMMISSION

OIL & GAS CONSERVATION DIVISION

ANNUAL REPORT OF PRESSURE MONITORING, FLUID INJECTION AND ENHANCED RECOVERY

Form U3C

July 2014

Form must be Typed Form must be completed on a per well basis

Complete all blanks - add pages if needed. Copy to be retained for five (5) years after filing date.

OPERATOR: License #

Name:

Address 1:

Address 2:

City:

 

 

 

 

State:

 

Zip:

 

+

 

 

 

 

 

 

 

 

Contact Person:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Phone: (

 

 

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Lease Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Well Number:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Permit Number: (E) (D) -

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

API No.:

15-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reporting Period:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

January 1, 20

 

 

 

 

 

 

 

to December 31, 20

 

 

 

 

 

 

 

 

 

 

 

 

-

 

 

-

 

 

 

-

 

 

 

 

Sec.

 

 

Twp.

 

S. R.

 

 

E

 

W

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Q/Q/Q/Q)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

feet from

N

/

 

 

 

S

Line of Section

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

feet from

E

/

 

 

 

W

Line of Section

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Legal Description of Lease or Unit:

County:

If new operator, list previous operator:

I. Injection Fluid:

Type:

Fresh Water

Source:

Produced Water

Quality:

Total Dissolved Solids:

(Attach water analysis, if available)

Treated Brine

Untreated Brine

Water/Brine

Other (Attach List)

 

 

 

mg/l

Specific Gravity:

 

Additives:

 

II. Well Data:

Type Completion:

Tubing & packer, packer setting depth:

feet;

Maximum Authorized Injection Pressure:

 

 

 

 

psi

Maximum Authorized Injection Rate:

 

 

barrels per day

 

Total Number of Enhanced Recovery Injection Wells Covered by This Permit:

 

Packerless (tubing, but no packer); Injection Zone:

(Include TA’s)

Tubingless

III.

Total Volume Injected

# Days of Injection

Maximum Injection

Average Pressure

Month

BBL

MCF

 

Pressure

Tubing/Casing Annulus

 

 

 

January

February

March

April

May

June

July

August

September

October

November

December

TOTAL

0

 

0

Print and Mail to: KCC - Conservation Division, 266 N Main St, Ste 220, Wichita, Kansas 67202-1513

Misconceptions

  • Misconception 1: The U3C form is only for new wells.

    This is incorrect. The U3C form must be completed for each well, regardless of whether it is new or existing. It is an annual report that captures essential data about all wells under your operation.

  • Misconception 2: You can submit the U3C form without all required information.

    In reality, all blanks on the form must be completed. If you need more space, you can add pages. Incomplete submissions may lead to delays or issues with compliance.

  • Misconception 3: The U3C form is not important for regulatory compliance.

    This is a significant misunderstanding. The U3C form is crucial for meeting state regulations. It ensures that the Kansas Corporation Commission has accurate data to monitor oil and gas operations effectively.

  • Misconception 4: You can discard the U3C form after filing.

    On the contrary, operators must retain a copy of the U3C form for five years after the filing date. This is important for record-keeping and potential audits.

  • Misconception 5: Only the operator needs to fill out the U3C form.

    This is misleading. While the operator is responsible for completing the form, the information should reflect accurate data from all relevant parties involved in the operation of the well.

Documents used along the form

The U3C Kansas form is essential for reporting pressure monitoring, fluid injection, and enhanced recovery activities related to oil and gas operations. Along with this form, several other documents are often required to ensure compliance with state regulations. Below is a list of these documents, each serving a specific purpose in the reporting process.

  • Form UIC-1: This form is used to apply for a permit to inject fluids into a well. It provides details about the well location, type of injection, and the operator's information.
  • Form UIC-2: This document is required for the transfer of ownership or control of an injection well. It includes information about the new operator and their qualifications.
  • Water Quality Analysis Report: This report includes the results of water quality tests conducted on the injection fluid. It helps assess the suitability of the fluid for injection.
  • Monthly Injection Reports: These reports track the volume and pressure of fluids injected each month. They are vital for monitoring compliance with permit conditions.
  • Well Completion Report: This document provides details about the completion of the well, including the construction details and the type of equipment used.
  • Texas VTR 850 Form: This application is crucial for vehicle owners seeking classic license plates for vehicles that are 25 years or older. To learn more about the process and to obtain the necessary form, visit Texas Documents.
  • Operator's License: A copy of the operator's license must be submitted to verify that the operator is authorized to conduct injection activities in Kansas.
  • Emergency Response Plan: This plan outlines procedures for responding to emergencies related to injection activities, ensuring safety and environmental protection.
  • Annual Compliance Report: This report summarizes the operator's activities over the past year, including any incidents or deviations from the approved plan.
  • Site Map: A detailed map showing the location of the injection well, surrounding structures, and any nearby water sources. This helps in assessing potential impacts on the environment.

Each of these documents plays a critical role in the regulatory process surrounding oil and gas operations in Kansas. Ensuring that all forms are completed accurately and submitted on time is vital for maintaining compliance and promoting safety in the industry.