Form 20 - Notice Of Intent To Conduct Seismic Operations
Download a blank fillable Form 20 - Notice Of Intent To Conduct Seismic Operations in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form 20 - Notice Of Intent To Conduct Seismic Operations with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1Click here to reset form
FORM
FOR OGCC USE ONLY
20
State of Colorado
Rev 2/03
Oil and Gas Conservation Commission
1120 Lincoln Street, Suite 801, Denver, Colorado 80203 (303)894-2100 Fax:(303)894-2109
NOTICE OF INTENT TO CONDUCT SEISMIC OPERATIONS
SURETY ID: ____________
Complete the
Submit this Notice for each seismic program to be conducted within the State. A bond is required on State
Attachment Checklist
and fee lands in the amount of $25,000 per Rule 705. OGCC Rule 333 is the guideline for all seismic
Oper
OGCC
operations. Submit Form 20A (Completion Report for Seismic Operations) to the Commission within 60
Program map(s)
days after the completion of the project.
Seismic bond
Seismic Program
Project Name and/or Number: ________________________________________________________________________________________________
Acquisition Method:
2-D
3-D
Energy Source:
Shot-hole
Vibroseis
Other (Describe): ____________________________________________________
Location: Township(s), Range(s) and Meridian(s) __________________________________________________________________________________
County(ies): _______________________________________________________________________________________________________________
Approximate Start Date: ________________________________________ Estimated Date of Completion: ____________________________________
Proposed Number of Line Miles: __________________________________ Number of Holes/Mile: __________________________________________
Shot Hole Information
Size of Hole (inches): _____________________________________ Approximate Depth of Holes (feet): _____________________________________
Approximate Size of Charge (pounds): __________________________________________________________________________________________
Identifying Marks on Non-Metallic Plug: __________________________________________________________________________________________
Line Numbers: _____________________________________________________________________________________________________________
Description of Hole Plugging Procedure: (if different than Rule 333, must obtain prior Director approval)
Bonding Information
Bonded Party:_______________________________________________ Bonding Company: ______________________________________________
Seismic Contractor Information
Seismic Contractor & Crew Number: ____________________________________________________________________________________________
Permanent Address & Phone Number:___________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Name of Local Contact & Phone Number (when available):___________________________________________________________________________
Client Information
Client Company: ___________________________________________________________________________________________________________
Permanent Address:_________________________________________________________________________________________________________
Contact Name: _______________________________________________________________ Phone: _______________________________________
Plugging Company Information
Name of Hole Plugging Company: _____________________________________________________________________________________________
Address:__________________________________________________________________________________________________________________
Contact Name: _______________________________________________________________ Phone: _______________________________________
I hereby certify that the statements made in this form are, to the best of my knowledge, true, correct, and complete.
Print Name: _________________________________________ Signed: ________________________________________
Title:__________________________________________ Date:_____________________
OGCC Approved: ________________________________ Title:________________________________ Date:_____________
:
CONDITIONS OF APPROVAL, IF ANY
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal