Form H-1 - Application To Inject Fluid Into A Reservoir Productive Of Oil Or Gas - Railroad Commission Of Texas
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1
2RAILROAD COMMISSION OF TEXAS
OIL AND GAS DIVISION
Form H-1
05/2004
APPLICATION TO INJECT FLUID INTO A RESERVOIR PRODUCTIVE OF OIL OR GAS
1.Operator name ____________________________________________________ 2. Operator P-5 No. ______________________
(as shown on P-5, Organization Report)
3.Operator Address _________________________________________________________________________________________
4. County _________________________________________________________ 5. RRC District No. _______________________
6. Field Name ______________________________________________________ 7. Field No. _____________________________
8. Lease Name _____________________________________________________ 9. Lease/Gas ID No. ______________________
10. Check the Appropriate Boxes:
New Project
Amendment
If amendment, Fluid Injection Project No. F-____________________
Reason for Amendment:
Add wells
Add or change types of fluids
Change pressure
Change volume
Change interval
Other (explain)
_________________________
RESERVOIR DATA FOR A NEW PROJECT
11. Name of Formation _________________________________________ 12. Lithology ________________________________
(e.g., dolomite, limestone, sand, etc.)
13. Type of Trap _____________________________________ 14. Type of Drive during Primary Production _________________
(anticline, fault trap, stratigraphic trap, etc.)
15. Average Pay Thickness __________ 16. Lse/Unit Acreage ___________ 17. Current Bottom Hole Pressure (psig) ________
18. Average Horizontal Permeability (mds) _______________ 19. Average Porosity (%) _________________________________
INJECTION PROJECT DATA
20. No. of Injection Wells in this application ________
21. Type of Injection Project:
Waterflood
Pressure Maintenance
Miscible Displacement
Natural Gas Storage
Steam
Thermal Recovery
Disposal
Other
________________
22. If disposal, are fluids from leases other than the lease identified in Item 9?
Yes
No
23. Is this application for a Commercial Disposal Well ?
Yes
No
24. If for commercial disposal, will non-hazardous oil and gas waste other than produced water be disposed?
Yes
No
25. Type(s) of Injection Fluid:
Salt Water
Brackish Water
Fresh Water
CO
N
Air
H
S
LPG
NORM
2
2
2
Natural Gas
Polymer
Other (explain)
____________________________________________________________
26. If water other than produced salt water will be injected, identify the source of each type of injection water by formation, or by
aquifer and depths, or by name of surface water source:
_________________________________________________
CERTIFICATE
Signature
Date
I declare under penalties prescribed in Sec. 91.143, Texas Natural
make
Resources Code, that I am authorized to
this report, that this
_________________________________________________
report was prepared by me or under my supervision and direction,
Name of Person (type or print)
and that the data and facts stated therein are true, correct, and
_________________________________________________
complete, to the best of my knowledge.
Phone _____________________ Fax __________________
For Office Use Only
Register No.
Amount $
See Reverse Side for Required Attachments
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