Official Kansas Cp 4 Form in PDF Access Editor Now

Official Kansas Cp 4 Form in PDF

The Kansas CP 4 form is a crucial document used for recording the plugging of oil and gas wells in Kansas. This form must be completed thoroughly and submitted to the Conservation Division within 60 days of the well's plugging date. To ensure compliance and maintain safety standards, it’s important to fill out this form accurately.

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Documents used along the form

The Kansas CP-4 form is an essential document used for recording the plugging of oil and gas wells. Alongside this form, several other documents are often required to ensure compliance with state regulations. Below is a list of related forms and documents that may be utilized in conjunction with the CP-4 form.

  • Well Log: This document provides a detailed record of the well's geological and operational history. It includes information on the formations encountered, depth measurements, and any significant events during drilling.
  • Plugging Proposal: Before commencing the plugging process, operators must submit a proposal detailing the methods and materials to be used. This proposal must be approved by the Kansas Corporation Commission.
  • AC0-1 Form: This form is required to report the completion of well operations. It includes information on the well's status and production history, which is crucial for regulatory compliance.
  • Boat Bill of Sale: This document is essential for transferring ownership of a boat in New York, ensuring the transaction is legally recognized and protecting both parties involved. For more information, visit nydocuments.com/.
  • Casing Record: This document outlines the casing used in the well, including the size, depth, and type of casing. It is essential for understanding the structural integrity of the well during the plugging process.
  • Plugging Contractor License: A copy of the plugging contractor's license must be submitted to verify that the contractor is authorized to perform well plugging operations in Kansas.

These documents work together to ensure that well plugging is conducted safely and in accordance with regulatory standards. Proper completion and submission of these forms are vital for the protection of natural resources and the environment.

FAQ

  1. What is the Kansas CP-4 form?

    The Kansas CP-4 form is a well plugging record that must be completed and submitted to the Kansas Corporation Commission’s Conservation Division. This form documents the plugging of oil and gas wells in Kansas, ensuring that the process is carried out safely and in compliance with state regulations.

  2. Who needs to fill out the CP-4 form?

    Operators of oil and gas wells in Kansas are required to fill out the CP-4 form. This includes any individual or company that holds a license to operate such wells. It is essential for maintaining proper records of well plugging activities.

  3. What information is required on the CP-4 form?

    The form requires detailed information, including:

    • Operator's name and license number
    • Well type (oil, gas, water supply, etc.)
    • Location details, including county and lease name
    • Depth and thickness of formations
    • Details about the plugging process
    • Signature of the responsible party
  4. When should the CP-4 form be submitted?

    The CP-4 form must be completed and returned to the Conservation Division within 60 days from the date the well was plugged. Timely submission is crucial to comply with state regulations.

  5. What happens if the CP-4 form is not submitted on time?

    Failing to submit the CP-4 form within the specified time frame can lead to penalties or fines. It may also complicate future operations or permits related to the well, so it's important to adhere to the deadline.

  6. Can the CP-4 form be submitted electronically?

    Currently, the CP-4 form must be filled out on paper and mailed to the Conservation Division. Always check for any updates or changes in submission procedures on the Kansas Corporation Commission’s website.

  7. What is the role of the plugging contractor?

    The plugging contractor is responsible for executing the plugging process as outlined in the CP-4 form. They must be licensed and provide their details on the form, ensuring accountability and adherence to safety standards.

  8. What details must be included about the plugging process?

    The form requires a thorough description of how the well was plugged. This includes:

    • The type of materials used (e.g., cement)
    • The depth at which these materials were placed
    • The methods employed to introduce the materials into the well
  9. Who is responsible for the plugging fees?

    The CP-4 form requires the name of the party responsible for covering the plugging fees. This is typically the operator or the company that owns the well.

  10. Where do I send the completed CP-4 form?

    Once completed, the CP-4 form should be mailed to the following address:

    KCC - Conservation Division
    130 S. Market - Room 2078
    Wichita, Kansas 67202

Misconceptions

Understanding the Kansas CP-4 form is essential for operators in the oil and gas industry. However, several misconceptions can lead to confusion. Here are six common misunderstandings about this form:

  • Misconception 1: The form can be submitted late without consequences.
  • In reality, the Kansas CP-4 form must be returned to the Conservation Division within 60 days from the plugging date. Failing to meet this deadline may result in penalties or complications with compliance.

  • Misconception 2: Only the operator needs to fill out the form.
  • While the operator plays a crucial role, all blanks must be filled out completely. This includes information about the well, the plugging contractor, and any relevant permits.

  • Misconception 3: The form does not require a signature.
  • This form must be signed by the party responsible for the plugging. A signature is necessary to verify the accuracy of the information provided.

  • Misconception 4: Any method of plugging is acceptable.
  • The form requires a detailed description of how the well was plugged, including the methods and materials used. Adhering to industry standards is critical for safety and compliance.

  • Misconception 5: Attachments are not necessary.
  • If additional information is needed, such as well logs, operators must attach these documents to the CP-4 form. Providing complete information is vital for proper processing.

  • Misconception 6: The CP-4 form is only for oil wells.
  • This form applies to various types of wells, including gas wells, water supply wells, and more. Operators should ensure they select the correct type of well when completing the form.

File Specs

Fact Name Details
Form Purpose The Kansas CP-4 form is used to document the plugging of oil and gas wells.
Filing Deadline Operators must complete and return the form within 60 days from the date of well plugging.
Governing Law The form is governed by Kansas Administrative Regulation (K.A.R.) 82-3-117.
Signature Requirement The form must be signed by the operator or a responsible party to validate the information provided.
Well Types Operators must specify the type of well being plugged, including options like oil, gas, or water supply wells.
Contact Information Operators are required to provide complete contact details, including name, address, and phone number.
Plugging Details The form requires detailed descriptions of how the well was plugged, including the method and materials used.
Formation Information Operators must list all producing formations and provide depth information for each formation.
Mailing Address The completed form must be mailed to the KCC Conservation Division at 130 S. Market - Room 2078, Wichita, Kansas 67202.
Record Keeping Operators must maintain accurate records of the well's plugging process for regulatory compliance.

Similar forms

The Kansas CP-4 form, which serves as a well plugging record, shares similarities with the API Well Completion Report. Both documents are essential for documenting the status of oil and gas wells. The API Well Completion Report requires detailed information about the well’s completion and production history. Like the CP-4, it includes sections for identifying the operator and the well, as well as technical specifications regarding the formations encountered. This ensures that both forms serve to maintain accurate records for regulatory compliance and environmental protection.

Another document comparable to the Kansas CP-4 is the Kansas Well Drilling Report. This report captures information during the drilling phase, detailing the well's construction and the formations encountered. Similar to the CP-4, it requires the operator's identification and specifics about the well, including depths and formations. Both documents aim to provide a comprehensive overview of the well's lifecycle, ensuring transparency and accountability in the oil and gas industry.

The Kansas Oil and Gas Production Report also bears resemblance to the CP-4 form. This report focuses on the production aspects of oil and gas wells, detailing the quantities extracted over a specific period. Like the CP-4, it requires the operator's information and well identification. Both documents are crucial for tracking the operational status of wells and ensuring compliance with state regulations regarding resource extraction.

Additionally, the Kansas Abandonment Report is similar to the CP-4 form. This document is filed when a well is permanently taken out of service, detailing the reasons for abandonment and the methods used to secure the well. Both forms require a thorough description of the well's condition and the actions taken to ensure safety and environmental protection. The goal is to provide a clear record of the well's status, whether it is being plugged or abandoned.

In California, the importance of having a well-structured Operating Agreement is often echoed in the documentation practices of various states, such as Kansas with their CP-4 form. Just as the Kansas CP-4 outlines essential details for oil and gas wells, a robust Operating Agreement serves to clarify the relationships and responsibilities among LLC members. For those looking to customize their agreements to better suit their business needs, californiapdf.com/editable-operating-agreement offers valuable resources to ensure clarity and compliance.

The Kansas Injection Well Permit Application is another document that shares similarities with the CP-4 form. This application is necessary for wells intended for injecting fluids into underground formations. Like the CP-4, it requires detailed information about the well, including its location and intended use. Both documents play a vital role in regulating activities that could impact groundwater and surface water resources, emphasizing the importance of safe and responsible well management.

Finally, the Kansas Well Log is akin to the CP-4 form in that it provides detailed geological and operational data about the well. This log records information about the formations encountered during drilling and the well's overall performance. Similar to the CP-4, it includes operator details and well identification, serving as a critical tool for both operators and regulators to monitor well conditions and ensure compliance with state regulations.

Preview - Kansas Cp 4 Form

NOTICE:

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?

 

 

 

 

 

Yes

 

 

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Producing Formation(s): List All (If needed attach another sheet)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Depth to Top:

 

 

 

 

 

 

 

Bottom:

 

 

 

 

 

T.D.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Depth to Top:

 

 

 

 

 

 

 

 

Bottom:

 

 

 

 

T.D.

 

 

 

 

 

 

 

 

 

 

 

 

 

Depth to Top:

 

 

 

 

 

 

 

Bottom:

 

 

 

 

 

T.D.

 

 

 

 

 

 

 

 

API No. 15 -

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Spot Description:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

-

 

 

-

 

 

 

-

 

 

Sec.

 

 

Twp.

 

 

 

 

S.

R.

 

 

 

 

 

East

 

 

West

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Feet from

 

 

 

 

North /

 

 

 

 

South

Line of Section

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Feet from

 

 

 

East /

 

 

 

 

West

Line of Section

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address 1:

 

 

 

 

 

 

 

Address 2:

 

 

 

 

 

 

 

 

 

 

 

 

City:

 

 

 

 

 

 

 

 

 

 

 

State:

 

Zip:

 

+

 

 

 

 

 

 

 

Phone: (

 

 

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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