Form ENG-15 "E&p Waste Containment Structure Notification" - Louisiana

What Is Form ENG-15?

This is a legal form that was released by the Louisiana Department of Natural Resources - a government authority operating within Louisiana. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on June 1, 2011;
  • The latest edition provided by the Louisiana Department of Natural Resources;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form ENG-15 by clicking the link below or browse more documents and templates provided by the Louisiana Department of Natural Resources.

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Download Form ENG-15 "E&p Waste Containment Structure Notification" - Louisiana

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DNR/OFFICE OF CONSERVATION
For Office Use Only
ENGINEERING DIVISION
PIT ID# ___ ___ P ___ ___ ___ ___
Status
Date
Reviewed by
ENG-15
Rev 6/11
(Formerly UIC-15)
TYPE OR PRINT
E&P WASTE CONTAINMENT STRUCTURE NOTIFICATION
Operator Name:
Operator Code:
Mailing Address:
Contact Name:
Phone:
(
)
-
Facility Identification:
Well Name & No.
Serial No.:
(Nearest Associated Well)
Field:
Field Code:
Parish:
Parish Code:
Section:
Township:
Range:
Location Description of Center of Structure in Lambert Coordinates
Dimensions
Length:
1927 datum
ft.
Width:
X=
ft.
Ave. Depth:
Y=
ft.
Type of Pit
Produced Water
Compressor Station
Salt Dome Cavern
Test
Vacuum Truck Washout
Other (specify):
Emergency
Natural Gas Processing Plant
Burn
Onshore Terminal
Type of Liner (if applicable)
Liner Style/Model #
Natural Clay
Manufactured:
Manufacturer
Soil-Additive Mixture
Combination of:
Re-compacted Clay
Other:
Status of Structure
To Be Closed. I certify that this containment structure will be closed within the time period ordered by the Office
of Conservation in accordance with the closure criteria set forth in LAC 43.XIX.311 & 313. Upon completion of the
closure operations, I will submit documenting evidence (closure letter, lab results, receipts, photos, etc.) that I have met
said requirements.
Existing Pit to be Utilized or New Construction. I certify that the containment structure conforms to the
requirements of LAC 43.XIX.303 and will supply documenting evidence if applicable that the construction and liner
requirements of LAC 43.XIX.307 are met. If new construction, I will notify the Office of Conservation before first
use.
Print or Type Name
Signature of Responsible Party
Date
Submit to: DNR/OFFICE OF CONSERVATION, ENGINEERING DIVISION, P.O. BOX 94275, BATON ROUGE, LA 70804-9275
DNR/OFFICE OF CONSERVATION
For Office Use Only
ENGINEERING DIVISION
PIT ID# ___ ___ P ___ ___ ___ ___
Status
Date
Reviewed by
ENG-15
Rev 6/11
(Formerly UIC-15)
TYPE OR PRINT
E&P WASTE CONTAINMENT STRUCTURE NOTIFICATION
Operator Name:
Operator Code:
Mailing Address:
Contact Name:
Phone:
(
)
-
Facility Identification:
Well Name & No.
Serial No.:
(Nearest Associated Well)
Field:
Field Code:
Parish:
Parish Code:
Section:
Township:
Range:
Location Description of Center of Structure in Lambert Coordinates
Dimensions
Length:
1927 datum
ft.
Width:
X=
ft.
Ave. Depth:
Y=
ft.
Type of Pit
Produced Water
Compressor Station
Salt Dome Cavern
Test
Vacuum Truck Washout
Other (specify):
Emergency
Natural Gas Processing Plant
Burn
Onshore Terminal
Type of Liner (if applicable)
Liner Style/Model #
Natural Clay
Manufactured:
Manufacturer
Soil-Additive Mixture
Combination of:
Re-compacted Clay
Other:
Status of Structure
To Be Closed. I certify that this containment structure will be closed within the time period ordered by the Office
of Conservation in accordance with the closure criteria set forth in LAC 43.XIX.311 & 313. Upon completion of the
closure operations, I will submit documenting evidence (closure letter, lab results, receipts, photos, etc.) that I have met
said requirements.
Existing Pit to be Utilized or New Construction. I certify that the containment structure conforms to the
requirements of LAC 43.XIX.303 and will supply documenting evidence if applicable that the construction and liner
requirements of LAC 43.XIX.307 are met. If new construction, I will notify the Office of Conservation before first
use.
Print or Type Name
Signature of Responsible Party
Date
Submit to: DNR/OFFICE OF CONSERVATION, ENGINEERING DIVISION, P.O. BOX 94275, BATON ROUGE, LA 70804-9275