Form C-109 "Application for Discovery Allowable and Creation of a New Pool" - New Mexico

What Is Form C-109?

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

Form Details:

  • Released on August 1, 2011;
  • The latest edition provided by the New Mexico Energy, Minerals and Natural Resources Department;
  • 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 C-109 by clicking the link below or browse more documents and templates provided by the New Mexico Energy, Minerals and Natural Resources Department.

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Download Form C-109 "Application for Discovery Allowable and Creation of a New Pool" - New Mexico

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State of New Mexico
District I
Energy Minerals and Natural Resources
Form C-109
1625 N. French Dr., Hobbs, NM 88240
District II
Revised August 1, 2011
Oil Conservation Division
811S. First St., Artesia, NM 88210
1220 South St. Francis Dr.
Instructions on
District III
Santa Fe, NM 87505
Reverse Side
1000 Rio Brazos Road, Aztec, NM 87410
District IV
1220 S. St. Francis Dr., Santa Fe, NM 87505
APPLICATION FOR DISCOVERY ALLOWABLE AND CREATION OF A NEW POOL
NOTE: This form is to be filed and attachments made in accordance with the provisions of Rule 19.15.20.16 NMAC.
If discovery is claimed for more than one zone, separate forms must be filed for each.
Operator
Address
Lease Name
Well No.
County
Well Location
Unit Letter _____________:_______________________________Feet from The ____________________Line and ________________Feet
From the
Line of Section
Township
Range
NMPM
Suggested Pool Names (List in order of Preference)
1.
2.
3.
Name of Producing Formation
Perforations
Depth of Top Perf from GL
Date of Filing Form C-104
Was "Affidavit of Discovery" Previously
If yes, Give Date of Filing
Date Well was Spudded
Date Compl. Ready to Prod.
Filed For This Well in this Pool?
Total Depth
Plugged Back Depth
Depth Casing Shoe
Tubing Depth
Elevation (Gr., DF, RKB, RT, etc.)
Oil Well Potential (Test to be taken only after all load oil has been recovered)
___________Bbls, Oil Per Day Based On ________Bbls In _________Hours; __________Bbls Water Per Day Based on __________Bbls
Gas-Oil
Method Of
Choke
In
Hours; Gas Production During Test:
MCF;
Ration
Producing
Size
NEAREST PRODUCTION TO THIS DISCOVERY (Includes past and present oil or gas producing areas and zones whether this discovery is based on
horizontal or vertical separation):
Pool Name
Name of Producing Formation
Top of Pay
Bottom of Pay
Currently Producing?
Horizontal Distance and Direction from Subject Discovery Well to the
Vertical Distance from Subject Discovery Zone to Producing Interval this
Nearest well in this Pool
Pool
NEAREST COMPARABLE PRODUCTION (Includes past and present oil or gas prod uction for this pay or formation only):
Pool Name
Top of Pay
Bottom of Pay
Currently Producing
Horizontal Distance and Direction from Subject Discovery Well to the Nearest Well in this Comparable Pool
Is "County Deep" Discovery Allowable
If Yes, Give Name, Location, and Depth of Next Deepest Oil Production in this County
Requested for Subject Discovery Well?
Is the Subject Well
Is Discovery Allowable
If Yes, Name all Such Formations
Multiple Completion?
Requested for Other Zone(s)?
(Continue on reverse side)
State of New Mexico
District I
Energy Minerals and Natural Resources
Form C-109
1625 N. French Dr., Hobbs, NM 88240
District II
Revised August 1, 2011
Oil Conservation Division
811S. First St., Artesia, NM 88210
1220 South St. Francis Dr.
Instructions on
District III
Santa Fe, NM 87505
Reverse Side
1000 Rio Brazos Road, Aztec, NM 87410
District IV
1220 S. St. Francis Dr., Santa Fe, NM 87505
APPLICATION FOR DISCOVERY ALLOWABLE AND CREATION OF A NEW POOL
NOTE: This form is to be filed and attachments made in accordance with the provisions of Rule 19.15.20.16 NMAC.
If discovery is claimed for more than one zone, separate forms must be filed for each.
Operator
Address
Lease Name
Well No.
County
Well Location
Unit Letter _____________:_______________________________Feet from The ____________________Line and ________________Feet
From the
Line of Section
Township
Range
NMPM
Suggested Pool Names (List in order of Preference)
1.
2.
3.
Name of Producing Formation
Perforations
Depth of Top Perf from GL
Date of Filing Form C-104
Was "Affidavit of Discovery" Previously
If yes, Give Date of Filing
Date Well was Spudded
Date Compl. Ready to Prod.
Filed For This Well in this Pool?
Total Depth
Plugged Back Depth
Depth Casing Shoe
Tubing Depth
Elevation (Gr., DF, RKB, RT, etc.)
Oil Well Potential (Test to be taken only after all load oil has been recovered)
___________Bbls, Oil Per Day Based On ________Bbls In _________Hours; __________Bbls Water Per Day Based on __________Bbls
Gas-Oil
Method Of
Choke
In
Hours; Gas Production During Test:
MCF;
Ration
Producing
Size
NEAREST PRODUCTION TO THIS DISCOVERY (Includes past and present oil or gas producing areas and zones whether this discovery is based on
horizontal or vertical separation):
Pool Name
Name of Producing Formation
Top of Pay
Bottom of Pay
Currently Producing?
Horizontal Distance and Direction from Subject Discovery Well to the
Vertical Distance from Subject Discovery Zone to Producing Interval this
Nearest well in this Pool
Pool
NEAREST COMPARABLE PRODUCTION (Includes past and present oil or gas prod uction for this pay or formation only):
Pool Name
Top of Pay
Bottom of Pay
Currently Producing
Horizontal Distance and Direction from Subject Discovery Well to the Nearest Well in this Comparable Pool
Is "County Deep" Discovery Allowable
If Yes, Give Name, Location, and Depth of Next Deepest Oil Production in this County
Requested for Subject Discovery Well?
Is the Subject Well
Is Discovery Allowable
If Yes, Name all Such Formations
Multiple Completion?
Requested for Other Zone(s)?
(Continue on reverse side)
Form C-109
Revised October 15, 2009
Page 2
LIST ALL OPERATORS OWNING LEASES WITHIN ONE MILE OF THIS WELL (Attach additional sheet if necessary)
NAME
ADDRESS
Attach evidence that all of the above operators have been furnished a copy of this application. Any of said operators who intends to object to the
designation of the subject well as a discovery well, eligible to receive a discovery allowable, must notify the appropriate District Office and the Santa Fe
Office of the Division of such intent in writing within ten days after receiving a copy of this application.
Remarks:
OPERATOR CERTIFICATION
I hereby certify the all rules and regulations of the New Mexico Oil Conservation Division have been complied with, with respect to the subject well, and that it is my opinion that a bona fide
discovery of a hitherto unknown common source of oil supply has been made in said well, I further certify that the discovery allowable for the subject well, if authorized, will be produced from the
subject zone in this well only. Further, that the information given herein and attached hereto is true and complete to the best of my knowledge and belief.
__________________________________ ______________________________________________________
Signature
Title
Date
__________________________________ ______________________________________________________
Printed Name
Telephone No.
__________________________________________________________________________________________
E-mail Address
INSTRUCTIONS : File one copy of Form C-109 with attachments with appropriate district office and one copy with
attachments with the Santa Fe Office.
Attachments
:
(See Rule 19.15.20.16 NMAC for details)
1) Map showing all wells within a two-mile radius of discovery well.
2) Electrical log with tops and bottoms of producing formations marked.
3) A sub-surface structure map if application is based on horizontal separation
.
4) Geological cross-section.
5) Summary of reservoir data.
6) Evidence that all operators (listed above) owning leases within one mile of this well have been furnished a copy of this application.
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