Form C-106 "Notice of Intention to Utilize Automatic Custody Transfer Equipment" - New Mexico

What Is Form C-106?

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-106 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-106 "Notice of Intention to Utilize Automatic Custody Transfer Equipment" - New Mexico

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State of New Mexico
District I (575) 393-6161
Energy Minerals and Natural Resources
Form C-106
1625 N. French Dr., Hobbs, NM 88240
District II (575) 748-1283
Revised August 1, 2011
Oil Conservation Division
811 S. First St., Artesia, NM 88210
1220 South St. Francis Dr.
District III (505) 334-6178
Santa Fe, NM 87505
1000 Rio Brazos Road, Aztec, NM 87410
District IV
(505) 827-8198
ACT Permit No.
1220 S. St. Francis Dr., Santa Fe, NM 87505
___________________
NOTICE OF INTENTION TO UTILIZE AUTOMATIC CUSTODY TRANSFER EQUIPMENT
Operator____________________________________________________________________________________________________
Address______________________________________________________________County_________________________________
Lease(s) to be served by this ACT Unit____________________________________________________________________________
Pool(s) to be served by this ACT Unit_____________________________________________________________________________
Location of ACT System: Unit______________Section_________________Township____________Range_____________________
Order No. authorizing commingling between leases if more than one lease is to be served by this system.
_____________________________________________________________Date___________________________________________
Order No. authorizing commingling between pools if more than one pool is to be served by this system
_____________________________________________________________Date___________________________________________
Authorized transporter of oil from this system_______________________________________________________________________
Transporter's address___________________________________________________________________________________________
Maximum expected daily through-put for this system:________________________________________________________________
If system fails to transfer oil due to malfunction or otherwise, waste by overflow will be averted by:
CHECK ONE: A.
Automatic shut-down facilities
B.
Providing adequate available capacity to receive production
as required by 19.15.18.15.C(8) NMAC
during maximum unattended time of lease operation
19.15.18.15.C(9) NMAC
If "A" above is checked, will flowing wells be shut-in at the header manifold or at the wellhead?
_______________________________________________________Maximum well-head shut-in pressure_____________
If "B" above is checked, how much storage capacity is available above the normal high working level of the
surge tank ___________________________BBLS.
What is the normal maximum unattended time of lease operation? _________________________________________________Hours.
What device will be used for measuring oil in this ACT unit?
CHECK ONE:
Positive displacement meter
Weir-type measuring vessel
Positive volume metering chamber
Other; describe______________________________
Remarks:____________________________________________________________________________________________________
OPERATOR:
OIL CONSERVATION DIVISION
I hereby certify above information is true and complete to best of
my knowledge and subject ACT system will be installed and
operated in accordance with Rule 19.15.18.15 NMAC. Approval of
this Form
C-106 does not eliminate necessity of an approved C-104 prior to
Approved by:__________________________________
running any oil or gas from this system.
Signature _____________________________________________
Title:_________________________________________
Printed Name & Title____________________________________
Date:_________________________________________
E-mail Address _________________________________________
Date ______________________Telephone___________________
INSTRUCTIONS
: Submit one copy of Form C-106 with following attachments to appropriate district office.
1) Lease plat showing all wells which will be produced in ACT system.
2) Schematic diagram of battery and ACT equipment showing all major components and means employed to prove accuracy of measuring device.
State of New Mexico
District I (575) 393-6161
Energy Minerals and Natural Resources
Form C-106
1625 N. French Dr., Hobbs, NM 88240
District II (575) 748-1283
Revised August 1, 2011
Oil Conservation Division
811 S. First St., Artesia, NM 88210
1220 South St. Francis Dr.
District III (505) 334-6178
Santa Fe, NM 87505
1000 Rio Brazos Road, Aztec, NM 87410
District IV
(505) 827-8198
ACT Permit No.
1220 S. St. Francis Dr., Santa Fe, NM 87505
___________________
NOTICE OF INTENTION TO UTILIZE AUTOMATIC CUSTODY TRANSFER EQUIPMENT
Operator____________________________________________________________________________________________________
Address______________________________________________________________County_________________________________
Lease(s) to be served by this ACT Unit____________________________________________________________________________
Pool(s) to be served by this ACT Unit_____________________________________________________________________________
Location of ACT System: Unit______________Section_________________Township____________Range_____________________
Order No. authorizing commingling between leases if more than one lease is to be served by this system.
_____________________________________________________________Date___________________________________________
Order No. authorizing commingling between pools if more than one pool is to be served by this system
_____________________________________________________________Date___________________________________________
Authorized transporter of oil from this system_______________________________________________________________________
Transporter's address___________________________________________________________________________________________
Maximum expected daily through-put for this system:________________________________________________________________
If system fails to transfer oil due to malfunction or otherwise, waste by overflow will be averted by:
CHECK ONE: A.
Automatic shut-down facilities
B.
Providing adequate available capacity to receive production
as required by 19.15.18.15.C(8) NMAC
during maximum unattended time of lease operation
19.15.18.15.C(9) NMAC
If "A" above is checked, will flowing wells be shut-in at the header manifold or at the wellhead?
_______________________________________________________Maximum well-head shut-in pressure_____________
If "B" above is checked, how much storage capacity is available above the normal high working level of the
surge tank ___________________________BBLS.
What is the normal maximum unattended time of lease operation? _________________________________________________Hours.
What device will be used for measuring oil in this ACT unit?
CHECK ONE:
Positive displacement meter
Weir-type measuring vessel
Positive volume metering chamber
Other; describe______________________________
Remarks:____________________________________________________________________________________________________
OPERATOR:
OIL CONSERVATION DIVISION
I hereby certify above information is true and complete to best of
my knowledge and subject ACT system will be installed and
operated in accordance with Rule 19.15.18.15 NMAC. Approval of
this Form
C-106 does not eliminate necessity of an approved C-104 prior to
Approved by:__________________________________
running any oil or gas from this system.
Signature _____________________________________________
Title:_________________________________________
Printed Name & Title____________________________________
Date:_________________________________________
E-mail Address _________________________________________
Date ______________________Telephone___________________
INSTRUCTIONS
: Submit one copy of Form C-106 with following attachments to appropriate district office.
1) Lease plat showing all wells which will be produced in ACT system.
2) Schematic diagram of battery and ACT equipment showing all major components and means employed to prove accuracy of measuring device.
3) Letter from transporter agreeing to utilization of ACT system as shown on schematic diagram.
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