Form C-140 "Application for Well Workover Project" - New Mexico

What Is Form C-140?

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-140 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-140 "Application for Well Workover Project" - New Mexico

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Form C-140
District I
State of New Mexico
Revised August 1, 2011
1625 N. French Dr., Hobbs, NM 88240
Phone:(575) 393-6161 Fax:(575) 393-0720
Energy, Minerals and Natural Resources
Permit
District II
Oil Conservation Division
811 S. First St., Artesia, NM 88210
Phone:(575) 748-1283 Fax:(575) 748-9720
1220 S. St Francis Dr.
District III
1000 Rio Brazos Rd., Aztec, NM 87410
Santa Fe, NM 87505
Phone:(505) 334-6178 Fax:(505) 334-6170
District IV
(505) 476-3440
1220 S. St Francis Dr., Santa Fe, NM 87505
Phone:(505) 476-3470 Fax:(505) 476-3462
APPLICATION FOR
WELL WORKOVER PROJECT
I.
Operator and Well:
Operator name & address
OGRID Number
Contact Party
Phone
Property Name
Well Number
API Number
UL - Lot
Section
Township
Range
Feet From The
North/South Line
Feet From The
East/West Line
County
II.
Date Workover Commenced:
Previous Producing Pool(s) (Prior to Workover):
Date Workover Completed:
III.
Attach a description of the Workover Procedures performed to increase production.
IV.
Attach a production decline curve or table showing at least twelve months of production prior to the workover and at least three months of production following the
workover reflecting a positive production increase.
V.
Signature:
I hereby certify that the information above is true and complete to the best of my knowledge and belief.
Signature
Title
Date
Type or print name
E-mail address
Telephone No.
FOR OIL CONSERVATION DIVISION USE ONLY:
VI.
CERTIFICATION OF APPROVAL:
This Application is hereby approved and the above-referenced well is designated a Well Workover Project and the Division hereby verifies the data shows a positive
production increase. By copy hereof, the Division notifies the Secretary of the Taxation and Revenue Department of this Approval and certifies that this Well Workover
Project was completed on:
Signature District Supervisor:
District
Date
VII.
DATE OF NOTIFICATION TO THE SECRETARY OF THE TAXATION AND REVENUE DEPARTMENT:
Form C-140
District I
State of New Mexico
Revised August 1, 2011
1625 N. French Dr., Hobbs, NM 88240
Phone:(575) 393-6161 Fax:(575) 393-0720
Energy, Minerals and Natural Resources
Permit
District II
Oil Conservation Division
811 S. First St., Artesia, NM 88210
Phone:(575) 748-1283 Fax:(575) 748-9720
1220 S. St Francis Dr.
District III
1000 Rio Brazos Rd., Aztec, NM 87410
Santa Fe, NM 87505
Phone:(505) 334-6178 Fax:(505) 334-6170
District IV
(505) 476-3440
1220 S. St Francis Dr., Santa Fe, NM 87505
Phone:(505) 476-3470 Fax:(505) 476-3462
APPLICATION FOR
WELL WORKOVER PROJECT
I.
Operator and Well:
Operator name & address
OGRID Number
Contact Party
Phone
Property Name
Well Number
API Number
UL - Lot
Section
Township
Range
Feet From The
North/South Line
Feet From The
East/West Line
County
II.
Date Workover Commenced:
Previous Producing Pool(s) (Prior to Workover):
Date Workover Completed:
III.
Attach a description of the Workover Procedures performed to increase production.
IV.
Attach a production decline curve or table showing at least twelve months of production prior to the workover and at least three months of production following the
workover reflecting a positive production increase.
V.
Signature:
I hereby certify that the information above is true and complete to the best of my knowledge and belief.
Signature
Title
Date
Type or print name
E-mail address
Telephone No.
FOR OIL CONSERVATION DIVISION USE ONLY:
VI.
CERTIFICATION OF APPROVAL:
This Application is hereby approved and the above-referenced well is designated a Well Workover Project and the Division hereby verifies the data shows a positive
production increase. By copy hereof, the Division notifies the Secretary of the Taxation and Revenue Department of this Approval and certifies that this Well Workover
Project was completed on:
Signature District Supervisor:
District
Date
VII.
DATE OF NOTIFICATION TO THE SECRETARY OF THE TAXATION AND REVENUE DEPARTMENT: