Form 7 "Plugging Report" - South Dakota

What Is Form 7?

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

Form Details:

  • The latest edition provided by the South Dakota Department of Environment & 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 fillable version of Form 7 by clicking the link below or browse more documents and templates provided by the South Dakota Department of Environment & Natural Resources.

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Download Form 7 "Plugging Report" - South Dakota

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FORM 7
DEPARTMENT of ENVIRONMENT and NATURAL RESOURCES
Minerals & Mining Program
2050 West Main, Suite #1, Rapid City, SD 57702-2493
Telephone: 605-773-4201, FAX: 605-394-5317
PLUGGING REPORT
Name and Address of Operator:
Telephone:
____________________________________________________________________________________________________________
Well Name and Number:
Permit Number:
API Number:
Location of well: Footages (from Section Line), Qtr-Qtr, Sec, Twp, Rge, County & High Res GPS coordinates: Field and Pool, or Wildcat
Total Depth
Amount well produced or injected at initial completion and when
Date Plugged
Produced Oil or Gas;
MD & TVD
plugged (bbls oil & water/day, MCF gas & air/day)
Injected; Dry Hole?
MD:
TVD:
CASING RECORD (Report all strings set in well)
Hole Size
Casing Size
Weight per ft.
Depth Set
Amount Pulled
Sacks and Type of Cement
Top of Cement
1)
2)
3)
4)
PLUGGING RECORD
Type of Plug
Plug Interval
Formation Isolated
Sacks and Type of Cement Used (indicate if squeeze cemented)
(Cmt or Mech)
Use additional page(s) if needed.
1)
2)
3)
4)
5)
6)
7)
8)
MECHANICAL INTEGRITY TEST
Date MIT Performed:
Time (Minutes)
Pressure in Production Casing
0
Fail
Production Casing Maintains 90%
Pass
5
MIT
of Initial Pressure after 15 minutes?
MIT
10
15
I hereby certify that the foregoing as to any work or operation performed is a true and correct report of such work or operation.
_____________________________________
_______________________________
______________________ __________
Signature
Name (Print)
Title
Date
FORM 7
DEPARTMENT of ENVIRONMENT and NATURAL RESOURCES
Minerals & Mining Program
2050 West Main, Suite #1, Rapid City, SD 57702-2493
Telephone: 605-773-4201, FAX: 605-394-5317
PLUGGING REPORT
Name and Address of Operator:
Telephone:
____________________________________________________________________________________________________________
Well Name and Number:
Permit Number:
API Number:
Location of well: Footages (from Section Line), Qtr-Qtr, Sec, Twp, Rge, County & High Res GPS coordinates: Field and Pool, or Wildcat
Total Depth
Amount well produced or injected at initial completion and when
Date Plugged
Produced Oil or Gas;
MD & TVD
plugged (bbls oil & water/day, MCF gas & air/day)
Injected; Dry Hole?
MD:
TVD:
CASING RECORD (Report all strings set in well)
Hole Size
Casing Size
Weight per ft.
Depth Set
Amount Pulled
Sacks and Type of Cement
Top of Cement
1)
2)
3)
4)
PLUGGING RECORD
Type of Plug
Plug Interval
Formation Isolated
Sacks and Type of Cement Used (indicate if squeeze cemented)
(Cmt or Mech)
Use additional page(s) if needed.
1)
2)
3)
4)
5)
6)
7)
8)
MECHANICAL INTEGRITY TEST
Date MIT Performed:
Time (Minutes)
Pressure in Production Casing
0
Fail
Production Casing Maintains 90%
Pass
5
MIT
of Initial Pressure after 15 minutes?
MIT
10
15
I hereby certify that the foregoing as to any work or operation performed is a true and correct report of such work or operation.
_____________________________________
_______________________________
______________________ __________
Signature
Name (Print)
Title
Date