HomeMy WebLinkAbout5.0 Notice of ConstructionState of Colorado
Oil and Gas Conservation Commission
1120 Lincoln Street, Suite 801, Denver, Colorado 80203
Phone: (303) 894-2100 Fax: (303) 894-2109
FIELD OPERATIONS NOTICE
FORM
42
Rev
03/15
Document Number:
OGCC RECEPTION
Receive Date:
02/16/2017
401209679
CARI MASCIOLI
Signature:Title:
Print Name:Email:
Date:
cmascioli@ursaresources.com
I hereby certify all statements made in this form are, to the best of my knowledge, true, correct and complete.
02/16/2017REGULATORY TECH
OGCC Operator Number:
City:
Company Name:
Address:
10447
URSA OPERATING COMPANY LLC
792 BUCKHORN DR
RIFLE Zip:State:81650
Contact Person:MATT HONEYCUTT
Phone:
( )
(970) 812-2198
CO Email:
Fax:
mhoneycutt@ursaresources.com
Entity Information
05 - - - 446582
Sec:Twp:Range:QtrQtr:18 Lat:Long:7S 95W NENW 39.441460 -108.040712
API #:Facility ID:
NOTICE OF CONSTRUCTION OF A NEW LOCATION OR MAJOR CHANGE – 48-hour notice required
Start Date:02/21/2017
Location ID:
Facility Name:BMC D PAD Submit By Other Operator
Update of a previous Form 42 Notice NO
The Form 42 shall be submitted as required by Rule, Notice to Operators, Policy, or Condition of Approval.
A Form 42 Update shall be submitted to revise the scheduled date or time on a previous Form 42 - Advance Notice of Field Operations.
A Form 42 Update must be for the same well, location, or facility and for the same Field Operation as a previous Form 42.
NOTE: Operator's Contact for Advance Notices of Field Operations should be available 24 hours a day, 7 days a week and should have
the most current scheduling information for the operation. Operator's Contact for other notices should be able to respond to questions
regarding the reported information.
Date Run: 2/16/2017 Doc [#401209679] Well Name: BMC D PAD