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Outline

The Kansas CP-4 form plays a crucial role in the oil and gas industry, particularly in ensuring the safe and environmentally responsible plugging of wells. This form, issued by the Kansas Corporation Commission's Oil and Gas Conservation Division, must be filled out completely and returned within 60 days of the well's plugging date. It requires operators to provide essential information, including their contact details, the type of well, and the specific permits associated with the operation. The form also mandates operators to document the well's plugging process in detail, including the depths of various formations and the methods used to introduce plugging materials. Furthermore, the CP-4 form emphasizes accountability by requiring signatures from responsible parties, ensuring that all statements made are accurate and truthful. This meticulous approach not only aids in regulatory compliance but also helps protect Kansas's natural resources and public safety.

Sample - Kansas Cp 4 Form

NOTICE:

Fill out COMPLETELY

and return to Conservation Division at the address below within

60 days from plugging date.

KANSAS CORPORATION COMMISSION

Form CP-4

OIL & GAS CONSERVATION DIVISION

March 2009

Type or Print on this Form

 

WELL PLUGGING RECORD

Form must be Signed

All blanks must be Filled

K.A.R. 82-3-117

 

OPERATOR: License #:

Name:

Address 1:

Address 2:

City:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State:

 

 

 

Zip:

 

 

 

 

+

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Contact Person:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Phone: (

 

 

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Oil Well

 

 

 

Gas Well

 

OG

 

 

D&A

 

 

 

 

 

 

Cathodic

 

 

Type of Well: (Check one)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Water Supply Well

 

 

 

Other:

 

 

 

 

 

 

 

 

 

 

 

 

SWD Permit #:

 

 

 

 

ENHR Permit #:

 

 

 

 

 

 

 

 

 

 

 

 

Gas Storage Permit #:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Is ACO-1 filed?

 

 

 

 

 

Yes

 

 

No

 

 

 

 

 

If not, is well log attached?

 

 

 

 

 

Yes

 

 

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Producing Formation(s): List All (If needed attach another sheet)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Depth to Top:

 

 

 

 

 

 

 

Bottom:

 

 

 

 

 

T.D.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Depth to Top:

 

 

 

 

 

 

 

 

Bottom:

 

 

 

 

T.D.

 

 

 

 

 

 

 

 

 

 

 

 

 

Depth to Top:

 

 

 

 

 

 

 

Bottom:

 

 

 

 

 

T.D.

 

 

 

 

 

 

 

 

API No. 15 -

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Spot Description:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

-

 

 

-

 

 

 

-

 

 

Sec.

 

 

Twp.

 

 

 

 

S.

R.

 

 

 

 

 

East

 

 

West

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Feet from

 

 

 

 

North /

 

 

 

 

South

Line of Section

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Feet from

 

 

 

East /

 

 

 

 

West

Line of Section

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Footages Calculated from Nearest Outside Section Corner:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NE

 

 

 

 

 

 

NW

 

 

SE

 

 

SW

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

County:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Lease Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Well #:

 

 

 

 

 

 

 

 

Date Well Completed:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The plugging proposal was approved on:

 

 

 

 

 

 

 

 

 

 

 

 

(Date)

by:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(KCC DISTRICT Agent’s Name)

Plugging Commenced:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Plugging Completed:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Show depth and thickness of all water, oil and gas formations.

 

Oil, Gas or Water Records

 

Casing Record (Surface, Conductor & Production)

 

 

 

 

 

 

 

 

Formation

 

Content

Casing

 

Size

Setting Depth

Pulled Out

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Describe in detail the manner in which the well is plugged, indicating where the mud fluid was placed and the method or methods used in introducing it into the hole. If cement or other plugs were used, state the character of same depth placed from (bottom), to (top) for each plug set.

Plugging Contractor License #:

 

 

 

Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address 1:

 

 

 

 

 

 

 

Address 2:

 

 

 

 

 

 

 

 

 

 

 

 

City:

 

 

 

 

 

 

 

 

 

 

 

State:

 

Zip:

 

+

 

 

 

 

 

 

 

Phone: (

 

 

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of Party Responsible for Plugging Fees:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State of

 

 

 

 

 

 

County,

 

 

 

 

, ss.

 

 

 

 

 

 

 

 

 

 

 

Employee of Operator or

(Print Name)

Operator on above-described well,

being first duly sworn on oath, says: That I have knowledge of the facts statements, and matters herein contained, and the log of the above-described well is as filed, and the same are true and correct, so help me God.

Signature:

Mail to: KCC - Conservation Division, 130 S. Market - Room 2078, Wichita, Kansas 67202

Form Information

Fact Name Details
Filing Deadline The completed Kansas CP-4 form must be returned to the Conservation Division within 60 days from the plugging date.
Governing Law This form is governed by the Kansas Administrative Regulations (K.A.R.) 82-3-117.
Required Information All sections of the form must be filled out completely, including operator details and plugging records.
Submission Address The form should be mailed to KCC - Conservation Division, 130 S. Market - Room 2078, Wichita, Kansas 67202.

Detailed Guide for Filling Out Kansas Cp 4

Completing the Kansas CP-4 form requires careful attention to detail. This form must be filled out completely and returned to the Conservation Division within 60 days from the date the well was plugged. Ensure all required information is accurate and legible.

  1. Obtain the Kansas CP-4 form from the Kansas Corporation Commission website or your local office.
  2. Type or print clearly on the form to ensure readability.
  3. Fill in the following information:
    • OPERATOR: Enter the name of the operator.
    • License #: Provide the operator's license number.
    • Name: Fill in the name of the company or individual.
    • Address 1: Include the primary address.
    • Address 2: Add any additional address information if necessary.
    • City: Specify the city.
    • State: Indicate the state.
    • Zip: Provide the zip code.
    • Contact Person: Name of the person to contact.
    • Phone: Enter the contact person's phone number.
  4. Indicate the type of well by checking the appropriate box: Oil Well, Gas Well, Water Supply Well, etc.
  5. If applicable, fill in the SWD Permit #, ENHR Permit #, and Gas Storage Permit #.
  6. Answer whether the ACO-1 is filed and if a well log is attached.
  7. List the producing formations, including depth to top and bottom for each.
  8. Provide the API No. and spot description, including section, township, range, and distances from section lines.
  9. Fill in the county, lease name, and well number.
  10. Enter the date the well was completed and the date the plugging proposal was approved.
  11. Record the dates when plugging commenced and completed.
  12. Document the depth and thickness of all water, oil, and gas formations.
  13. Complete the casing record, including size and setting depth.
  14. Describe in detail how the well was plugged, including the placement of mud fluid and the methods used.
  15. Provide the plugging contractor's information, including license number, name, address, and phone number.
  16. Identify the party responsible for plugging fees.
  17. Have the operator or responsible party sign the form, affirming the accuracy of the information provided.
  18. Mail the completed form to the KCC - Conservation Division at the specified address.

Obtain Answers on Kansas Cp 4

  1. What is the purpose of the Kansas CP-4 form?

    The Kansas CP-4 form serves as a well plugging record for oil and gas wells. It is a crucial document that provides detailed information about the plugging process, ensuring that wells are properly sealed to prevent contamination of groundwater and other environmental hazards. By requiring operators to fill out this form completely, the Kansas Corporation Commission (KCC) can maintain oversight and ensure compliance with state regulations.

  2. Who is responsible for completing and submitting the CP-4 form?

    The operator of the well is responsible for completing the Kansas CP-4 form. This includes providing all necessary information, such as the well's location, depth, and the methods used for plugging. Once filled out, the form must be submitted to the Conservation Division of the KCC within 60 days from the date of plugging. Failure to do so may result in penalties or delays in compliance.

  3. What information must be included in the CP-4 form?

    The CP-4 form requires a variety of information, including:

    • Operator's name and contact details
    • Type of well (e.g., oil, gas, water supply)
    • Details about the well's construction and plugging process
    • Depths of various formations encountered during drilling
    • Records of casing and any materials used for plugging

    Each section must be filled out accurately to ensure the KCC has a complete record of the well's status.

  4. What happens if the CP-4 form is not submitted on time?

    If the Kansas CP-4 form is not submitted within the required 60-day timeframe, the operator may face consequences. These can include fines, increased scrutiny from regulatory authorities, or even legal action. Timely submission is essential to demonstrate compliance with state regulations and to protect the environment.

Common mistakes

Filling out the Kansas CP-4 form requires attention to detail. One common mistake people make is leaving sections incomplete. Every blank must be filled out. Omitting even one detail can lead to delays in processing or rejection of the form.

Another frequent error is neglecting to sign the form. The signature serves as a declaration of the truthfulness of the information provided. Without it, the form is not valid and cannot be accepted by the Kansas Corporation Commission.

Many individuals also fail to provide accurate contact information. Listing an incorrect phone number or address can hinder communication between the Conservation Division and the operator. This mistake can create unnecessary complications in the approval process.

When indicating the type of well, some people mistakenly check multiple boxes instead of selecting just one. This confusion can lead to misclassification and may affect the regulatory requirements for the well.

Another oversight involves the depth measurements. Some applicants do not provide complete depth information for all formations. This lack of detail can result in insufficient data for the Conservation Division to assess the well's condition properly.

People often forget to include the plugging proposal approval date. This date is crucial for tracking compliance with the plugging timeline. Without it, the form may be considered incomplete.

Additionally, some individuals do not attach the necessary well log when the ACO-1 form is not filed. This omission can lead to questions about the well's history and condition, complicating the review process.

Another mistake is failing to describe the plugging process in sufficient detail. Applicants should clearly outline how the well was plugged, including the materials used and their placement. A vague description may not meet regulatory standards.

Finally, individuals sometimes overlook the requirement to provide the name of the party responsible for plugging fees. This information is essential for accountability and financial tracking. Missing this detail can lead to confusion about who bears the costs associated with the plugging process.

Documents used along the form

The Kansas CP-4 form is essential for documenting the plugging of oil and gas wells. It is often accompanied by other forms and documents that provide additional information or fulfill regulatory requirements. Below are five common documents used alongside the Kansas CP-4 form.

  • ACO-1 Form: This form is used to report the abandonment of oil and gas wells. It includes details about the well's status and is necessary for compliance with state regulations.
  • Well Log: A well log provides a detailed record of the geological formations encountered during drilling. It is important for understanding the well's history and is often required when submitting the CP-4 form.
  • Plugging Proposal: This document outlines the plan for plugging the well. It includes methods, materials, and timelines. Approval of the plugging proposal is typically needed before the actual plugging can commence.
  • Plugging Contractor License: This document verifies that the contractor responsible for the plugging is licensed to perform such work. It ensures that the plugging is done by qualified personnel.
  • Fee Payment Receipt: This receipt confirms that all required fees associated with the plugging process have been paid. It serves as proof of compliance with financial obligations to the state.

Each of these documents plays a crucial role in ensuring the proper and legal plugging of oil and gas wells in Kansas. Together, they help maintain safety and environmental standards in the industry.

Similar forms

  • Kansas Form CP-1: This form is used for well completion records. Like the CP-4, it requires detailed information about the well, including the operator's information and specifics about the well's construction and completion.
  • Kansas Form CP-2: This form pertains to well drilling records. Similar to the CP-4, it mandates comprehensive documentation of the drilling process, including depths and formations encountered.
  • Kansas Form CP-3: This is the well abandonment record. It shares the requirement for detailed descriptions of the abandonment process, akin to the plugging details required in the CP-4.
  • Kansas Form ACO-1: The ACO-1 is an application for an oil and gas permit. Both forms require operator information and details about the well's status and operations, though ACO-1 focuses on permitting rather than plugging.
  • Kansas Form KCC-1: This form is used for reporting production data. Like the CP-4, it collects information vital for regulatory oversight, though it focuses on production rather than plugging.
  • Kansas Form KCC-2: This form is for reporting gas storage operations. Similar to the CP-4, it requires specific operational details and compliance with regulations, emphasizing safety and environmental considerations.
  • Kansas Form KCC-3: This is a well transfer form. It shares the need for detailed information about the well and its operators, ensuring that all parties involved are aware of the well's status and history.

Dos and Don'ts

When completing the Kansas CP-4 form, there are several important guidelines to follow. Adhering to these practices can help ensure that your submission is processed smoothly and efficiently.

  • Do fill out the form completely. Every section must be addressed to avoid delays.
  • Do print clearly or type your responses. Legibility is crucial for accurate processing.
  • Do sign the form. An unsigned form may be considered invalid.
  • Do submit the form within 60 days from the plugging date. Timeliness is essential.
  • Don't leave any blanks. If a section does not apply, indicate that clearly instead of skipping it.
  • Don't forget to include any necessary attachments, such as well logs or additional sheets if needed.

Following these dos and don'ts will help facilitate a successful submission of the Kansas CP-4 form to the Conservation Division.

Misconceptions

  • Misconception 1: The Kansas CP 4 form is optional for all well pluggings.
  • This is incorrect. The CP 4 form must be filled out completely and submitted to the Conservation Division within 60 days from the plugging date. It is a required document for compliance.

  • Misconception 2: Only the operator needs to sign the CP 4 form.
  • In reality, the form must be signed by the party responsible for the plugging fees as well. This ensures that all parties involved acknowledge the completion of the plugging process.

  • Misconception 3: The CP 4 form does not require detailed information about the well.
  • This is misleading. The form requires comprehensive details about the well, including the depths of various formations and the methods used for plugging. This information is crucial for regulatory purposes.

  • Misconception 4: Submitting the CP 4 form late has no consequences.
  • This is false. Failing to submit the form within the 60-day window can lead to penalties or delays in regulatory approval. Timely submission is essential for maintaining compliance.

  • Misconception 5: The CP 4 form is only for oil wells.
  • This is not true. The form applies to various types of wells, including gas wells, water supply wells, and others. It is important to select the correct type of well on the form to ensure proper processing.

Key takeaways

When dealing with the Kansas CP-4 form, it’s essential to understand its purpose and requirements. This form is critical for documenting the plugging of oil and gas wells in Kansas. Below are key takeaways to keep in mind:

  • Complete the Form: Ensure that every section of the form is filled out completely. Incomplete forms can lead to delays or rejections.
  • Timely Submission: Submit the form within 60 days from the date of plugging. This timeframe is crucial for compliance.
  • Signature Requirement: The form must be signed by the responsible party. This adds a layer of accountability.
  • Contact Information: Provide accurate contact details for the operator, including phone numbers and addresses. This facilitates communication.
  • Well Information: Clearly specify the type of well being plugged (e.g., oil, gas, water supply). This helps in categorizing the well correctly.
  • Formation Details: List all producing formations and their depths. This information is vital for understanding the geological context.
  • Plugging Methodology: Describe in detail how the well was plugged. Include information on the types of materials used and the methods applied.
  • Responsible Party: Identify the party responsible for plugging fees. This clarifies financial responsibilities.
  • Accurate Record Keeping: Maintain records of oil, gas, or water formations and casing details. Accurate records are essential for future reference.
  • Mailing Address: Send the completed form to the Kansas Corporation Commission's Conservation Division at the specified address to ensure proper processing.

By following these key takeaways, you can navigate the process of filling out and submitting the Kansas CP-4 form more effectively. Adhering to the guidelines will help ensure compliance with state regulations and facilitate smoother operations in the oil and gas industry.