Kansas Cp 4 Template

Guidelines on Utilizing Kansas Cp 4

Filling out the Kansas Corporation Commission (KCC) CP-4 Form, also known as the Well Plugging Record, is a mandatory process for reporting the plugging of oil and gas wells in Kansas. This documentation is crucial for ensuring the conservation of natural resources and adherence to state regulations. The process requires careful attention to detail to accurately report the completion of plugging operations. Once the form is completed and submitted, it will be reviewed by the Conservation Division to ensure compliance with all necessary regulations.

1. Start by typing or printing in clear, legible handwriting to ensure all information is understandable.
2. Under the "OPERATOR" section, enter the operator's license number, name, and complete address, including City, State, and Zip. Also, provide the contact person's name and phone number.
3. Check the appropriate box to indicate if the form is for an Oil Well, Gas Well, OG D&A, Cathodic Type of Well, Water Supply Well, or other, specifying the type if "Other" is selected. Include any relevant SWD, ENHR, and Gas Storage Permit numbers.
4. Answer "Yes" or "No" to whether ACO-1 is filed. If not, indicate whether the well log is attached.
5. Under "Producing Formation(s)," list all formations, including the depth to top and bottom, and T.D. (Total Depth). Attach another sheet if necessary.
6. Fill in the API No., Spot Description, and details such as Section, Township, Range, and Footages Calculated from Nearest Outside Section Corner. Indicate the county, lease name, and well number.
7. Enter the date when the well was completed and the date when the plugging proposal was approved, including the KCC DISTRICT Agent’s Name.
8. Record the dates when plugging commenced and was completed.
9. In the space provided, show the depth and thickness of all water, oil, and gas formations, including the casing record (surface, conductor, & production), formation content, casing size, setting depth, and whether it was pulled out.
10. Describe in detail the manner in which the well was plugged, including where the mud fluid was placed and the methods used in introducing it into the hole. If cement or other plugs were used, state the character of the same and depth placed from (bottom) to (top) for each plug set.
11. Under the "Plugging Contractor" section, list the license number, name, and complete address, including City, State, Zip, and phone number.
12. Indicate the name of the party responsible for plugging fees.
13. In the statement section, enter the County and then have the Employee of Operator or Operator (print name) provide a sworn statement confirming the accuracy of the information provided and that they have knowledge of the well's state as described. They must sign the document in this section.
14. Review the form thoroughly to ensure all information is accurate and complete.
15. Mail the completed form to the address provided at the bottom: KCC - Conservation Division, 130 S. Market - Room 2078, Wichita, Kansas 67202.

After submitting the CP-4 Form, it will be processed by the Kansas Corporation Commission's Conservation Division. The division will review the details of the well plugging to ensure it meets state requirements and standards for environmental protection and resource conservation. Compliance with these regulations is essential for maintaining public safety and preserving the integrity of Kansas’s natural resources. Therefore, accurate and timely submission of the Well Plugging Record is not only a regulatory requirement but also a contribution to sustainable environmental stewardship.

What is the Kansas CP-4 form?

The Kansas CP-4 form is an official document required by the Kansas Corporation Commission (KCC) for reporting the details of a well plugging operation. It is used primarily within the oil and gas conservation division to ensure that the plugging of wells is conducted properly, adhering to state regulations. The form gathers information about the well, operator, plugging contractor, and the specific techniques used for plugging the well.

Who needs to fill out this form?

Operators responsible for the plugging of oil, gas, water supply wells, or any other types designated by the state of Kansas are required to complete the CP-4 form. It is the responsibility of these operators to ensure that the form is filled out completely and accurately.

What information is required on the CP-4 form?

Required information includes operator details (license number, name, address), contact information, well type, permit numbers, well log availability, producing formations, well location, lease name, well number, completion date, plugging dates, details of the well's oil, gas, or water records, casing record, detailed plugging procedure, and the plugging contractor’s information. Additionally, a sworn statement by the employee of the operator or the operator themselves is necessary to attest to the accuracy of the information provided.

Is there a deadline for submitting the CP-4 form?

Yes, the completed CP-4 form must be submitted to the Conservation Division of the Kansas Corporation Commission within 60 days from the date the well plugging is completed.

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

Failure to submit the CP-4 form within the specified timeframe may result in penalties, including fines or legal action, and could also affect the operator’s license to operate within the state.

Can the CP-4 form be submitted electronically?

The specific guidelines for electronic submission may change; thus, operators should consult directly with the Kansas Corporation Commission’s Conservation Division or check the KCC website for the most up-to-date submission guidelines.

Do I need to attach additional documents when submitting the CP-4 form?

Yes, if the ACO-1 form has not been filed, a well log must be attached. Additionally, if there is insufficient space on the form to list all producing formations or to provide detailed plugging procedures, operators should attach separate sheets with the necessary information.

Who is responsible for the plugging fees?

The form requires the name of the party responsible for the plugging fees to be listed. This is typically the operator or the entity that undertook the well plugging procedure.

What is the significance of the sworn statement on the form?

The sworn statement is a legal attestation by the person completing the form that all the information provided is accurate and truthful. This is a crucial part of compliance and ensures that operators take responsibility for the data they report to the KCC.

Where should the completed CP-4 form be sent?

The completed CP-4 form should be mailed to the KCC - Conservation Division at the address provided on the form: 130 S. Market - Room 2078, Wichita, Kansas 67202.

When filling out the Kansas CP-4 form, which is crucial for documenting the plugging of wells in the interest of oil and gas conservation, people often make mistakes that can lead to incomplete submissions or delays in the process. Here are five commonly observed mistakes:

1. Not filling out the form completely: This form requires every blank to be filled to ensure that the Conservation Division has all the necessary information. Leaving sections blank can result in the form being returned for completion, causing delays.

2. Failing to check the correct type of well: The form has multiple options under "Type of Well," including Oil Well, Gas Well, Water Supply Well, and others. Misidentifying the well type can lead to incorrect processing of the information.

3. Not including additional required documents: If the ACO-1 has not been filed, a well log must be attached. Sometimes, operators overlook attaching the necessary additional documents, which is essential for the form’s processing.

4. Omitting the plugging date and KCC DISTRICT Agent’s approval date: These dates are crucial for the record. The form must be returned within 60 days from the plugging date, and it's important to note the approval date of the plugging proposal by the KCC DISTRICT Agent.

5. Inaccurate or unclear description of plugging details: The form asks for a detailed description of how the well was plugged, including the placement of mud fluid and any cement or other plugs used. Insufficient details or unclear descriptions can obscure the plugging process's efficacy.

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Addressing these common mistakes can streamline the form submission process, ensuring that the Conservation Division receives accurate and complete information for their records. It’s always recommended to review the form carefully before submission, ensuring that all sections are filled out correctly and that any required attachments are included.

When working with the Kansas CP-4 form, essential for recording well-plugging activities in the state, it's common to encounter several other documents and forms that serve various regulatory and operational purposes. These documents are significant for complying with state regulations, ensuring environmental protection, and maintaining accurate records of well activities. They range from applications for permits to reports detailing well and production statuses.

• ACO-1 Form: This document is often mentioned in the context of the Kansas CP-4 form. It's used to report changes in well status and is necessary for updating the records with the Kansas Corporation Commission. The form allows the state to track the status of oil and gas wells, ensuring that all wells are accounted for and properly managed.
• Intent to Drill Form: Before drilling can commence, this form must be submitted and approved. It provides the regulatory body with information about the proposed drilling operations, including location, depth, and the nature of the well being drilled. This ensures that all drilling activities comply with state regulations and are conducted safely and responsibly.
• Completion Report: After the drilling and completion phases are finished, this document is used to report the outcome. It includes data on the geological formations encountered, production tests, and initial production rates. This report is crucial for the Kansas Corporation Commission to evaluate the well's potential impact and performance.
< (b>Material Safety Data Sheet (MSDS): When handling chemicals or hazardous materials during the plugging process, it's necessary to have an MSDS for each substance. These sheets provide information on the properties of the materials, including potential hazards and instructions for safe handling, storage, and disposal.
• Environmental Impact Statement: Depending on the location and potential environmental impact of the well plugging, an Environmental Impact Statement (EIS) might be required. This document assesses the potential effects of the plugging activities on the surrounding environment and proposes measures to mitigate any adverse impacts.

Together, these documents complement the Kansas CP-4 form, ensuring comprehensive oversight of well-plugging activities. By maintaining thorough and accurate records, operators can demonstrate compliance with regulations, protect environmental resources, and ensure the health and safety of workers and communities. It's crucial for those involved in well-plugging operations to be familiar with these forms and to understand the importance of each in the broader context of oil and gas well management and environmental protection.

The Kansas CP-4 form, utilized for documenting the plugging of oil and gas wells, bears similarity to other regulatory documents in the energy sector due to its focus on environmental and public safety concerns. Among these, the Texas Railroad Commission's Form W-3, the "Plugging Record," stands out. Both forms require detailed accounts of the plugging operation, including the specifications of the materials used, such as mud or cement, the methods of placement, and precise depth measurements for each section of the plugging. The emphasis on documenting every aspect of the plugging process reflects a shared goal between states to ensure wells are safely and effectively sealed to prevent contamination of natural resources.

Another document akin to the Kansas CP-4 form is the Pennsylvania Department of Environmental Protection's Form 8000-PM-OOGM0005, known as the "Well Plugging Submission." Similar to the CP-4 form, this document mandates operators to include comprehensive details about the well's geological condition, the materials used for plugging, and the sequence of operations conducted. Both documents also require the identification of the well, its location, and the responsible party's contact information. This parallel structure underlines the unified approach across states to maintain rigorous oversight over well plugging, aiming to minimize environmental impact and safeguard public health.

The CP-4 form also shares commonalities with the North Dakota Industrial Commission's Form 13, titled "Report of Well Plugging." Like its counterparts, Form 13 demands a detailed recounting of plugging methods, the types of plugs used, and their placement within the wellbore. Both the CP-4 and Form 13 place a strong emphasis on the technical aspects of well integrity post-plugging, such as the depth to the top and bottom of plugging materials and the identification of all layers of oil, gas, or water encountered during the plugging process. The inclusion of detailed mapping for the well location and surrounding environment pinpoint the industry's overall commitment to rigorous scrutiny and accountability in plugging practices.

When filling out the Kansas CP-4 form for well plugging records, there are specific actions you should and shouldn't take to ensure the process is completed accurately and efficiently. Here’s a guideline to follow:

• Complete the form thoroughly: Make sure to fill in all the blanks. A fully completed form ensures that all necessary details are accounted for and can help avoid delays.
• Type or print clearly: This makes the information easy to read and prevents misunderstandings or processing errors.
• Check the appropriate boxes: Be careful to mark the correct type of well and any other applicable checkboxes to accurately describe the well being plugged.
• Attach additional sheets if necessary: If the space provided is not sufficient, attach extra sheets to list all producing formations or to provide further necessary details.
• Sign the form: The form must be signed to verify the accuracy of the information provided and to validate the document.
• Return the form within the given timeline: Make sure to send the completed form to the Conservation Division at the provided address within 60 days from the plugging date to comply with regulations.

• Leave blanks: Do not skip any fields. If a specific section does not apply to your situation, indicate this with a notation such as “N/A” (Not Applicable) rather than leaving it blank.
• Assume details are not important: Each part of the form gathers critical information for the Conservation Division. It's important to provide detailed and accurate responses to each question.
• Forget to check if additional permits are listed: If the well has associated permits like SWD, ENHR, or Gas Storage, make sure these numbers are accurately reflected on the form.
• Omit contact information: The contact person and their details are essential for any follow-up queries. Ensure this information is complete and correct.
• Rush through the form: Take your time to review all entered information for accuracy before submitting.
• Mail to the wrong address: Double-check the mailing address for the KCC - Conservation Division to ensure the form reaches the correct office for processing.

There are several misconceptions about the Kansas Corporation Commission (KCC) Form CP-4, which is essential for documenting the plugging of oil and gas wells in Kansas. Misunderstandings can lead to incorrect form submissions, potentially causing delays or issues with compliance. Here, we aim to clear up some of the most common misconceptions.

• Every segment of the form must be completed by the operator alone. It's a common belief that only the individual or entity that operated the well must fill out the entire form. However, while the operator is primarily responsible, portions of the form, especially those related to detailed plugging activities, can be completed by the plugging contractor. The important aspect is that all sections are filled accurately, and information regarding the plugging contractor is provided when applicable.

• The form is only for oil wells. This misunderstanding can lead to gas or water supply well operators assuming they don't need to submit the form. The CP-4 form clearly has sections to indicate the type of well, including oil, gas, water supply, and others, such as disposal or gas storage wells. It's crucial for operators of all such wells to know that this form applies to them as well.

• If the ACO-1 is not filed, the well log does not need to be attached. The form asks if an ACO-1 is filed and if not, whether a well log is attached. Some may mistakenly think that not having filed an ACO-1 exempts them from including a well log. In reality, if the ACO-1 is not filed, attaching the well log becomes even more critical for the documentation of the well’s condition and details before plugging.

• Filling out the form is only a bureaucratic step without real enforcement. This misconception underestimates the importance of the CP-4 form. It is a legal document required by the Kansas Administrative Regulations, and its completion is closely monitored by the Conservation Division of the KCC. Ensuring that the form is filled out completely and accurately is essential for compliance, environmental protection, and possibly preventing legal issues.

Understanding these misconceptions is the first step toward ensuring compliance with the Kansas Corporation Commission's requirements for well plugging. Properly completing and submitting the CP-4 form is crucial for any operator in the process of plugging a well. It's not just about following regulations; it's also about contributing to the responsible management of oil and gas resources in Kansas.

When completing the Kansas CP-4 form, it's essential to understand several key points to ensure the process is done correctly and efficiently. Below are crucial takeaways for navigating this process:

• Make sure to fill out the form completely and return it to the Conservation Division at the provided address within 60 days from the plugging date.
• The form requires typing or printing. This ensures clarity and readability, which helps in avoiding any processing delays due to misunderstandings or illegibility.
• All blanks on the form must be filled out. If a section does not apply, consider marking it as "N/A" (not applicable) to indicate it was reviewed but found to be irrelevant to your specific situation.
• It is mandatory to sign the form. A signature verifies that the information provided is accurate and that the signee takes responsibility for the submission.
• The form asks for detailed information about the well, including type, depth, and the producing formation(s). If the space provided is insufficient, attach additional sheets as needed.
• Details about the plugging process, such as the plugging proposal approval date, commencement, and completion dates, must be recorded accurately. Moreover, records of the depth and thickness of all relevant formations encountered and the casing record must be included.
• For wells that require it, specifics about the plugging material used, especially if cement or other plugs were utilized, should be explicitly stated, indicating the material's character and the depths at which it was placed.
• The form must be mailed to the KCC Conservation Division at the given address in Wichita, Kansas, ensuring it reaches the appropriate office for processing.

Following these guidelines will facilitate a smoother submission process, helping to ensure that your well-plugging record meets all necessary requirements as mandated by the Kansas Corporation Commission.