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HomeMy WebLinkAboutCIRBO 4-6-5 - Start of Plugging Operations - Crestone - 5/16/2025State of Colorado Energy & Carbon Management Commission 1120 Lincoln Street, Suite 801, Denver, Colorado 80203 Phone: (303) 894-2100 Fax: (303) 894-2109 FIELD OPERATIONS NOTICE FORM 42 Rev 01/21 Document Number: ECMC RECEPTION Receive Date: 05/16/2025 404207949 Stephany Olsen Signature:Title: Print Name:Email: Date: regulatory@civiresources.com I hereby certify all statements made in this form are, to the best of my knowledge, true, correct and complete. 05/16/2025Sr. Regulatory Analyst ECMC Operator Number: City: Company Name: Address: 10633 CRESTONE PEAK RESOURCES OPERATING LLC 555 17TH STREET SUITE 3700 DENVER Zip:State:80202 Contact Person:Matt Thome Phone: ( ) (303) 312-8177 CO Email: Fax: mthome@civiresources.com Entity Information 05 - 123 - 22821 - 00 276736 336448 Sec:Twp:Range:QtrQtr:5 Lat:Long:2N 67W NWSE 40.166314 -104.912119 API #:Facility ID:Location ID: Facility Name:CIRBO 4-6-5 Submit By Other Operator Update of a previous Form 42 Notice NO START OF PLUGGING OPERATIONS - 48-hour notice required Date:05/22/2025 Time:06:00 (HH:MM) Are Plugging Operations for this Well anticipated to last for longer than one day? If YES, briefly describe the planned activities and the estimated duration of these operations: Operations planned for (8) days. Yes 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: 5/16/2025 Doc [#404207949] Well Name: CIRBO 4-6-5 Page 1 of 1