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HomeMy WebLinkAboutMAHONEY 1 - 12/12/2024State 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: 12/12/2024 404026556 Laura Humphrey Signature:Title: Print Name:Email: Date: lhumphrey@kpk.com I hereby certify all statements made in this form are, to the best of my knowledge, true, correct and complete. 12/12/2024Project Manager ECMC Operator Number: City: Company Name: Address: 46290 KP KAUFFMAN COMPANY INC 1700 LINCOLN ST STE 4550 DENVER Zip:State: 80203 Contact Person:Lily Clark Phone: ( ) (303) 825-4822 CO Email: Fax: lclark@kpk.com Entity Information 05 - 123 - 08110 - 00 240322 317988 Sec:Twp:Range:QtrQtr:20 Lat:Long:2N 67W NENE 40.129740 -104.908130 API #:Facility ID:Location ID: Facility Name:MAHONEY 1 Submit By Other Operator Update of a previous Form 42 Notice YES NOTICE OF MOVE-IN, RIG-UP Start Date:12/16/2024 Are operations with this rig on this Location anticipated to last for longer than one day? If YES, briefly describe the planned activities and the estimated duration of these operations: Rig will be onsite for a pump change Time:11:00 (HH:MM) Select the type of rig below. (Only 1 box may be checked) Drilling Rig (Spud Rig) – 2 Business Days Notice Drilling Rig – 2 Business Days Notice X Work-Over Rig, Planned Operations – 2 Business Days Notice Work-Over Rig, Unplanned Operations – notify within 1 Business Day after start 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: 12/12/2024 Doc [#404026556] Well Name: MAHONEY 1 Page 1 of 1