Section 1
Section 2
Section 3
Section 4
Section 5
Section 1 - General
BLM Office
-- Please Select --
CO - Kremmling
CO - Tres Rios
CO - White River
WY - Buffalo
WY - Cody
WY - Newcastle
WY - Pinedale
Lease Type
Federal
Indian
Allotted?
Yes
No
Tribe
-- Select --
Drop-down List Item 1
Drop-down List Item 2
Drop-down List Item 3
User
Scott Herman
Title
Sr. Planner
Designated Agent?
Yes
No
APD Operator
-- Please Select --
Operator 1
Operator 2
Operator 3
Designated Agent Info
Agent Address
Agent PO Box
Agent City
State
--
Zip
Agent Phone
Agent Internet Address
Operator Info
Operator Address
Operator PO Box
Operator City
State
--
CO
WY
Zip
Operator Phone
Operator Internet Address
Section 2 - Well Information
Well Name
Well Number
Well API Number
Field/Pool or Exploratory?
Field and Pool
Exploratory
Field Name
Pool Name
Use Existing Well Pad?
Yes
No
Type of Well Pad
Single
Multiple
Multiple Well Pad Name
Number
Well Class
Vertical
Directional
Horizontal
Multiple Lateral
Sidetrack
Splitter
Number of Legs
Well Work Type
Drill
Reenter
Redrill
Well Type
-- Please Select --
Coalbed Natural Gas
Conventional Gas
Injection Well - Enhanced Recovery
Injection Well - Disposal
Monitoring Well
CO2
Oil
Other
Describe Well Type
Section 3 - Well Location Table
Survey Type
-- Please Select --
Rectangular
Metes and Bounds
Carter Coordinates
Other
Describe Survey Type
Datum
NAD 27
NAD 83
Vertical Datum
NGVD 29
NAVD 88
Add
---
SHL
KOP
PPP
Exit
BHL
State
--
CO
WY
Meridian
County
Latitude
Longitude
Elevation
MD
TVD
Lease #
Metes and Bounds
5 Min Letter
5 Min Number
1 Min Section
NS-Foot
EW-Foot
Twsp.
Range
Section
Aliquot
Lot
Tract
Submit
Pid
TableAction