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U.S. DEPARTMENT OF THE INTERIORBUREAU OF LAND MANAGEMENT
Wyoming

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Notice of Intent to Plug & Abandon

You must select the field office in which you are conducting your operations.
Rawlins Kemmerer      
       
Note: please use a period as a separator instead of a hypen or slash  (e.g. 10.03.08 instead of 10-03-08 or 10/03/08)
BLM Petroleum Engineer assigned to APD:
Operator: Phone:
Lease Number: Well Name,Number:
Unit,CA:   API Number:
    ¼    ¼ Section: Township North Range West  
Date of Notice of Intent to Plug & Abandon:   
Time of Notice of Intent to Plug & Abandon:  
Contact person: Phone:  Email:
Plugging contractor: Rig No:   
Contractor contact name: Contractor contact phone:
Contractor contact email:
Date that plug & abandon operations will begin:
Approximate time that plug & abandon operations will begin:
Submitted By:
Additional Information?
Leave This Field Blank        
Please contact [email protected] if you receive an error message after clicking "Submit."

 

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