Blank Texas W 14 PDF Form

Blank Texas W 14 PDF Form

The Texas W 14 form is an application used to dispose of oil and gas waste by injecting it into a formation that is not productive of oil and gas. This form is crucial for operators seeking to manage waste responsibly while complying with state regulations. To begin the process, fill out the form by clicking the button below.

The Texas W-14 form is an essential document for operators looking to dispose of oil and gas waste through injection into formations that do not produce oil and gas. This form is submitted to the Railroad Commission of Texas and requires detailed information about the operator, the well, and the disposal process. Key sections of the form include operator identification, the location of the well, and specifics about the injection process, such as the maximum daily injection volume and the type of fluids being injected. Operators must also indicate whether the application is for a new permit or an amendment to an existing one. In addition to filling out the form, applicants must provide supporting documentation, including maps, notifications to affected parties, and a letter from the Texas Commission on Environmental Quality. Compliance with these requirements ensures that the disposal process meets safety and environmental standards. Overall, the Texas W-14 form plays a crucial role in regulating the disposal of oil and gas waste in a responsible manner.

Document Sample

RAILROAD COMMISSION OF TEXAS

OIL AND GAS DIVISION

Form W-14

05/2004

APPLICATION TO DISPOSE OF OIL AND GAS WASTE BY INJECTION

INTO A FORMATION NOT PRODUCTIVE OF OIL AND GAS

1 .Operator Name ______________________________________________________________ 2. Operator P-5 No. ________________________

3. Operator Address: _______________________________________________________________________________________________________

4. County ____________________________________________________________________

5. RRC District No. ________________________

6. Field Name _________________________________________________________________

7. Field Number ____________________________

8. Lease Name ________________________________________________________________

9. Lease/Gas ID No. _________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10.

Well is ______ miles in a ________ direction from __________________________ (center of nearest town).

11. No. acres in lease _______

12.

Legal description of location including distance and direction from survey lines___________________________________________________

13.

Latitude/Longitude, if known (Optional)

 

 

Lat. ____________________________ Long. __________________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14.

New Permit:

 

Yes

 

No

 

 

 

 

If no, amendment of Permit No. __________________ UIC# _________________________

15.

Reason for amendment:

 

 

Pressure

 

 

Volume

Interval

Commercial

Other (explain) _____________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

16.Well No.

 

17.API

No.

 

 

 

 

18.Date Drilled

 

 

 

 

19.Total Depth

 

 

 

20.Plug Date, if re-entry

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Casing

 

Size

 

 

 

Setting

 

 

Hole Size

Casing

 

Cement

 

Cement

 

Top of

 

Top Determined by

 

 

 

 

 

 

 

Depths

 

 

 

Weight

 

Class

 

Sacks (#)

 

cement

 

 

 

 

 

21.

Surface

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

22.

Intermediate

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

23.

Long String

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

24 .Liner

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

25.

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

26.

Depth to base of Deepest Freshwater Zone ___________________

27.Multiple completion?

 

 

Yes

No

 

28.

Multistage cement?

Yes

 

No

 

 

If yes, DV Tool Depth: ________ft.

No. Sacks: ________Top of Cement: _________

29.

Bridge Plug Depth: ________ ft.

30. Injection Tubing

Size: _____ in. and Depth ______ ft.

31. Packer Depth: ________ft.

32.

Cement Squeeze Operations (List all giving interval and number of sacks of cement and cement top and whether Proposed or Complete.):

 

 

 

 

 

 

33.

Injection Interval from __________ to _________ ft.

 

34. Name of Disposal Formation _______________________________

35.

Any Oil and Gas Productive Zone within two miles? Yes

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If yes, Depth _______________ ft. and Reservoir Name ______________________________________________________________________

 

 

 

 

 

 

36.

Maximum Daily Injection Volume __________ bpd

 

37. Estimated Average Daily Injection Volume _______________bpd

38.

Maximum Surface Injection Pressure ________ psig

 

39. Estimated Average Surface Injection Pressure____________ psig

 

 

 

 

 

40.

Source of Fluids (Formation, depths and types): ____________________________________________________________________________

41.

Are fluids from leases other than lease identified in Item 8? Yes

 

No

42. Commercial Disposal Well?

Yes

No

43.

If commercial disposal, will non-hazardous oil and gas waste other than produced water be disposed of?

 

 

 

Yes

No

44.

Type(s) of Injection Fluid:

 

Salt Water

Brackish Water

 

Fresh Water

 

 

CO2

N2

Air

H2S

 

LPG

 

NORM

 

 

Natural Gas

Polymer

 

Other (explain) _______________________________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CERTIFICATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I declare under penalties prescribed in Sec. 91.143, Texas Natural

____________________________________________________________

Resources Code, that I am authorized to make this report, that this

Signature

 

 

 

 

 

 

 

 

 

 

Date

report was prepared by me or under my supervision and direction, and

____________________________________________________________

that the data and facts stated therein are true, correct, and complete, to

Name of Person (type or print)

 

 

 

 

 

 

 

the best of my knowledge.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Phone __________________________ Fax ________________________

FOR OFFICE USE ONLY

 

 

 

 

REGISTER NO.

 

 

 

 

 

 

 

 

AMOUNT $

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

APPLICANT ALSO MUST COMPLY WITH THE INSTRUCTIONS ON THE REVERSE SIDE

05/2004

FORM W-14 INSTRUCTIONS

1.File the original application, including all attachments, with Environmental Services, Railroad Commission of Texas, P.O. Box 12967, Austin, Texas 78711-2967. File one copy of the application and all attachments with the appropriate district office.

2.Include with the original application a non-refundable fee of $100 payable to the Railroad Commission of Texas. Submit an additional $150 fee for each request for an exception to Statewide Rule 9(9) relating to Special Equipment.

3.Provide the current field name (Item 6) and field number (Item 7) designated in Commission records for an existing well. If the application is for a new well, provide the nearest producing field name and number.

4.Check in Item 14 the appropriate box for a new permit or an amendment of an existing permit. If an amendment, check the applicable boxes in Item 15 to indicate the reason for amendment and provide a brief explanation if “other” is checked.

5.If the application is for a new permit, attach a complete electrical log of the well or the log of a nearby well.

6.Attach a letter from the Texas Commission on Environmental Quality (TCEQ) or its predecessor or successor agency stating that the well will not endanger usable quality water strata and that the formation or stratum to be used for disposal does not contain usable quality water. To obtain the TCEQ letter, submit two copies of the Form W-14, a plat with surveys marked, and a representative electrical log to TCEQ, MC 151, P.O. Box 13087, Austin, Texas 78711-3087. NOTE: If the application is for an amendment, a new TCEQ letter is required only if the amendment is for a change in the disposal interval.

7.Attach a map showing the location of all wells of public record within one-half (1/2) mile radius of the proposed disposal well. On the map show each Commission-designated operator of each well within one-half (1/2) mile of the proposed disposal well. NOTE: For a commercial disposal well application, the map shall also show the ownership of the proposed disposal well tract and the surface tracts that adjoin the proposed disposal well tract.

8.Attach a table of all wells of public record that penetrate the disposal interval and that are within one-quarter (1/4) mile radius of the proposed disposal well. The table shall include the well identification, date drilled, depth, current status, and the plugging dates of those wells that are plugged. Identify any wells that appear to be or that you may know are unplugged or improperly plugged and penetrate the proposed injection interval. Alternatively, an applicant may request a variance under Rule 9(7)(B). NOTE: If the application is for an amendment, a table of wells within a one-quarter (1/4) mile radius is required only if the current permit was issued before April 1, 1982, or if the amendment is for a shallower disposal depth.

9.Attach a list of the names and mailing or physical addresses of affected persons who were notified of the application and when the notification was mailed or delivered. Include a signed statement attesting to the notification of the listed affected persons. Notice shall be provided by sending or delivering a copy of the front and back of the application to the surface owner of record of the surface tract where the well is located, each Commission- designated operator of any well located within one-half (1/2) mile of the proposed well, the county clerk, and the city clerk, or other city official, if the proposed well is located within municipal boundaries. In addition, notice of a commercial disposal well also shall be provided to surface owners of record of each surface tract that adjoins the surface tract where the proposed well will be located. NOTE: If the application is for an amendment, notification of the county clerk and the city clerk are required only if the amendment is for disposal interval or for commercial status.

10.Attach an affidavit of publication signed by the publisher that the notice of publication has been published in a newspaper of general circulation in the county where the disposal well will be located. Attach a newspaper clipping of the published notice. If the application is for a commercial disposal well, that fact must be stated in the published notice. NOTE: If the application is for an amendment, notification by publication is required only if the amendment is for disposal interval or for commercial status.

11.Attach any other technical information that you believe will facilitate the review of the application. Such information may include a cement bond log, a cementing record, or a well bore sketch.

Additional information is available in the Underground Injection Control Manual, which is available on the Railroad Commission’s website: www.rrc.state.tx.us

No public hearing will be held on this application unless an affected person or local government protests the application, or the Commission administratively denies the application. Any protest shall be in writing and contain (1) the name, mailing address, and phone number of the person making the protest; and (2) a brief description of how the protestant would be adversely affected by the activity sought to be permitted. If the Commission or its delegate determines that a valid protest has been received, or that a public hearing is in the public interest, a hearing will be held upon written request by the applicant. The permit may be administratively issued in a minimum of 15 days after receipt of the application, published notice, or notification of affected persons, whichever is later, if no protest is received.

File Specifics

Fact Name Fact Description
Form Purpose The Texas W-14 form is used to apply for the disposal of oil and gas waste through injection into a formation that is not productive of oil and gas.
Governing Law This form is governed by the Texas Natural Resources Code, specifically Section 91.143, which outlines the regulations for waste disposal.
Operator Information Applicants must provide detailed information about the operator, including the name, P-5 number, and address to ensure proper identification and accountability.
Fees Required A non-refundable fee of $100 is required when submitting the application, along with an additional $150 for any exceptions to Statewide Rule 9(9).
Environmental Protection Applicants must attach a letter from the Texas Commission on Environmental Quality (TCEQ) confirming that the proposed well will not endanger usable quality water strata.
Notification Requirements Notice must be provided to affected persons, including surface owners and nearby operators, regarding the application. A signed statement confirming this notification is necessary.
Public Hearing Conditions A public hearing will only occur if a protest is received from an affected person or local government, ensuring community concerns are addressed.

How to Use Texas W 14

Filling out the Texas W-14 form is an important step in applying to dispose of oil and gas waste. Once you complete the form, you'll need to submit it along with several attachments to the Railroad Commission of Texas. This process ensures that all necessary information is provided for your application to be reviewed.

  1. Start by entering the Operator Name in the first field.
  2. In the second field, write your Operator P-5 No..
  3. Fill in the Operator Address in the third field.
  4. Specify the County in which your operation is located.
  5. Enter the RRC District No. relevant to your application.
  6. Provide the Field Name associated with your operation.
  7. Input the Field Number in the next field.
  8. Write the Lease Name in the following field.
  9. Fill in the Lease/Gas ID No..
  10. Indicate how far the well is from the nearest town by completing the distance and direction fields.
  11. Specify the number of acres in the lease.
  12. Provide the legal description of the location, including distance and direction from survey lines.
  13. If known, fill in the Latitude/Longitude of the well.
  14. Check the box for New Permit or No for an amendment of an existing permit.
  15. If it’s an amendment, provide the Permit No. and UIC#.
  16. State the reason for the amendment, checking the appropriate box.
  17. Fill in the details for the well, including Well No., API No., Date Drilled, and Total Depth.
  18. For re-entry, provide the Plug Date.
  19. Complete the casing and cement information for each type listed.
  20. Indicate the depth to the base of the deepest freshwater zone.
  21. Answer whether there is multiple completion and if multistage cement is used.
  22. Provide the injection tubing size and depth.
  23. Fill in the packer depth.
  24. List any cement squeeze operations.
  25. Specify the injection interval.
  26. Provide the name of the disposal formation.
  27. Indicate if there is any oil and gas productive zone within two miles.
  28. Fill in the maximum daily injection volume and estimated average daily injection volume.
  29. Provide the maximum and estimated average surface injection pressure.
  30. Describe the source of fluids.
  31. Answer whether fluids are from other leases.
  32. Indicate if it is a commercial disposal well and whether non-hazardous oil and gas waste will be disposed of.
  33. Specify the types of injection fluid used.
  34. Sign and date the certificate section, providing your name and contact information.

After completing the form, gather all required attachments. These include a non-refundable fee, maps, and letters from relevant agencies. Submit the original application to the Railroad Commission and keep a copy for your records. This ensures you have everything in order for a smooth application process.

Your Questions, Answered

What is the Texas W-14 form used for?

The Texas W-14 form is an application used to dispose of oil and gas waste by injecting it into a formation that is not productive of oil and gas. This form is submitted to the Railroad Commission of Texas and is essential for ensuring that the disposal process complies with state regulations and protects the environment.

How do I submit the Texas W-14 form?

To submit the Texas W-14 form, follow these steps:

  1. Complete the original application, including all required attachments.
  2. File the original application with the Environmental Services at the Railroad Commission of Texas, P.O. Box 12967, Austin, Texas 78711-2967.
  3. Send one copy of the application and attachments to the appropriate district office.
  4. Include a non-refundable fee of $100, payable to the Railroad Commission of Texas. If you request an exception to Statewide Rule 9(9), include an additional $150 fee.

What information is required on the Texas W-14 form?

The Texas W-14 form requires various pieces of information, including:

  • Operator name and address
  • County and RRC District number
  • Field name and number
  • Lease name and Gas ID number
  • Details about the well, including depth, casing size, and injection tubing size
  • Injection interval and maximum daily injection volume
  • Source of fluids and types of injection fluid

Providing accurate and complete information is crucial for the review process.

What should I do if I need to amend my application?

If you need to amend your application, you must check the appropriate box on the form and provide a brief explanation for the amendment. This includes specifying the reason for the amendment, such as pressure, volume, or interval changes. If the amendment involves a change in the disposal interval, you will also need to attach a new letter from the Texas Commission on Environmental Quality (TCEQ).

Common mistakes

  1. Incomplete Operator Information: One common mistake is failing to fill out all the required details about the operator. This includes the operator's name, P-5 number, and address. Missing any of this information can delay the processing of the application.

  2. Incorrect Permit Type Selection: Applicants often check the wrong box in Item 14 regarding whether the application is for a new permit or an amendment. This can lead to confusion and may require resubmission of the form.

  3. Neglecting to Provide Required Attachments: Many applicants forget to include necessary attachments, such as the TCEQ letter or maps showing nearby wells. These documents are essential for the review process and can cause significant delays.

  4. Failing to Notify Affected Persons: It is crucial to notify all affected parties as outlined in the instructions. Not doing so can lead to protests and complications that may hinder the approval of the application.

Documents used along the form

The Texas W-14 form is used for applying to dispose of oil and gas waste by injection into a formation that is not productive of oil and gas. When submitting this form, there are several other documents that are often required to ensure compliance with regulations. Below is a list of these forms and documents, along with a brief description of each.

  • Operator P-5 Form: This document provides information about the operator's identity and is necessary for the Railroad Commission of Texas to maintain accurate records.
  • TCEQ Letter: A letter from the Texas Commission on Environmental Quality is required to confirm that the proposed disposal does not endanger usable quality water strata.
  • Well Log: This log contains detailed information about the well, including its drilling history and technical specifications, which may be necessary for the review process.
  • Map of Nearby Wells: A map showing the location of all wells within a half-mile radius of the proposed disposal well is required to assess potential impacts on existing operations.
  • Table of Wells: This table lists all wells that penetrate the disposal interval within a quarter-mile radius, providing essential data for evaluating the application.
  • Notification List: A list of affected persons who have been notified about the application must be included, along with a signed statement confirming the notification.
  • Affidavit of Publication: This document verifies that the application notice has been published in a local newspaper, which is necessary for public awareness and transparency.
  • Additional Technical Information: Any other relevant technical documents, such as cement bond logs or well bore sketches, can be attached to assist in the review of the application.

Submitting the Texas W-14 form along with the appropriate supporting documents is crucial for compliance with state regulations. Each document serves a specific purpose in the application process, helping to ensure that all necessary information is provided for a thorough review.

Similar forms

The Texas Form W-14 is similar to the Texas Form W-1, which is used for the application to drill an oil or gas well. Both forms require detailed information about the operator, the well location, and the intended purpose of the application. The W-1 focuses on the drilling process and includes sections on well depth and casing specifications, while the W-14 emphasizes waste disposal through injection. Both forms ensure compliance with state regulations and protect public health and the environment.

Another document comparable to the W-14 is the Texas Form W-2, which serves as a completion report for oil and gas wells. This form captures critical data about the well's production capabilities and operational status. While the W-2 details the completion of a well, the W-14 addresses the disposal of waste, highlighting the different stages of oil and gas operations. Both forms are essential for regulatory oversight by the Railroad Commission of Texas.

The Texas Form W-3 is also relevant, as it pertains to the application for a permit to operate a commercial disposal well. Similar to the W-14, the W-3 requires information about the operator and the disposal formation. However, the W-3 specifically focuses on commercial operations, including the types of waste to be disposed of and the financial assurances required. Both forms aim to ensure that disposal activities do not harm the environment or public health.

Texas Form W-5, which is used for the application to plug a well, shares similarities with the W-14 in that both address regulatory compliance and environmental protection. The W-5 outlines the procedures for safely plugging a well to prevent leakage, while the W-14 focuses on the injection of waste into non-productive formations. Both documents require detailed information about the well and the intended actions to safeguard natural resources.

The Texas Form W-6 is another document that parallels the W-14, as it is used for the application for a permit to inject water for enhanced oil recovery. This form requires information about the source and quality of the injected water, similar to how the W-14 requires details about the waste fluids. Both forms are designed to ensure that injection activities do not interfere with other natural resources or existing wells.

Texas Form W-7 is comparable as it relates to the application for a permit to dispose of produced water. The W-7 focuses specifically on the disposal of water that comes from oil and gas extraction, while the W-14 addresses a broader category of oil and gas waste. Both forms require operators to demonstrate that their disposal methods are safe and comply with state regulations.

The Texas Form W-8, which is used for the application to use a well for the injection of fluids for hydraulic fracturing, also shares similarities with the W-14. Both forms require detailed information about the well, the operator, and the fluids to be injected. However, the W-8 is specifically designed for hydraulic fracturing operations, while the W-14 focuses on waste disposal in non-productive formations.

Texas Form W-9 is relevant as it pertains to the application for a permit to dispose of hazardous waste. While the W-14 focuses on non-hazardous oil and gas waste, both forms require comprehensive details about the waste being disposed of and the methods used for disposal. This ensures that both hazardous and non-hazardous waste management practices meet state safety and environmental standards.

Lastly, the Texas Form W-10, which is used for the application to operate a commercial injection well, is similar to the W-14 in that both forms require information about the operator, the well, and the intended use of the injection. The W-10 focuses on commercial operations and the types of fluids to be injected, while the W-14 centers on the disposal of oil and gas waste. Both forms are vital for ensuring that injection activities are conducted responsibly and within regulatory guidelines.

Dos and Don'ts

When filling out the Texas W-14 form, there are several important considerations to keep in mind. Below is a list of things you should and shouldn't do.

  • Do ensure that all fields are filled out completely and accurately. Missing information can delay processing.
  • Do include the required fees with your application. A fee of $100 is necessary for the original application.
  • Do attach any necessary documentation, such as maps and letters from the Texas Commission on Environmental Quality (TCEQ).
  • Do check the appropriate box for whether you are applying for a new permit or an amendment to an existing one.
  • Don't forget to notify affected persons as required. A signed statement of notification must be included.
  • Don't submit the application without reviewing the instructions on the reverse side of the form.
  • Don't assume that the application will be processed without any issues. Double-check all entries for accuracy.
  • Don't neglect to include any additional technical information that may assist in the review process.

Misconceptions

Misconceptions about the Texas W-14 form can lead to confusion for operators and applicants. Here are six common misunderstandings:

  • It is only for new permits. Many believe the W-14 form is exclusively for new disposal well permits. However, it can also be used to amend existing permits.
  • Only oil waste can be injected. Some think that the form only allows for the disposal of oil waste. In reality, it covers a range of oil and gas waste types, including produced water.
  • All applications require a public hearing. There is a misconception that a public hearing is mandatory for every application. In fact, a hearing is only held if a protest is filed by an affected person or local government.
  • Fees are not required for amendments. It is often assumed that amendments to existing permits do not incur fees. In truth, a non-refundable fee is required for all applications, including amendments.
  • Notification is only necessary for nearby landowners. Many believe that only adjacent landowners need to be notified of the application. However, notifications must also be sent to operators of nearby wells and local government officials.
  • Latitude and longitude are mandatory. Some applicants think they must provide latitude and longitude coordinates. While it is helpful, this information is optional on the form.

Key takeaways

Filling out the Texas W-14 form is an important step in the process of disposing of oil and gas waste. Here are some key takeaways to keep in mind:

  • Accurate Information is Crucial: Ensure that all sections of the form are filled out completely and accurately. This includes operator details, well information, and disposal formation specifics.
  • Understand Your Fees: A non-refundable fee of $100 is required when submitting the application. If you request an exception to certain rules, an additional $150 fee applies.
  • Permits and Amendments: Indicate whether you are applying for a new permit or amending an existing one. This distinction is critical for processing your application correctly.
  • Environmental Considerations: Attach a letter from the Texas Commission on Environmental Quality (TCEQ) confirming that the disposal will not harm usable water strata.
  • Map Requirements: Include a map that shows all wells within a half-mile radius of the proposed disposal site. This helps assess potential impacts on surrounding areas.
  • Notification of Affected Persons: Notify all relevant parties, including surface owners and nearby well operators, about your application. Document this notification process thoroughly.
  • Publication of Notice: If required, publish a notice of your application in a local newspaper. This step is essential for transparency and community awareness.

By following these guidelines, you can navigate the application process more smoothly and increase the likelihood of a successful permit approval.