Form W 3A PDF Details

Stepping into the realm of oil and gas operations within Texas reveals a web of regulatory requirements designed to safeguard both the environment and community interests. Central to these regulations is the Railroad Commission of Texas' Form W-3A, a document serving as a Notice of Intention to Plug and Abandon. Updated regularly to adapt to evolving industry standards, the latest revision highlights the commitment to transparency and operational integrity. Through this form, operators are required to detail plans for safely ceasing the use of wells, underscoring the necessity of thorough well plugging procedures to prevent potential hazards. Displaying crucial information such as the operator's name, well site county, and intended plugging methodology, the W-3A form is a comprehensive tool for outlining the steps and measures taken to mitigate environmental risk. Information on the well's depth, type, and the quality of water strata it intersects further emphasizes the document's role in ensuring responsible resource management. Whether for oil, gas, or other types of wells, adherence to the guidelines set forth on this form signifies an operator's dedication to compliance and environmental stewardship.

QuestionAnswer
Form NameForm W 3A
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namestx rrc w, form 3a commission form, w 3a, how to texas form 3a

Form Preview Example

 

 

 

RAILROAD COMMISSION OF TEXAS

Form W-3A

 

 

 

 

Type or print only

 

Rev 1/1/83

 

 

Oil and Gas Division

 

 

 

(02/00)

 

 

 

Notice of Intention to Plug and Abandon

 

 

 

WWW-1

 

 

 

 

Operators must comply with RRC plugging procedures as outlined on the reverse side.

1. Operator's Name and Address (Exactly as shown on Form P-5, Organization Report)

3. RRC District No.

4. County of Well Site

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5. API No.

 

 

 

6. Drilling Permit No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

42-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7. Rule 37 Case No.

8. Oil Lease No. or

 

 

 

9. Well No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Gas Well ID No.

 

 

 

 

 

 

 

 

 

2. RRC Operator Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10. Field Name (Exactly as shown on RRC records)

 

 

 

 

 

 

 

 

 

11. Lease Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12. Location

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

• Section No.

 

 

 

 

 

Block No

 

 

Survey

 

 

 

 

 

 

 

 

 

 

 

 

No.

 

 

 

Abstract No. A-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

• Distance (in miles) and direction from a nearby town in this county (name the town).

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13. Type of well

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14. Type of completion

 

 

 

15. Total depth

 

 

1.

oil

3.

 

disposal

5. other (specify)

 

 

 

 

 

 

 

 

 

 

 

 

Single

 

 

Multiple

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

gas

4.

injection

 

 

Enter appropriate no. in box

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

16. Usable-quality water strata (as determined by Texas Dept. of Water Resources) occur to a

 

 

 

 

 

 

 

 

 

 

 

 

 

 

depth of

 

 

 

 

 

 

feet and in deeper strata from

 

 

 

 

 

to

 

 

 

feet: and from

 

 

 

 

 

to

 

 

feet

17.•If there are wells in this area which are producing from or have produced from a shallower zone, state depth of zone

• If there are wells into which salt water is being or has been disposed of into a shallower zone, state depth of zone

18. Casing record (list all casing in well)

 

 

 

 

 

 

Drilled

Top of

 

 

 

 

Cement

 

hole

cement

Size

 

Depth

(sacks)

 

size

(feet)

 

 

 

 

 

 

 

 

 

Top of cement determined by:

Cement

Temper.Bond

Survey Calculated Log

Anticipated

casing

recovery (feet)

SET @

 

W/

SET @

 

 

W/

SET @

 

 

W/

SET @

 

W/

SET @

 

W/

19. Has notice of intent to plug been filed previously for this well?

 

 

 

 

/

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

 

 

 

 

 

 

 

 

 

 

 

 

No

Mo. Day

 

Yr.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

21. Record of perforated intervals or open hole

 

 

 

 

 

 

 

 

 

 

 

Perforations

 

 

Open

Plugged

 

Plugging method

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Open Hole

22. Name and address of cementing company or contractor

20.Plugging proposal (List all bridge and cement plugs. Load the hole with at least 9.5 lbs. per gallon mud.)

No. of sacks

Depth In feet (top & bottom)

1.

2.

3.

4.

5.

6.

7.

8.

23. Anticipated plugging date for this well is:

/ /

Mo. Day

Yr.

 

 

 

 

 

 

 

 

Typed or printed name of operator's representative

 

 

 

Title of person

 

 

 

/

/

 

 

 

Telephone: Area Code Number

Date:

Mo. Day

Yr.

 

Signature

 

 

 

 

 

 

 

 

 

 

RRC District Office Action

 

Expiration date

/

/

 

 

 

 

Mo.

Day Yr.

 

District Director

Date

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