Office of Oil, Gas, and Minerals
Download all Oil and Gas forms in zipped file (approx 950 Kb).
Most of the forms on this page are in Microsoft Word format, a few are in Acrobat.
Records should be submitted by mail to:
Michigan Department of Environmental Quality
Office of Oil, Gas, and Minerals
P.O. Box 30256
Lansing, Michigan 48909-7756
or by email to:
DEQ-GeologicalRecords@michigan.gov
Items on this page:
Forms used for Permits and Bonding
Forms used for Drilling and Completion
Forms used for Production and Operating
Abbreviations used below in "Where Filed" and "Unit":
PMGU= Petroleum and Mining Geology Unit - Contact 517-241-1507
PBU = Permits and Bonding Unit - Contact 517-241-1528
CU = Compliance and Enforcement Unit - Contact 517-335-6766
TSS = Technical Services Section - Contact 517-241-1515
DO= District Office click on link to see district offices
MPSC= Michigan Public Service Commission - Contact 517-241-6180
|
Forms Used for Permits and Bonding
|
FORM NAME
|
FORM NUMBER
|
WHO
ORIGINATES
|
WHEN FILED
|
WHERE FILED
|
# of COPIES WITH ORIGINAL
|
*Application for Permit to Drill, Deepen, and Operate a Well
Forms marked w/ * are attached as part of a complete application to drill |
EQP 7200-1 Permit Instructions:
EQC 7200
EQC72001
EQC 7200-2
|
Permit Applicant |
Application |
PBU |
3 (1 in set of copies + 2) |
* One of the following for permit fee: Check
or
Credit Card Transaction Authorization
or
Electronic Fund Transfer Debit Authorization |
issued by applicant
EQP 7010
EQP 7011 |
Permit Applicant |
w/ Application for Permit to Drill |
PBU |
none required |
| * Survey Record of Well Location |
EQP 7200-2 |
Permit Applicant |
w/ Application for Permit to Drill |
PBU |
1 in set of copies
|
| * Wellhead Blowout Control System |
EQP 7200-4 |
Permit Applicant |
w/ Application for Permit to Drill |
PBU |
1 in set of copies
|
| * Injection Well Data & attachments |
EQP 7200-14 |
Permit Applicant |
w/ Application for Permit to Drill Injection Well |
PBU |
1 in set of copies
|
| * Soil Erosion & Sedimentation Control Plan |
EQP 7200-18 |
Permit Applicant |
w/ Application for Permit to Drill |
PBU |
1 in set of copies
|
| * Environmental Impact Assessment |
EQP 7200-19 |
Permit Applicant |
w/ Application for Permit to Drill |
PBU |
1 in set of copies
|
| * Antrim Project Environmental Impact Assessment
|
EQP 7200-21 |
Permit Applicant |
w/ Application for Permit to Drill |
PBU |
1 in set of copies
|
| * Surface Owner Notification |
No form. File as required by {R324.201(2)(d)} |
Permit Applicant |
w/ Application for Permit to Drill |
PBU |
1 in set of copies
|
Bond for Conformance
(use one of the below) |
|
Permit Applicant |
If for a single well: w/ Application for Permit to Drill or Request for Transfer
Blanket bond documents on file w/ OGS do not need to copied for new application
|
PBU |
0
|
| 1. Surety Bond |
EQP 7200-3 |
| 2. Certificate of Deposit |
CD |
| 3. Letter of Credit |
EQP 7298 single EQP 7299 blanket
|
| 4. Cashier's Check |
check |
| 5. Statement of Financial Responsibility |
EQP 7200-17 |
| Acceptance of CD as Performance Bond |
EQP 7200-15(single) EQP 7200-16(blanket)
|
Permit Applicant |
w/ CD bond |
PBU |
0
|
| Well Permittee Organization Report |
EQP 7200-13 |
Permit Applicant |
As requested by PB Unit: usually w/App or Request for Transfer |
PBU |
1
|
| Request for Transfer of Permit |
EQP 7200-7 |
Permittee |
At change of owner or operator |
PBU |
3
|
| Authorization for Expenditure |
EQP 7604 |
Petitioner in compulsory pooling hearing |
With petition as petition exhibit |
TSS |
5
|
| Application for Rule 303 Spacing Exception |
EQP 7200-23 |
Permit Applicant |
When applying for an expanded voluntary pooled drilling unit |
TSS
Section Chief
|
0
|
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Forms Used for Drilling and Completion
|
FORM NAME
|
FORM NUMBER
|
WHO
ORIGINATES
|
WHEN FILED
|
WHERE FILED
|
# of COPIES WITH ORIGINAL
|
| Record of Well Drilling or Deepening |
EQP 7200-5 |
Permittee |
Within 60 days of drilling completion |
PMGU |
3
|
| Well Elevations |
No form. File as required by
{R324.418(a)(i)} |
Permittee |
Within 60 days of drilling completion |
PMGU |
0
|
| Electric or Radiation Logs |
No form. File as required by
{R324.419(1)} |
Permittee |
30 days after running log(s) |
PMGU |
0
|
| Survey of Directionally Drilled Well |
No form. File as required by
{R324.421} |
Permittee |
30 days after drilling completion Note: a well may not be produced until survey is filed |
PMGU |
3
|
| Water Well Record for Oil, Gas, or Mineral Well Operations |
EQP 7200-10 |
Permittee |
30 days after water well completion |
PBU |
2
|
| Certification of Casing and Sealing of Surface Hole |
EQP-7200-12 |
Permittee |
30 days after drilling completion |
PMGU |
1
|
| Mud Pit Plot |
EQP 7200-9 |
Permittee |
60 days after drilling completion |
DO |
1
|
| Record of Well Completion |
EQP 7130 |
Permittee |
Within 60 days of well completion |
PMGU |
2
|
| Core descriptions |
No form. File record as required by {R324.418(c)} |
Permittee |
Within 60 days of drilling completion |
PMGU |
0
|
| Application to Change Well Status |
EQP 7200-6 |
Permittee |
Before start of operation |
DO |
3
|
| Application to Plug and Abandon |
EQP 7200-6 (same form as above) |
District |
When requested by permittee or OGS Compliance Unit |
Mailed to Permittee |
3
|
| Record of Well Plugging or Change of Well Status |
EQP 7200-8 |
Permittee |
60 days after Change/ Plugging |
District |
3
|
| Water Well Plugging Record for Oil & Gas Operations |
EQP 7200-20 |
Permittee |
30 days after water well plugging |
PBU |
2
|
| Assumption of Responsibility by Landowner |
EQP 7240 |
Permittee |
Prior to Bond Release |
DO |
2
|
| Annual Certification for Blowout Preventers, Accumulators, Pumps and Secondary Systems |
EQP 7200-11 |
Drilling Contractor |
Annually or when BOP is modified |
PBU |
0
|
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Forms Used for Production and Operating
|
| FORM NAME |
FORM NUMBER |
WHO
ORIGINATES
|
WHEN FILED |
WHERE FILED |
# of COPIES WITH ORIGINAL |
| Monthly Production Report |
EQP 7101 |
Producer |
Within 45 days after end of month of production |
PMGU & MPSC |
0
|
| Annual Production Report |
EQP7101A |
Producer |
By February 14 after the end of the year |
PMGU & MPSC |
0
|
| Oil Gatherers Monthly Report |
EQP 7102 or approved equivalent |
Oil Purchaser /Transporter |
Within 45 days after end of month of purchase or transport |
PMGU |
0
|
| Monthly Production Report (Trenton Black River) |
EQP 7105 |
Producer |
Within 45 days after end of month of production |
PMGU & MPSC |
0
|
| Gas-Oil Ratio Test |
EQP 7103 |
Producer |
As requested by PG&P or District. Report due w/in 15 days of test |
DO |
0
|
| Bottom Hole Pressure Test |
EQP 7104 |
Producer |
After completion and as requested |
PMGU |
0
|
| Central Production Facilities Meter Readings Form A |
EQP 7126A |
Producer |
Within 45 days after end of month of production |
PMGU |
0
|
| Centralized Production Facilities Monthly Report Form B |
EQP 7126B |
Producer |
Within 45 days after end of month of production |
PMGU |
0
|
| Initial Production Report |
EQP 7127 |
Producer |
After completion |
PMGU |
0
|
| Gas Gatherers Monthly Report |
EQP 7129 |
Gas Purchaser/ Transporter |
Within 45 days after end of month of production |
PMGU |
0
|
| Annual Secondary & Enhanced Recovery Project Report |
EQP 7142 |
Producer |
Annually by March 1 of following year |
PMGU |
0
|
| Report of Loss or Spill |
EQP 7233 |
Permittee |
w/in 10 calendar days. (Losses over 42 gallons report verbally w/in 8 hrs) |
DO |
0
|
| Liquid and Gas Analysis |
No form. File as required by
{R324.1118(4)} |
Producer |
After completion & as requested |
PMGU |
0
|
| Annular Pressure Test |
EQP 7606 |
Operator |
Before initial injection & at least once each 5 yr per R324.803 & 805 |
PMGU |
0
|
| Authorization to Inject |
EQP 7608 |
PG&P Unit |
When requested by operator |
Operator |
2
|
| Injection Well Operating Report |
EQP 7609 |
Operator |
Monthly or Annually |
PMGU |
0
|
| Surface Facility Location and Environmental Impact Assessment |
EQP 7200-22 |
Permit Applicant |
Prior to Construction of Surface Facility |
DO |
1
|
| Gas Storage Operations Annual Well Fee Assessment Report |
EQP 7141 |
Storage Operator |
Annually by January 31 |
PMGU |
1
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