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Mineral Well Forms
Permit & bonding forms
Contact: Permits and Bonding Staff at 517-284-6826
Permit applications should be submitted to EGLE-GRMD-PermitApplications@Michigan.gov.
| Form name | When to file |
|---|---|
|
EQP 7200-1 Application for Permit to Drill, Deepen, and Operate a Well Instructions: |
Initial well permit application |
| EQP 7200-2 Survey Record of Well Location | Submit with application |
| EQP 7200-4 Wellhead Blowout Control System form | Submit with application |
| EQP 7200-14 Injection Well Data & Attachments | For injection wells, submit with application |
| EQP 7200-18 Soil Erosion & Sedimentation Control Plan | When applicable, submit with application |
| EQP 7500-3 Environmental Impact Assessment (EIA) | When required, submit with application |
|
Bond for conformance forms:
|
For conformance bonding |
| IRS form W-9 Request for Taxpayer Identification Number and Certification | Submit with CD bond |
| EQP 7200-13 Well Permittee Organization Report | When requested or as part of application |
| EQP 7200-7 Request for Transfer of Permit | When there is a change in owner/operator |
The drilling & completion and production & operating forms should be submitted by email to EGLE-GeologicalRecords@Michigan.gov.
If files exceed 20 MB, submit digital copies by mail on a USB flash drive or CDR/DVD-R to:
Geologic Resources Management Division
P.O. Box 30256
Lansing, MI 48909-7756
All log files shall be submitted in Log ASCII Standard (LAS) and Tag Image File (TIF) format. PDF files and paper copies may be accepted with prior approval by EGLE, GRMD. Files shall be named using the well permit number, well name, and log type. All files are to be submitted as single page TIF and/or single page PDF. logs are due within 30 days of conducting the logging run.
Drilling & completion forms
| Form name | When to file |
|---|---|
| EQP 7200-5 Record of Well Drilling or Deepening | Within 60 days of drilling completion |
| Well Elevations - No form; File as required by {R299.2369} | Within 60 days of drilling completion |
| Electric or Radiation Logs - No form; File as required by {R299.2370} | Within 30 days after running log(s) |
| Survey of Directionally Drilled Well - No form; File as required by {R299.2371} | Within 30 days after drilling completion Note: a well may not be produced until survey is filed |
| EQP 7200-10 Water Well Record (for Oil, Gas, or Mineral Well Operations) | Within 30 days after water well completion |
| EQP 7200-12 Certification of Casing and Sealing of Surface Hole | Within 30 days after drilling completion |
| EQP 7200-9 Mud Pit Plot | Within 60 days after drilling completion |
| EQP 7130 Record of Well Completion | Within 60 days of well completion |
| Core descriptions - No form; File record as required by {R299.2369} | Within 60 days of drilling completion |
| EQP 7200-6 Application to Change Well Status and/or Plug and Abandon | Before start of operation |
| EQP 7200-8 Record of Well Plugging or Change of Well Status | Within 30 days after change/plugging |
| EQP 7200-20 Water Well Plugging Record (for Oil, Gas, or Mineral Well Operations) | Within 30 days after plugging |
| EQP 7200-11 Annual Certification for Blowout Preventers, Accumulators, Pumps and Secondary Systems | Annually or when BOP is modified |
Production & operating forms
| Form name | When to file |
|---|---|
| EQP 7104 Bottom Hole Pressure Test | After completion and as requested |
| EQP 7215 Monthly Operating Report - Deep Well Injection | Monthly |
| EQP 7140 Annual Mineral Well Regulatory Fee Assessment Report | Annually |
| Liquid and Gas Analysis | After completion and as requested |
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