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Fill Your Texas W 14 Form

The Texas W-14 form is an application used by operators to request the disposal of oil and gas waste through injection into formations that are not productive of oil and gas. This form is essential for ensuring compliance with state regulations and safeguarding environmental resources. If you need to fill out this form, click the button below to get started.

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Dos and Don'ts

When filling out the Texas W-14 form, it’s crucial to follow certain guidelines to ensure a smooth application process. Here’s a helpful list of things you should and shouldn’t do:

  • Do double-check all information for accuracy before submission.
  • Do include all required attachments, such as the TCEQ letter and maps.
  • Do clearly indicate whether you are applying for a new permit or an amendment.
  • Do provide a signed statement confirming notification to affected persons.
  • Do keep a copy of the application and all documents for your records.
  • Don’t forget to pay the required fees with your application.
  • Don’t submit incomplete forms or omit critical information, as this may delay processing.

By adhering to these guidelines, applicants can help ensure that their submissions are complete and compliant with the Railroad Commission of Texas's requirements. Being thorough and attentive to detail will save time and effort in the long run.

Sample - Texas W 14 Form

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.

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Documents used along the form

The Texas W-14 form is a crucial document for operators seeking to dispose of oil and gas waste through injection into non-productive formations. Along with this form, several other documents are often required to ensure compliance with state regulations and facilitate the application process. Below is a list of these related forms and documents.

  • Electrical Log: This document provides a detailed record of the electrical properties of the well and is essential for evaluating the well's characteristics. It helps in assessing the suitability of the formation for waste disposal.
  • TCEQ Letter: A letter from the Texas Commission on Environmental Quality confirming that the disposal formation does not threaten usable quality water. This letter is mandatory for new permits and amendments involving changes to the disposal interval.
  • Location Map: A map illustrating the location of all wells within a half-mile radius of the proposed disposal well. It should also indicate the operators of these wells and is critical for assessing potential impacts on surrounding areas.
  • Well Table: A table listing all wells that penetrate the disposal interval within a quarter-mile radius. This table must include identification details, drilling dates, depths, and current statuses of the wells.
  • Notification List: A list of affected persons who have been notified about the application. This list must include the names and addresses of individuals and entities notified, along with a signed statement confirming the notification.
  • Affidavit of Publication: This document verifies that notice of the application has been published in a local newspaper. It should include a clipping of the published notice, especially for commercial disposal well applications.
  • Additional Technical Information: Any supplementary documents that may aid in the review process, such as cement bond logs, cementing records, or well bore sketches. This information can provide further insights into the well's integrity and suitability for injection.

Submitting these documents along with the Texas W-14 form is essential for ensuring a complete and compliant application. Each document serves a specific purpose and contributes to the overall assessment of the proposed waste disposal operation.

Common mistakes

When filling out the Texas W-14 form, one common mistake is leaving out critical information. Each section of the form requires specific details, such as the operator's name, address, and the field name. Omitting any of these details can lead to delays in processing the application. Ensure that all fields are completed accurately and fully.

Another frequent error is incorrectly marking the application type in Item 14. Applicants must indicate whether they are applying for a new permit or amending an existing one. Failing to check the appropriate box can cause confusion and may result in the application being returned for correction. Always double-check this section before submission.

Many applicants also overlook the requirement to attach necessary documents. For instance, a complete electrical log of the well or a letter from the Texas Commission on Environmental Quality (TCEQ) is essential for a new permit application. Missing these attachments can lead to rejection of the application. Review the instructions carefully to ensure all required documents are included.

Lastly, people often fail to notify affected persons as required. The form mandates that applicants provide a list of individuals notified about the application and the date of notification. Not adhering to this requirement can result in complications later in the process. It is crucial to maintain thorough records of all notifications made to avoid issues with compliance.

Misconceptions

Misconceptions about the Texas W-14 form can lead to confusion for operators and stakeholders involved in oil and gas waste disposal. Below are nine common misconceptions, along with clarifications for each.

  • The Texas W-14 form is only for new disposal wells. This form can also be used to amend existing permits, allowing for modifications to current operations.
  • Only large companies need to file a W-14 form. Regardless of the size of the operator, any entity wishing to dispose of oil and gas waste by injection must complete this form.
  • The W-14 form is not subject to fees. A non-refundable fee of $100 is required when filing the application, with additional fees for exceptions to specific rules.
  • All disposal formations are acceptable without further evaluation. The form requires a letter from the Texas Commission on Environmental Quality confirming that the proposed formation will not endanger usable water strata.
  • Notification of affected persons is optional. Operators must notify all affected persons, including surface owners and nearby well operators, as part of the application process.
  • The W-14 form does not require additional technical information. Operators are encouraged to attach any relevant technical information, such as cement bond logs or well bore sketches, to facilitate the review process.
  • A public hearing will always be held for W-14 applications. A hearing is only required if an affected person or local government protests the application.
  • The application process is immediate. There is a minimum waiting period of 15 days after the application is submitted, during which protests may be filed.
  • Once submitted, the application cannot be changed. Operators can amend their applications; however, they must follow the proper procedures outlined in the form.

Understanding these misconceptions is crucial for compliance and effective management of oil and gas waste disposal operations in Texas.

Key takeaways

When filling out the Texas W-14 form, it is essential to ensure accuracy and completeness. Here are key takeaways to consider:

  • Operator Information: Clearly provide the operator's name, P-5 number, and address. This information is crucial for identification purposes.
  • Application Type: Indicate whether this is a new permit or an amendment to an existing one. This distinction affects the required documentation.
  • Fees: A non-refundable fee of $100 must accompany the original application. If requesting an exception, an additional $150 is required.
  • Environmental Compliance: Attach a letter from the Texas Commission on Environmental Quality (TCEQ) confirming that the disposal will not endanger usable water quality.
  • Well Location: Provide a detailed legal description of the well's location, including distances and directions from survey lines.
  • Nearby Wells: Include a map showing all wells within a half-mile radius. This map should identify operators and ownership of the proposed disposal well tract.
  • Notification: Notify affected persons and include a list with their addresses. A signed statement confirming this notification is necessary.
  • Publication Requirement: An affidavit of publication is required, along with a clipping of the published notice in a local newspaper.
  • Technical Information: Additional technical details, such as cement bond logs or well bore sketches, can help facilitate the review process.

Completing the Texas W-14 form accurately is vital for a smooth application process. Ensure that all required documents are attached and that notifications are made as specified to avoid delays.

File Characteristics

Fact Name Fact Details
Purpose The Texas W-14 form is used to apply for the disposal of oil and gas waste by injection into non-productive formations.
Governing Law This form is governed by the Texas Natural Resources Code, specifically Section 91.143.
Filing Requirements Applicants must file the original application and attachments with the Railroad Commission of Texas and pay a non-refundable fee of $100.
Field Information The form requires specific details about the field, including field name and number, which must be designated in Commission records.
Notification Process Applicants must notify affected persons and provide a signed statement confirming that notification has occurred.
Publication Requirement An affidavit of publication is required, confirming that notice of the application has been published in a local newspaper.

How to Use Texas W 14

Completing the Texas W-14 form involves several steps to ensure all necessary information is provided accurately. This 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. Follow the steps below to fill out the form correctly.

  1. Begin by writing the Operator Name in the first blank space.
  2. Enter the Operator P-5 Number in the second space.
  3. Fill in the Operator Address with complete details.
  4. Indicate the County where the operation will take place.
  5. Write the RRC District Number in the designated space.
  6. Provide the Field Name and Field Number in the respective spaces.
  7. Complete the Lease Name and Lease/Gas ID Number.
  8. State the distance in miles and direction from the nearest town in the given section.
  9. Indicate the number of acres in the lease.
  10. Provide the legal description of the location, including distance and direction from survey lines.
  11. If known, fill in the Latitude and Longitude coordinates.
  12. Check the appropriate box for New Permit or Amendment, and if it is an amendment, provide the existing permit number.
  13. Specify the reason for the amendment if applicable.
  14. Complete details regarding the well, including Well Number, API Number, Date Drilled, and Total Depth.
  15. Fill in the Plug Date if applicable, along with casing details.
  16. Indicate the depth to the base of the deepest freshwater zone.
  17. Answer whether there are multiple completions and if multistage cementing was used.
  18. Provide details about the injection tubing size and packer depth.
  19. Describe the injection interval and the name of the disposal formation.
  20. Answer questions regarding nearby oil and gas productive zones.
  21. Fill in the maximum daily injection volume and estimated average daily injection volume.
  22. Provide the maximum surface injection pressure and estimated average surface injection pressure.
  23. Describe the source of fluids and indicate if fluids are from other leases.
  24. Indicate whether it is a commercial disposal well and specify the type(s) of injection fluid.
  25. Sign and date the certificate section, including your printed name and contact information.

After completing the form, ensure that all required attachments and fees are included before submitting it to the Railroad Commission of Texas. This will help facilitate the processing of your application.