API No. FORM W-1 07/2004
42-441-34451
SWR Exception Case/Docket No.
4. Lease Name
879264 US. FUELS, INC.
KUBACAK
5. Well No.
3
6. Purpose of filing (mark ALL appropriate boxes):
7. Wellbore Profile (mark ALL appropriate boxes):
X New Drill Recompletion Reclass Field Transfer Re-Enter
Amended Amended as Drilled (BHL) (Also File Form W-1D)
11. RRC District No.
7B
12. County
TAYLOR 13. Surface Location X Land Bay/Estuary
7.7 SW Buffalo Gap
33
15. Section 16. Block
1
17. Survey
SP RR CO
18. Abstract No.
A-301
19. Distance to nearest lease line:
362
20. Number of contiguous acres in
ft. lease, pooled unit, or unitized tract: 20
1046 WEST 2265 NORTH
362 SOUTH 369 WEST
Drilling Permit #
772992
SURFACE LOCATION AND ACREAGE INFORMATION
GENERAL INFORMATION
21. Lease Perpendiculars: ft from the line and ft from the line.
14. This well is to be located miles in a direction from which is the nearest town in the county of the well site.
Inland Waterway Offshore
8. Total Depth
4999
9. Do you have the right to develop the
minerals under any right-of-way ?
10. Is this well subject to Statewide Rule 36 (hydrogen sulfide area)?
X Vertical Horizontal (Also File Form W-1H) Directional (Also File Form W-1D) Sidetrack
1. RRC Operator No. 2. Operator's Name (as shown on form P-5, Organization Report) 3. Operator Address (include street, city, state, zip):
RRC Use Only
Name of filer
Phone E-mail Address (OPTIONAL)
Nov 01, 2013
Date submitted
zoe carlson, v.p.
(325)6734548
Permit Status: Approved
FIELD INFORMATION List all fields of anticipated completion including Wildcat. List one zone per line.
26. RRC 28. Field Name (exactly as shown in RRC records) 29. Well Type
District No.
27. Field No. 32. Number of Wells on
this lease in this
Reservoir
31. Distance to Nearest
Well in this Reservoir
30. Completion Depth
7B 88520001 TAYLOR COUNTY REGULAR Oil Well 4999 0.00 1
7B 00014001 WILDCAT Oil or Gas Well 4999 0.00 1
Remarks Certificate:
I certify that information stated in this application is true and complete, to the
best of my knowledge.
BOTTOMHOLE LOCATION INFORMATION is required for DIRECTIONAL, HORIZONTAL, AND AMENDED AS DRILLED PERMIT APPLICATIONS
Page 1 of 1
22. Survey Perpendiculars: ft from the line and ft from the line.
[RRC STAFF Nov 8, 2013 12:53 PM]: There have been problems identified with this permit (see problem letter attachment).
Notification sent.; [RRC STAFF Nov 8, 2013 2:23 PM]: Per Zoe Carlson, "Plat corrected to Kubacak #3, rig is moving in
today."; [RRC STAFF Nov 8, 2013 2:24 PM]: Problems identified with this permit are resolved.
zoe_carlson@yahoo.com
Data Validation Time Stamp: Nov 10, 2013 4:46 PM( Current Version )
23. Is this a pooled unit? X No 24. Unitization Docket No:
P O BOX 1513
BRECKENRIDGE, TX 76424
25. Are you applying for Substandard Acreage Field? Yes (attach Form W-1A) X No
