Forms for the Oil, Gas and Solution Salt Mining Regulatory Program
The forms below apply to both applicants and current operators of all well types regulated under Article 23 of the Environmental Conservation Law, titled the "Oil, Gas and Solution mining law." The title of the law however, does not represent the complete list of well types regulated by the Division of Mineral Resources.
Registrations and Authorizations
- Application for API Well Identification Number and instructions (PDF) (175 KB, Legal paper size)
- Registration to File Electronic Submission Form (PDF) (174 KB)
- Organizational Report (PDF) (161 KB)
Financial Security for Wells
- Financial Security Worksheet (PDF) (60 KB)
- Well Plugging and Surface Restoration Bond (PDF) (60 KB)
- Irrevocable Letter of Credit (PDF) - sample letter (124 KB)
- Certificate of Deposit (PDF) - sample letter (113 KB)
Well Drilling and Completion
- Application for Permit to Drill, Deepen, Plug Back or Convert a Well (PDF) (260 KB) and instructions (PDF) (190 KB)
- Applicant's Checklist for Spacing Unit Map (PDF) (52 KB) for wells subject to ECL Section 23-0501
- Environmental Assessment Form (EAF) (PDF) (251 KB) for well permitting - this form must be submitted as part of every application
- Full Environmental Assessment Form (FEAF) - use of this form is based on site-specific circumstances, only if directed
- Request for BOP Equipment Waiver (PDF) (198 KB)
- Application for Approval to Flare (PDF) (125 KB, Legal paper size)
- Well Drilling and Completion Report (PDF) (313 KB, Legal paper size) and instructions (PDF) (69 KB)
Spacing and Compulsory Integration
- Affirmation of Acreage Control and Rights in Target Formation (PDF) (143 KB) for wells subject to ECL Section 23-0501
- Application for Non-Conforming Spacing Unit or Variance From Regulatory Well Spacing (PDF) (103 KB)
- Compulsory Integration Election Form (PDF) (125 KB)
Annual Reports
- Annual Well Report and instructions (PDF) (717 KB)
- Gas Purchaser Annual Report (PDF) (141 KB)
- Oil Purchaser Annual Report (PDF) (132 KB)
Shut-In or Temporary Abandonment
Transfer of Well Responsibilities
Non-Routine Incidents
- Non-Routine Incident Report (PDF) (254 KB)
Well Plugging
- Notice of Intention to Plug and Abandon (PDF) (255 KB) and instructions (PDF) (121 KB)
- Plugging Report (PDF) (212 KB, Legal paper size) and instructions (PDF) (163 KB)
Underground Gas Storage
- Application for Transfer of Underground Storage Permit (PDF) (106 KB) and instructions (PDF) (71 KB)
