Forms and Procedures required for Obtaining a Permit to Drill, Deepen, or Re-enter an Oil & Gas Well

 

The following forms/applications are available for either downloading or completion online, or both:

  • Downloadable forms are available in a **PDF format and may be printed out and completed by hand.
  • Online forms are available in a PDF format to allow you to complete the form online and then print and   mail the form.

These icons associated with forms/applications on this page are links to:
   online PDF icon "online" forms/applications
   online print icon "downloadable" forms/applications
  info icon   Information regarding forms/applications.

Included with each form is a link to the pertinent section of South Dakota's Oil and Gas Conservation Rules, Administrative Rules of South Dakota (ARSD) Article 74:12  section that corresponds to that form.

 

 

The completed forms can be mailed to the address located at the top of each form.  If you have any problems downloading or filling out any of the forms, please contact Jeff Klenner at Jeff.Klenner@state.sd.us or call 605-773-4201.

 

         online print icon    info icon List of Procedures and Requirements for obtaining a Permit to Drill (APD)
 online PDF icon    online print icon    info icon Application for Permit to Drill (Form 2)
 online PDF icon    online print icon    info icon Organization Report (Form 1)
 online PDF icon    online print icon    info icon

Plugging and Performance Bond (Form 3 - $10,000 individual shallow well, $30,000 multiple shallow wells - or - $50,000 individual deep well, $100,000 multiple deep wells) Bonds need to acknowledge the principle and surety. A South Dakota licensed agent must countersign. A Certificate of Deposit is acceptable when made out to SD Dept. Env. & Nat. Resources AND Operator.

NEW VERSION POSTED 7-11-13

 online PDF icon    online print icon    info icon Certificate of Negotiation (Form 9) NEW VERSION POSTED 7-23-13
 online PDF icon    online print icon    info icon Permission to Inspect (Form 8) 
 online PDF icon    online print icon    info icon Certification of Applicant (Form 13)

 

 

Other Oil and Gas Forms

 

 online PDF icon    online print icon    info icon Well Completion or Recompletion Report (Form 4)
 online PDF icon    online print icon    info icon Monthly Report of Production for Oil & Gas Wells (Form 5)
 online PDF icon   online print icon     info icon Monthly Report for Injection Wells (Form 5A)
 online PDF icon    online print icon    info icon Sundry Notices and Report on Wells (Form 6) NEW VERSION POSTED 10-24-13
 online PDF icon    online print icon    info icon Plugging Report (Form 7)
 online PDF icon    online print icon    info icon Notice of Transfer of Operator (Form 12)
         online print icon    info icon Class II UIC Permit to Inject