SOUTH DAKOTA Department of
Environment & Natural Resources

Protecting South Dakota's Tomorrow...Today!
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523 E Capitol
Pierre, SD 57501
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Oil & Gas

OIL AND GAS FORMS


The following forms/applications are all available for downloading as either a fillable PDF or a PDF that can be completed by hand:

IMPORTANT:  It is strongly recommended that fillable PDF forms be downloaded to your computer and completed using Adobe Reader. Fillable PDF forms can no longer be reliably completed in your web browser since many browsers have their own proprietary PDF viewers which DO NOT work correctly with fillable PDF documents. Directions on how to download fillable PDF forms using various web browsers are available here.

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

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

 

FORMS REQUIRED TO BE SUBMITTED WITH A PERMIT APPLICATION

 

 online PDF icononline print iconinfo icon Form 2: Application for Permit to Drill
 online PDF icononline print iconinfo icon Form 1: Organization Report
 online PDF icononline print iconinfo icon

Form 3: Plugging and Performance Bond

[$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 7/08/15

 online PDF icononline print iconinfo icon Form 3 Supplement: Plugging and Performance Bond Acknowledgment NEW VERSION POSTED 7/08/15
 online PDF icononline print iconinfo icon Form 8: Permission to Inspect
 online PDF icononline print iconinfo icon Form 9: Certificate of Negotiation NEW VERSION POSTED 6/30/14
 online PDF icononline print iconinfo icon Form 13: Certification of Applicant NEW VERSION POSTED 3/17/15

 

 

OTHER OIL AND GAS FORMS

 

 online PDF icononline print iconinfo icon Form 4: Well Completion or Recompletion Report
 online PDF icononline print iconinfo icon Form 5: Monthly Report of Production for Oil & Gas Wells NEW VERSION POSTED 08/10/18
 online PDF icon online print icon info icon Form 5A: Monthly Report for Injection Wells NEW VERSION POSTED 08/10/18
 online PDF icononline print icon  info icon Form 6: Sundry Notices and Report on Wells NEW VERSION POSTED 10/24/13
 online PDF icononline print iconinfo icon Form 7: Plugging Report
 online PDF icononline print iconinfo icon

Form 12: Notice of Transfer of Operator

If not already on file with the department, this form should be accompanied by an organization report, a plugging and performance bond, a certification of applicant form, and a permission to inspect form.

         online print icon    info icon Class II UIC Permit to Inject

 

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