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1

Staff Contacts by Form

FormForm NameForm OwnerFO UnitEmail address
1Operator RegistrationSadaf IbrahimFinancial Assurance and Auditsadaf.ibrahim@state.co.us
1ADesignation of AgentSadaf IbrahimFinancial Assurance and Auditsadaf.ibrahim@state.co.us
1BAnnual RegistrationTeri IkenouyeFinancial Assurance and Auditteri.ikenouye@state.co.us
1C Consolidation of Related OperatorsTeri IkenouyeFinancial Assurance and Auditteri.ikenouye@state.co.us
1DGeneral Liability InsuranceTeri IkenouyeFinancial Assurance and Auditteri.ikenouye@state.co.us
2 Application for Permit to DrillSam ChamplinPlanning and Permittingsam.champlin@state.co.us
2AOil & Gas Location AssessmentDoug AndrewsPlanning and Permittingdoug.andrews@state.co.us
2BCumulative Impact Data IdentificationStephen SchwarzCumulative Impacts and Energy Transitionstephen.schwarz@state.co.us
2COGDP CertificationBrian ChristopherPlanning and Permittingbrian.christopher@state.co.us
2DEmissions Intensity AssessmentStephen Schwarz Cumulative Impacts and Energy Transitionstephen.schwarz@state.co.us
2FCAP Cumulative Impacts Data IdentificationStephen SchwarzCumulative Impacts and Energy Transitionstephen.schwarz@state.co.us
2GDeep Geothermal Location AssessmentJohn MorganCumulative Impacts and Energy Transitionjohn.morgan@state.co.us
3Financial Assurance PlanSharon SchoepflinFinancial Assurance and Auditsharon.schoepflin@state.co.us
3AFinancial AssuranceSharon SchoepflinFinancial Assurance and Auditsharon.schoepflin@state.co.us
3BFederal Financial Assurance WellsDebbie LutzFinancial Assurance and Auditdebbie.lutz@state.co.us
3CRelease of Replaced
Financial Assurance		Sadaf IbrahimFinancial Assurance and Auditsadaf.ibrahim@state.co.us 
3IPerformance BondSadaf IbrahimFinancial Assurance and Auditsadaf.ibrahim@state.co.us 
4Sundry Notice Curtis Haverkamp
Ben Jackson
Rebecca Treitz		Engineering
Environmental
Planning and
Permitting 		curtis.haverkamp@state.co.us
ben.jackson@state.co.us
rebecca.treitz@state.co.us 
5Drilling Completion ReportSteve Jenkins
Missti Mason 		Engineering
Planning and
Permitting 		steve.jenkins@state.co.us
missti.mason@state.co.us 
5ACompleted Interval ReportSteve Jenkins
Missti Mason		Engineering
Planning and
Permitting 		steve.jenkins@state.co.us
missti.mason@state.co.us 
5BInactive Well NoticeMeredith GreagerEngineeringmeredith.greager@state.co.us 
5CInactive Exception
Request 		Meredith GreagerEngineeringmeredith.greager@state.co.us
6Well AbandonmentNick McFarland
John Noto 		Engineering
Planning and
Permitting 		nick.mcfarland@state.co.us
john.noto@state.co.us 
6AOut of Service Designation Meredith GreagerEngineeringmeredith.greager@state.co.us
6BAnnual Out of Service
Wells		Diane McCoyEngineeringdiane.mccoy@state.co.us 
7Monthly OperationsCory EssexFinancial Assurance
and Audit 		cory.essex@state.co.us 
8Conservation Levy Teri Ikenouye Financial Assurance
and Audit 		teri.ikenouye@state.co.us 
9Transfer of OperatorshipTeri Ikenouye Financial Assurance
and Audit 		teri.ikenouye@state.co.us 
10Certificate of ClearanceMissti MasonPlanning and
Permitting 		missti.mason@state.co.us 
12Gas Facility RegistrationMark SchlagenhaufEngineeringmark.schlagenhauf@state.co.us 
13Bottom Hole PressureCurtis HaverkampEngineeringcurtis.haverkamp@state.co.us 
14Monthly Report of Non Produced Water Injected Nolan BeasleyEngineeringnolan.beasley@state.co.us 
14AAuthorization of Source of
Class II Waste for
Disposal 		Nolan BeasleyEngineeringnolan.beasley@state.co.us
15Pit PermitBrian Christopher Planning and
Permitting 		brian.christopher@state.co.us 
17Bradenhead Test Curtis HaverkampEngineeringcurtis.haverkamp@state.co.us 
18Complaint ReportMegan AdamczykCommunity Relationsmegan.adamczyk@state.co.us
19Spill / Release ReportSteven Wheeler
Nikki Graber		Engineering
Environmental 		steven.wheeler@state.co.us
nikki.graber@state.co.us 
20Seismic Permit Charles RomanchockPlanning and
Permitting 		charles.romanchock@state.co.us 
20ASeismic Completion
Report 		Charles RomanchockPlanning and
Permitting 		charles.romanchock@state.co.us
21Mechanical Integrity TestJian Wang Engineeringjian.wang@state.co.us 
22Accident ReportConor PesickaQuality Assurance -
Quality Control		conor.pesicka@state.co.us 
23Well Control ReportNick McFarlandEngineeringnick.mcfarland@state.co.us 
26Source of Produced Water
for Disposal 		Nolan BeasleyEngineeringnolan.beasley@state.co.us
27Site Investigation and
Remediation Workplan		Kari BrownEnvironmental kari.oakman@state.co.us 
28E&P Waste Mgmt PermitAlex FischerEnvironmental alex.fischer@state.co.us 
29Local Government
Information 		Megan AdamczykCommunity Relationsmegan.adamczyk@state.co.us
31Injection Permit
Application 		Nolan BeasleyEngineeringnolan.beasley@state.co.us
33Injection Well Permit
Application 		Nolan BeasleyEngineeringnolan.beasley@state.co.us
37Payment of Proceeds -
Sales Volume
Reconciliation 		Teri Ikenouye Financial Assurance
and Audit 		teri.ikenouye@state.co.us 
38Payment of Proceeds
Hearing Request 		Margaret Humecki Hearingsmargaret.humecki@state.co.us 
41Trade Secret Claim of
Entitlement 		Teri Ikenouye Financial Assurance
and Audit 		teri.ikenouye@state.co.us 
42Field Operations NoticeArthur Koepsell Environmental arthur.koepsell@state.co.us 
43Analytical Sample
Submittal		Eric Jacobson
Ben Jackson		Engineering
Environmental 		eric.jacobson@state.co.us
ben.jackson@state.co.us 
44Flowline Reporting Steven Wheeler Engineeringsteven.wheeler@state.co.us 
45Location Construction
Report 		Doug AndrewsPlanning and
Permitting 		doug.andrews@state.co.us 
46Chemical Product
Registration 		Arthur Koepsell Environmental arthur.koepsell@state.co.us 
46AChemical Product UseArthur Koepsell Environmental arthur.koepsell@state.co.us 
47Quarterly Water Reporting
by Location 		Cat CampbellEnvironmental cat.campbell@state.co.us
FIRRField Inspection Report
Resolution		Conor PesickaQuality Assurance -
Quality Control		conor.pesicka@state.co.us