Permit to Drill Applications (MD-10-R)

The Permit to Drill is the initial application submitted by a company to drill a well in the State of Louisiana. Drilling is governed by the rules and regulations of Title 43 and especially Statewide Order 29-B.

A Permit to Drill is reviewed for the following criteria:

The Application (MD-10-R)

• A completed MD-10-R signed by a company official
  • The date the form is completed.
  • The parish and its code number. (Click Here)
  • The field name and code number. (Click Here)
  • The company name, address and code number (Click Here)
  • A unique well name and number.
    • If this is an additional well to an existing lease with wells, the well numbering must be consecutive.
  • The well's location description.
  • Indicate whether drilling for oil, gas or other.
  • The proposed total depth of the well and true vertical depth, if applicable.
  • The proposed zone of completion. (Click Here)
  • Applicable Conservation Orders, if any. (Click Here)
  • The address to where the permit is to be sent. If same, put "same".
  • The typed name and phone number of a contact person should additional information be necessary.
  • The signature of a company officer, normally the contact person.

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The Operator

• All operators are subject to the bonding rules. (Click Here)
  • Bonding Forms
    • Performance Bond (1 Well) (Click Here)
    • Performance Bond (Multiple Wells) (Click Here)
    • Irrevocable Letter of Credit (1 Well) (Click Here)
    • Irrevocable Letter of Credit (Multiple Wells) (Click Here)
    • Pledge of Certificate of Deposit (1 Well) (Click Here)
    • Pledge of Certificate of Deposit (Multiple Wells) (Click Here)
  • Exhibit A (Multiple Wells)
    • Excel Format (Click Here)
    • WordPerfect Format (Click Here)
    • MS Word Format (Click Here)
• The status of an operator is reviewed. (Click Here)

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The Well Plat

• must be prepared by a Louisiana Land Surveyor:
  • with seal, signature, scale and dated less than a year old
    • The preferred scale is 1 in. = 1000 ft.
• showing the proposed well's location:
  • the location of the well must be referenced to
    • a governmental section line
    • an established and accepted monument
  • If the proposed well is to be drilled to 10,000 feet or more, the permit must bear one of the following statements: 
    • "No commercial or residential structures not owned by the applicant, his lessor, or other predecessor in interest are located within a 500 foot radius of the well site."
    • "The only structure(s) not owned by the applicant, his lessor, or other predecessor in interest within a 500 foot radius of this well site are as shown."
      • Each structure shown on the plat must be identified by the name of the owner(s).
        • Written consent to drill the well within 500 feet of any structure not owned by the applicant, his lessor or other predecessor in interest must be submitted from the owner(s) of said structure before a permit to drill will be issued.
        • In the event written consent is not obtainable from the owner(s) of said structure, then the applicant may request a public hearing in accordance with the provisions of LSA-R.S. 30:6 and LAC 43:XIX.3901 et seq. for the purpose of presenting geological, engineering, or other evidence to justify the issuance of a permit to drill.
  • The well location's proximity to the lease line
  • If the location is in the Coastal Zone Management Area (CZM) an approval (with permit number) from the Coastal Management Division is required.

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The Fee

• The applicable fee as determined by depth can be found on the Office of Conservation's Home Page. (Click Here)

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