APPENDIX 8
-
FORMS USED I N THE O I L , GAS AND SOLUTION M I N I N G PROGRAMA p p l i c a t i o n f o r P e r m i t t o D r i l l , Deepen, P l u g Back o r Convert a Well S u b j e c t t o t h e O i l , Gas and S o l u t i o n Mining Law (185-12-5).
-
A p p l i c a n t must s u p p l y : 1 ) o w n e r ' s and o p e r a t o r ' s a d d r e s s and phonenumber 2 ) proposed w e l l ' s t y p e , l o c a t i o n , e l e v a t i o n , t o t a l d e p t h , e t c . 3 ) t y p e of r i g , d r i l l i n g f l u i d and s p u d d i n g d a t e , 4 ) d e t a i l s on e a c h
proposed c a s i n g s t r i n g and cement j o b .
-
Form must be accompanied by s u r v e y o r ' s p l a t (map) of w e l l s i t e .-
Used by DEC t o : 1 ) f i n d proposed w e l l l o c a t i o n t o c o n d u c t p r e - d r i l l i n g s i t e i n s p e c t i o n , 2 ) a s s e s s t h e adequacy o f t h e proposed e n g i n e e r i n g program and 3 ) d e t e r m i n e i f m o d i f i c a t i o n s a n d / o r p e r m i t c o n d i t i o n s a r e needed.O i l , Gas and S o l u t i o n Mining Well D r i l l i n g Environmental Assessment Form (EAF)
-
T h i s form must accompany-
a l l w e l l p e r m i t a p p l i c a t i o n s . A p p l i c a n t mustcomplete P a r t I g i v i n g d e t a i l e d i n f o r m a t i o n on t h e proposed w e l l s i t e i n c l u d i n g p r e s e n c e of s e n s i t i v e e n v i r o n m e n t a l r e s o u r c e s , s u r r o u n d i n g l a n d u s e s and o p e r a t o r ' s c o n s t r u c t i o n p l a n s ( s i t e and a c c e s s r o a d d i m e n s i o n s , e r o s i o n c o n t r o l m e a s u r e s , r e s t o r a t i o n p l a n s , e t c ) .
-
P a r t s I1 and I11 a r e completed by DEC t o d e t e r m i n e whether t h e r e w i l l b e any s i g n i f i c a n t s o c i a l o r e n v i r o n m e n t a l i m p a c t s r e q u i r i n g p r o j e c tm o d i f i c a t i o n o r p e r m i t c o n d i t i o n s . I n f o r m a t i o n on form a l s o i n d i c a t e s i f o t h e r p e r m i t s ( w e t l a n d s , s t r e a m d i s t u r b a n c e , e t c ) w i l l be needed.
P r e - D r i l l i n g S i t e I n s p e c t i o n Report (85-15-25)
-
Completed by DEC i n s p e c t o r s d u r i n g f i e l d v i s i t . They c h e c k t h e a c c u r a c y of t h e w e l l p l a t , w e l l s p a c i n g and s e t b a c k s , p r o x i m i t y of w e l l s i t e o r a c c e s s r o a d t o p r o t e c t e d r e s o u r c e s , t h e p o t e n t i a l f o r e r o s i o n ands e d i m e n t a t i o n and t h e need f o r o t h e r p e r m i t s .
O r g a n i z a t i o n a l Report f o r O i l , Gas and S o l u t i o n Mining A c t i v i t i e s (85-15-12)
-
Submitted w i t h f i r s t permit a p p l i c a t i o n and r e f i l e d whenevero r g a n i z a t i o n a l changes o c c u r . The form c o v e r s : 1 ) t y p e of o r g a n i z a t i o n ( c o r p o r a t i o n , a s s o c i a t i o n , p a r t n e r s h i p ) 2 ) t y p e of a c t i v i t y ( p r o d u c t i o n , d r i l l i n g , s t o r a g e , s a l v a g e , e t c . ) 3 ) t h e name, t i t l e and a d d r e s s of
-
a l l d i r e c t o r s , o f f i c e r s , g e n e r a l and l i m i t e d p a r t n e r s , and 4 ) any p r e v i o u s name and a d d r e s s of t h e o r g a n i z a t i o n .-
Used by DEC f o r i n i t i a l p r o j e c t ~ r e v i e w and c o n t a c t i n g o p e r a t o r o r owner when n e c e s s a r y . Also used f o r i d e n t i f y i n g a l l t h e r e s p o n s i b l e p a r t i e s i n c a s e of v i o l a t i o n s .D e c l a r a t i o n of A c t i v e and I n a c t i v e Unplugged O i l and Gas and S o l u t i o n Mining Wells S u b j e c t t o F i n a n c i a l S e c u r i t y i n New York S t a t e (85-12-10)
-
Well owners must g i v e t h e name, API number, d e p t h and permit d a t e f o r each w e l l t h e y own. Form must be accompanied by c o r r e c t f i n a n c i a l s e c u r i t y i n a c c e p t a b l e form.-
Used by DEC t o a s s e s s each w e l l owner's f i n a n c i a l s e c u r i t y r e q u i r e m e n t s based on number and d e p t h of t h e i r w e l l s . Department w i l l u s e t h ef i n a n c i a l s e c u r i t y t o p r o p e r l y p l u g and abandon w e l l s i f t h e owner f a i l s t o do s o .
-
D r i l l i n g p e r m i t s cannot be i s s u e d u n l e s s proposed w e l l h a s a d e q u a t e f i n a n c i a l s e c u r i t y .F i n a n c i a l S e c u r i t y Worksheet (85-11-2)
-
Worksheet used by b o t h w e l l owners and DEC t o compute c o r r e c t amount of f i n a n c i a l s e c u r i t y based on d e p t h and number of w e l l s .Well Plugging and S u r f a c e R e s t o r a t i o n Bond (85-02-2)
-
F i l l e d o u t by a S u r e t y a u t h o r i z e d t o do b u s i n e s s i n t h e S t a t e of New York and f i l e d by t h e w e l l owner o r o p e r a t o r . The S u r e t y must i d e n t i f y t h e amount of t h e bond and t h e o w n e r l o p e r a t o r whose w e l l s i t a p p l i e s t o . The s i g n e d form l e g a l l y o b l i g a t e s t h e S u r e t y t o s u r r e n d e r t h e f u n d s t o t h e S t a t e of New York i f w e l l s a r e n o t p r o p e r l y plugged and abandoned.Well D r i l l i n g Permit f o r O i l , Gas and S o l u t i o n S a l t Mining (85-20-2)
-
Document p r e p a r e d by DEC which a u t h o r i z e s d r i l l i n g of an o i l , g a s o r s o l u t i o n mining w e l l . I n c l u d e s a s s i g n e d API i d e n t i f i c a t i o n number, permit e x p i r a t i o n d a t e and any s p e c i a l permit c o n d i t i o n s t h e Department deems n e c e s s a r y .-
Permit must be p o s t e d i n a c o n s p i c u o u s p l a c e throughout d r i l l i n g o p e r a t i o n s .A p p l i c a t i o n f o r A.P.I. Well I d e n t i f i c a t i o n Number (85-16-1)
-
Submitted by w e l l owner t o o b t a i n a n API number f o r a w e l l t h a t d o e s not a l r e a d y have one ( o l d e r w e l l s ) . The owner must s u p p l y g e n e r a li n f o r m a t i o n on t h e w e l l ' s t y p e , l o c a t i o n and c o n d i t i o n .
-
DEC u s e s t h e numbers t o k e e p , . t r a c k of w e l l r e c o r d s . T h i s numbering system i s used by government and p r i v a t e i n d u s t r y n a t i o n w i d e .Well D r i l l i n g and Completion Report (85-15-7)
-
Submitted by t h e o w n e r l o p e r a t o r w i t h i n 30 d a y s of a w e l l ' s c o m p l e t i o n . The form c o n t a i n s d e t a i l e d i n f o r m a t i o n on t h e w e l l ' s t y p e , l o c a t i o n , d r i l l i n g , c a s i n g , cementing, l o g g i n g , c o m p l e t i o n , p e r f o r a t i o n , and t e s t i n g . The r e c o r d of r o c k f o r m a t i o n s and o i l , g a s and w a t e r zones p e n e t r a t e d must a l s o be f i l l e d i n on t h e back of t h e form.rules, regulations and permit conditions.
-
The information on Completion Reports is a vital part of the Division's
records. It is essential in any investigation of well pollution problems
that may arise. The information on casing, cement and fluid zones is
also important in selecting correct plugging procedures when the well is
abandoned.
Post Drilling Site Inspection Report (Internal Regional Form)
-
DEC staff fill out this form during the site inspections conducted after
the well has been drilled and completed. The form contains information
on the condition of the access road, well site, wellhead and production
equipment. DEC staff perform this inspection to ensure the operator has
complied with rules, regulations and permit conditions.
Annual Well Status and Production Report (85-15-4)
-
Submitted annually by well owner who must list each well, its type, API
number, status (active or inactive), and amount of production.
-
DEC uses the production information from the forms to keep track of the
industry output and activity. The forms are also useful in tracking
down: 1) wells not covered by financial security and,
2)shut-in wells
that have illegally been left unplugged.
Purchaser or Taker's Annual Gas Report (85-15-5)
-
Submitted annually by purchaser or taker for each and every lease or
unit. Identifies well, owner, meter number and MCF of gas purchased or
transported.
-
DEC uses the information to double check Production Report figures.
Purchaser or Taker's Annual Crude Oil Report (85-15-6)
O p e r a t o r ' s Annual N a t u r a l Gas S t o r a g e Report (85-15-2)
-
Submitted a n n u a l l y by t h e owner o r o p e r a t o r f o r e v e r y n a t u r a l g a s s t o r a g e r e s e r v o i r . The form compares c u r r e n t and p r e v i o u s y e a r ' s r e s e r v o i r d a t a , c o r r o s i o n d a t a , number and t y p e of w e l l s , r e s e r v o i r a c r e a g e and t h e volumes of g a s s t o r e d and withdrawn.-
DEC u s e s t h i s i n f o r m a t i o n t o keep t r a c k of t h e s t a t e of t h e i n d u s t r y and e n s u r e compliance w i t h r u l e s , r e g u l a t i o n s and permit c o n d i t i o n s .O p e r a t o r ' s Annual LPG Underground S t o r a g e Report (85-15-9)
-
Submitted a n n u a l l y by t h e owner o r o p e r a t o r of e v e r y LPG s t o r a g e r e s e r v o i r . Required i n f o r m a t i o n and DEC u s e s i m i l a r t o above.O p e r a t o r ' s Annual S o l u t i o n S a l t Mining Report (85-15-24)
-
Submitted a n n u a l l y by t h e owner o r o p e r a t o r of each s a l t miningo p e r a t i o n . Owner must p r o v i d e w e l l names, API numbers and i n f o r m a t i o n on w e l l t y p e s and amount o f f l u i d s i n j e c t e d and produced.
-
DEC u s e s t h e i n f o r m a t i o n t o d e t e r m i n e whether t h e o p e r a t i o n c o m p l i e s w i t h r u l e s , r e g u l a t i o n s and p e r m i t c o n d i t i o n s .N o t i c e of I n t e n t i o n t o Plug and Abandon (85-12-4)
-
Submitted by owner o r o p e r a t o r who d e s i r e s a permit t o p l u g and abandon a w e l l . The form c o n t a i n s i n f o r m a t i o n on t h e w e l l ' s l o c a t i o n , c a s i n gr e c o r d and t h e proposed p l u g g i n g d e t a i l s .
-
DEC u s e s t h e i n f o r m a t i o n on t h i s form t o d e t e r m i n e whether t h e proposed plugging program i s a d e q u a t e o r must be modified b e f o r e a p l u g g i n g permit c a n be i s s u e d .Permit t o Plug and Abandon (85-20-3)
p r o c e d u r e s s u b m i t t e d i n t h e p l u g g i n g a p p l i c a t i o n o r r e q u i r e d i n p e r m i t c o n d i t i o n s .
Plugging Report (85-15-8)
-
Must be s u b m i t t e d by owner o r o p e r a t o r w i t h i n 30 d a y s a f t e r p l u g g i n g of any w e l l . Form c o n t a i n s d e s c r i p t i o n of w e l l and t h e plugging and abandonment p r o c e d u r e s used.-
Used by DEC t o e n s u r e compliance w i t h r u l e s , r e g u l a t i o n s and p e r m i t c o n d i t i o n s .Plugging I n s p e c t i o n Form ( I n t e r n a l Regional Porm)
-
F i l l e d o u t by DEC s t a f f d u r i n g t h e s i t e i n s p e c t i o n performed a f t e r t h e w e l l h a s been plugged and abandoned. I n s p e c t o r must check on t h e s i t e ' sf i n a l c o n d i t i o n , c a s i n g l e f t i n w e l l , removal of equipment and d e b r i s and o t h e r measures n e c e s s a r y t o comply w i t h w e l l s i t e r e s t o r a t i o n
r e q u i r e m e n t s
.
N o t i c e of T r a n s f e r of Well Plugging R e s p o n s i b i l i t i e s (85-12-9)
-
Porm s u b m i t t e d by t r a n s f e r e e i d e n t i f y i n g w e l l name, l o c a t i o n , e t c . The t r a n s f e r of w e l l p l u g g i n g r e s p o n s i b i l i t y must be s i g n e d by b o t h t h et r a n s f e r e e and t r a n s f e r o r i n t h e p r e s e n c e of a n o t a r y p u b l i c . T r a n s f e r e e must have s u f f i c i e n t f i n a n c i a l s e c u r i t y t o c o v e r t h e i r new w e l l b e f o r e t h e Department w i l l r e l e a s e t h e p r e v i o u s owner from l e g a l r e s p o n s i b i l i t y .
-
Used by DEC t o e n s u r e t h a t ownership of w e l l s i s n o t t r a n s f e r r e d t o.persons who do n o t have a d e q u a t e f i n a n c i a l s e c u r i t y t o g u a r a n t e e p r o p e r p l u g g i n g of a w e l l .
I n i t i a l Bottom Hole P r e s s u r e and Gas-Oil R a t i o Report (85-15-15)
Island well). Form provides results of initial bottom hole pressure test and production tests.
-
DEC uses report, in conjunction with other information, to determine whether operator is managing production in a manner that will not waste resources.Annual Bottom Hole Pressure Test Report (85-15-.23)
-
Submitted by owner or operator on an annual basis when required by DEC (example Bass Island well). Form gives results of a static bottom hole pressure test. DEC uses report, in conjunction with other information, to determine whether the operator is managing production in a manner that will not waste resources.Gas/Oil Ratio and Quarterly Production Report (85-15-16)
-
Submitted quarterly by owner or operator when required by DEC. (example Bass Island well). Form provides information on gas production, oil production and the gas-oil ratio broken down by month.-
DEC uses report, in conjunction with other information, to determine whether operator is managing production in a manner that will not waste resources.Complaint Form (Internal Regional Form)
