125 End of Operations Report (EOR)

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Overview

MMS-125 pg 1
-125 pg 2

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Sheet 1: MMS-125 pg 1

U.S. Department of the Interior

Submit original plus THREE copies,

OMB Control No. 1010-0141

Minerals Management Service (MMS)

with ONE copy marked "Public Information."

OMB Approval Expires 8/31/2008

END OF OPERATIONS REPORT (EOR)

1.

COMPLETION

ABANDONMENT

2. MMS OPERATOR NO.

3. OPERATOR NAME and ADDRESS

(Submitting office)

CORRECTION

4. WELL NAME (CURRENT)

5. SIDETRACK NO. (CURRENT)

6. BYPASS NO. (CURRENT)

7. API WELL NO. (CURRENT SIDETRACK / BYPASS) (12 DIGITS)

8. PRODUCING INTERVAL CODE

WELL AT TOTAL DEPTH

9. LEASE NO.

10. AREA NAME

11. BLOCK NO.

12. LATITUDE

13. LONGITUDE

NAD 27 (GOM & Pacific)

NAD 27 (GOM & Pacific)

NAD 83 (Alaska)

NAD 83 (Alaska)

WELL STATUS INFORMATION

14. Well Status

15. Type Code

16. Well Status Date

17 

MD ________ TVD ________ Total Depth ________

WELL AT PRODUCING ZONE

18. LEASE NO.

19. AREA NAME

20. BLOCK NO.

21. LATITUDE

22 LONGITUDE

NAD 27 (GOM & Pacific)

NAD 27 (GOM & Pacific)

NAD 83 (Alaska)

NAD 83 (Alaska)

23.COMPLETION DATE: 24.DATE OF FIRST PRODUCTION: 25. ISOLATED DATE:

PERFORATED INTERVAL(S) THIS COMPLETION

26.TOP (MD):

27. BOTTOM (MD)

28. TOP (TVD)

29. BOTTOM (TVD):

30. RESERVOIR NAME(S):

31. NAME(S) OF PRODUCING FORMATION(S) THIS COMPLETION

HYDROCARBON BEARING INTERVALS

32. INTERVAL NAME:

33. TOP (MD)

34. BOTTOM (MD)

35. TYPE OF HYDROCARBON

SIGNIFICANT MARKERS Penetrated (account for all markers identified on APD)

36. INTERVAL NAME:

37. TOP (MD)

38. REASON IF MARKER NOT PENETRATED

SUBSEA COMPLETION

39. SUBSEA COMPLETION?

40. IF YES: PROTECTION PROVIDED?

41. BUOY INSTALLED?

42. TREE HEIGHT ABOVE ML(ft):

Yes/No

Yes/No

Yes/No

MMS Form MMS-125 (October 2005 - Supersedes all previous versions of form MMS-125 which may not be used.) Page 1 of 2

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Sheet 2: -125 pg 2

END OF OPERATIONS REPORT (EOR)

ABANDONMENT HISTORY OF WELL

43. CASING SIZE:

44. CASING CUT DATE:

45. CASING CUT METHOD:

46. CASING CUT DEPTH:

47. Type of Obstruction:

48. Protection Provided:

49. Obstruction Height Above ML (ft):

50. Buoy Installed?

Yes/No

Yes/No

CONTACT NAME:

CONTACT TELEPHONE NO.:

CONTACT E-MAIL ADDRESS:

PAPERWORK REDUCTION ACT OF 1995 (PRA) STATEMENT: The PRA (44 U.S.C. 3501 et seq.) requires us to inform you that we collect this information to obtain knowledge of equipment and procedures to be used in drilling operations. MMS uses the information to evaluate and approve or disapprove the adequacy of the equipment and/or procedures to safely perform the proposed drilling operation. Responses are mandatory (43 U.S.C. 1334). Proprietary data are covered under 30 CFR 250.196. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB Control Number. Public reporting burden for this form is estimated to average between 1-3 hours per response, depending on whether it is a paper submittal or electronic submittal. This includes the time for reviewing instructions, gathering and maintaining data, and completing and reviewing the form. Direct comments regarding the burden estimate or any other aspect of this form to the Information Collection Clearance Officer, Mail Stop 4230, Minerals Management Service, 1849 C Street, NW, Washington, DC 20240.

MMS Form MMS-125 (October 2005 - Supercedes all previous versions of form MMS-125 which may not be used.) Page 2 of 2