Form MMS-137 Form MMS-137 OCS Plan Information Form

U.S. Department of the Interior OMB Control Number: 1010-0151

Minerals Management Service OMB Approval Expires: Mo/Day/Year

OCS PLAN INFORMATION FORM

General Information

Type of OCS Plan:

Exploration Plan (EP)

Development Operations Coordination Document (DOCD)

Company Name:

MMS Operator Number:

Address:

Contact Person:

Phone Number:

E-Mail Address:

Lease(s):

Area:

Block(s):

Project Name (If Applicable):

Objective(s):

Oil

Gas

Sulphur

Salt

Onshore Base:

Distance to Closest Land (Miles):

Description of Proposed Activities (Mark all that apply)

Exploration drilling

Development drilling

Well completion

Installation of production platform

Well test flaring (for more than 48 hours)

Installation of production facilities

Installation of caisson or platform as well protection structure

Installation of satellite structure

Installation of subsea wellheads and/or manifolds

Commence production

Installation of lease term pipelines

Other (Specify and describe)

Have you submitted or do you plan to submit a Conservation Information Document to accompany this plan?

Yes

No

Do you propose to use new or unusual technology to conduct your activities?

Yes

No

Do you propose any facility that will serve as a host facility for deepwater subsea development?

Yes

No

Do you propose any activities that may disturb an MMS-designated high-probability archaeological area?

Yes

No

Have all of the surface locations of your proposed activities been previously reviewed and approved by MMS?

Yes

No

Tentative Schedule of Proposed Activities

Proposed Activity

Start Date

End Date

No. of Days

Description of Drilling Rig

Description of Production Platform

Jackup

Drillship

Caisson

Tension leg platform

Gorilla Jackup

Platform rig

Well protector

Compliant tower

Semisubmersible

Submersible

Fixed platform

Guyed tower

DP Semisubmersible

Other (Attach Description)

Subsea manifold

Floating production system

Drilling Rig Name (If Known):

Spar

Other (Attach Description)

Description of Lease Term Pipelines

From (Facility/Area/Block)

To (Facility/Area/Block)

Diameter (Inches)

Length (Feet)

MMS FORM MMS-137 (Mo/Year - Supersedes all previous editions of form MMS-137 which may not be used.) Page 1 of 2

OCS PLAN INFORMATION FORM (CONTINUED)

Include one copy of this page for each proposed well/structure

Proposed Well/Structure Location
Well or Structure Name/Number (If renaming well or structure, reference previous name):									Subsea Completion
Anchor Radius (if applicable) in feet:										Yes			No
	Surface Location					Bottom-Hole Location (For Wells)
Lease No.	OCS					OCS
Area Name
Block No.
Blockline Departures (in feet)	N/S Departure: F____ L					N/S Departure: F____ L
	E/W Departure: F____ L					E/W Departure: F____ L
Lambert X-Y coordinates	X:					X:
	Y:					Y:
Latitude/ Longitude	Latitude					Latitude
	Longitude					Longitude
	TVD (Feet):				MD (Feet):			Water Depth (Feet):
Anchor Locations for Drilling Rig or Construction Barge (If anchor radius supplied above, not necessary)
Anchor Name or No.		Area	Block	X Coordinate			Y Coordinate				Length of Anchor Chain on Seafloor
				X =			Y =
				X =			Y =
				X =			Y =
				X =			Y =
				X =			Y =
				X =			Y =
				X =			Y =
				X =			Y =
Paperwork Reduction Act of 1995 Statement: The Paperwork Reduction Act of 1995 (44 U.S.C. Chapter 35) requires us to inform you that MMS collects this information as part of an applicant’s Exploration Plan or Development Operations Coordination Document submitted for MMS approval. We use the information to facilitate our review and data entry for OCS plans. We will protect proprietary data according to the Freedom of Information Act and 30 CFR 250.197. 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 Office of Management and Budget Control Number. The use of this form is voluntary. The public reporting burden for this form is included in the burden for preparing Exploration Plans and Development Operations Coordination Documents. We estimate that burden to average 600 hours per response, or 640 with an accompanying EP (1,000 hours in AKOCSR), or 690 (1,700 in AKOCSR) with an accompanying DPP or DOCD, including the time for reviewing instructions, gathering and maintaining data, and completing and reviewing the forms associated with subpart B. 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-137 (Mo/Year - Supersedes all previous editions of form MMS-137 which may not be used.) Page 2 of 2