0137 OCS Plan Information Form

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

Bureau of Ocean Energy Management, OMB Approval Expires: mo/dy/yr

Regulation and Enforcement

OCS PLAN INFORMATION FORM

General Information

Type of OCS Plan:

Exploration Plan (EP)

Development Operations Coordination Document (DOCD)

Company Name:

BOEMRE Operator Number:

Address:

Contact Person:

Phone Number:

E-Mail Address:

If a service fee is required under 30 CFR 250.125(a), provide the

Amount paid

Receipt No.

Project and Worst Case Discharge (WCD) Information

Lease(s):

Area:

Block(s):

Project Name (If Applicable):

Objective(s):

Oil

Gas

Sulphur

Salt

Onshore Support Base(s):

Platform/Well Name:

Total Volume of WCD:

API Gravity:

Distance to Closest Land (Miles):

Volume from uncontrolled blowout:

Have you previously provided information to verify the calculations and assumptions for your WCD?

Yes

No

If so, provide the Control Number of the EP or DOCD with which this information was provided

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

Yes

No

Do you propose to use a vessel with anchors to install or modify a structure?

Yes

No

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

Yes

No

Description of Proposed Activities and Tentative Schedule (Mark all that apply)

Proposed Activity

Start Date

End Date

No. of Days

Exploration drilling

Development drilling

Well completion

Well test flaring (for more than 48 hours)

Installation or modification of structure

Installation of production facilities

Installation of subsea wellheads and/or manifolds

Installation of lease term pipelines

Commence production

Other (Specify and attach description)

Description of Drilling Rig

Description of Structure

Jackup

Drillship

Caisson

Tension leg platform

Gorilla Jackup

Platform rig

Fixed platform

Compliant tower

Semisubmersible

Submersible

Spar

Guyed tower

DP Semisubmersible

Other (Attach Description)

Floating production system

Other (Attach Description)

Drilling Rig Name (If Known):

Description of Lease Term Pipelines

From (Facility/Area/Block)

To (Facility/Area/Block)

Diameter (Inches)

Length (Feet)

BOEMRE FORM 0137 (Mo/Year - Supersedes all previous editions of this form which may not be used.) Page 1 of 4

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):												Previously reviewed under an approved EP or DOCD?										Yes			No
Is this an existing well or structure?					Yes			No	If this is an existing well or structure, list the Complex ID or API No.
Do you plan to use a subsea BOP or a surface BOP on a floating facility to conduct your proposed activities?																							Yes					No
WCD info	For wells, volume of uncontrolled blowout (Bbls/day):									For structures, volume of all storage and pipelines (Bbls):								API Gravity of fluid
	Surface Location										Bottom-Hole Location (For Wells)								Completion (For multiple completions, enter separate lines)
Lease No.	OCS										OCS								OCS OCS
Area Name
Block No.
Blockline Departures (in feet)	N/S Departure: F____ L										N/S Departure: F____ L								N/S Departure: F____ L N/S Departure: F____ L N/S Departure: F____ L
	E/W Departure: F____ L										E/W Departure: F____ L								E/W Departure: F____ L E/W Departure: F____ L E/W Departure: F____ L
Lambert X-Y coordinates	X:										X:								X: X: X:
	Y:										Y:								Y: Y: Y:
Latitude/ Longitude	Latitude										Latitude								Latitude Latitude Latitude
	Longitude										Longitude								Longitude Longitude Longitude
Water Depth (Feet):											MD (Feet):				TVD (Feet):				MD (Feet): MD (Feet): MD (Feet):								TVD (Feet): TVD (Feet): TVD (Feet):
Anchor Radius (if applicable) in 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 =

BOEMRE FORM 0137 (Mo/Year - Supersedes all previous editions of this form which may not be used.) Page 2 of 4

OCS PLAN INFORMATION FORM (CONTINUED)

Provide the following information for the well with the highest Worst Case Discharge volume:

Worst Case Discharge (WCD) Well Information
WCD Well Name	Surface Lease	Surface Area/Block	Bottom Lease	Bottom Area/Block	Product Type	MD	TVD

Analog Well(s)
Area/Block	OCS Lease	Well No.	API No.

Geologic Data for WCD

Open Hole Interval for WCD
Top (TVD in feet)	Base (TVD in feet)

	Sand 1	Sand 2	Sand 3	Sand 4	Sand 5
Formation Data
Sand Name
Estimated Top TVD
Estimated Base TVD
Estimated Net Sand Height MD (Net Pay if hydrocarbon)
Estimated Net Sand Height TVT (Net Pay if hydrocarbon)
Fluid Type
Used in WCD? (Yes/No)

Seismic Survey Used

Engineering Data for WCD

WCD Engineering Items

WCD (STB/Day)

WCD Calculated at

Mudline

Yes

No

Atmosphere

Yes

No

Flow Correlation

Outlet Pressure (Psia)

Gas Turbulence Factor

Software Model Used

	Sand 1	Sand 2	Sand 3	Sand 4	Sand 5
Formation Data
Sand Name
Permeability (mD)
Initial Pressure (PSIA)

BOEMRE FORM 0137 (Mo/Year - Supersedes all previous editions of this form which may not be used.) Page 3 of 4

OCS PLAN INFORMATION FORM (CONTINUED)

	Sand 1	Sand 2	Sand 3	Sand 4	Sand 5
Formation Data
Reservoir Temperature (F)
Porosity (0.00)
Water Saturation (0.00)
Rock Compressibility (microsips)
Water Salinity (ppm)
Drive Mechanism
Drainage Area (acres)
Oil Reservoir Data
Bubble Point Pressure (PSIA)
Initial Bo (RB/STB)
Bo (RB/STB) @ Bubble Point
Rsi (SCF/STB)
Initial Oil Viscosity (Cp)
Oil Viscosity (CP) @ Bubble Point
Oil Compressibility (1/PSIA)
Oil API Gravity (API)
Specific Gas Gravity (0.00)
Gas Reservoir Data
Condensate API Gravity (API)
Specific Gas Gravity (0.00)
Yield (STB/MMCF)

Source of Permeability Used
Permeability from MDT
Permeability from Core Analysis	Percussion core	Rotary sidewall core	Conventional core
Pressure Transient Analysis
Permeability from CMR or NMR log analysis
Permeability from other source

Provide Model Input Values for Relative Permeability:
Residual Oil to Gas fraction (=1-Slc-Swc)
Residual Oil to Water fraction (=Soc)
Critical Gas fraction (Sgc, Gas/Oil-Water Systems)
Residual Gas to Water fraction (Sgc, Gas/Gas-Water Systems)
Kro Oil Curve Endpoint (fraction of absolute permeability)
Krg Gas Curve Endpoint (fraction of absolute permeability)
Krw Water Curve Endpoint (fraction of absolute permeability)

Paperwork Reduction Act of 1995 Statement: The Paperwork Reduction Act of 1995 (44 U.S.C. 2501 et seq.) requires us to inform you that BOEMRE collects this information as part of an applicant’s Exploration Plan or Development Operations Coordination Document submitted for BOEMRE 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. Responses are mandatory (43 U.S.C. 1334). 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 with an accompanying EP, or 700 hours 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, Bureau of Ocean Energy Management, Regulation and Enforcement, 381 Elden Street, Herndon, VA 20170.

BOEMRE FORM 0137 (Mo/Year - Supersedes all previous editions of this form which may not be used.) Page 4 of 4