Form BOEM-0127 Sensitive Reservoir Information (SRI) Report

30 CFR 550, Subpart A, General, and Subpart K, Oil and Gas Production Requirements

Form BOEM-0127 exp 12-31-13

Subpart K 550.1153-1167 - Well Surveys and Reservoirs

OMB: 1010-0114

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U.S. Department of the Interior

Bureau of Ocean Energy Management

Submit one original plus two copies. One copy must be marked “Public Information.”

OMB Control No.: 1010-0114

Expiration Date: XXXXX


SENSITIVE RESERVOIR INFORMATION (SRI) REPORT

1.

Original

Correction

8. FIELD NAME

50. RESERVOIR NAME

26. CONTACT NAME

11. OPERATOR NAME and ADDRESS (Submitting Office)

117. Drive Mech.

10. BOEM OPERATOR NO.

118. DiscOVERY YEAR

121. TYPE OF REQUEST

INITIAL

REVISION

ANNUAL REVIEW

RECLASSIFY

RESERVOIR

89. ATTACHMENTS PER

30 CFR 550.1167

LOG SECTION

RESERVOIR

STRUCTURE MAP

OTHER ______________

122. RESERVOIR TYPE

123. RESERVOIR CLASSIFICATION

OPERATOR REQ.

BOEM

OPERATOR REQ.

BOEM

OIL

GAS

OIL WITH

GAS CAP

OIL

GAS

OIL WITH

GAS CAP


SENSITIVE

NONSENSITIVE


SENSITIVE

NONSENSITIVE

VOLUMETRIC DATA

124. Upper ø

Cut-off

125. Lower ø

Cut-off

126. Upper k

Cut-off

127. Lower k

Cut-off

128. G/O

Interface

129. W/O

Interface

130. G/W

Interface

131. Ag

132. Ao

133. Vo

134. Vg

135. Ho

136. ho

137. Hg

138. hg

139. øe

140. Sw

141. Sg

142. So

143. Boi

144. Bgi

145. N

146. G

147. Kh

148. Kv

149. AVG Well Depth

150. Rio

151. Rig

152. RioN

153. RigG

154. Np(2)/N

155. Gp(2)/G

FLUID ANALYSIS DATA

156. API @ 60O F

157. SG

158.Rsi

159. µoi

160. µo

161. Tavg

162. Pi

163. PI DATE

164. Pws

165. Pws DATE

166. Pb

167. Pd

168. Datum Depth

PRODUCTION DATA

169. GOR

170. GOR DATE

171. WOR

172. WOR DATE

173. No. of Injection

Completions

174. No. of Abandoned

Completions

175. No. of Active

Completions

176. Np(1)

177. Np(1) DATE

178. Gp(1)

179. Gp(1) DATE

180. Wp(1)

181. Wp(1) DATE

182. Np(2)

183. Np(2) DATE

184. Gp(2)

185. Gp(2) DATE

186. Wp(2)

187. Wp(2) DATE

115. ACTIVE COMPLETIONS IN RESERVOIR (Continue in Remarks or attach an additional sheet if necessary.)

LEASE NO.

WELL NAME

API WELL NO.

LEASE NO.

WELL NAME

API WELL NO.

1.



5.



2.



6.



3.



7.



4.



8.



119. PRESENT MAXIMUM EFFICIENT RATE (MER) (Required only for Pacific and Alaska Regions.)

120. REQUESTED MER (Required only for Pacific and Alaska Regions.)

THIS SPACE FOR BOEM USE ONLY

REQUESTED MER ACCEPTED REJECTED (Pacific and Alaska OCS Regions)

BOEM REGIONAL AUTHORIZING OFFICIAL

EFFECTIVE DATE

FORM BOEM-0127 (Month/Year)

Previous Editions are Obsolete.

Page 1 of 2




SENSITIVE RESERVOIR INFORMATION REPORT (Continued)

116. REMARKS

27. CONTACT TELEPHONE NO.

32. CONTACT E-MAIL ADDRESS

28. AUTHORIZING OFFICIAL (Type or print name)

29. TITLE

30. AUTHORIZING SIGNATURE

31. DATE

PAPERWORK REDUCTION ACTOF 1995 (PRA) STATEMENT: The PRA (44. U.S.C. 3501 et seq.) requires us to inform you that we collect this information to obtain definite and firsthand knowledge of reservoir characteristics and parameters. We use this information to classify the reservoir as sensitive and to evaluate the lessee's request for approval of a Maximum Efficient Rate of Production. Responses are mandatory (43. U.S.C. 1334). Proprietary data are covered under 30 CFR 550.197. 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 OMB Control Number. Public reporting burden of this form is estimated to average 3 hours per response, including the time for reviewing instructions, gathering and maintaining data, and completing and reviewing the form. You may direct comments regarding the burden estimate or any other aspect of the this form to the Information Collection Clearance Officer, Bureau of Ocean Energy Management, 381 Elden Street, Herndon, VA 20170.

FORM BOEM-0127 (Month/Year) Page 2 of 2

Previous Editions are Obsolete.

File Typeapplication/msword
File TitleOmniForm Form
AuthorSusan Bergeron
Last Modified ByBajusz, Arlene
File Modified2013-05-20
File Created2013-05-20

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