Fillable OMB Control No.: 1010-0114 Expiration Date: 02/28/2023 (Minerals Management Service)

Fill Online, Printable, Fillable, Blank OMB Control No.: 1010-0114 Expiration Date: 02/28/2023 (Minerals Management Service) Form

Use Fill to complete blank online MINERALS MANAGEMENT SERVICE (VA) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

OMB Control No.: 1010-0114 Expiration Date: 02/28/2023 (Minerals Management Service)

On average this form takes 29 minutes to complete

The OMB Control No.: 1010-0114 Expiration Date: 02/28/2023 (Minerals Management Service) form is 2 pages long and contains:

  • 0 signatures
  • 21 check-boxes
  • 107 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Minerals Management Service

BROWSE MINERALS MANAGEMENT SERVICE (VA) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
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: 02/28/2023
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.
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. A
g
132. A
o
133. V
o
134. V
g
135. H
o
136. h
o
137. H
g
138. h
g
139. ø
e
140. S
w
141. S
g
142. S
o
143. B
oi
144. B
gi
145. N
146. G
147. K
h
148. K
v
149. AVG Well Depth
150. R
io
151. R
ig
152. R
io
N
153. R
ig
G
154. N
p
(2)/N
155. G
p
(2)/G
FLUID ANALYSIS DATA
156. API @ 60
O
F
157. SG
158.R
si
159. µ
oi
160. µ
o
161. T
avg
162. P
i
163. P
I
DATE
164. P
ws
165. P
ws
DATE
166. P
b
167. P
d
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. N
p
(1)
177. N
p
(1) DATE
178. G
p
(1)
179. G
p
(1) DATE
180. W
p
(1)
181. W
p
(1) DATE
182. N
p
(2)
183. N
p
(2) DATE
184. G
p
(2)
185. G
p
(2) DATE
186. W
p
(2)
187. W
p
(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 (February 2020)
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
6 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, 45600 Woodland Road, Sterling, VA 20166.
Page 2 of 2
FORM BOEM-0127 (February 2020)
Previous Editions are Obsolete.
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

OMB Control No.: 1010-0114 Expiration Date: 02282023 (Minerals Management Service)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 26 September 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document