Form BSEE-0125 "End of Operations Report (Eor)"

What Is Form BSEE-0125?

This is a legal form that was released by the U.S. Department of the Interior - Bureau of Safety and Environmental Enforcement on March 1, 2018 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 1, 2018;
  • The latest available edition released by the U.S. Department of the Interior - Bureau of Safety and Environmental Enforcement;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form BSEE-0125 by clicking the link below or browse more documents and templates provided by the U.S. Department of the Interior - Bureau of Safety and Environmental Enforcement.

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Download Form BSEE-0125 "End of Operations Report (Eor)"

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U.S. Department of the Interior
OMB Control No. 1014-0018
Submit original plus THREE copies,
Bureau of Safety and Environmental
OMB Approval Expires 03/31/2021
with ONE copy marked "Public Information."
Enforcement (BSEE)
END OF OPERATIONS REPORT (EOR)
1.
COMPLETION
ABANDONMENT
2. BSEE 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)
NAD 27 (GOM)
NAD 83 (Alaska & Pacific)
NAD 83 (Alaska & Pacific)
WELL STATUS INFORMATION
16. Well Status Date
17
14. Well Status
15. Type Code
MD ________ TVD ________ Total Depth ________
WELL AT PRODUCING ZONE
18. LEASE NO.
19. AREA NAME
20. BLOCK NO.
21. LATITUDE
22 LONGITUDE
NAD 27 (GOM)
NAD 27 (GOM)
NAD 83 (Alaska & Pacific)
NAD 83 (Alaska & Pacific)
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
BSEE Form BSEE-0125
Page 1 of 3
(March/2018- Supersedes all previous versions of this form which may not be used.)
U.S. Department of the Interior
OMB Control No. 1014-0018
Submit original plus THREE copies,
Bureau of Safety and Environmental
OMB Approval Expires 03/31/2021
with ONE copy marked "Public Information."
Enforcement (BSEE)
END OF OPERATIONS REPORT (EOR)
1.
COMPLETION
ABANDONMENT
2. BSEE 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)
NAD 27 (GOM)
NAD 83 (Alaska & Pacific)
NAD 83 (Alaska & Pacific)
WELL STATUS INFORMATION
16. Well Status Date
17
14. Well Status
15. Type Code
MD ________ TVD ________ Total Depth ________
WELL AT PRODUCING ZONE
18. LEASE NO.
19. AREA NAME
20. BLOCK NO.
21. LATITUDE
22 LONGITUDE
NAD 27 (GOM)
NAD 27 (GOM)
NAD 83 (Alaska & Pacific)
NAD 83 (Alaska & Pacific)
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
BSEE Form BSEE-0125
Page 1 of 3
(March/2018- Supersedes all previous versions of this form which may not be used.)
End of Operations Report (EOR) Con't.
ABANDONMENT HISTORY OF WELL [Plug Information]
43. Plug Type
44. Plug Remarks/Description
45. Top of
46. Bottom of
47. Date
48. Date
Plug (MD)
Plug (MD)
Installed
Tested
DCP
PTP
ICP
SCP
ACP
DCP
PTP
ICP
SCP
ACP
DCP
PTP
ICP
SCP
ACP
DCP
PTP
ICP
SCP
ACP
DCP
PTP
ICP
SCP
ACP
`
DCP
PTP
ICP
SCP
ACP
`
DCP
PTP
ICP
SCP
ACP
`
DCP
PTP
ICP
SCP
ACP
`
DCP
PTP
ICP
SCP
ACP
`
DCP
PTP
ICP
SCP
ACP
`
DCP
PTP
ICP
SCP
ACP
`
DCP
PTP
ICP
SCP
ACP
`
DCP
PTP
ICP
SCP
ACP
`
DCP
PTP
ICP
SCP
ACP
* If more plugs are needed than the above amount, please attach another sheet to identify the other plugs*
Definitions for Plug Type
DCP - Downhole Cement Plug inlcuding Cmt. Retainer w/Cmt, CI BP w/Cmt, zones squeezed.
PTP - Permanent Tubing Plug
ICP - Intermediate Cement Plug
SCP - Surface Cement Plug
ACP - Annulus Cement Plug
BSEE
Form BSEE-0125
Page 2 of 3
(March/2018 - Supercedes all previous versions of this form which may not be used.)
End of Operations Report (EOR) Con't.
ABANDONMENT HISTORY OF WELL [Casing Information]
49. CASING SIZE:
50. CASING CUT DATE:
51. CASING CUT METHOD:
52. CASING CUT DEPTH:
ABANDONMENT HISTORY OF WELL [Obstruction Information]
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:
CERTIFICATION: I certify that the information submitted is complete and accurate to the best of my knowledge. I understand that making
a false statement may subject me to criminal penalties under 18 U.S.C. 1001.
Name and Title:________________________________________________________ Date: ____________________________
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. BSEE 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 250.197. 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 for this form is apprroximately 2 hours per response. 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, Bureau of Safety and Environmental Enforcement, 45600 Woodland Road, Sterling,
VA 20166.
BSEE
Form BSEE-0125
Page 3 of 3
(March/2018 - Supercedes all previous versions of this form which may not be used.)
Page of 3