Instructions for Form 8000-PM-OOGM0001 "Application for a Permit to Drill, Operate or Alter an Oil or Gas Well" - Pennsylvania

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8000-PM-OOGM0001
Rev. 1/2016
COMMONWEALTH OF PENNSYLVANIA
Instructions
DEPARTMENT OF ENVIRONMENTAL PROTECTION
OFFICE OF OIL AND GAS MANAGEMENT
INSTRUCTIONS FOR COMPLETING AN APPLICATION FOR A PERMIT
TO DRILL OR ALTER AN OIL OR GAS WELL
Form 8000-PM-OOGM0001
GENERAL INFORMATION
These permit application forms are used to apply to Pennsylvania‟s Department of Environmental Protection
(Department), for approval to drill a new oil or gas well, or to redrill, alter or deepen an existing well, renew a permit
about to expire, and to repermit an expired well permit. Section 3211(a) of 58 Pa.C.S. §§ 3201-3274 (2012 Oil and
Gas Act) requires operators to obtain a well permit prior to drilling or altering a well.
58 Pa.C.S. § 3211(a).
Additionally, pursuant to Section 3259 of the 2012 Oil and Gas Act, it is unlawful to drill, alter, operate or utilize an oil
or gas well without a permit or registration from the Department as required by the 2012 Oil and Gas Act or in
violation of rules and regulations adopted under the 2012 Oil and Gas Act, orders of the Department or a term or
condition of a permit issued by the Department. 58 Pa.C.S § 3259.
The forms required for a complete application are dependent upon the type of well permit being applied for. The
forms are divided first by:
a) Conventional wells – Wells that are not unconventional wells, irrespective of technology or design. The term
includes wells drilled to produce oil, wells drilled to produce natural gas from formations other than shale
formations, wells drilled to produce natural gas from shale formations located above the base of the Elk
Group or its stratigraphic equivalent, wells drilled to produce natural gas from shale formations located below
the base of the Elk Group where natural gas can be produced at economic flow rates or in economic
volumes without the use of vertical or nonvertical well bores stimulated by hydraulic fracture treatments or
multilateral well bores or other techniques to expose more of the formation to the well bore, and wells drilled
for collateral purposes, such as monitoring, geologic logging, secondary and tertiary recovery or disposal
injection.
b) Unconventional wells which target unconventional formations defined as a geological shale formation
existing below the base of the Elk Sandstone or its geologic equivalent stratigraphic interval where natural
gas generally cannot be produced at economic flow rates or in economic volumes except by vertical or
horizontal well bores stimulated by hydraulic fracture treatments or by using multilateral well bores or other
techniques to expose more of the formation to the well bore.
c) Wells in coal areas- If the proposed well is on a coal area or a coal bed methane well, complete and attach
the coal module. If the proposed well is in a non- coal area attach a. justification as to why the area is
considered a non-coal area. The coal module would not be required for a proposed well in a non-coal area.
The a, b, or c suffix applicable to the above groupings will be shown in the upper left of the form after the
001 numbering of the form. Ex: 8000-PM-OOGM0001a.
Several additional forms may be required with your application, depending on the type of well, bond agreement, or
variances requested. The forms typically provide entry for one piece of information. If you have situations that require
additional information for multiple entries, attach additional sheets with the Operator, farm name, well identified at the
top of each additional sheet and identify the addition informational field/data being provided. A permit fee is also
required. Please read through this application form and instructions to determine which additional forms and
supporting documents you need. The forms for permits and approvals are available to the public from DEP‟s
website, at www.dep.pa.gov. Click on the phrase Permits, Licensing and Certification at the left of the screen, select
Program-Specific Permit/Authorization Packages then click on the Oil and Gas Management folder.
If completing forms manually, please type or print legibly. Unreadable information will delay processing, and may
result in your application being returned to you.
Information required on these forms is mostly self-explanatory. Instructions are written only for those items that need
some explanation. If an item is not relevant to your application, enter “NA” in that space rather than leave the space
blank.
Before generating waste, oil and gas well operators are required by 25 Pa.Code § 78.55 (relating to control and
disposal plans) to prepare and implement a control and disposal plan under 25 Pa.Code § 91.34 (relating to activities
utilizing pollutants). The plan must address the control and disposal of residual waste, drill cuttings and fluids,
including tophole water, brines, drilling fluids, additives, drilling muds, stimulation fluids, well servicing fluids, oil,
production fluids and drill cuttings from the drilling, alteration, production, plugging or other activity associated with oil
and gas wells. Operators can meet these regulatory requirements and the requirements under 25 Pa.Code § 78.55
- 1 -
8000-PM-OOGM0001
Rev. 1/2016
COMMONWEALTH OF PENNSYLVANIA
Instructions
DEPARTMENT OF ENVIRONMENTAL PROTECTION
OFFICE OF OIL AND GAS MANAGEMENT
INSTRUCTIONS FOR COMPLETING AN APPLICATION FOR A PERMIT
TO DRILL OR ALTER AN OIL OR GAS WELL
Form 8000-PM-OOGM0001
GENERAL INFORMATION
These permit application forms are used to apply to Pennsylvania‟s Department of Environmental Protection
(Department), for approval to drill a new oil or gas well, or to redrill, alter or deepen an existing well, renew a permit
about to expire, and to repermit an expired well permit. Section 3211(a) of 58 Pa.C.S. §§ 3201-3274 (2012 Oil and
Gas Act) requires operators to obtain a well permit prior to drilling or altering a well.
58 Pa.C.S. § 3211(a).
Additionally, pursuant to Section 3259 of the 2012 Oil and Gas Act, it is unlawful to drill, alter, operate or utilize an oil
or gas well without a permit or registration from the Department as required by the 2012 Oil and Gas Act or in
violation of rules and regulations adopted under the 2012 Oil and Gas Act, orders of the Department or a term or
condition of a permit issued by the Department. 58 Pa.C.S § 3259.
The forms required for a complete application are dependent upon the type of well permit being applied for. The
forms are divided first by:
a) Conventional wells – Wells that are not unconventional wells, irrespective of technology or design. The term
includes wells drilled to produce oil, wells drilled to produce natural gas from formations other than shale
formations, wells drilled to produce natural gas from shale formations located above the base of the Elk
Group or its stratigraphic equivalent, wells drilled to produce natural gas from shale formations located below
the base of the Elk Group where natural gas can be produced at economic flow rates or in economic
volumes without the use of vertical or nonvertical well bores stimulated by hydraulic fracture treatments or
multilateral well bores or other techniques to expose more of the formation to the well bore, and wells drilled
for collateral purposes, such as monitoring, geologic logging, secondary and tertiary recovery or disposal
injection.
b) Unconventional wells which target unconventional formations defined as a geological shale formation
existing below the base of the Elk Sandstone or its geologic equivalent stratigraphic interval where natural
gas generally cannot be produced at economic flow rates or in economic volumes except by vertical or
horizontal well bores stimulated by hydraulic fracture treatments or by using multilateral well bores or other
techniques to expose more of the formation to the well bore.
c) Wells in coal areas- If the proposed well is on a coal area or a coal bed methane well, complete and attach
the coal module. If the proposed well is in a non- coal area attach a. justification as to why the area is
considered a non-coal area. The coal module would not be required for a proposed well in a non-coal area.
The a, b, or c suffix applicable to the above groupings will be shown in the upper left of the form after the
001 numbering of the form. Ex: 8000-PM-OOGM0001a.
Several additional forms may be required with your application, depending on the type of well, bond agreement, or
variances requested. The forms typically provide entry for one piece of information. If you have situations that require
additional information for multiple entries, attach additional sheets with the Operator, farm name, well identified at the
top of each additional sheet and identify the addition informational field/data being provided. A permit fee is also
required. Please read through this application form and instructions to determine which additional forms and
supporting documents you need. The forms for permits and approvals are available to the public from DEP‟s
website, at www.dep.pa.gov. Click on the phrase Permits, Licensing and Certification at the left of the screen, select
Program-Specific Permit/Authorization Packages then click on the Oil and Gas Management folder.
If completing forms manually, please type or print legibly. Unreadable information will delay processing, and may
result in your application being returned to you.
Information required on these forms is mostly self-explanatory. Instructions are written only for those items that need
some explanation. If an item is not relevant to your application, enter “NA” in that space rather than leave the space
blank.
Before generating waste, oil and gas well operators are required by 25 Pa.Code § 78.55 (relating to control and
disposal plans) to prepare and implement a control and disposal plan under 25 Pa.Code § 91.34 (relating to activities
utilizing pollutants). The plan must address the control and disposal of residual waste, drill cuttings and fluids,
including tophole water, brines, drilling fluids, additives, drilling muds, stimulation fluids, well servicing fluids, oil,
production fluids and drill cuttings from the drilling, alteration, production, plugging or other activity associated with oil
and gas wells. Operators can meet these regulatory requirements and the requirements under 25 Pa.Code § 78.55
- 1 -
8000-PM-OOGM0001
Rev. 1/2016
Instructions
and 25 Pa. Code § 91.34 by developing and implementing a site specific Preparedness, Prevention and Contingency
(PPC) Plan.
Copies of the plan(s) must: (1) Be provided to the Department upon request; (2) Be available at the well site during
earth disturbance activities, drilling, completion and alteration activities for use by those involved in those activities
and for review by DEP; and (3) Include a list of emergency contact phone numbers for the area in which the well site
is located. The emergency contact phone numbers must be prominently displayed at the well site during drilling,
completion or alteration activities. See 25 Pa. Code § 102.5(l).
Pursuant to Section 3221 of the 2012 Oil and Gas Act, a well operator may request permission to use a method or
material other than those required by the 2012 Oil and Gas Act and applicable regulations for casing. Plugging or
equipping a well, please submit alternate methods or materials requests along with your permit application.
A checklist is included for this application form for your use. Please use it to check that your application is complete
before you submit the application to DEP. Incomplete, illegible, or inadequate applications may be returned. You do
not need to submit the checklist with your application.
If you do not have an oil and gas well bond in effect now, you should complete the bond application process before
submitting your application for an oil or gas well permit. Your well permit will not be issued until your bond is
approved.
If your bond is already in effect, you must identify the bond agreement number on your permit application form that
serves as the Exhibit A (Form 8000-FM-OOGMO0042), which identifies this well is to be added to your bond. When
your bond is accepted by the Department, you should record the bond agreement number provided by DEP. If you
have multiple bonds, you should make sure the amount of coverage available for that particular bond is sufficient to
allow the well permit being applied for can be covered by the specific bond.
If you have any questions about this application, or need more information or additional forms, contact the
appropriate DEP regional oil and gas office.
Refer to the regional permitting office map at the end of these
instructions. Note that for purposes of submitting applications for well permits, your application is to be submitted to
the applicable well permitting office that covers the county in which the well will be located. There are two well
permitting offices as shown on the “permitting office map.”
PA DEP
Oil and Gas Management Program
Northwest Regional Office
Phone 814-332-6860
230 Chestnut Street
Fax 814-332-6121
Meadville, PA 16335-3481
PA DEP
Oil and Gas Management Program
Southwest Regional Office
Phone 412-442-4024
400 Waterfront Drive
Fax 412-442-4328
Pittsburgh, PA 15222-4745
If you have problems using the forms on your personal computer or printing them, please contact:
PA DEP
Bureau of Oil and Gas Management
PO Box 8765
Phone 717-772-2199
Harrisburg, PA 17105-8765
Fax 717-772-2291
Well Operator - Applicant Name
Enter the name of the business or individual that will be the operator of this well. The Well Operator name on this
permit application form must exactly match the Operator Name on the applicant„s bond.
DEP will issue a permit only to a legal entity, e.g., an individual doing business in his or her own name or in a
registered fictitious name, or to a duly registered corporation, partnership, or limited liability company. A fictitious
named business or organization must already be registered with the Pennsylvania Department of State before DEP
will process a permit application.
Proof of incorporation or registration of a fictitious name must be provided with the bond application via the General
Information form (8000-FM-OOGM0099) and the Ownership and Control form (8000-FM-OOGM0118.)
DEP Client ID No. is the applicant„s unique eFACTS identification number with the Department of Environmental
Protection. It will be common to all the applicant„s business with the department. Your DEP Client ID number has
- 2 -
8000-PM-OOGM0001
Rev. 1/2016
Instructions
already been assigned, or will be assigned when we process your bond application. If you do not know your DEP
Client ID number, please call one of the regional offices, or the Office of Oil and Gas Management in Harrisburg.
Mailing Address
Enter the well operator‟s current mailing address. Operators are required to notify the department in writing of an
address change within 30 days of a change.
If you have listed a new address, but have not yet notified a regional DEP Oil and Gas office, please check the box
indicating that this is a new address. Include the change of address notice on an attached sheet on company
letterhead.
WELL INFORMATION
Enter the farm name, well number, and if applicable, the “serial number” you assigned to the well for your tracking
purposes and project number assigned by DEP as applicable. The Farm Name, Well Number and Serial Number
are the applicant„s designations to identify the well. Project number is a designation assigned to a group of wells
associated by production field or farm. If applicable, this number would have already been, or will be assigned by
DEP.
Previous Permit or Registration
If the well was previously permitted or registered and you are applying to drill deeper by extending a lateral or adding
a new lateral, redrilling the wellbore to the same depth, altering the well which includes changing casing in a coal
well, repermiting an expired permit, or renewing an active permit, enter the API number assigned to the well from the
th
th
last permit issued for that well and specific lateral the application pertains to by including the 11
to 14
digits of the
API number.
For an existing well that has no DEP permit or registration identification, please provide all available information
known about the well. Provide records that you have, such as: date drilled, ownership documents, well record,
driller‟s log, geophysical log, production data, year last produced or other relevant information that is available for the
well.
Location
Provide the true Latitude and Longitude of the surface location of the wellbore. This should be the same as shown
on the plat and be in NAD 83 datum.
County and Municipality
Enter the name of the county and municipality of the surface location of the proposed well. If you are using DEP‟s
on-screen “smart forms,” select the county name from the drop-down list. Strike the F1 key on your keyboard for the
county list. Alternately, type in the municipality name and the appropriate designation of type. Ex.: City, Borough
(Boro) or Township (Twp).
USGS Quad and section
Enter the name of the quadrangle map and section of the quad the well is to be located on. This should be the same
as shown on the plat.
Emergency contact information
Enter the name of who will be the responsible contact individual for the well during site and well development.
Provide the 24/7 phone contact number for that person.
Provide the 911 address of the well site if it has been assigned.
Related Facilities
Provide the name/identification and/or permit number for the following facilities that are or will be used in the
development of the well:
ESGP Permit No.: If an ESGP has been issued for the well site, provide the permit number of the ESGP.
Freshwater Impoundment: Provide the name you assigned to the freshwater impoundment that will be
utilized to store and provide fluid for well drilling/completion activities for the well.
If multiple, attach
additional sheets with the Operator, farm name, well identified at the top of each additional sheet and identify
the additional information field/data being provided.
Centralized Wastewater Impoundment: Provide the name or permit number of the centralized impoundment
that will be utilized to store and provide fluid for well drilling/completion activities for the well.
- 3 -
8000-PM-OOGM0001
Rev. 1/2016
Instructions
Borrow Area/Gravel Pit: Provide the name or permit number of the non-commercial borrow/gravel pit area
from which material is to be removed under terms of a lease agreement that will be used to construct this
well site.
Well pad name: Provide the name you assigned to the well pad if multiple wells are to be drilled from the
same well site pad.
Well Development Details
Provide details for the following:
Surface Elevation – Above sea level in feet of the proposed ground (well site/pad) level at the wellbore;
Deepest formation of all laterals to be penetrated. If drilling a pilot or rat hole to allow logging of the bottom of the
proposed producing formation, list deepest formation to be penetrated to allow for the logging tool.
Anticipated True Vertical Depth (TVD) of the (preceding) deepest formation from the surface elevation;
Target Formation proposed for production. List all formations planned to be produced;
Anticipated Target Top/Bottom TVD Provide anticipated True Vertical Depth of the top and bottom of the target
formations from the surface elevation.
Wellbore laterals – Enter the number of laterals to be drilled and the total feet of wellbore to be drilled of all laterals
combined as proposed under this application.
Threatened and Endangered Species
Proof of consultation with Pennsylvania Natural Heritage Program‟s (PNHP) Pennsylvania Natural Diversity Inventory
(PNDI) is required. To ensure compliance with federal and state law, submit a Pennsylvania Natural Diversity
Inventory Project Environmental Review Receipt (PNDI receipt).
If the PNDI receipt identifies a conflict with
threatened or endangered species, it will provide an explanation of the potential impact(s) and instructions on how to
resolve the potential impact. See Technical Guidance Document No. 400-0200-001, Policy for Pennsylvania Natural
Diversity Inventory (PNDI) Coordination During Permit Review and Evaluation.
Note for renewals: a new PNDI run must be done if the prior run submitted with the previously approved application
is not within a year of the renewal application. Also, if re-run of PNDI has a different outcome, the conditions of the
prior application have changed and the applicant must submit a new application (instead of renewal) with an updated
clearance letter from controlling agency(ies). This may impact outcome of Special Conditions so PNDI change would
not be a renewal. Note that application has changed but can still apply to originally assigned API No. for the well.
PERMIT TYPE
Please check the appropriate descriptions of the activity to be permitted and the type of well.
Application is for:
Drill New Well: A location where no well has ever been drilled.
Renew Active Permit: Submitting application to renew permit at least 15 days prior to expiration of the permit.
Provide prior API No.
Repermit expired permit: Application for a permit to drill a well at a location that was previously issued a permit
that has since expired. Provide prior API No.
Deepen, Re-drill, or Alter an Existing Well: Provide prior API No. and check the appropriate box.
Deepen: To drill an existing well below the original total depth.
Re-drill: To drill out a plugged well for the purpose of putting a plugged and abandoned well into production.
Alter: Any operation that changes the use or purpose of a well, for example to change an oil production well
to an injection well. (Also check the appropriate box under TYPE OF WELL it will become), or drills out
the well bore, or, depending on the work, it may include removing, repairing or changing the casing.
(Remove, repair, or change casing means to alter the casing by changing the depth or diameter of the
well, or to remove, repair or change casings in coal areas. Replacement of casing of the same
diameter to the same depth is not by itself an alteration.
In coal areas, changing or repairing the production casing where it is also the coal protective casing is
an alteration requiring a permit. Work on the production string that affects the coal protective casing is
an alteration, which requires a permit.
If the application is for something other than above, check “Other” and write in the intended purpose.
- 4 -
8000-PM-OOGM0001
Rev. 1/2016
Instructions
TYPE OF WELL
Mark the box indicating the type of well that will result from the intended activity. Check OTHER for any type not
listed, and fill in a very brief description.
CONFIGURATION
Check the major manner of how the wellbore(s) applied for under this application will be constructed. If there is a
vertical pilot component of the well but the pilot is primarily to build the horizontal portion of the well, check horizontal.
If the application is only for a vertical wellbore, check vertical. If the wellbore is intended to be deviated from vertical
by more than 3 degrees, check deviated. If there will be multiple wellbores/laterals drilled horizontally check both
horizontal and multiple laterals checkboxes.
APPLICATION FEE
Check the box for the applicable permit application fee. Associated well types are shown in parentheses. The whole
fee must accompany the permit application. The amount depends on the type of well being permitted and, for
conventional wells, the length of wellbore to be drilled under this permit. The application fee consists of a permit fee
and surcharges where applicable which are paid into the orphaned and abandoned well plugging funds. Application
fees are not refundable.
The specific amount is calculated as follows:
Gas Well [includes gas storage wells, combination gas & oil wells (in non-coal areas only), and coalbed methane
wells]: Application Permit fee + $250 (Surcharges). If coal bed methane is checked and you intend to drill a coal
bed methane well or construct an access road associated with a coal bed methane well you are required to
provide written notification to the surface owner in the manner prescribed in section 201(B) of the act of
December 19, 1984 (P.L. 1140 No. 223), known as the “Oil and Gas Act”. The notification shall include the
following statement (on DEP Form 5500-FM-OG0053).
Oil Well (including injection - recovery wells):
Application Permit fee + $150 (Surcharges)
Home Use Gas/Oil Well:
$200 (permit fee) + $250/$150 (surcharges)
Injection - Disposal Well:
Application Permit fee (Permit fee) + $50 (Surcharge)
Redrill / Drill Deeper:
Application Permit fee + $0 (Surcharge)
Alteration:
$100 (Permit fee) + $0 (Surcharge) = $100 (Application Fee)
Change in Use (change the use of an existing well):
$100 (Permit fee) + $0 (Surcharge) = $100 (Application Fee)
UNCONVENTIONAL WELLS
The permit fee for unconventional wells must include the new permit application fee in addition to the surcharge fees
for abandoned and orphan wells. The new permit fee is as follows:
$4,200 for a vertical unconventional well.
$5,000 for a nonvertical unconventional well.
If the well is unconventional, check the applicable well status box, either vertical or nonvertical. Enter the Total
Application Fee amount from the last line below on the Application Form.
If the application is for a unconventional well and the applicant proposes to use water from water sources within the
Commonwealth for well fracing activities, the applicant must do so in accordance with a Water Management Plan
approved by the Department. Please refer to document number 5500-PM-OG0087 for an example format of a water
management plan.
Unconventional Permit Fee
$
Orphan well surcharge
$200.00/$100.00
Abandoned well surcharge
$50.00
Total application fee
$
- 5 -
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