State Plugging Standards RIG Scoresheet.xlsx

Application Requirements for States and Tribes To Apply for Orphaned Well Site Plugging, Remediation, and Restoration Funding Consideration, and Ongoing State Tribal Reporting Requirements for Funding

State Plugging Standards RIG Scoresheet.xlsx

OMB: 1093-0012

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Overview

Scoring Sheet
Statements


Sheet 1: Scoring Sheet

OMB No. 1093-0012
Expires: XX/XX/XXXX




Category or Subcategory
Criteria 1
Plugging standards and procedures in effect when the State submits its application, even if they were also in effect prior to the 10-Year Application Period

(YES / NO)
(Up to 94 points)
Criteria 2
Improvements to plugging standards and procedures that the State made during the 10-Year Application Period

(YES or NO)
(Up to 160 points)

State or Agency Submitting Scoresheet State





















Point of Contact First Last
phone
email





















Category 1: Drilling well construction





















Select



A. Logging and reporting YES YES
Total Plugging Standards RIG Eligibility $20,000,000
















YES



B. Casing centralization YES NO



















NO



C. Minimum cementing YES YES
Score below a total of 95 points No Award Amount Eligiblity

























Score at or above 95 points, but less than 127 points Partial Award Amount Eligibility




















Category 2: Well control equipment


Score at or above 127 points Full Grant Award Amount Eligibility





















Well control equipment YES YES




























Total Points Available 254




















Category 3: Barrier types


Total Points Earned from Criteria 1 50





















A. Cement YES YES
Total Points Earned from Criteria 2 80





















B. Sealants other than cement YES YES
Total Points Earned 130





















C. Bridge plugs YES YES
% of Total Available Points Earned 51.1%





















D. Cement retainers YES YES
























E. Packer YES NO



















































Category 4: Barrier placement locations

























Uncased Hole



























A. Open-hole sections of the wellbore YES YES





















3 3

B. Hydrocarbon bearing, injection, or disposal zones YES YES



















5
3 3

C. Potential cross flow zones YES YES



















5
1 1

D. Lost circulation zones YES YES



















2
1 1

E. Protected water zones or other geological zones (e.g., coal seams, salt caverns) YES YES



















2
3 3

F. At the surface (uncased hole) YES YES



















5
3 3
























5


Cased Hole



























G. Perforated or producing, injection or disposal casing intervals YES YES





















3 3

H. Known holes or casing integrity YES YES



















5
3 3

I. Removed casing locations YES YES



















5
3 3

J. Casing shoe locations YES YES



















5
3 3

K. Liner tops YES YES



















5
1 1

L. Open uncemented annulus outside casing YES NO



















2
3 3

M. At the surface (cased hole) NO NO



















5
0 3
























5


Horizontal



























N. Barrier type or location NO NO





















0 3

O. Casing or liner hanger and shoes NO NO



















5
0 1
























2


Category 5: Barrier placement techniques


























A. Balanced technique NO NO





















0 2

B. Cement retainer technique NO NO



















3
0 2

C. Dump bailer technique NO NO



















3
0 2

D. Squeeze cement technique NO NO



















3
0 2
























3


Category 6: Wellbore and barrier integrity and verification


























A. Casing pressure test NO NO





















0 2

B. Barrier verification NO NO



















3
0 2
























3


Category 7: Spacer between barriers


























Spacer between barriers requirements NO NO





















0 2
























3


Category 8: Wellbore Capping


























A. Below ground marker YES YES





















1 1

B. Above ground marker YES YES



















2
1 1

C. Marker installation timing NO NO



















2
0 1
























2


Category 9: Pre-approval, procedure changes, post-reporting


























A. Plugging procedure approval requirements NO NO





















0 3

B. Plugging procedure changes for previously approved procedures NO NO



















5
0 3

C. Plugging operations notification requirements NO NO



















5
0 2

D. Post-plugging reporting requirements NO NO



















3
0 2

E. Established criteria or process to address alternative material or methods not meeting the prescriptive requirements outlined in the regulations NO YES



















4
0 2
























4


Category 10: State plugging inspection, oversight, and long-term monitoring


























A. State inspector certification NO NO





















0 2

B. Contractor approval/certification NO NO



















4
0 2

C. Inspection, witnessing, monitoring, and documentation NO NO



















4
0 3

D. Plugged well certification NO NO



















5
0 1

E. Long-term monitoring NO NO



















2
0 2
























4
32 76
























130



Sheet 2: Statements

PAPERWORK REDUCTION ACT STATEMENT: 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 and expiration date. The OMB control number for this template is 1093-0012 (expiration date: XX/XX/XXXX).


BURDEN ESTIMATE STATEMENT: Public reporting for this form is estimated to average 24 hours per response.  Please direct comments regarding the burden estimate or any other aspect of this information collection to: U.S. Department of the Interior Information Collection Clearance Officer, 1849 C St., N.W., Washington, DC 20240.






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