Document bMQrL50NoY61eQO05p7m522k
Inspection ID
Class I and II Well Inspection Form
US Environmental Protection Agency - Region 4 Underground Injection Control Program
61 Forsyth Street SW, MC 9T25, Atlanta, Georgia, 30303 Phone: (404)562-9424
Inspector(s): Carl E. Weller
_ (lead),
,
EPA Well ID#: F L S
Year-Month-Day: 2 0 2
EPA Permit # (or RA):
Carol Chen
1 1 3 0 0 76 3- 0 3- 30 FL I 0046
Page 1 Of 2 Start Time: 10:15 am End Time: 10:25 am
Facility Contact Information
Facility Name: Maverick Natural Resources, LLC (Breitburn Operating LP)
Street Address: 5415 Oil Plant Rd
City: Jay
County: Santa Rosa
State: FL Zip: 32565
Nature of Business: oil and gas production
Facility Owner/Operator: Maverick Natural Resources, LLC
Phone: 850-675-1702
Email:
Facility Contact (if different): Al Jones, Plant Superintendent
O/O Mailing Address: 5415 Oil Plant Rd
City:
Jay
County: Santa Rosa
Phone: 251-227-3319 State: FL Zip: 32565
Well Data from File
Field Measurements and Observations
Well Name & #:
McDavid Land Etal #7-9
API No. 0911320267 PA No. 303179
Well Type (see table):
Enhanced Oil Recovery (EOR)
State Permit:
OG_1320
Latitude (N):
30.98008583
Longitude (W):
-87.16221639
Elevation (ft):
Injection Method (check applicable): Casing Injector; X Tubing & Packer; Cemented Injection Tubing BH#1 @15210'
PBTD: 15740'
Other:
surface casing 10" @3837' 5/27/2014 BH#2 Arrowdrill B
Total Depth (ft): 15787' Inner Casing Size (in):
Tubing Size (in):
Packer Depth (ft):@14483'
Inj. Zone: Open Hole; X Perforated; Top(ft) 15358' Bottom(ft): 15598'
4400 psi PW Max. Injection Pressure (psig):
Latitude (N):
30.98012
Longitude (W):
-87.16222
Elevation (ft):
EPA GPS ID: SX8123 Well Status (see table): AC If not Active, Reported Date Last Active:
Nature of Injected Fluid(s) if any:
Produced Water (PW)
General Condition of the Well Site:
Notes & Comments: Maximum injection pressures are 7500 psi Nitrogen (N), 4400 psi Produced Water (PW)
Notes & Comments (include discrepancies from database values): Well passed mechanical integrity test on 6/28/2022.
Perforations (Smackover Formation):
Note: One-way check valve pointing direction of fluids.
15358' to 15378' (4SPF - 20') 12/05/2013 15406' to 15442' (6SPF - 36') 09/13/2005
Tubing gauge:
2600 psi
15406' to 15436' (4SPF - 30') 08/07/2014 15572' to 15579' (6SPF - 7') 06/09/2005 15591' to 15598' (6SPF - 7') 06/09/2005
Production gauge Surface gauge: Flowline (PW) gauge:
0 psi 0 psi 2700 psi
See reverse for additional observations, comments and photo log
UIC Inspector
UIC Inspector
Name: Signature:
Carl E. Weller
CARL WELLER (Affiliate)
Digitally signed by CARL WELLER (Affiliate) Date: 2023.05.23 15:19:58 -04'00'
Name:
Carol Chen
CAROL CHEN Date: 2023.05.22 17:37:30 -04'00' Digitally signed by CAROL CHEN
Signature:
Version 2018-04-18
Inspection ID
Class I and II Well Inspection Form
US Environmental Protection Agency - Region 4 Underground Injection Control Program
61 Forsyth Street SW, MC 9T25, Atlanta, Georgia, 30303 Phone: (404)562-9424
(Cont)
EPA Well ID#: F L S 1 1 3 0 0 7 6 Year-Month-Day: 2 0 2 3 - 0 3 - 3 0
EPA Permit # (or RA): F L I 0 0 4 6
Page 2 Of 2
Field Measurements and Observations (Cont.)
Photo Log
Photographer: Photo ID: Description: Photo ID: Description:
Carl E. Weller
EPA Camera ID:
SX8123
192
Time: 10:14 am Lat (N):
30.98012
Long (W) -87.16222
close-up photo of sign posted onto the injection well, closest GPS location
193
Time: 10:14 am Lat (N): 30.98016
photo of injection well, several feet away
Long (W) -87.16219
Photo ID:
Time:
Lat (N):
Long (W)
Description:
Photo ID:
Time:
Lat (N):
Long (W)
Description:
Photo ID:
Time:
Lat (N):
Long (W)
Description:
Photo ID:
Time:
Lat (N):
Long (W)
Description:
UIC Inspector
Name: Signature:
Carl E. Weller
Digitally signed by CARL WELLER
CARL WELLER (Affiliate) (Affiliate)
Date: 2023.05.23 15:20:29 -04'00'
UIC Inspector
Name: Carol Chen
CAROL CHEN Date: 2023.05.22 17:37:59 -04'00' Digitally signed by CAROL CHEN
Signature:
Version 2018-04-18