Prerequisites
|
|
|
|
Incident ID (n#)
|
nAPP2401652485
|
|
|
|
Incident Name
|
NAPP2401652485 MCA BATTERY 2 SEPARATOR RELEASE @ 0
|
|
|
|
Incident Type
|
Oil Release
|
|
|
|
Incident Status
|
Initial C-141 Received
|
|
|
|
Incident Facility
|
[fAPP2129428535] MCA BATTERY 2
|
|
|
|
Location of Release Source
Please answer all the questions in this group.
|
|
|
|
Site Name
|
|
|
|
|
Date Release Discovered
|
|
|
|
|
Surface Owner
|
|
|
|
|
Incident Details
Please answer all the questions in this group.
|
|
|
|
Incident Type
|
|
|
|
|
Did this release result in a fire or is the result of a fire
|
|
|
|
|
Did this release result in any injuries
|
|
|
|
|
Has this release reached or does it have a reasonable probability of reaching a watercourse
|
|
|
|
|
Has this release endangered or does it have a reasonable probability of endangering public health
|
|
|
|
|
Has this release substantially damaged or will it substantially damage property or the environment
|
|
|
|
|
Is this release of a volume that is or may with reasonable probability be detrimental to fresh water
|
|
|
|
|
Nature and Volume of Release
Material(s) released, please answer all that apply below. Any calculations or specific justifications for the volumes provided should be attached to the follow-up C-141 submission.
|
|
|
|
Crude Oil Released (bbls) Details
|
|
|
|
|
Produced Water Released (bbls) Details
|
|
|
|
|
Is the concentration of chloride in the produced water >10,000 mg/l
|
|
|
|
|
Condensate Released (bbls) Details
|
|
|
|
|
Natural Gas Vented (Mcf) Details
|
|
|
|
|
Natural Gas Flared (Mcf) Details
|
|
|
|
|
Other Released Details
|
|
|
|
|
Are there additional details for the questions above (i.e. any answer containing Other, Specify, Unknown, and/or Fire, or any negative lost amounts)
|
|
|
|
|
Nature and Volume of Release (continued)
|
|
|
|
Is this a gas only submission (i.e. only significant Mcf values reported)
|
No, according to supplied volumes this does not appear to be a gas only report.
|
|
|
|
Was this a major release as defined by Subsection A of 19.15.29.7 NMAC
|
Yes
|
|
|
|
Reasons why this would be considered a submission for a notification of a major release
|
From paragraph A. Major release determine using:
(1) an unauthorized release of a volume, excluding gases, of 25 barrels or more.
|
|
With the implementation of the 19.15.27 NMAC (05/25/2021), venting and/or flaring of natural gas (i.e. gas only) are to be submitted on the C-129 form.
|
|
Initial Response
The responsible party must undertake the following actions immediately unless they could create a safety hazard that would result in injury.
|
|
|
|
The source of the release has been stopped
|
|
|
|
|
The impacted area has been secured to protect human health and the environment
|
|
|
|
|
Released materials have been contained via the use of berms or dikes, absorbent pads, or other containment devices
|
|
|
|
|
All free liquids and recoverable materials have been removed and managed appropriately
|
|
|
|
|
If all the actions described above have not been undertaken, explain why
|
|
|
Per Paragraph (4) of Subsection B of 19.15.29.8 NMAC the responsible party may commence remediation immediately after discovery of a release. If remediation
has begun, please prepare and attach a narrative of actions to date in the follow-up C-141 submission. If remedial efforts have been successfully completed or if the release occurred
within a lined containment area (see Subparagraph (a) of Paragraph (5) of Subsection A of 19.15.29.11 NMAC), please prepare and attach all information needed for closure evaluation in the follow-up C-141 submission.
|
|
|
|
|
|
I hereby certify that the information given above is true and complete to the best of my knowledge and understand that pursuant to OCD rules and
regulations all operators are required to report and/or file certain release notifications and perform corrective actions for releases which may endanger
public health or the environment. The acceptance of a C-141 report by the OCD does not relieve the operator of liability should their operations have
failed to adequately investigate and remediate contamination that pose a threat to groundwater, surface water, human health or the environment. In
addition, OCD acceptance of a C-141 report does not relieve the operator of responsibility for compliance with any other federal, state, or local laws
and/or regulations.
|
|
|
|
I hereby agree and sign off to the above statement
|
|
|
|
|
Site Characterization
Please answer all the questions in this group (only required when seeking remediation plan approval and beyond). This information must be provided to the appropriate district office no later than 90 days after the release discovery date.
|
|
|
|
What is the shallowest depth to groundwater beneath the area affected by the release in feet below ground surface (ft bgs)
|
|
|
|
|
What method was used to determine the depth to ground water
|
|
|
|
|
Did this release impact groundwater or surface water
|
|
|
What is the minimum distance, between the closest lateral extents of the release and the following surface areas:
|
|
|
|
A continuously flowing watercourse or any other significant watercourse
|
|
|
|
|
Any lakebed, sinkhole, or playa lake (measured from the ordinary high-water mark)
|
|
|
|
|
An occupied permanent residence, school, hospital, institution, or church
|
|
|
|
|
A spring or a private domestic fresh water well used by less than five households for domestic or stock watering purposes
|
|
|
|
|
Any other fresh water well or spring
|
|
|
|
|
Incorporated municipal boundaries or a defined municipal fresh water well field
|
|
|
|
|
A wetland
|
|
|
|
|
A subsurface mine
|
|
|
|
|
An (non-karst) unstable area
|
|
|
|
|
Categorize the risk of this well / site being in a karst geology
|
|
|
|
|
A 100-year floodplain
|
|
|
|
|
Did the release impact areas not on an exploration, development, production, or storage site
|
|
|
|
|
Remediation Plan
Please answer all the questions that apply or are indicated. This information must be provided to the appropriate district office no later than 90 days after the release discovery date.
|
|
|
|
Requesting a remediation plan approval with this submission
|
|
|
The OCD recognizes that proposed remediation measures may have to be minimally adjusted in accordance with the physical realities encountered during remediation. If the responsible party has any need to significantly deviate from the remediation plan proposed, then it should consult with the division to determine if another remediation plan submission is required.
|