IR-9A Quantitative Evaluation of Impacts.pdf
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- Solicitation number
- ARFQ 0313 DEP2300000028 4
- Issued by
- Barbour County, West Virginia
About this file
This is a quantitative evaluation form (IR-9A, Revision 09/2022) issued by the State of West Virginia Department of Environmental Protection, Office of Oil and Gas, for assessing environmental impacts from abandoned wells. The form requires comprehensive documentation of well identification details including API number, operator information, and precise geographic location data. The evaluation process involves two-phase quantitative analysis: pre-plugging and post-plugging assessments that measure surface water quality parameters (iron, total dissolved solids, chlorides, and oil range organics) and air quality impacts (methane and hydrogen sulfide emissions). Water sampling must be conducted by state-certified laboratories with full chain of custody and quality assurance documentation. Methane quantification must follow American Carbon Registry guidance standards. All analyses, whether detecting surface water contamination or atmospheric emissions, require documented detection methodologies and equipment specifications.
The form requires certification by an authorized inspector affirming the accuracy and completeness of all submitted information, with explicit warnings that falsification, misrepresentation, or omission of facts may result in non-payment under contract terms. This evaluation framework establishes the baseline quantitative data necessary for determining the environmental impact scope of abandoned well remediation projects and serves as the technical foundation for compliance verification throughout the abandonment and plugging process.
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IR-9A
Rev: 09/2022
State of West Virginia Department of Environmental Protection
Office of Oil and Gas
Quantitative Evaluation of Environmental Impacts by Abandoned Wells
I. Well Identification
API Number: Assigned Number:
Well Operator:
Farm/Landowner: Well Number:
II. Well Location
Quad: District: County:
Latitude: Longitude:
III. Surface water impacts
During the well site inspection (Form IR-9F), was evidence of surface water impacts qualitatively observed? If yes, explain. If no, skip to Section IV. NO ☐ YES ☐
Pre-plugging quantitative analysis1,2:
Date of water sampling: ____________________
Surface water name: ____________________
Surface water location: Latitude: Longitude:
1 Quantitative analysis of water quality shall be performed by a state-certified laboratory authorized to conduct the requested analyses.
2 The results of all analyses including chain of custody and QA/QC details shall be included with the submittal of Form IR-9A.
Parameter Analysis Pre-plugging concentration
Iron ☐
Total Dissolved Solids (TDS) ☐
Chlorides ☐
Oil Range Organics ☐
Other (specify): ☐
Summary of findings:
Post-plugging quantitative analysis1,2:
Date of water sampling: ____________________
Surface water name : ____________________
Surface water location: Latitude: Longitude:
Parameter Analysis Post-plugging concentration
Iron ☐
Total Dissolved Solids
(TDS)
Chlorides ☐
Oil Range Organics ☐
IV. Impacts to Air
During the well site inspection (Form IR-9F), was evidence of air impacts observed? If yes, explain detection methodology and include gas detector make and model, if used. If no, skip to Section V.
NO ☐ METHANE ☐ H2S ☐
Pre-plugging methane quantification3:
Pre-plugging quantification 1
Pre-plugging quantification 2
Date of analysis
Concentration of methane (g/hr)
Post-plugging methane emission detection
Is methane or H2S present post-plugging? Explain detection methodology and include gas detector make and model, if used.
NO ☐ METHANE ☐ H2S ☐
3 Methane quantification must be performed in accordance with guidance provided by the American Carbon Registry. https://americancarbonregistry.org/carbon-accounting/standards-methodologies/plugging-abandoned-orphaned-oil-and-gas-wells
V. Inspection certification
I hereby certify that all the information contained in this inspection report (or any other accompanying or required documents) is correct, accurate and complete to the best of my knowledge.
I understand that the falsification, misrepresentation, or omission of any facts in said documents may be cause for non-payment under terms of the contract.
Signature:
Printed Name:
Title:
Date:
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