Form ssta specific 2025

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The document is Form SSTA (9604-1) used by the Department of Natural Resources for the reassessment of oilfield site restoration costs. It includes sections for operators to provide details about the field, well, estimated costs for plugging and abandonment (P&A), pit closures, equipment removal, and overall site restoration. The form also outlines acceptable methods of funding for these costs and requires signatures from the operator and approval from office personnel.

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Click ‘Get Form’ to open it in the editor.
Begin by entering the date and SSTA number at the top of the form. This information is crucial for tracking your submission.
Fill in the field name and field code, ensuring accuracy as this identifies the specific site being assessed.
Provide details about the operator and contractor performing the reassessment, including their respective codes.
Complete the well name, well number, serial number, and PBTD fields. These are essential for identifying the well involved in the restoration process.
Enter estimated costs for plugging and abandonment (P&A) in the designated fields. Be thorough to ensure all potential expenses are accounted for.
List associated pits and production equipment along with their estimated closure costs. If additional space is needed, attach an addendum as indicated.
Calculate total costs for P&A, pit closure, equipment removal, and other restoration activities. Ensure that all calculations are accurate before finalizing.
Select a method of funding from the options provided and sign where indicated. Your signature confirms your agreement with the submitted information.

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