Please type or print all information. Please read instructions on reverse. OMB No. 2040-0042 Approval Expires 11/30/2014 

United States Environmental Protection Agency 

Washington, DC 20460 

(This information is solicited under the 

authority of the Safe Drinking Water Act) 

UIC Federal Reporting System 

Part II: Compliance Evaluation 

Significant Noncompliance 

Office of Ground Water and Drinking Water 

I. Name and Address of Reporting Agency 

United States Environmental Protection Agency 

II. Date Prepared (month, day, year) III. State Contact (name, telephone no.) IV. Reporting Period (month, year) 

From 

October 1, 20 

To 

Item 

Class and Type of Injection Wells 

I 

II 

III IV V 

SWD 

2D 

ER 

2R 

HC 

2H 

V. 

Summary 

of 

Significant 

NonCompliance 

(SNC) 

Total 

Wells 

A Number of Wells with SNC Violations 

Total 

Violations 

B 

1. Number of Unauthorized 

Injection SNC Violations 

2. Number of Mechanical Integrity 

SNC Violations 

3. Number of Injection Pressure 

SNC Violations 

4. Number of Plugging 

and Abandonment SNC Violations 

5. Number of SNC Violations 

of Formal Orders 

6. Number of Falsification 

SNC Violations 

(Specify) 

Number of Other SNC Violations 7. 

VI. 

Summary 

of 

Enforcement 

Against 

SNC 

Total 

Wells 

A Number of Wells with 

Enforcement Actions Against SNC 

Total 

Enforcement 

Actions 

B 

1. Number of Notices of Violation 

2. Number of Consent Agreements/Orders 

3. Number of Administrative Orders 

4. Number of Civil Referrals 

5. Number of Criminal Referrals 

6. Number of Well Shut-ins 

7. Number of Pipeline Severances 

8. Number of Other Enforcement Actions 

Against SNC Violations (Specify)

VII. 

Summary 

of 

Compliance 

Number of Wells in SNC 

Returned to Compliance 

A. This Quarter 

B. This Year 

VIII. 

Contamination Number of Cases of Alleged Contamination of a USDW 

IX. 

Well 

Closure 

Class IV/Endangering Class V 

Well Closures 

Involuntary Well Closure 

Voluntary Well Closure 

I certify that the statements I have made on this form and all attachments thereto are true, accurate, and complete. I acknowledge that any 

knowingly false or misleading statement may be punishable by fine or imprisonment or both under applicable law. 

Certification 

Signature and Typed or Printed Name and Title of Person Completing For m Date Telephone No. 

EPA Form 7520-2B (12-11) Replaces EPA Form 7520-2 which is obsolete. 
Instructions and Definitions

All reporting is cumulative over the fiscal year, and includes activities from 

October 1 – September 30. All fields should contain a value. Do not leave 

blank fields. Enter 0 if there are no wells affected or no activities that 

occurred pertaining to the information requested. Enter NA if the field or 

section is not applicable to the submitter (e.g., the well type is not overseen 

by the submitter). Enter U if the information is unknown or not captured; 

fields designated as U require explanation.

Note: Significant Noncompliance violations are a subset of the violations 

reported on EPA Form 7520-2A. 

Definitions of SNC Violations: SNC violations are violations that 

endanger or pose a significant potential to endanger underground sources 

of drinking water (USDWs), and violations that are not addressed after 

enforcement actions. For example: 

1. The following violations for a Class I well: 

 Contamination of a USDW; 

 Injection of unauthorized fluid(s); 

 Injection into unauthorized zones; 

 Failure to cease injection after loss of MI detected; Failure to 

comply with corrective action requirements; 

 Failure to operate automatic shutdown system; 

 Failure to operate automatic warning system; 

 Unauthorized plugging and abandonment; 

 Violation of a Formal Order; 

 Knowing submission of false information; 

 Violations involving loss of mechanical integrity; 

 Violations of maximum injection pressure; 

 Failure to install and/or operate injection pressure and annulus 

pressure monitoring systems or other monitoring systems, required 

by permit or rule; and 

 Failure to maintain required annulus pressure. 

Also, any Class I well with a non-SNC violation that is noted three times 

within twelve months of the first violation is considered to be in SNC. List 

these Class I specific violations under Other SNC Violations unless they 

clearly fall within the categories of violations in the list below. 

2. The following violations for a Class II, III, or V well: 

 Unauthorized Injection – Any unauthorized emplacement of fluids 

(where formal authorization is required); 

 Mechanical Integrity – Well operation without mechanical integrity 

which causes the movement of fluid outside the authorized zone – 

if injection of such fluid may have the potential for endangering a 

USDW; 

 Injection Pressure – Well operation at an injection pressure that 

exceeds the permitted or authorized injection pressure and causes 

the movement of fluid outside the authorized zone of injection – if 

such movement may have the potential for endangering a USDW; 

 Plugging and Abandonment – The plugging and abandonment of an 

injection well in an unauthorized manner. These wells are in SNC 

only when there is endangerment of USDW and there is an 

identifiable owner/operator; 

 Violation of a Formal Order – Any violation of a formal 

enforcement action, including an administrative or judicial order, 

consent agreement, judgment, or equivalent action; 

 Falsification – The knowing submission or use of any false 

information in a permit application, periodic report or special 

request for information about a well; or 

 Other SNC Violations. 

3. Any violation for a Class IV well. 

Section V. Total No. of Wells with SNC Violations: Significant 

Noncompliance violations are a subset of the violations reported on EPA 

From 7520-2A. For each well class, enter the number wells with SNC 

violations identified in the federal fiscal year to date. Report the well even 

if the violation has been corrected. Count each well only once. 

For each well class in subsections 1 through 7, enter the number the number 

of times each SNC violation has been identified this federal fiscal year to 

date. 

Section VI. Total SNC Enforcement Actions: Significant Noncompliance 

violations are a subset of the violations reported on EPA Form 7520-2A.

For each well class, enter the number of wells with SNC violations that 

have received an enforcement action(s) this year to date. Report the well 

even if the violation has been corrected. Count each well only once. 

For each well class in subsections 1 through 8, enter the number of times 

wells with SNC violations have received each type of enforcement action 

this federal fiscal year to date. 

Section VII. No. of Wells Returned to Compliance: “Well Returned to 

Compliance” is a well that has all underlying violations resolved and 

compliance has been verified by the primacy program. Note: an 

enforcement action alone (e.g., well shut-in) does not constitute a “return 

to compliance;” however, plugging and abandonment does constitute a 

return to compliance.

For each well class in subsection A, enter the number of wells returned to 

compliance (as a result of an enforcement action against a SNC violation). 

For each well class in subsection B, enter the number of wells returned to 

compliance (as a result of an enforcement action against an SNC violation) 

this federal fiscal year to date. Enter each well only once. 

Section VIII. USDW Contaminations: For each well class, enter the 

number of times a well in SNC has allegedly contaminated a USDW this 

federal fiscal year to date. 

Section IX. Number of Class IV/V Endangering Class V Well Closures:

For Class IV and Class V wells, enter the number of voluntary or 

involuntary well closures. 

Voluntary well closure means well closed as a direct result of outreach 

activities. 

Involuntary well closure means wells closed as a result of enforcement 

actions or permit call-ins. 

Well closure describes a process to permanently discontinue injection in 

accordance with the UIC regulations. 

Paperwork Reduction Act

The public reporting and record keeping burden for this collection of information is 

estimated to average 5.5 hours per response. Burden means the total time, effort, or 

financial resource expended by persons to generate, maintain, retain, or disclose or 

provide information to or for a Federal Agency. This includes the time needed to review 

instructions; develop, acquire, install, and utilize technology and systems for the purposes 

of collecting, validating, and verifying information, processing and maintaining 

information, and disclosing and providing information; adjust the existing ways to 

comply with any previously applicable instructions and requirements; train personnel to 

be able to respond to the collection of information; search data sources; complete and 

review the collection of information; and, transmit or otherwise disclose the information. 

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. Send 

comments on the Agency’s need for this information, the accuracy of the provided burden 

estimates, and any suggested methods for minimizing respondent burden, including the 

use of automated collection techniques to Director, Collection Strategies Division, U.S. 

Environmental Protection Agency (2822), 1200 Pennsylvania Ave., NW., Washington, 

DC 20460. Include the OMB control number in any correspondence. Do not send the 

completed forms to this address. 

EPA Form 7520-2B (11-15) Revised