DOCSLIB.ORG

Brockham Oil Field

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Brockham Oil Field BROCKHAM OIL FIELD Supplementary Hydrogeological Risk Assessment in Support of Permit Variation Application for a Groundwater Activity for the Injection of Process Waters Prepared for: Angus Energy Weald Basin No.3 Limited SLR Ref: 422.07154.00002 Version No: Issue Rev 6 August 2020 Angus Energy Limited Brockham Oil Field Hydrogeological Risk Assessment for Injection of Process Waters SLR Ref No: 200825__422_07154_00002_Brockham_Injection_Issue_Rev_06 422.07154.00002 August 2020 BASIS OF REPORT This document has been prepared by SLR Consulting Limited with reasonable skill, care and diligence, and taking account of the manpower, timescales and resources devoted to it by agreement with Angus Energy Weald Basin No.3 Limited (the Client) as part or all of the services it has been appointed by the Client to carry out. It is subject to the terms and conditions of that appointment. SLR shall not be liable for the use of or reliance on any information, advice, recommendations and opinions in this document for any purpose by any person other than the Client. Reliance may be granted to a third party only in the event that SLR and the third party have executed a reliance agreement or collateral warranty. Information reported herein may be based on the interpretation of public domain data collected by SLR, and/or information supplied by the Client and/or its other advisors and associates. These data have been accepted in good faith as being accurate and valid. The copyright and intellectual property in all drawings, reports, specifications, bills of quantities, calculations and other information set out in this report remain vested in SLR unless the terms of appointment state otherwise. This document may contain information of a specialised and/or highly technical nature and the Client is advised to seek clarification on any elements which may be unclear to it. Information, advice, recommendations and opinions in this document should only be relied upon in the context of the whole document and any documents referenced explicitly herein and should then only be used within the context of the appointment. Angus Energy Limited Brockham Oil Well Hydrogeological Risk Assessment for Injection of Process Waters SLR Ref No: 422.07154.00002 Filename: 200825__422_07154_00002_Brockham_Injection_Issue_Rev_06 August 2020 CONTENTS INTRODUCTION ............................................................................................................... 4 1.1 Background ............................................................................................................................... 4 1.2 Objective ................................................................................................................................... 4 ADDITIONAL INFORMATION REQUIRED ........................................................................... 5 2.1 Environment Agency Decision .................................................................................................. 5 2.2 Water Injection Proposals and Justification .............................................................................. 5 2.3 Protection of Overlying Aquifers and Well Integrity ................................................................. 7 2.3.1 Re-Interpretation of Seismic Data ................................................................................................................................... 7 2.3.2 Formation Pressure and Barriers ..................................................................................................................................... 9 2.3.3 Well Integrity .................................................................................................................................................................. 12 2.3.4 Probabilistic Analysis of Fluid Migration ....................................................................................................................... 16 2.4 Operational Procedures .......................................................................................................... 16 2.5 Groundwater Monitoring ........................................................................................................ 16 2.6 Biocide and Demulsifier .......................................................................................................... 17 SUMMARY AND CONCLUSIONS ...................................................................................... 18 DOCUMENT REFERENCES FIGURES Figure 2-1 Formation Water Salinity in Wealden Basin ....................................................................... 6 Figure 2-2 Volume of Fluid Produced and Injected .............................................................................. 9 Figure 2-2-3 Barriers to Flow from Reservoir ..................................................................................... 11 Figure 2-4 Schematic Construction of Well BRX3 ............................................................................... 13 Figure 2-5 2003 USIT Cement Bond Log ............................................................................................. 14 Figure 2-6 Comparison of 1987 and 2003 Cement Bond Logs ........................................................... 15 Page 2 Angus Energy Limited Brockham Oil Well Hydrogeological Risk Assessment for Injection of Process Waters SLR Ref No: 422.07154.00002 Filename: 200825__422_07154_00002_Brockham_Injection_Issue_Rev_06 August 2020 APPENDICES Appendix 01: Permit Appendix 02: Environment Agency Decision Appendix 03: Geochemical Implications for Produced Water Injection into Brockham Oilfield Appendix 04: Well Integrity Report Appendix 05: Monitoring Sheets Appendix 06: Geology Report Appendix 07: Probabilistic Analysis of Fluid Migration Appendix 08: Operational Procedures and PID’s Appendix 09: Biocide and Demulsifier Material Safety Data Sheets Page 3 Angus Energy Limited Brockham Oil Well Hydrogeological Risk Assessment for Injection of Process Waters SLR Ref No: 422.07154.00002 Filename: 200825__422_07154_00002_Brockham_Injection_Issue_Rev_06 August 2020 Introduction 1.1 Background Angus Energy Weald Basin No.3 Limited (Angus Energy) has commissioned SLR Consulting to prepare a supplementary Hydrogeological Risk Assessment (HRA) to support an application to vary Permit EPR/BL9763IN/V004 to allow the injection of produced water at Brockham Oilfield, Betchworth, Surrey, RH3 7AU for the purpose of aiding the production of oil from the oil reservoir. The National Grid Reference for the centre of the site is TQ 18840 48672. The site is operated by Angus Energy Weald Basin No3 (AE). An Environment Agency (EA) initiated application to vary the permit was made on 20th July 2017 (Application reference number EPR/BL9763IN/V004) under the Environmental Permitting (England and Wales) Regulations 2016 (EP Regulations), regulation 34(1), which requires the EA to periodically review permits. The application included a groundwater activity to inject produced water resulting from the extraction of hydrocarbons from both the Portland Sand Formation and the Kimmeridge Clay Formation back into the Portland Sand Formation. The discharge of produced water into groundwater within the oil-bearing formation is considered as a direct discharge to groundwater and a permit can only be granted provided it does not compromise the achievement of any of the environmental objectives relating to groundwater in Article 4 of the Water Framework Directive (WFD). There are however exemptions including: “The injection of water containing substances resulting from the operations for exploration and extraction of hydrocarbons or mining activities, and injection of water for technical reasons, into geological formations from which hydrocarbons or other substances have been extracted…….” The EA concluded that based on the information supplied they still had concerns regarding the proposal to continue re-injecting at this location using the existing well and therefore they decided to remove the groundwater activity from the application. A copy of the permit and the reasoning behind removing the groundwater activity is given in Appendix 01 and 02 respectively. 1.2 Objective The objective of this supplementary HRA is to present the additional information requested by the EA. It is not proposed to reproduce the background information presented in the original HRA1 and that report should be read in conjunction with this supplementary report. 1 SLR (September 2018) Brockham Oil Well. Hydrogeological Risk Assessment in Support of Re-Permit Application. Report ref. 180927_422_07154_00001_01_Brockham_Schedule_5_HRA_Rev_5_Issue. Page 4 Angus Energy Limited Brockham Oil Well Hydrogeological Risk Assessment for Injection of Process Waters SLR Ref No: 422.07154.00002 Filename: 200825__422_07154_00002_Brockham_Injection_Issue_Rev_06 August 2020 Additional Information Required 2.1 Environment Agency Decision The EA identified the following areas that required clarification or further information: • Well integrity • Operational procedures • Groundwater monitoring During further discussions with the Environment Agency (‘Pre-application advice – Enhanced service’ letter dated 17/07/2020) it was agreed that AE would also provide further interpretation of seismic mapping, and drawings showing both surface expressions of faulting and the juxtaposition of faults at reservoir depth. This includes the position of fault boundaries in the vicinity the target reservoir formation and the locations of these in
Load more

Recommended publications
  • August 2020 BUCKLAND PARISH MAGAZINE
    BUCKLAND PARISH MAGAZINE St Mary’s Buckland drawn by W F Saunders, dated 1856 August 2020 August 2020 SAINT MARY THE VIRGIN, BUCKLAND Rector The Revd. Anna Moore, The Rectory, Old Reigate Road, Betchworth, RH3 7DE (901860 or 07939 388607). Email: [email protected]. Normal work days: Sunday, Tuesday, Thursday, 9am to 4pm. Day off: Saturday. Priest in The Revd. Canon David Eaton, Two Way House, Wheelers Lane, Retirement Brockham RH3 7LA (843915). Email: [email protected] Church- David Sayce, 48 Park Lane East, Reigate RH2 8HR (242776) wardens (+ Bell Captain). Email: [email protected] Mrs Elizabeth Vahey, 126 Sandcross Lane, Reigate RH2 8HG (221444) (+ electoral register). Email: [email protected] Hon. Barbara Thomas, Little Perrow, Old Road, Buckland RH3 7DY Treasurer (841058). Email: [email protected] Hon. Sec. Mrs Rosey Davy. Email: [email protected] Organist Melvin Hughes, Ashcroft, 10 Ridgegate Close, Reigate RH2 0HT (241355). Email: [email protected] Safeguarding Sally Sayce, 48 Park Lane East, Reigate RH2 8HR (242776). Officer Email: [email protected] Junior Church Amy Jago (07971 085134). Email: [email protected]; and Reps Sarah Munro (07771 427378). Email: [email protected] Magazine - Editor Duncan Ferns, Yewdells, Dungates Lane, Buckland RH3 7BD (07786 966841). Email: [email protected] - Finance Bernard Hawkins, 57 Middle Street, Brockham RH3 7JT (843153). Email: [email protected] - Advertising Karen Munroe, Broome Perrow, Old Road, Buckland RH3 7DY (845298). Email: [email protected] Church Brasses: Sue Haynes (842613). Flowers: Jean Cooke (245161). Rotas Other: Philip Haynes (842613) Churchyard Carol Leeds, Flat 1, 4 Hardwicke Road, Reigate RH2 9AG Rose Beds (247399).
    [Show full text]
  • Seismicity at Newdigate, Surrey, During 2018-2019: a Candidate Mechanism Indicating Causation by Nearby Oil Production
    Seismicity at Newdigate, Surrey, during 2018-2019: A candidate mechanism indicating causation by nearby oil production Rob Westaway, James Watt School of Engineering, University of Glasgow, Glasgow G12 8QQ, UK [email protected] Supplementary material Contents: Page 1 Section 1: Reporting of activities in the Brockham and Horse Hill wells Page 7 Section 2: Geo-location issues Page 12 Section 3: State of stress Page 14 Section 4. The Davis and Frohlich criteria for anthropogenic seismicity 1..Reporting of activities in the Brockham and Horse Hill wells As is evident from the extensive media coverage (e.g., BBC, 2018; Hayhurst, 2018; McLennan, 2019), from the outset, on 1 April 2018, a potential connection between the ‘swarm’ of earthquakes in the Newdigate area of Surrey and local oilfield activities (in the nearby Brockham and Horse Hill wells) was immediately suspected, but was dismissed by one developer (Hayhurst, 2018). Concerns about the possibility that activities in these wells were indeed causing these earthquakes were raised through correspondence in The Times newspaper in August 2018 (Gilfillan et al., 2018). A workshop, convened by the Oil & Gas Authority (OGA), followed on 3 October 2018, a summary of its proceedings being reported by OGA (2018), including the statement that ‘the workshop participants concluded that, based on the evidence presented, there was no causal link between the seismic events and oil and gas activity although one participant was less certain and felt that this could only be concluded on “the balance of probabilities” and would have liked to see more detailed data on recent oil and gas surface and subsurface activity.’ The workshop presentations included a candidate conceptual model linking the seismicity to site activity, by Haszeldine and Cavanagh (2018), which – its authors admitted – could not be tested at that stage because essential data needed were unavailable.
    [Show full text]
  • 21 Bus Time Schedule & Line Route
    21 bus time schedule & line map 21 Crawley - Dorking - Leatherhead - Epsom View In Website Mode The 21 bus line (Crawley - Dorking - Leatherhead - Epsom) has 4 routes. For regular weekdays, their operation hours are: (1) Box Hill: 7:08 PM (2) Crawley: 6:51 AM - 5:15 PM (3) Epsom: 6:20 AM - 2:46 PM (4) Leatherhead: 5:30 PM Use the Moovit App to ƒnd the closest 21 bus station near you and ƒnd out when is the next 21 bus arriving. Direction: Box Hill 21 bus Time Schedule 19 stops Box Hill Route Timetable: VIEW LINE SCHEDULE Sunday Not Operational Monday 7:08 PM Leatherhead Railway Station (T) Station Approach, Leatherhead Tuesday 7:08 PM Leret Way, Leatherhead Wednesday 7:08 PM Leret Way, Leatherhead Thursday 7:08 PM The Crescent, Leatherhead Friday 7:08 PM Russell Court, Leatherhead Saturday Not Operational Highlands Road, Leatherhead Seeability, Leatherhead Lavender Close, Leatherhead 21 bus Info Clinton Road, Leatherhead Direction: Box Hill Stops: 19 Glenheadon Rise, Leatherhead Trip Duration: 27 min Line Summary: Leatherhead Railway Station (T), Tyrrells Wood, Leatherhead Leret Way, Leatherhead, The Crescent, Leatherhead, Highlands Road, Leatherhead, Seeability, Headley Court, Headley Leatherhead, Clinton Road, Leatherhead, Glenheadon Rise, Leatherhead, Tyrrells Wood, Hurst Lane, Headley Leatherhead, Headley Court, Headley, Hurst Lane, Headley, The Cock Inn, Headley, Broome Close, The Cock Inn, Headley Headley, Crossroads, Headley, Headley Common Road, Headley, Headley Common Road, Broome Close, Headley Pebblecombe, The Tree, Box Hill,
    [Show full text]
  • GUILDFORD - DORKING - REIGATE - REDHILL from 20Th September 2021
    32: GUILDFORD - DORKING - REIGATE - REDHILL From 20th September 2021 Monday to Friday Sch H Sch H Guildford, Friary Bus Station, Bay 4 …. 0715 0830 30 1230 1330 1330 1415 1455 1505 1605 1735 Shalford, Railway Station …. 0723 0838 38 1238 1338 1338 1423 1503 1513 1613 1743 Chilworth, Railway Station 0647 C 0728 0843 43 1243 1343 1343 1428 1508 1518 1618 1748 Albury, Drummond Arms 0651 0732 0847 47 1247 1347 1347 1432 1512 1522 1622 1752 Shere, Village Hall 0656 0739 0853 53 1253 1353 1353 1438 1518 1528 1628 1758 Gomshall, The Compasses 0658 0742 0856 56 1256 1356 1356 1441 1521 1531 1631 1801 Abinger Hammer, Clockhouse 0700 0744 0858 then 58 1258 1358 1358 1443 1523 1533 1633 1803 Holmbury St Mary, Royal Oak …. 0752 …. at …. …. …. …. …. …. …. …. Abinger Common, Friday Street …. 0757 …. these …. …. …. …. …. …. …. …. Wotton, Manor Farm 0704 0802 0902 minutes 02 until 1302 1402 1402 1447 1527 1537 1637 1807 Westcott, Parsonage Lane 0707 0805 0905 past 05 1305 1405 1405 1450 1530 T 1540 1640 1810 Dorking, White Horse (arr) 0716 0814 0911 each 11 1311 1411 1411 1456 1552 1552 1652 1816 Dorking, White Horse (dep) 0716 0817 0915 hour 15 1315 1415 1415 1456 1556 1556 1656 1816 Dorking, Railway Station 0720 0821 0919 19 1319 1419 1419 1500 1600 1600 1700 1819 Brockham, Christ Church 0728 0828 0926 26 1326 1426 1426 1507 1607 1607 1707 1825 R Strood Green, Tynedale Road 0731 0831 0929 29 1329 1429 1429 1510 1610 1610 1710 1827 R Betchworth, Post Office 0737 …. 0935 35 1435 1435 1435 1516 1616 1616 1716 ….
    [Show full text]
  • Seismicity at Newdigate, Surrey, During 2018–2019: a Candidate Mechanism Indicating Causation by Nearby Oil Production Rob Westaway
    Chapter Seismicity at Newdigate, Surrey, during 2018–2019: A Candidate Mechanism Indicating Causation by Nearby Oil Production Rob Westaway Abstract During 2018–2019, oil was intermittently produced from the Late Jurassic Upper Portland Sandstone in the Weald Basin, southeast England, via the Horse Hill-1 and Brockham-X2Y wells. Concurrently, a sequence of earthquakes of magnitude ≤3.25 occurred near Newdigate, 3 km and 8 km from these wells. The pattern, with earthquakes concentrated during production from this Portland reservoir, suggests a cause-and-effect connection. It is proposed that this seismicity occurred on a patch of fault transecting permeable Dinantian limestone, beneath the Jurassic succession of the Weald Basin, hydraulically connected to this reservoir via this permeable fault and the permeable calcite ‘beef’ fabric within the Portland sand- stone; oil production depressurizes this reservoir and draws groundwater from the limestone, compacting it and ‘unclamping’ the fault, reaching the Mohr-Coulomb failure criterion and causing seismicity. In principle this model is fully testable, but required data, notably the history of pressure variations in the wells, are not cur- rently in the public domain. Quantitative estimates are, nonetheless, made of the magnitudes of the variations, arising from production from each well, in the state of stress on the seismogenic Newdigate fault. The general principles of this model, including the incorporation of poroelastic effects and effects of fault asperities into Mohr-Coulomb failure calculations, may inform understanding of anthropogenic seismicity in other settings. Keywords: anthropogenic seismicity, geomechanics, calcite ‘beef’, Weald Basin, Jurassic, surrey 1. Introduction Highlights. Earthquakes at Newdigate in 2018–2019 correlate with oil production from Portland sst.
    [Show full text]
  • North Downs Biodiversity Opportunity Area Policy Statements
    Biodiversity Opportunity Areas: the basis for realising Surrey’s ecological network Appendix 6: North Downs Biodiversity Opportunity Area Policy Statements ND01: North Downs Scarp; The Hog's Back ND02: North Downs Scarp & Dip; Guildford to the Mole Gap ND03: North Downs Scarp & Dip; Mole Gap to Reigate ND04: North Downs; Epsom Downs to Nonsuch Park ND05: North Downs; Banstead Woods & Downs and Chipstead Downs ND06: North Downs Scarp; Quarry Hangers to the A22 ND07: North Downs Scarp; Woldingham ND08: North Downs; Banstead & Walton Heaths December 2015 Investing in our County’s future Surrey Biodiversity Opportunity Area Policy Statement Biodiversity Opportunity Area ND01: North Downs Scarp; The Hog’s Back Local authorities: Guildford, Waverley Aim & justification: The aim of Biodiversity Opportunity Areas (BOAs) is to establish a strategic framework for conserving and enhancing biodiversity at a landscape-scale, making our wildlife more robust to changing climate and socio-economic pressures. BOAs are those areas where targeted maintenance, restoration and creation of Natural Environment & Rural Communities (NERC) Act ‘Habitats of Principal Importance’, ie. Priority habitats will have the greatest benefit towards achieving this aim. Recognition of BOAs directly meets National Planning Policy Framework policy for the planning system to contribute to international commitments for halting the overall decline in biodiversity, by establishing coherent ecological networks that are more resilient to current and future pressures (para. 109). Designation of BOAs in local plans will also fulfil NPPF requirements to plan for biodiversity at a landscape-scale across local authority boundaries; and identify & map components of the local ecological networks (para. 117). Explanatory BOAs identify the most important areas for wildlife conservation remaining in Surrey and each include a variety of habitats, providing for an ‘ecosystem approach’ to nature conservation across and beyond the county.
    [Show full text]
  • 21 Middle Green, Brockham, Betchworth, Surrey RH3 7JL £369,950 Leasehold
    21 Middle Green, Brockham, Betchworth, Surrey RH3 7JL £369,950 leasehold 21 Middle Green, Brockham, Betchworth, Surrey, RH3 7JL • Two Bedroom Ground Floor Flat • Master Bedroom, Ensuite Bathroom • Quiet No Private Development • Second Bedroom 171 High Street, Dorking, • Popular Surrey Village Location • Refitted Shower Room Surrey, RH4 1AD • Modern Fitted Kitchen • Pretty Rear Garden, Parking Tel: 01306 877775 [email protected] • Sitting/Dining Room with Electric Fire • EPC Rating C Tax Band D www.patrickgardner.com The Property: 21 Middle Green is a spacious and well- presented two bedroom ground floor Situation: Middle Green is located within a short walk of apartment located in a very desirable development in the heart of Brockham village. Brockham Village. The Village offers a great range of amenities with a village shop, school, doctors and rugby A private front door leads to an entrance hall with a door to the kitchen fitted with a range club. of wood effect units and granite effect worktops. There is an integrated oven, microwave four ring gas hob and extractor fan. Further space for washing machine and fridge freezer Dorking town centre is within 2.5 miles and offers an and window overlooking the front. From the hallway there is also a door to the airing array of facilities including 5 supermarkets, 3 stations, cupboard and door to a recently refitted shower room. local and national shops, the Dorking Halls including a cinema, the sports centre, doctor’s surgeries and highly The bedrooms comprise of the master bedroom with fitted wardrobes and high level regarded schools. Reigate town centre is approximately cupboards and ensuite bathroom fitted with a white suite.
    [Show full text]
  • Field Trips for 2018 Contents Click Item to Go Directly to Page Contacts
    Number 65 SURREY Skipper Spring/Summer 2018 47 field trips for 2018 Contents click item to go directly to page Contacts......................2 Dates ........................10 Quiz ........................21 Chairman ....................3 Egg Hunts ..................11 Robert Byron ..............22 Annual Report ..............4 Email Appeal ..............12 WCBS ........................23 50th Anniversary ..........5 Field Trips..............13-16 Transect data..........24-29 Steve Wheatley ............6 Branch Website ..........17 iRecord ....................30 Big Butterfly Count ........6 Social Media ..............17 New Members ............31 Malcolm Bridge ............7 Transects ..................18 Membership................32 Surrey Atlas ................7 White-letter Hairstreak 19 Garden Moth Scheme ....32 Small Blue Project ........8 Weather Watch............20 Moths ..................33-35 Oaken Wood ..............10 Photo Show ................21 Back-page Picture ........36 Butterfly Conservation Saving butterflies, moths Surrey & SW London & our environment Surrey Skipper 2 Spring 2018 Branch Committee LINK Committee emails Chair: Simon Saville (first elected 2016) 07572 612722 Conservation Adviser: Ken Willmott (1995) 01372 375773 County Recorder: Harry Clarke (2013) 07773 428935, 01372 453338 Field Trips Organiser: Mike Weller (1997) 01306 882097 Membership Secretary: Ken Owen (2015) 01737 760811 Moth Officer: Paul Wheeler (2006) 01276 856183 Skipper Editor & Publicity Officer: Francis Kelly (2012) 07952 285661, 01483
    [Show full text]
  • Date: 07/08/2020 Page 1 Mole Valley District Council Applications
    Date: 07/08/2020 Page 1 Mole Valley District Council Applications Registered Application Ref: MO/2020/1227/PLAH Link Location: 2, Oaken Coppice, Ashtead, Surrey, KT21 1DL Proposal: Erection of single storey front extension, single storey rear extension and extenstion to first floor. Case Officer: Cindy Blythe Registration Date: 31-Jul-2020 Applicant Name: Mr & Mrs Hogan Ward: Ashtead Park PSH/Area: Ashtead (Unparished) Application Ref: MO/2020/1247/PLAH Link Location: Applecroft, The Warren, Ashtead, Surrey, KT21 2SA Proposal: Erection of single storey extension to existing garage to form gym and potting shed for ancillary use. Case Officer: Registration Date: 04-Aug-2020 Applicant Name: P Lyons Ward: Ashtead Park PSH/Area: Ashtead (Unparished) Application Ref: MO/2020/1250/PLA Link Location: St Andrews RC School, Grange Road, Ashtead, Leatherhead, Surrey, KT22 7JP Proposal: Erection of two storey extension to provide toilet and archive store facilities. Case Officer: Caroline Hall Registration Date: 23-Jul-2020 Applicant Name: Mrs Joanne Meadows Ward: Ashtead Park, Within 20m of Ashtead Village Ward PSH/Area: Ashtead (Unparished) Date: 07/08/2020 Page 2 Mole Valley District Council Applications Registered Application Ref: MO/2020/1257/PLAH Link Location: Little Dene Cottage, Rectory Close, Ashtead, Surrey, KT21 2AZ Proposal: Erection of two storey rear extension with internal alterations. Case Officer: Katrina Sullivan-Watkins Registration Date: 03-Aug-2020 Applicant Name: Mr & Mrs Farrell Ward: Ashtead Park PSH/Area: Ashtead (Unparished) Application Ref: MO/2020/1263/PLAH Link Location: 17, Woodlands Way, Ashtead, Surrey, KT21 1LH Proposal: Erection of a single storey rear and first floor extension.
    [Show full text]
  • Brockwood Medical Practice
    1 2 NEW PATIENT QUESTIONNAIRE Name DOB I wish to have access to the following online services via Systm Online (Please ck all that apply) (you must provide your email address on page 1): 1. Booking appointments 2. Requesng repeat medicaons 3. Accessing my medical record (see below) f you wish to have access to your medical record online please speak to one of the receponists. You will be required to provide us with photographic proof of name and also proof of address. S MMARY CARE RECORD (SCR) A SCR is an electronic record that provides healthcare sta' with rapid access to essenal informaon about an individual in order to provide them with direct care and treatment. f you do not wish to have an SCR please ck this bo( CO NTRY OF BIRT,: Ethnicity-please choose from the list below: These are aligned to Census -uesons as recommended .y the Commission for Racial E/uality Ethnic 0roups White Brish Mi1ed Asian or Asian Brish White - Black Caribbean ndian White - Black African .akistani White - Asian Bangladeshi Any other Mi(ed background, please state: Any other Asian background0 please state: 111111111111111111111111111111111111 111111111111111111111111111111111111 Black or Black Brish Chinese or other ethnic group African Caribbean Any other Black background0 please state: Any other0 please state: 111111111111111111111111111111111111 111111111111111111111111111111111111 Signature of paent or Signature on .ehalf of paent Date 3 NEW PATIENT QUESTIONNAIRE Name DOB ,ave you previously .een a paent of either the MARITA6 STAT S: Brockham2 North ,olmwood or Newdigate Surgeries: Yes 3 No NE3T OF 4IN: Name: Mobile: Relaonship: Contact Tel(s): Email: ADDRESS: We will send you te(t messages3emails with appointment con6rmaon3reminders and informaon about services.
    [Show full text]
  • Application No
    Date: 17/04/2020 Page 1 Mole Valley District Council Applications Registered Application Ref: MO/2020/0516/PCL Link Location: Fritton, Green Lane, Ashtead, Surrey, KT21 2JW Proposal: Certificate of Lawfulness for a proposed development in respect of the erection of a single storey rear extension. Case Officer: Sue Read Registration Date: 17-Mar-2020 Applicant Name: Mr T Bagley Ward: Ashtead Common PSH/Area: Ashtead (Unparished) Application Ref: MO/2020/0555/CC Link Location: 18, The Street, Ashtead, Surrey, KT21 2AH Proposal: Variation of Condition 2 of approved planning application MO/19/1850 for the extension and conversion of the existing property into 2 No. self contained apartments including parking provision, amenity, secure cycle storage and bin storage, to allow the alteration to parking arrangements and finish to front elevation. Case Officer: Katrina Sullivan-Watkins Registration Date: 23-Mar-2020 Applicant Name: Mr P Golding Ward: Ashtead Park, Within 20m of Ashtead Village Ward PSH/Area: Ashtead (Unparished) Application Ref: MO/2020/0575/PLAH Link Location: Long Acre, Newdigate Road, Beare Green, Dorking, Surrey, RH5 4QE Proposal: Erection of a single storey rear extension following demolition of part existing rear extension. Case Officer: David Webb Registration Date: 09-Apr-2020 Applicant Name: Mr Morris Ward: Beare Green PSH/Area: Capel Date: 17/04/2020 Page 2 Mole Valley District Council Applications Registered Application Ref: MO/2020/0529/PLAH Link Location: Willows, 76, Middle Street, Brockham, Betchworth, Surrey, RH3 7HW Proposal: Erection of a part two storey and part single storey side, rear extension. Case Officer: Cindy Blythe Registration Date: 23-Mar-2020 Applicant Name: Mr R Banks Ward: Brockham, Betchworth & Buckland PSH/Area: Brockham Application Ref: MO/2020/0594/PCL Link Location: 48, Oakdene Road, Brockham, Betchworth, Surrey, RH3 7JX Proposal: Certificate of Lawfulness for a proposed development in respect of the erection of a single storey rear extension.
    [Show full text]
  • Brockham Warren Boxhill Road, Tadworth, Surrey, KT20 7JX £1,100 Pcm Available Early January 2019
    Brockham Warren Boxhill Road, Tadworth, Surrey, KT20 7JX Available early January 2019 £1,100 pcm Brockham Warren Boxhill Road, Tadworth, Surrey, KT20 7JX AVAILABLE EARLY JANUARY 2019 SPIRAL STAIRCASE FULLY FURNISHED OUTSTANDING ELEVATED LOCATION WITH ONE BEDROOM DETACHED FORMER CHAPEL ROLLING VIEWS 171 High Street, Dorking, CHARACTER FEATURES USE OF EXTENSIVE GROUNDS Surrey, RH4 1AD OFF STREET PARKING Tel: 01306 877618 [email protected] www.patrickgardner.com OPEN PLAN SITTING/DINING AREA SITUATION 22' 3" x 18' 4" (6.8m x 5.6m) Large reception room, character The Chapel is situated at the top of Box Hill just a few minutes from wooden dining table and bench style seating. the well-known view point over looking Dorking Town. Dorking with its extensive range of shops, leisure facilities and OPEN PLAN KITCHEN restaurants are within a 5 mile drive. 18' 4" x 7' 10" (5.6m x 2.4m) Fitted units, cooker. Junction 8 of the M25 can be found at Reigate, Gatwick and Heathrow International Airports are within easy reach. GROUND FLOOR BATHROOM 12' 1" x 6' 10" (3.7m x 2.1m) Roll top bath, Utility area. MEZZANINE FLOOR BEDROOM 18' 4" x 11' 5" (5.6m x 3.5m) Double bedroom area, built in storage. GARDEN Use of communal extensive garden with rolling countryside views INFORMATION FOR TENANTS References We use the referencing company, FCC Paragon. The most straightforward way to complete the reference form is via an online link that your Lettings Negotiator will send by e-mail. Rent Rent will be paid monthly in advance by bankers’ standing order set up to leave your account 3 days before the rent due date in order to allow funds to clear.
    [Show full text]