Appendix 9998. FORMS (4VAC25-150)

Registration Form, DGO-GO-A (rev. 6/09).

Application for a New Permit, Permit Modification, or Transfer of Permit Rights, DGO-GO-1 (rev. 6/09).

Operator's Surety Bond, DGO-GO-2 (rev. 6/09).

Operator's Cash Bond, DGO-GO-3 (rev. 6/09).

Notice of Application for a Permit or Permit Modification, DGO-GO-4 (rev. 6/09).

Persons Receiving Official Notice of Permit Application or Permit Modification, DGO-GO-5 (rev. 6/09).

Notice by Publication of an Application for a Permit, DGO-GO-6 (rev. 6/09).

Well Location Plat, DGO-GO-7, rev. 1/98.

Information Sheet for Applications to Transfer Permit Rights, DGO-GO-8 (rev. 6/09).

Technical Data Sheet for Permit Applications Under § 45.1-361.29, DGO-GO-9 (rev. 6/09).

Technical Data Sheet for Gathering Pipelines and Associated Facilities, DGO-GO-10 (rev. 6/09).

Technical Data Sheet for Permit Modification to Plug or Replug, DGO-GO-11 (rev. 6/09).

Operations Plan -- Checklist, DGO-GO-12 (rev. 6/09).

Drilling Report, DGO-GO-14 (rev. 6/09).

Completion Report, DGO-GO-15 (rev. 6/09).

Application for Disposal of Pit or Produced Fluids, DGO-GO-16 (rev. 6/09).

Application to Complete Abandoned Gas or Oil Well as a Water Well, DGO-GO-17 (rev. 6/09).

Plugging Affidavit, DGO-GO-18 (rev. 6/09).

Monthly Gas Production Report, DGO-GO-19 (rev. 6/09).

Monthly Oil Production, DGO-GO-20 (rev. 6/09).

Notice of Right to Object, DGO-GO-21 (rev. 6/09).

License to Perform -- Plugging of Orphaned Well, DGO-GO-23 (rev. 6/09).

License to Perform -- Plugging of Well/Bond Forfeiture, DGO-GO-24 (rev. 6/09).

Affidavit and Release in Support of Surface Owner's Application to the Virginia Division of Gas and Oil for Use of an Orphaned Well as a Water Well, DGO-GO-25 (rev. 6/09).