Appendix 9998. FORMS (4VAC25-170)


Latest version.
  • Registration Form for Drillers, Owners and Operators of Geothermal Wells, DGO-G-01 (rev. 6/09).

    Application for Exploration Permit, DGO-G-02 (rev. 6/09).

    Appendix for Exploration Permit if the Well Work Involves Drilling, Redrilling or Deepening, DGO-G-02A (rev. 6/09).

    Geothermal Resource Well Operator's Bond, DGO-G-03 (rev. 6/09).

    Release of Geothermal Resource Well Operator's Surety Bond, DGO-G-03A (rev. 6/09).

    Geothermal Well Plat, DGO-G-04 (rev. 6/89).

    Certification of Location of New Well, DGO-G-04A (rev. 6/09).

    Report on Completion of Well Work, DGO-G-05 (rev. 6/09).

    Report of Completion of Work if Drilling, Redrilling or Deepening is Involved, DGO-G-05A (rev. 6/09).

    Notice of Intent to Plug or Abandon, and Affidavit, DGO-G-05B (rev. 6/09).

    Casing and Tubing Program, DGO-G-05C (rev. 6/09).

    Driller's Log, DGO-G-05D (rev. 6/09).

    Notice of Intent to Proceed, DGO-G-06 (rev. 6/09).

    Geothermal Resource Production or Injection Report, DGO-G-07 (rev. 6/09).

    Groundwater Monitoring Report, DGO-G-08 (rev. 6/09).

    Geothermal Fluid Monitoring Report, DGO-G-09 (rev. 6/09).

    Notification of Chemical Cleaning of a Geothermal Well, DGO-G-10 (rev. 6/09).

    Surveyor's Report on Subsidence, DGO-G-11 (rev. 6/09).

    Application for Reclassification of a Geothermal Area, DGO-G-12 (rev. 6/09).

    Request for Permission to Engage in Sequential Utilization, DGO-G-13 (rev. 6/09).

    Application for Exemption from Injection Requirement, DGO-G-14 (rev. 6/09).