Virginia Department of Mines, Minerals and Energy

Materials for Downloading

Acrobat Version	Microsoft Word	Form Name
DGO-GO-A	DGO-GO-A	Registration Form
DGO-GO-1	DGO-GO-1	Application for New Permit, Permit Modification or Transfer of Permit Rights
DGO-GO-2	DGO-GO-2	Operator's Surety Bond
DGO-GO-3	DGO-GO-3	Operator's Cash Bond
DGO-GO-4	DGO-GO-4	Notice of Application for Permit
DGO-GO-5	DGO-GO-5	Persons Receiving Official Notice of Permit Application or Permit Modification
DGO-GO-6	DGO-GO-6	Notice of Publication of an Application for a Permit
DGO-GO-7	DGO-GO-7	Well Location Plat
DGO-GO-8	DGO-GO-8	Information Sheet for Applications to Transfer Permit Rights
DGO-GO-9	DGO-GO-9	Technical Data Sheet for Permit Application Under 45.1-361.29
DGO-GO-10	DGO-GO-10	Technical Data Sheet for Gathering Pipelines
DGO-GO-11	DGO-GO-11	Technical Data Sheet for a Permit Modification to Plug or Replug
DGO-GO-12	DGO-GO-12	Operation Plan
DGO-GO-14	DGO-GO-14	Drilling Report
DGO-GO-15	DGO-GO-15	Completion Report
DGO-GO-16	DGO-GO-16	Application for Disposal of Pit or Produced Fluids
DGO-GO-17	DGO-GO-17	Application to Complete Abandoned Gas or Oil Well as a Water Well
DGO-GO-18	DGO-GO-18	Plugging Affidavit
DGO-GO-19	DGO-GO-19	Monthly Gas Production Report
DGO-GO-20	DGO-GO-20	Monthly Oil Production Report
DGO-GO-21	DGO-GO-21	Notice of Right to Object
DGO-GO-23	DGO-GO-23	License to Perform - Plugging of Orphaned Well
DGO-GO-24	DGO-GO-24	License to Perform - Plugging of Well/Bond Forfeiture
DGO-GO-25	DGO-GO-25	Affidavit & Release in Support of Surface Owner's Application to the VA DGO for use of an Orphaned Well as a Water Well
Geothermal Forms
Acrobat Version	Microsoft Word	Form Name
DGO-G-01	DGO-G-01	Registration Form for Drillers, Owners & Operators of Geothermal Wells
DGO-G-02	DGO-G-02	Application for Exploration Permit
DGO-G-02A	DGO-G-02A	Appendix for Exploration Permit if Well Work Involves Drilling, Redrilling or Deepening
DGO-G-03	DGO-G-03	Geothermal Resource Well Operator's Bond
DGO-G-04	DGO-G-04	Geothermal Well Plat
DGO-G-04A	DGO-G-04A	Certification of Location of a New Well
DGO-G-05	DGO-G-05	Report on Completion of Well Work
DGO-G-05A	DGO-G-05A	Report on Completion of Work if Drilling, Redrilling or Deepening is Involved
DGO-G-05B	DGO-G-05B	Notice of Intent to Plug or Abandon
DGO-G-05C	DGO-G-05C	Casing and Tubing Program
DGO-G-05D	DGO-G-05D	Driller's Log
DGO-G-06	DGO-G-06	Notice of Intent to Proceed
DGO-G-07	DGO-G-07	Geothermal Resource Production or Injection Report
DGO-G-08	DGO-G-08	Ground Water Monitoring Report
DGO-G-09	DGO-G-09	Geothermal Fluid Monitoring Report
DGO-G-10	DGO-G-10	Notification of Chemical Cleaning of a Geothermal Well
DGO-G-11	DGO-G-11	Surveyor's Report on Subsidence
DGO-G-12	DGO-G-12	Application for Reclassification of a Geothermal Area
DGO-G-13	DGO-G-13	Request for Permission to Engage in Sequential Utilization
DGO-G-14	DGO-G-14	Application for Exemption from Injection Requirement

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