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Virginia Administrative Code
Title 4. Conservation And Natural Resources
Agency 25. Department of Energy
Chapter 170. Geothermal Energy Regulations
11/5/2024

FORMS (4VAC25-170).

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).

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