Tenn. Comp. R. & Regs. 1040-07-01-.01 - REPORT AND PERMIT FORMS

(1) The report and permit forms designated below may be obtained from the State Oil and Gas Board, 401 Church St., Nashville, TN 37243-1534, and are hereby adopted and made a part of the rules set out in Chapter 1040-01-01 through Chapter 1040-07-01:
(a) Application to Amend Well Permit (Form P-AD-2)
(b) Application to Change Operators (Form P-AD-3)
(c) Application for Permit to Drill (Form P-AD-1)
(d) Authority to Drill, Deepen, or Reopen a Well (Form P)
(e) Gas Well Deliverability Tests (Form R-DT-1)
(f) Monthly Gatherer's and/or Transporter's Natural Gas Report (Form R-MP-5)
(g) Organization Report (Form R-O-1)
(h) Periodic GPM Test Report (Form R-GPM-1)
(i) Plug and Abandon Report (Form R-P&A-1)
(j) Pooling Affidavit (Form PA)
(k) Pressure Maintenance and Secondary Recovery Questionnaire (Form Q-PMSR)
(l) Statement of No Objection to Proposed Surface Disturbance (Form NO)
(m) Surface Owners Notification Certification (Form NC)
(n) Transporter's and Storer's Monthly Report for Crude Oil and/or Condensate (Form R-MP-2)
(o) Well History, Work Summary, And Completion or Recompletion Report (Form R-WH-1)
(p) Irrevocable Standby Letter of Credit Format (Form ILC)


Tenn. Comp. R. & Regs. 1040-07-01-.01
Original rule was certified May 24, 1974. Amendment filed June 29, 1982; effective August 13, 1982. Amendment filed April 20, 1988; effective June 4, 1988. Amendment filed August 26, 1988; effective October 10, 1988. Amendment filed July, 25, 2005; effective October 8, 2005. Repeal and new rule filed October 17, 2011; effective January 15, 2012.

Authority: T.C.A. ยงยง 60-1-201 et seq., and 4-5-201 et seq.

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