Rules & Regulations of the State of Tennessee
0400 - Environment and Conservation
0400-57 - Oil and Gas Program
0400-57-01-.01 - REPORT AND PERMIT FORMS

0400-57-01 -.01 REPORT AND PERMIT FORMS.

(1) The report and permit forms designated below may be obtained from the Board, 401 Church St., Nashville, TN 37243-1534, and are hereby adopted and made a part of the rules set out in Chapters 0400-51-01 through 0400-57-01:

(a) Application to Amend Well Permit (Form CN-0228)

(b) Application to Change Operators (Form CN-0237)

(c) Application for Permit to Drill (Form CN-0211)

(d) Gas Well Deliverability Tests (Form R-DT-1)

(e) Monthly Gatherer's and/or Transporter's Natural Gas Report (Form CN-0244)

(f) Organization Report (Form CN-0219)

(g) Plug and Abandon Report (Form CN-0217)

(h) Pooling Affidavit (Form CN-0690)

(i) Pressure Maintenance and Secondary Recovery Questionnaire (Form CN-0141) (j) Statement of No Objection to Proposed Surface Disturbance (Form CN-0691) (k) Surface Owners Notification Certification (Form CN-0694)

(l) Transporter's and Storer's Monthly Report for Crude Oil and/or Condensate (Form CN-0229)

(m) Well History, Work Summary, and Completion or Recompletion Report (Form CN-0221)

(n) Comprehensive Bond Identification (Form CN-0120)

Authority: T.C.A ยงยง 60-1-201 et seq., and 4-5-201 et seq. Administrative History: Original rule filed March 20, 2013; effective June 18, 2013.

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