REGULATIONS
Vol. 39 Iss. 17 - April 10, 2023

TITLE 9. ENVIRONMENT
STATE WATER CONTROL BOARD
Chapter 610
Forms

REGISTRAR'S NOTICE: Forms used in administering the regulation have been filed by the agency. The forms are not being published; however, online users of this issue of the Virginia Register of Regulations may click on the name of a form with a hyperlink to access it. The forms are also available from the agency contact or may be viewed at the Office of the Registrar of Regulations, 900 East Main Street, 11th Floor, Richmond, Virginia 23219.

Title of Regulation: 9VAC25-610. Groundwater Withdrawal Regulations.

Agency Contact: Elizabeth Gallup, Guidance and Regulation Coordinator, Department of Environmental Quality, P.O. Box 1105, Richmond, VA 23218, telephone (757) 432-3581, or email elizabeth.gallup@deq.virginia.gov.

FORMS (9VAC25-610)

Groundwater Withdrawal Application Submission Checklist (eff. 2/2023)

Department of Environmental Quality Water Division Permit Application Fee Form, Form 5 (rev. 10/2018)

Application Instructions for Completing a Groundwater Withdrawal Permit Application (rev. 11/2013)

Application for a Groundwater Withdrawal Permit (rev. 9/2012)

Groundwater Withdrawal Permit - Change of Ownership Agreement Form (rev. 11/2013)

Application for a Groundwater Withdrawal Permit (rev. 11/2022)

Groundwater Withdrawal Permit - Change of Ownership Agreement Form (rev. 7/2022)

Uncontested Termination Agreement (rev. 11/2013)

Uniform Water Well Completion Report, Form GW-2 (rev. 8/2016)

Uniform Water Well Completion Report Well Abandonment Form, GW-5 (rev. 8/2016)

Public Notice Authorization Form - Authorization for Public Notice Billing to Groundwater Withdrawal Permit Applicant (rev. 11/2013)

Preapplication Meeting - Application for a Groundwater Withdrawal Permit (rev. 9/2012)

Local and Areawide Planning Requirements (rev. 9/2012)

Quarterly Groundwater Withdrawal Report (rev. 11/2013)

Mitigation Plan (rev. 11/2013)

Existing Users Groundwater Withdrawal Permit Application and Instructions (eff. 2/2014)

Public Notice Authorization Form - Authorization for Public Notice Billing to Groundwater Withdrawal Permit Applicant (rev. 10/2019)

Preapplication Meeting - Application for a Groundwater Withdrawal Permit (rev. 6/2021)

Local Government Ordinance Form (rev. 9/2019)

Quarterly Groundwater Withdrawal Report (rev. 12/2019)

Mitigation Plan (rev. 10/2019)

VA.R. Doc. No. R23-7494; Filed March 16, 2023