Titles of Regulations: 4VAC25-20. Board of Coal Mining Examiners Certification Requirements.

4VAC25-31. Reclamation Regulations for Mineral Mining.

4VAC25-130. Coal Surface Mining Reclamation Regulations.

4VAC25-150. Virginia Gas and Oil Regulation.

4VAC25-170. Geothermal Energy Regulations.

Effective Date: August 17, 2009.

FORMS (4VAC25-20)

Application for Certification Examination, DM-BCME-1 (rev. 6/07) (rev. 5/09).

Verification of Work Experience, DM-BCME-2 (rev. 10/05).

Verification of Training Completed for General Coal Miner Certification, DM-BCME-3 (rev. 6/07) (rev. 5/09).

Application for Recertification: DMLR Endorsement/Blaster's Certification, DMLR-BCME-3 (rev. 6/95).

Verification for Training Completed for Continuing Education, DM-BCME-4 (rev. 10/05).

Application for DMLR Endorsement: Blaster's Certification (Coal Surface Mining Operation), DMLR-BCME-4 (rev. 6/95).

Advanced First Aid Practical Stations & CPR (Written & Practical), DM-BCME-5 (rev. 10/05).

FORMS (4VAC25-31)

Permit/License Application, DMM-101 (rev. 2/06).

Notice of Application to Mine, DMM-103 (rev. 2/06).

Statement Listing the Names and Addresses of Adjoining Property Owners, DMM-103a (rev. 9/99); included in DMM-103 Notice of Application to Mine.

Yearly Progress Report, DMM-105 (rev. 2/06).

Surety Bond, DMM-107 (rev. 2/06) (rev. 4/09).

Legend, DMM-109 (rev. 2/06).

Relinquishment of Mining Permit, DMM-112 (rev. 2/06).

Request for Amendment, DMM-113 (rev. 2/06).

Consolidated Biennial Report of Waivered Counties, Cities, and Towns, DMM-116 (rev. 2/06).

Biennial Waivered Counties, Cities, and Towns, Report of Individual Mining Companies, DMM-117 (rev. 2/06).

Consent for Right of Entry, DMM-120 (rev. 12/99).

Mineral Mining Annual Tonnage Report, DMM-146 (rev. 2/06).

Mineral Mining Annual Report for Contractors, DMM-146c (rev. 12/08).

DMM Application Checklist, DMM-148 (rev. 2/06).

Request for Release of Mine Map, DMM-155 (rev. 2/06).

Notice of Operator Intent, DMM-156 (rev. 2/06).

License Renewal/Transfer Application, DMM-157 (rev. 2/06).

Permit Transfer Acceptance, DMM-161 (rev. 2/06).

Permit Renewal Checklist, DMM-163 (rev. 3/06).

Certification of No Change, DMM-164 (rev. 3/06).

Surety Bond Rider, DMM-167 (rev. 2/06).

General Permit for Sand and Gravel Operations Less Than Ten Acres in Size, DMM-168 (eff. 9/03).

Certificate of Deposit, DMM-169 (eff. 2/06).

FORMS (4VAC25-130)

Anniversary Notification Report Form, DMLR-PT-028 (eff. 11/07) (rev. 3/09).

Anniversary Notification, DMLR-PT-028b (eff. 11/07).

Change Order Justification, DMLR-AML-065 (eff. 8/99).

Ground Water Monitoring Report, DMLR-PT-101 (rev. 11/99).

Application for Exemption Determination (Extraction of Coal Incidental to the Extraction Of Other Minerals), DMLR-211 (rev. 4/96) (rev. 3/09).

Applicant Violator System (AVS) Ownership Control Information, DMLR-AML-003 (rev. 1/95).

Consent for Right of Entry-Exploratory, DMLR-AML-122 (rev. 3/98).

Consent for Right of Entry-Construction, DMLR-AML-123 (rev. 3/98).

Consent for Right of Entry-Construction Lien Waiver, DMLR-AML-174 (rev. 3/91).

License for Performance-Acid Mine Drainage Investigations and Monitoring (Abandoned Mine Land Program), DMLR-AML-175c (11/96).

License for Performance-Acid Mine Drainage Reclamation and Construction (Abandoned Mine Land Program), DMLR-AML-176c, (rev. 12/96).

Consent for Right of Entry-Ingress/Egress, DMLR-AML-177 (rev. 3/98).

Application for Recertification: DMLR Endorsement/Blaster's Certification, DMLR-BCME-03 (rev. 5/05) (rev. 3/09).

Application for DMLR Endorsement: Blaster's Certification (Coal Surface Mining Operation), DMLR-BCME-04 (rev. 5/05) (rev. 3/09).

Geology and Hydrology Information Part A through E, DMLR-CP-186 (rev. 3/86).

Sediment and Pond Design Data Sheet, DMLR-CP-187 (rev. 12/85).

Notice of Temporary Cessation, DMLR-ENF-220 (rev. 2/96) (rev. 3/09).

Application for Small Operator's Assistance, DMLR-OA-106 (rev. 12/85).

Lands Unsuitable Petition, DMLR-OA-131 (rev. 12/85).

Application for Permit for Coal Exploration and Reclamation Operations (which Remove More Than 250 Tons) and NPDES, DMLR-PS-062 (rev. 12/85).

Chapter 19-Statement for Third Party-Certificate of Deposit, DMLR-PS-093 (rev. 12/85).

Cognovit Note, Part I and II, DMLR-PS-095 (rev. 12/85).

Application-Coal Surface Mining Reclamation Fund, DMLR-PS-162 (rev. 7/89).

Application for Performance Bond Release of Bond-Estimated Cost, DMLR-PS-212 (rev. 3/88) DMLR-PT-212 (rev. 3/09)

Application for Release of Bond-Reclamation Fund, DMLR-PS-213 (rev. 3/88).

Example-Waiver (300 Feet from Dwelling), DMLR-PT-223 (rev. 2/96).

Analysis, Premining vs Postmining Productivity Comparison (Hayland/Pasture Land Use), DMLR-PT-012 (eff. 8/03) (rev. 3/09).

Surety Bond, DMLR-PT-013 (rev. 9/04) (rev. 8/07).

Surety Bond-Federal Lands, DMLR-PT-013A (rev. 10/95) (rev. 3/09).

Surety Bond Rider, DMLR-PT-013B (rev. 9/04) (rev. 8/07).

Map Legend, DMLR-PT-017 (rev. 2/05) (rev. 3/09).

Certificate of Deposit Example, DMLR-PT-026 (rev. 9/04) (rev. 8/07).

Form Letter From Banks Issuing a CD as Performance Bond for Mining on Federal Lands, DMLR-PT-026A (rev. 8/03) (rev. 8/07).

Operator's Seeding Report, DMLR-PT-011 (rev. 3/06) (rev. 3/09).

Request for Relinquishment, DMLR-PT-027 (rev. 4/96) (rev. 3/09).

Water Supply Inventory List, DMLR-PT-030 (rev. 4/96) (rev. 3/09).

Application for Permit for Coal Surface Mining and Reclamation Operations and National Pollutant Discharge Elimination Systems System (NPDES), DMLR-PT-034 (rev. 2/99).

Request for DMLR Permit Data, DMLR-PT-034info (eff. 11/07).

Certification - Application for Permit: Coal Surface Mining and Reclamation Operations, DMLR-PT-034D (rev. 8/07) (rev. 3/09).

Coal Exploration Notice, DMLR-PT-051 (rev. 11/98) (rev. 3/09).

Well Construction Data Sheet, DMLR-WCD-034D (rev. 5/04).

Sediment Basin Design Data Sheet, DMLR-PT-086 (rev. 10/95) (rev. 3/09).

Impoundment Construction and Annual Certification, DMLR-PT-092 (rev. 10/95) (rev. 3/09).

Road Construction Certification, DMLR-PT-098 (rev. 10/95) (rev. 3/09).

Ground Water Monitoring Report, DMLR-PT-101 (rev. 2/95) (rev. 3/09).

Rainfall Monitoring Report, DMLR-PT-102 (rev. 8/98).

Pre-Blast Survey, DMLR-PT-104 (rev. 10/95) (rev. 3/09).

Excess Spoil Fills and Refuse Embankments Construction Certification, DMLR-PT-105 (rev. 2/09) (rev. 3/09).

Stage-Area Storage Computations, DMLR-PT-111 (rev. 10/95) (rev. 3/09).

NPDES Discharge Monitoring Report, DMLR-PT-119 (rev. 2/95) (rev. 3/09).

Water Monitoring Report-Electronic File/Printout Certification, DMLR-PT-119C (rev. 5/95; included in DMLR-PT-119) (rev. 3/09).

Coal Surface Mining Reclamation Fund Application, DMLR-PT-162 (rev. 4/96) (rev. 3/09).

Conditions-Coal Surface Mining Reclamation Fund, DMLR-PT-167 (rev. 10/95) (rev. 3/09).

Coal Surface Mining Reclamation Fund Tax Reporting Form, DMLR-PT-178 (rev. 10/95) (rev. 3/09).

Surface Water Monitoring Report, DMLR-PT-210 (rev. 8/98) (rev. 3/09).

Application For Performance Bond Release, DMLR-PT-212 (rev. 4/96) (rev. 3/09).

Public Notice: Application for Transfer, Assignment, or Sale of Permit Rights under Chapter 19 of Title 45.1 of the Code of Virginia, DMLR-PT-219 (8/96) (rev. 3/09).

Public Notice: Application for Bond Reduction Under Chapter 19 of Title 45.1 of the Code of Virginia - Cost Estimate, Phase I, DMLR-PT-225 (rev. 4/96) (rev. 3/09).

Public Notice: Application for Bond Reduction Under Chapter 19 of Title 45.1 of the Code of Virginia - Cost Estimate, Phase II, DMLR-PT-226 (rev. 4/96) (rev. 3/09).

Public Notice: Application for Bond Reduction Under Chapter 19 of Title 45.1 of the Code of Virginia - Cost Estimate, Phase III, DMLR-PT-227 (rev. 4/96) (rev. 3/09).

Public Notice: Application for Bond Reduction Under Chapter 19 of Title 45.1 of the Code of Virginia - Pool Bonding, Incremental Bond Reduction, DMLR-PT-228 (rev. 4/96) (rev. 3/09).

Public Notice: Application for Bond Reduction Under Chapter 19 of Title 45.1 of the Code of Virginia - Pool Bonding, Entire Permit Bond Reduction, DMLR-PT-229 (rev. 9/95).

Public Notice: Application for Bond Reduction Under Chapter 19 of Title 45.1 of the Code of Virginia - Pool Bonding, Entire Permit Bond Release, DMLR-PT-230 (rev. 4/96).

Verification of Public Display of Application, DMLR-PT-236 (8/01).

Affidavit (Permit Application Information: Ownership and Control Information and Violation History Information), DMLR-PT-240 (rev. 7/07) (rev. 3/09).

Stream Channel Diversion(s) Certification, DMLR-PT-233 (rev. 2/96) (rev. 3/09).

Quarterly Acid-Base Monitoring Report, DMLR-PT-239 (rev. 6/95) (rev. 3/09).

Affidavit (No Legal Change in a Company's Identity), DMLR-PT-250 (rev. 12/98) (rev. 3/09).

Blasting Plan Data, DMLR-PT-103 (rev. 4/96).

Affidavit (Reclamation Fee Payment), DMLR-PT-244 (rev. 7/07) (rev. 3/09).

Application-National Pollutant Discharge Elimination System (NPDES) Permit-Short Form C, DMLR-PT-128 (rev. 5/96) (rev. 3/09).

National Pollutant Discharge Elimination System (NPDES) Short Form C-Instructions Application Instructions, DMLR-PT-128A (rev. 5/96) (rev. 3/09).

Impoundment Inspection Report, DMLR-PT-251 (rev. 12/93) (rev. 3/09).

Water Sample Tag, DMLR-TS-107 (rev. 3/83).

Surface Water Baseline Data Summary, DMLR-TS-114 (rev. 4/82).

Diversion Design Computation Sheet, DMLR-TS-120 (rev. 12/85).

Sediment Channel Design Data Sheet, DMLR-TS-127 (rev. 12/85).

Virginia Stream Survey, DMLR-TS-217 (rev. 1/87).

Line Transect-Forest Land Count, DMLR-PT-224 (rev. 2/96) (rev. 3/09).

Applicant Violator System (AVS) Ownership & Control Information, DMLR-AML-003 (rev. 4/97).

Application for Permit Renewal Coal Surface Mining and Reclamation Operations, DMLR-PT-034R (eff. 6/97).

Application for Coal Exploration Permit and National Pollutant Discharge Elimination System Permit, DMLR-PT-062 (formerly DMLR-PS-062) (rev. 6/97) (rev. 3/09).

Conditions-Coal Surface Mining Reclamation Fund, DMLR-PT-167 (rev. 10/95).

Vibration Observations, DMLR-ENF-032V (eff. 9/97).

Application for Small Operator Assistance, DMLR-PT-106 (formerly CP-106) (rev. 9/97).

Application-National Pollutant Discharge Elimination System Application Instructions, DMLR-PT-128 (rev. 9/97).

Blasting Plan Data, DMLR-PT-103 (rev. 10/97).

Request for Relinquishment, DMLR-PT-027 (rev. 1/98).

Written Findings, DMLR-PT-237 (rev. 1/98).

Irrevocable Standby Letter of Credit, DMLR-PT-255 (rev. 9/04) (rev. 8/07).

Confirmation of Irrevocable Standby Letter of Credit, DMLR-PT-255A (eff. 8/03).

Affidavit DMLR-AML-312 (eff. 7/98).

Indemnity Agreement - Self Bond, DMLR-PT-221 (eff. 12/07).

Permittee Consent to Service by Electronic Mail, DMLR-PT-265 (eff. 1/09) (rev. 3/09).

FORMS (4VAC25-150)

Registration Form, DGO-GO-A, rev. 1/98 (rev. 6/09).

Application for a New Permit, Permit Modification, or Transfer of Permit Rights, DGO-GO-1 (rev. 11/99) (rev. 6/09).

Operator's Surety Bond, DGO-GO-2 (rev. 11/99) (rev. 6/09).

Operator's Cash Bond, DGO-GO-3 (rev. 11/99) (rev. 6/09).

Notice of Application for a Permit or Permit Modification, DGO-GO-4 (rev. 11/99) (rev. 6/09).

Persons Receiving Official Notice of Permit Application or Permit Modification, DGO-GO-5, rev. 1/98 (rev. 6/09).

Notice by Publication of an Application for a Permit, DGO-GO-6, rev. 1/98 (rev. 6/09).

Well Location Plat, DGO-GO-7, rev. 1/98.

Information Sheet for Applications to Transfer Permit Rights, DGO-GO-8, rev. 1/98 (rev. 6/09).

Technical Data Sheet for Permit Applications Under § 45.1-361.29, DGO-GO-9 (Rev. 10/96) (rev. 6/09).

Technical Data Sheet for Gathering Pipelines and Associated Facilities, DGO-GO-10, rev. 1/98 (rev. 6/09).

Technical Data Sheet for Permit Modification to Plug or Replug, DGO-GO-11 (rev. 11/99) (rev. 6/09).

Operations Plan -- Checklist, DGO-GO-12 (rev. 11/99) (rev. 6/09).

Operations Plan -- Checklist, DGO-GO-12A (7/95; included in DGO-GO-12).

Drilling Report, DGO-GO-14, rev. 1/98 (rev. 6/09).

Completion Report, DGO-GO-15, rev. 1/98 (rev. 6/09).

Application for Disposal of Pit or Produced Fluids, DGO-GO-16, rev. 1/98 (rev. 6/09).

Application to Complete Abandoned Gas or Oil Well as a Water Well, DGO-GO-17, rev. 1/98 (rev. 6/09).

Plugging Affidavit, DGO-GO-18 (rev. 11/99) (rev. 6/09).

Monthly Gas Production Report, DGO-GO-19 (rev. 11/99) (rev. 6/09).

Monthly Oil Production, DGO-GO-20 (rev. 11/99) (rev. 6/09).

Notice of Right to Object, DGO-GO-21 (rev. 11/99) (rev. 6/09).

License to Perform -- Plugging of Orphaned Well, DGO-GO-23 (rev. 11/99) (rev. 6/09).

License to Perform -- Plugging of Well/Bond Forfeiture, DGO-GO-24 (rev. 11/99) (rev. 6/09).

Affidavit and Release in Support of Surface Owner's Application to the Virginia Division of Gas and Oil for Use of an Orphaned Well as a Water Well, DGO-GO-25 (rev. 11/99) (rev. 6/09).

FORMS (4VAC25-170)

Registration Form for Drillers, Owners and Operators of Geothermal Wells, DGO-G-01 (rev. 6/89) (rev. 6/09).

Application for Exploration Permit, DGO-G-02 (rev. 6/89) (rev. 6/09).

Application Appendix for Exploration Permit if the Well Work Involves Drilling, Redrilling or Deepening, DGO-G-02A (rev. 6/89; included in DGO-G-02) (rev. 6/09).

Geothermal Resource Well Operator's Bond, DGO-G-03 (rev. 6/89) (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. 6/89; included in DGO-G-04) (rev. 6/09).

Report on Completion of Well Work, DGO-G-05 (rev. 6/89) (rev. 6/09).

Report on of Completion of Work if Drilling, Redrilling or Deepening is Involved, DGO-G-05A (rev. 6/89; included in DGO-G-5) (rev. 6/09).

Notice of Intent to Plug or Abandon, and Affidavit, DGO-G-05B (rev. 6/89; included in DGO-G-5) (rev. 6/09).

Casing and Tubing Program, DGO-G-05C (rev. 6/89; included in DGO-G-5; included in DGO-G-5) (rev. 6/09).

Driller's Log, DGO-G-05D (rev. 6/89; included in DGO-G-5) (rev. 6/09).

Notice of Intent to Proceed, DGO-G-06 (rev. 6/89) (rev. 6/09).

Geothermal Resource Production or Injection Report, DGO-G-07 (rev. 6/89) (rev. 6/09).

Groundwater Monitoring Report, DGO-G-08 (rev. 6/89) (rev. 6/09).

Geothermal Fluid Monitoring Report, DGO-G-09 (rev. 6/89) (rev. 6/09).

Notification of Chemical Cleaning of a Geothermal Well, DGO-G-10 (rev. 6/89) (rev. 6/09).

Surveyor's Report on Subsidence, DGO-G-11 (rev. 6/89) (rev. 6/09).

Application for Reclassification of a Geothermal Area, DGO-G-12 (rev. 6/89) (rev. 6/09).

Request for Permission to Engage in Sequential Utilization, DGO-G-13 (rev. 6/89) (rev. 6/09).

Application for Exemption from Injection Requirement, DGO-G-14 (rev. 6/89) (rev. 6/09).