DEP Oil&Gas Form 2 "Plugging and Site Restoration Performance Bond for Single Well" - Florida

DEP Form Oil&Gas2 or the "Plugging And Site Restoration Performance Bond For Single Well" is a form issued by the Florida Department of Environmental Protection.

The form was last revised in March 1, 1998 and is available for digital filing. Download an up-to-date fillable DEP Form Oil&Gas2 in PDF-format down below or look it up on the Florida Department of Environmental Protection Forms website.

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Download DEP Oil&Gas Form 2 "Plugging and Site Restoration Performance Bond for Single Well" - Florida

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Oil & Gas Form 2
Florida
PLUGGING AND SITE RESTORATION
Form Title:
PERFORMANCE BOND FOR SINGLE WELL
Department of
Environmental Protection
Date Revised:
March, 1998
Incorporated by reference in:
Rule 62C-25.008
This bond (or other form of authorized security) must be approved by the Department before the related drilling application will be
Oil and Gas Program, 2600 Blair Stone Road, MS 3588, Tallahassee, Florida 32399-2400 (phone
processed. File with the
_________________
850/245-8336). Email:
OGP@dep.state.fl.us
Know All Men by These Presents That We, ______________________________________________________________
(Operator’s Name and Address)
_________________________________________________________________________________________________
Phone Number: ____
___________________________________
Fax Number: __
____________________________
as principal, and ___________________________________________________________________________________
(Surety’s Name and Address)
_________________________________________________________________________________________________
Phone Number: ____
___________________________________
Fax Number: ______________________________
As surety, are held hereby and firmly bound unto the Governor of the State of Florida in the penal sum of
_________________________________ lawful money of the United States, for the faithful payment of which we hereby
bind ourselves, our heirs, executors, administrators, and assigns.
The condition of this obligation is that the above principal properly plug and abandon and restore the site of the following
well, Permit #: __
_____________
Well Name and Number __
___________________________________________________________________________
Well Location (County, Section, Township, Range) ________________________________________________________
and otherwise comply with Chapter 377, Part 1, Florida Statutes, and with Chapter 62C, Florida Administrative Code, and
with all Special Permit Conditions of the Department. When the above principal plugs said well and restores the site in
compliance with the foregoing Laws, Rules and Regulations, and Special Permit Conditions of the Department, this
obligation is void; otherwise, the same shall remain in full force and effect.
Effective date of this bond __________________________________________
Principal
Company:
____
______________________________________________________
Agent:
__________________________________________________________
Title:
____
______________________________________________________
Signature:
____
______________________________________________________
Date:
__________________________________________________________
Surety
Company:
____
______________________________________________________
Agent:
__________________________________________________________
Attorney in Fact: _________________________________________________________
Signature:
__________________________________________________________
Date:
__________________________________________________________
Oil & Gas Form 2
Florida
PLUGGING AND SITE RESTORATION
Form Title:
PERFORMANCE BOND FOR SINGLE WELL
Department of
Environmental Protection
Date Revised:
March, 1998
Incorporated by reference in:
Rule 62C-25.008
This bond (or other form of authorized security) must be approved by the Department before the related drilling application will be
Oil and Gas Program, 2600 Blair Stone Road, MS 3588, Tallahassee, Florida 32399-2400 (phone
processed. File with the
_________________
850/245-8336). Email:
OGP@dep.state.fl.us
Know All Men by These Presents That We, ______________________________________________________________
(Operator’s Name and Address)
_________________________________________________________________________________________________
Phone Number: ____
___________________________________
Fax Number: __
____________________________
as principal, and ___________________________________________________________________________________
(Surety’s Name and Address)
_________________________________________________________________________________________________
Phone Number: ____
___________________________________
Fax Number: ______________________________
As surety, are held hereby and firmly bound unto the Governor of the State of Florida in the penal sum of
_________________________________ lawful money of the United States, for the faithful payment of which we hereby
bind ourselves, our heirs, executors, administrators, and assigns.
The condition of this obligation is that the above principal properly plug and abandon and restore the site of the following
well, Permit #: __
_____________
Well Name and Number __
___________________________________________________________________________
Well Location (County, Section, Township, Range) ________________________________________________________
and otherwise comply with Chapter 377, Part 1, Florida Statutes, and with Chapter 62C, Florida Administrative Code, and
with all Special Permit Conditions of the Department. When the above principal plugs said well and restores the site in
compliance with the foregoing Laws, Rules and Regulations, and Special Permit Conditions of the Department, this
obligation is void; otherwise, the same shall remain in full force and effect.
Effective date of this bond __________________________________________
Principal
Company:
____
______________________________________________________
Agent:
__________________________________________________________
Title:
____
______________________________________________________
Signature:
____
______________________________________________________
Date:
__________________________________________________________
Surety
Company:
____
______________________________________________________
Agent:
__________________________________________________________
Attorney in Fact: _________________________________________________________
Signature:
__________________________________________________________
Date:
__________________________________________________________
Florida Resident Agent
Company:
__________________________________________________________
Agent:
__________________________________________________________
Address/Phone/Fax: ___
___________________________________________________
Serial Number of Bond: ___________________________________________________
Signature:
__________________________________________________________
Date:
__________________________________________________________
Approved as to Form and Legality:
Approved by Department:
________________________________________
_____________________________________________
DEP Attorney
Department Approving Authority
________________________________________
__________________________________ ___________
Date
Title
Date
DEP 51-002(16)
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