"Application to Drill a Geothermal Well" - Oregon

Application to Drill a Geothermal Well is a legal document that was released by the Oregon Department of Geology and Mineral Industries - a government authority operating within Oregon.

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APPLICATION to DRILL a GEOTHERMAL WELL
OREGON DEPARTMENT of GEOLOGY and MINERAL INDUSTRIES  229 BROADALBIN ST SW  ALBANY OR 97321
(In compliance with rules and regulations pursuant to ORS 522)
REQUIREMENTS
A complete application is required to obtain a permit to drill a geothermal well.
A complete application consists of:
1. Completed application form
2. Application fee per ORS 522.115(2)(g)
3. Drilling and Reclamation Plan
4. Financial security per ORS 522.145
5. Location Map
If the applicant is other than an individual, the entity must be registered to do business in Oregon if required by the
Secretary of State’s office.
Per ORS 522.115 and OAR 632-020-0030, the department may require other applicable information to complete review
of an application.
Upon completion of department review of an application, materials are forwarded to other local, state, federal, and
Tribal partners for a 45-day review period.
The applicant is responsible for obtaining permits from other agencies as required.
APPLICATION to DRILL a GEOTHERMAL WELL
OREGON DEPARTMENT of GEOLOGY and MINERAL INDUSTRIES  229 BROADALBIN ST SW  ALBANY OR 97321
(In compliance with rules and regulations pursuant to ORS 522)
REQUIREMENTS
A complete application is required to obtain a permit to drill a geothermal well.
A complete application consists of:
1. Completed application form
2. Application fee per ORS 522.115(2)(g)
3. Drilling and Reclamation Plan
4. Financial security per ORS 522.145
5. Location Map
If the applicant is other than an individual, the entity must be registered to do business in Oregon if required by the
Secretary of State’s office.
Per ORS 522.115 and OAR 632-020-0030, the department may require other applicable information to complete review
of an application.
Upon completion of department review of an application, materials are forwarded to other local, state, federal, and
Tribal partners for a 45-day review period.
The applicant is responsible for obtaining permits from other agencies as required.
APPLICATION to DRILL a GEOTHERMAL WELL
OREGON DEPARTMENT of GEOLOGY and MINERAL INDUSTRIES  229 BROADALBIN ST SW  ALBANY OR 97321
(In compliance with rules and regulations pursuant to ORS 522)
(1) Permittee Information
(2) Well Information
Name
County
Mailing
Lease
Address
City/State/Zip
Well No.
Telephone
Location
1/4
S
T
R
Fax
Wildcat or Field
Email
Elevation
Prepared by
Lat/Long of Wellhead
On Site
Surveyed SHL coordinates;
Contact
include BHL for directional
wells
Phone (day)
Phone (night)
Geologic Objective
Other
Proposed Depth
Signature
Title
Date
(3) Lease/Ownership
(if other than applicant)
Lessor
Surface Owner
Lessee
(mineral owner)
Name
Mailing Address
City/State/Zip
Telephone
Fax
Email
(4) Proposed Well Design
(use additional sheets if necessary)
Weight
Size of hole
Size of Casing
Grade/Type
Depth
Type and Amount of Cement
(pounds per foot)
bbls.
bbls.
bbls.
bbls.
(5) Slurry Design for each String
(use additional sheets if necessary)
Annulus
HT. left
Annulus
HT. left
String 1
String 2
Excess
Density
Excess
Density
height
in casing
height
in casing
Tail
ft.
ft.
bbls.
ppg.
Tail
ft.
ft.
bbls.
ppg.
Lead
ft.
ft.
bbls.
ppg.
Lead
ft.
ft.
bbls.
ppg.
(6) Geologic Information - if known
(use additional sheets if necessary)
1
at
2
at
3
at
Assumed fracture gradient of rock vs. depth
psi/ft
ft.
psi/ft
ft.
psi/ft
ft.
Pore gradient of rock vs. depth (if known)
psi/ft
ft.
psi/ft
ft.
psi/ft
ft.
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