In the complex tapestry of environmental regulation and oversight, forms often serve as the critical links between government agencies and the entities they regulate. One such example within the Pennsylvania landscape is the 8000 Fm Oogm0099 form, a document under the auspices of the Commonwealth of Pennsylvania's Department of Environmental Protection, Office of Oil and Gas Management. This form, designated for operators engaging in oil or gas well activities within the state, plays a pivotal role in the initial steps toward compliance and transparency. It is designed to collect comprehensive general information about operators, including organizational structure, contact details, and operational addresses, ensuring that the state's environmental watchdog has accurate records. Furthermore, the form requires details pertaining to any parent or subsidiary organizations, thus painting a complete picture of an operator's corporate structure. Interestingly, this document also caters to non-resident operators by mandating the designation of a local agent for legal proceedings, underscoring Pennsylvania's proactive approach in maintaining governance over its natural resources. The form concludes with a certification section, where the operator asserts the accuracy of the provided information, hinting at the legal responsibilities and the importance of truthfulness in the regulatory process. Through this meticulous documentation process, the 8000 Fm Oogm0099 form embodies the intersection between environmental stewardship and the regulatory mechanisms that support it.
| Question | Answer |
|---|---|
| Form Name | Form 8000 Fm Oogm0099 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | DEP, OGO, 8000-FM-OOGM0118, certifies |
COMMONWEALTH OF PENNSYLVANIA |
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DEPARTMENT OF ENVIRONMENTAL PROTECTION |
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OFFICE OF OIL AND GAS MANAGEMENT |
OPERATOR’S GENERAL INFORMATION FORM
DEP USE ONLY
Client Id #
OGO #
Agent’s Id #
Before completing this form, please read the instructions on the back. This information will be used to establish or verify our computer records about you or your organization as an oil or gas well operator in Pennsylvania. Any applicant who has not previously conducted business with the DEP Oil and Gas Program must submit this form when applying for an oil or gas approval/permit.
GENERAL OPERATOR
INFORMATION
Enter the name and address under which you or your organization operate (and bond) oil and gas wells in Pennsylvania.
Type of Organization / Code |
Corporate, Company, Partnership or Registered Fictitious Name |
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Federal Tax ID# |
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Individual or Partner - Last Name |
First Name |
MI |
Suffix |
Social Sec # |
Individual or Partner - Last Name |
First Name |
MI |
Suffix |
Social Sec # |
Individual or Partner - Last Name |
First Name |
MI |
Suffix |
Social Sec # |
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Mailing Address |
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Check if this is a new address.
City |
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State |
ZIP+4 |
Country (If Other Than USA) |
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Phone (Daytime) |
Ext. |
FAX |
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Email Address |
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Person to Contact - Last Name |
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First Name |
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MI |
Suffix |
Title |
Parent or Subsidiary
Information
Any changes to business structure must be provided to the Oil and Gas Program within 30 days of the change. If there is currently no parent or subsidiary, check the applicable boxes below. If there is, you must attach the Ownership and Control form
Check if no parent:
Check if no subsidiaries:
FIELD OFFICE
Person to Contact - Last Name
Fill in this part if the person or branch office responsible for operations in Pennsylvania is at a location other than the corporate address above.
First Name |
MI |
Suffix |
Title |
Mailing Address |
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City |
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State |
ZIP+4 |
Country (If Other Than USA) |
Phone (Daytime) |
Ext. |
FAX |
Email Address |
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OPERATOR’S
AGENT
Agent’s Name |
Mailing Address |
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Check if this is a new agent. |
City |
State ZIP+4 |
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Check if only for change of current agent’s address.
Phone (Daytime)
CERTIFICATION
The undersigned certifies that the above information is correct as of this date, and until DEP is notified otherwise it applies to all future oil or gas well permit applications from this organization or individual.
Signature |
Type or print name and title of signer |
Date |
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