ODNR Division of Oil and Gas Resources Management 2045 Morse Road, Bldg F2 Columbus, OH 43229-6693 For Calendar Year Ending 31-Dec-20 SURFACE APPLICATION ANNUAL REPORT (Form 15) I. NAME OF ENTITY.

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How to fill out the SURFACE APPLICATION ANNUAL REPORT (Form 15) - Ohio DNR online

Completing the SURFACE APPLICATION ANNUAL REPORT (Form 15) is essential for entities responsible for maintaining roads where brine has been applied. This guide provides a comprehensive overview of each section of the form to assist you in successfully filing it online.

Follow the steps to fill out the SURFACE APPLICATION ANNUAL REPORT online.

  1. Press the ‘Get Form’ button to access the SURFACE APPLICATION ANNUAL REPORT (Form 15) and open the document for editing.
  2. In Section I, enter the name of the entity that owns or has a legal obligation for the road maintenance. Complete the address fields, including street, city, state, county, and zip code, as well as the phone number.
  3. In Section II, list the application points where brine has been applied. Specify the quantities in barrels along with the corresponding application dates. Ensure the points are clearly defined, similar to the provided example.
  4. In Section III, provide the names and registration numbers of the brine haulers used during the application process. If the municipality uses its own vehicles, this section may be ignored.
  5. In Section IV, detail the sources of brine. Include the permit numbers, well owner names, and the corresponding counties or townships, along with the quantities in barrels.
  6. Review all information entered on the form for accuracy and completeness to avoid legal penalties.
  7. Once complete, you can save the changes made to the form, download it for your records, print a copy, or share it as necessary.

Complete your SURFACE APPLICATION ANNUAL REPORT online today to ensure compliance.

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