PSC Gas Transportation Form No. 1
Summary Information
This information must be filed by all transportation entities subject to General Order No. 228.
Annual report of .................................. Year ended June 30 .....
Address of respondent.......................................................
Volumes | ||
Name of Transportation Average Transported | Average | Transported |
Customer | Rate | This Period |
............................ | .................... | ................ |
............................ | .................... | ................ |
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PSC Gas Transportation Form No. 1A Detail Information
This information must be filed by all Class A or B Natural Gas Utilities. For all other transportation entities subject to General Order No. 228 this information is not required unless specifically requested by the Commission.
Annual report of ................................. Year ended June 30 ......
Address of respondent ......................................................
(Complete one form for each transportation contract. Add pages as needed.)
Per Unit Transp. Rate | Revenues Received | Volume Delivered | If Explanation Required See Note | |
July | ............ | .......... | ......... | () |
August | ............ | .......... | ......... | () |
September | ............ | .......... | ......... | () |
October | ............ | .......... | ......... | () |
November | ............ | .......... | ......... | () |
December | ............ | .......... | ......... | () |
January | ............ | .......... | ......... | () |
February | ............ | .......... | ......... | () |
March | ............ | .......... | ......... | () |
April | ............ | .......... | ......... | () |
May | ............ | .......... | ......... | () |
June | ............ | .......... | ......... | () |
TOTAL | ............ | .......... | ......... | () |
If Standby Service is Contracted:
Volumes Contracted ...............
Revenues Received ...............
Annual report of ...................................Year ended June 30......
Entity Receiving Transportation.............................................
............................................................................
End User ...................................................................
............................................................................
Producer ...................................................................
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NameLocation
Fees to be
NameAddressReceived
Annual report of.....................................Year ended June 30.....
ReceivedDeliveredDistance
Explanation Reference
PSC Gas Transportation Form No. 2
State of West Virginia Public Service Commission Charleston
APPLICATION FOR CERTIFICATION AS A NATURAL GAS POOL OPERATOR FOR MULTIPLE END USERS
Case No. ____________________
Application of ________________________________________________________________________
for certification as an operator of natural gas pools for multiple end users in the State of West Virginia filed in accordance with the provisions of the Rule 11 of the Public Service Commission Rules Governing the Transportation of Natural Gas, 150 C.S.R. Series 16.
Name of the Pool Operator: _______________________________________________________________
Address of the Pool Operator: _____________________________________________________________ _____________________________________________________________
_____________________________________________________________
Name(s) of the Pool Operator's designated contact person(s):
____________________________________
_____________________________________________________________ _____________________________________________________________
Telephone Number(s) of the Pool Operator's designated contact person(s):
_________________________
Fax Number(s) of the Pool Operator's designated contact person(s):
_______________________________
Email Address(es) of the Pool Operator's designated contact person(s):
____________________________
Name of the Pool Operator's designated agent for receipt of legal service of process: _____________________________________________________________________________________
Address of the Pool Operator's designated agent for the receipt of legal service of process: _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________
Form No. 2, continued.
Telephone Number of the Pool Operator's designated agent for the receipt of legal service of process:
_____________________________________________________________________________________
The Applicant agrees to comply with all applicable West Virginia statutory law and the Public Service Commission's rules, regulations and orders. Dated this ________________day of _________________________________, _______________
(Signed)
______________________________________________________________________________
Signature of authorized representative of applicant Title of Signer: ________________________________________________________________________
Address of Signer: _____________________________________________________________________ _____________________________________________________________________________________
_________________________________________, Attorney W.
Va. State Bar I.D. No.: ____________________________Subscribed and sworn before me this _____ day of ______________________, 20_____. _______________________________________________________________________________
(Official signature and official seal of notary) (If Applicant is signing out-of-state, please use verification Form No. 12 from the Commission Rules of Practice and Procedure, 150 C.S.R. Series 1.)
W. Va. Code R. § 150-16-12