APPLICATION FOR RENEWAL OF AP ETROLEUM EXPLORATION PERMIT by 0s7iRTF

VIEWS: 2 PAGES: 4

									                        APPLICATION FOR A PETROLEUM ACCESS AUTHORITY
                                                  in accordance with
                      Part 2.8 of the Offshore Petroleum and Greenhouse Gas Storage Act 2006

Title Number
(originating title)
Note: Only a Title or Special Prospecting Authority holder may apply.

       ASIC ACN/ARBN No.                            TITLEHOLDER(S)
                                                    (Company or Individual Name(s))




Survey Name

Commencement Date

Conclusion Date

Offshore Area(s)


Mapsheet for Vacant Area(s)
((Note: if there is more than one mapsheet please provide a
separate listing of block number(s) for each mapsheet)
Vacant Block Number(s)
(Note: if there is insufficient space allowed please attach additional page)




a74759de-7f12-4f77-915d-d2693f817b09.doc                                              Page 1
Details of area covered by a Title
(Note: if there is insufficient space allowed please attach additional page)
Title           Titleholder(s)            Mapsheet         Block Number(s)
Number




Note: Do not include originating title details.


Written Consent attached from each above registered titleholder
(where the applicant is not the registered holder as per section 244 or 245)




Name of Vessel/Aircraft

Proposed Line km or km²

Estimated cost (A$)



                                                      CONTRACTOR CONTACT DETAILS

Company Name

Company Address

Postal Address
(if not the same as above)
Contact Name

Position Held

Phone

Fax

Email




a74759de-7f12-4f77-915d-d2693f817b09.doc                                           Page 2
                                    APPLICANT CONTACT DETAILS

Company Name

Company Address

Postal Address
(if not the same as above)
Contact Name

Position Held

Phone

Fax

Email


Executed in accordance with section 242 of the Offshore Petroleum and Greenhouse Gas Storage
Act 2006.

EXECUTED BY




Signature                                        Date


Full name (please print)                         Position


Company Name




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        THE FOLLOWING DETAILS SHOULD BE ATTACHED TO THIS APPLICATION

Checklist
1. Particulars and objective of the petroleum exploration operations that the applicant           Click here
   proposes to carry out (including any links to work program commitments for titles);

2. A map showing the 1:1,000,000 map sheet and graticular block numbers to which the
                                                                                     Click here
   application applies;

3. Technical details of the vessel (if not previously supplied);                                  Click here

4. Copies of the written consents of the relevant registered titleholders, affected by the Click here
   proposed Petroleum Access Authority; and

5. Any other information the applicant wishes to be taken into account by the Titles Click here
   Administrator during consideration of the application.

Submission Details

By courier                            Via post                            Via email

Titles Manager                        Titles Manager
NOPTA                                 NOPTA                               titles@nopta.gov.au
Level 8                               GPO Box 7871
Alluvion House                        Perth WA 6850
58 Mounts Bay Road
Perth WA 6000

* For Melbourne Office submission details refer to the NOPTA website Contact Us


NOTES
A Petroleum Access Authority authorises an existing petroleum titleholder (including special prospecting
authority holder) to undertake certain petroleum exploration operations, and certain operations relating to the
recovery of petroleum (but not to make a well), outside the boundary of their existing titles.
Applications should be lodged at least 30 days prior to commencement. However, to allow for timely
approvals, it is recommended that applications be submitted 90 days prior to commencement of operations.

In making an application please refer to the Offshore Petroleum and Greenhouse Gas Storage Act 2006. The
Guidelines “Special Prospecting Authorities, Access Authorities & Scientific Investigation Consents” contain
further details in respect to applications for Petroleum Access Authority.




a74759de-7f12-4f77-915d-d2693f817b09.doc                                                 Page 4

								
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