Forms Regulations

c t OIL AND NATURAL GAS ACT FORMS REGULATIONS PLEASE NOTE This document, prepared by the Legislative Counsel Office, is an office consolidation of this regulation, current to February 1, 2004. It is intended for information and reference purposes only. This document is not the official version of these regulations. The regulations and the amendments printed in the Royal Gazette should be consulted on the Prince Edward Island Government web site to determine the authoritative text of these regulations. For more information concerning the history of these regulations, please see the Table of Regulations on the Prince Edward Island Government web site (www.princeedwardisland.ca). If you find any errors or omissions in this consolidation, please contact: Legislative Counsel Office Tel: (902) 368-4292 Email: legislation@gov.pe.ca Oil and Natural Gas Act Forms Regulations Section 1 c OIL AND NATURAL GAS ACT Chapter O-5 FORMS REGULATIONS Pursuant to section 11 of the Oil and Natural Gas Act R.S.P.E.I. 1988, Cap. O-5 , Council made the following regulations: 1. Forms The following forms are prescribed as set out in the Schedule: Form 1 section 32 Application for Permit Form 2 sections 33, 34 Work Plan Details and Estimates Form 3 section 38 Application for Permit Renewal Form 4 section 38 Affidavit of Expenditures Form 5 section 47 Application for Lease Form 6 section 67 Application for Well Authorization Form 7 section 76 Application for a Rig License (EC674/96) c t Updated February 1, 2004 Page 3 Oil and Natural Gas Act Forms Regulations SCHEDULE SCHEDULE Form 1 APPLICATION FOR PERMIT* I (We) ................................................................................................................................................ (State full name) of ........................................................................................................................................................ (Address) hereby apply to the Minister for a permit under the Oil and Natural Gas Act for the area described as follows: Map Title - Prince Edward Island, Permit Location Block ............................................... Grid Area (s) *List Grid Areas or portion of Grid Areas) The area applied for containing ...................................................................................... hectares. Enclosed herewith is the total amount of $.........., includes a permit fee of $...................and rental of $ ........................, as required by the Act. In addition to the payment for permit and rental fees, as described above, enclosed is a deposit in the amount of $..................., equalling ................... % of the total estimated expenditure of work, as prescribed by the Minister. Dated this ................... day of ........................................................................... , A.D.................... Signature of Applicant(s) ................................................................................................................ *to be accompanied by Form 2 “Work Plan Details and Estimates” c t Updated February 1, 2004 Page 5 SCHEDULE Oil and Natural Gas Act Forms Regulations Form 2 WORK PLAN DETAILS AND ESTIMATES* Permit holder(s) ................................................................................................................................ ............................................................................................................................................................. For Office Use Only Permit # _______________________ Permit Tenure ___________________ to __________________________ (start date) (end date) Activity Estimated Expenditure ....................................................... ....................................................... ....................................................... ....................................................... ....................................................... ....................................................... ....................................................... ....................................................... ....................................................... ....................................................... ....................................................... ....................................................... Total Estimated Workplan Expenditure: ....................................................... Dated this .................day of .......................................................................... , A.D....................... Signature of Applicant(s) ................................................................................................................ *to accompany by Form 1 “Application for Permit” or Form 3 “Application for Permit Renewal Page 6 Updated February 1, 2004 t c Oil and Natural Gas Act Forms Regulations SCHEDULE Form 3 APPLICATION FOR PERMIT RENEWAL* Permit Holder(s) ............................................................................................................................... Mailing Address: .................................................................................................................... ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. Permit # ........... Permit Tenure .....................A.D. to .................... A.D. ........................ The area applied for permit renewal contains ................................................................ hectares. Enclosed herewith is the total amount of $ ............., includes a permit fee of $ ................. and rental of $ ........................, as required by the Act. In addition to the payment for permit and rental fees, as described above, enclosed is a deposit in the amount of $ ........................, equalling ........................% of the total estimated expenditure of work, as prescribed by the Minister. Dated this .................day of .......................................................................... , A.D....................... Signature of Applicant(s) ................................................................................................................ *to be accompanied by Form 2 “Work Plan Details and Estimates” and Form 4 “Affidavit of Expenditures” and exhibits or undertaking as required by the Oil and Natural Gas Act section 38(2)(e). c t Updated February 1, 2004 Page 7 SCHEDULE Oil and Natural Gas Act Forms Regulations Form 4 AFFIDAVIT OF EXPENDITURES* I (We) .............................. of ............................... in ............................... County, Province of Prince Edward Island HEREBY MAKE OATH AND SAY AS FOLLOWS 1. That I (we) am (are) ..................................................................................................................... (as applicable) the permit holder(s) of permit # ................................ for ........................................... issued pursuant to the Oil and Natural Gas Act; the......................... of ................ ...... which holds permit # .................................... for ............................... issued pursuant to the Oil and Natural Gas Act; (title) 2. That the permit tenure is from ..........................A.D. to .......................... A.D................; 3. That work done and expenditures made in accordance with the permit are as follows: Activity Expenditure ........................................................ ........................................................ ........................................................ ........................................................ ........................................................ ........................................................ ........................................................ ........................................................ ........................................................ ........................................................ ___________________________ Total Workplan Expenditure: (Please attach receipts) 4. That attached to this affidavit are receipts supporting the figures shown in paragraph 3: 5. That the above information is a true accounting of the work done and expenditures made in accordance with the said permit during the tenure of the permit. SWORN before me at Charlottetown ) in the County of Queens in the ) Province of Prince Edward Island ) on this .............. day of ....................... ) (Company Name) A.D. .................................................... ) ) ) ............................................................. ) Commissioner for taking Affidavits (Permit holder or officer of company) *to accompany Form 3 “Application for Permit Renewal” Page 8 Updated February 1, 2004 t c Oil and Natural Gas Act Forms Regulations SCHEDULE Form 5 APPLICATION FOR LEASE I (We) ................................................................................................................................................ holder(s) of Oil and Gas Permit No: .............................................................................................. hereby apply for an Oil and Gas Lease of the area described below. This area selected from Permit No. .......................... which expires on ............................., A.D. ................... Grid Co-ordinates ................................................................................................................... Sec. No. Acres Sec. No. Acres Sec. No. Acres Sec. No. Acres containing ..................... hectares more or less, as shown on map attached hereto. Fee and rental amounting to $ .................... is enclosed. Balance of rental amounting to $ is to be met from ......................... ............................................................................................................................................................ Application Date of ............................................................................................................................................................ made in Receipt ............................................................................................................... _____________________ accordance ............................................................................................................. ______________________ with Permittee(s) section ..... of the Oil and Natural Gas Act R.S.P.E.I. 1988, Cap. O-5 Guide to Section Divisions of Grid Areas Grid Area ........................................................... 100 90 80 70 60 50 40 30 20 10 49 48 47 46 95 85 75 65 55 45 35 25 15 5 44 43 43 91 81 71 61 51 41 31 21 11 1 c t Updated February 1, 2004 Page 9 SCHEDULE Oil and Natural Gas Act Forms Regulations Form 6 APPLICATION FOR A WELL AUTHORIZATION In compliance with the regulations under the Oil and Natural Gas Act R.S.P.E.I. 1988, Cap. O-5, application is hereby made for a license to drill a well to produce oil or natural gas, or both within the lease area described below: Company Name ................................................................................................................................ Mailing Address ............................................................................................................................... Lease Holder (if different from applicant) .................................................................................... Lease No. and Location ................................................................................................................... Application made by ........................................................................................................................ (NAME OF APPLICANT, PERSON OR SYNDICATE) ............................................................................................................................................................. (REGISTERED ADDRESS OF APPLICANT) Signed by ............................................................................................................................................. (APPLICANT OR HIS AGENT) ____________________________________________________________________________________ WELL AUTHORIZATION (Not transferable) Well authorization, in the designated area as described above, is hereby granted to: Company Name ................................................................................................................................ Fee paid........................................ Drilling deposit remitted ...................................................... Issued at ........................................Prince Edward Island. Date ................................................. ............................................................ (CHIEF OFFICER) Page 10 Updated February 1, 2004 t c Oil and Natural Gas Act Forms Regulations SCHEDULE Form 7 Lease No. ........................................ APPLICATION FOR A RIG LICENSE In compliance with the regulations under the Oil and Natural Gas Act R.S.P.E.I. 1988, Cap. O-5, application is hereby made for a license to operate drilling or service rig equipment designated as: Contractor (s)........................................ Rig No. ........................................................................... Address for Service .......................................................................................................................... (RESPONSIBLE AGENT) ............................................................................................................................................................. (MAILING ADDRESS) Type of Rig ........................................ Draw - works make and model ..................................... Derrick / Mast make and model ........................................ H.P. available to draw-works ................................................................................................................................................ Application made by .............................................................................................................. (NAME OF APPLICANT, PERSON, COMPANY OR SYNDICATE) ............................................................................................................................................................................................. (REGISTERED ADDRESS OF APPLICANT) Signed by ............................................................................................................................... (APPLICANT OR REPRESENTATIVE) RIG LICENSE (Not transferable) A rig license to operate the equipment designated above is hereby granted to: Drilling Contractor(s) ........................................ Rig No........................................................ Fee Paid .................... Valid until ........................................ A.D. ......................................... Issued at ............................................................................................., Prince Edward Island. Date ........................................ A.D ...................................... ............................................................ c t Updated February 1, 2004 Page 11