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CO2019-A ACREAGE RELEASE To the Executive Director, Energy Resources Division, Department for Energy and Mining (as authorised delegate of the Minister for Energy and Mining). Full Name(s) Participating interest (%) Business Address Telephone Facsimile Email Full Name(s) Participating interest (%) Business Address Telephone Facsimile Email Full Name(s) Participating interest (%) Business Address Telephone Facsimile Email Full Name(s) Participating interest (%) Business Address Telephone Facsimile Email Name of participant who may be contacted about the application We hereby make application for the grant of a petroleum exploration licence in respect of the area described hereunder and as shown on the attached map.

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Page 1: APPLICATION AND AWARD PROCEDURESenergymining.sa.gov.au/.../0019/342703/CO2019_A-E_PEL…  · Web viewName of participant who may be contacted about the application . We hereby make

CO2019-A ACREAGE RELEASE To the Executive Director, Energy Resources Division, Department for Energy and Mining (as authorised delegate of the Minister for Energy and Mining).

Full Name(s)       Participating interest (%)      Business Address      Telephone       Facsimile      Email      

Full Name(s)       Participating interest (%)      Business Address      Telephone       Facsimile      Email      

Full Name(s)       Participating interest (%)      Business Address      Telephone       Facsimile      Email      

Full Name(s)       Participating interest (%)      Business Address      Telephone       Facsimile      Email      

Name of participant who may be contacted about the application      

We hereby make application for the grant of a petroleum exploration licence in respect of the area described hereunder and as shown on the attached map.

Page 2: APPLICATION AND AWARD PROCEDURESenergymining.sa.gov.au/.../0019/342703/CO2019_A-E_PEL…  · Web viewName of participant who may be contacted about the application . We hereby make

CO2019-A

Page 3: APPLICATION AND AWARD PROCEDURESenergymining.sa.gov.au/.../0019/342703/CO2019_A-E_PEL…  · Web viewName of participant who may be contacted about the application . We hereby make

In the case of an incorporated body applicant only – A copy of our most recent audited annual financial statement and our expected financial position over the anticipated term of the licence is attached. (Include statements for each participant.)

In the case of personal applicants only – A statement demonstrating my/our expected financial position over the anticipated term of the licence is attached. (Include statements for each participant.)

The proposed work program for each of the five years of the initial term of the licence, which includes specific reference to the ‘Criteria for assessment of applications’ listed above, and a technical report that assesses the prospectivity of the area and how the proposed work program relates to this prospectivity is attached.

The application fee/remittance advice for electronic funds transfer is enclosed. Please refer to the following web page from 1 July 2019 to determine the applicable application fee for FY 2018/2019, and for DEM banking details for payments made by electronic funds transfer. Alternatively, please call the Energy Resources Division on +61 8 8429 2443:

http://www.energymining.sa.gov.au/petroleum/licensing_and_land_access/applications#tenement_requirement_summary and

http://www.energymining.sa.gov.au/petroleum/licensing_and_land_access/applications#payment_of_regulated_fees

Signature of applicant(s):

Dated this       Day of       2019

SEND APPLICATION MARKED ‘Confidential — contains PEL application’ to:

Executive Director, Energy Resources DivisionDepartment for Energy and MiningLevel 4, 11 Waymouth Street Adelaide SA 5000 AUSTRALIA

Closing date for CO2019-A applications – 4.00 pm Australian Central Standard Time

Friday 29 November 2019

CO2019-A YEAR 1 WORK PROGRAMNote: All work in Year 1 is guaranteed (Petroleum and Geothermal Energy Act 2000)

Page 4: APPLICATION AND AWARD PROCEDURESenergymining.sa.gov.au/.../0019/342703/CO2019_A-E_PEL…  · Web viewName of participant who may be contacted about the application . We hereby make

EXPLORATION WELLS YEAR 1

Well 1 Well 2 Well 3 Well 4 Well 5

Cost (A$’000)                              

SEISMIC YEAR 1km/km2

length/area must be specified

Cost (A$’000)

2D Seismic            

3D Seismic            

Seismic reprocessing            

OTHER STUDIES YEAR 1

Cost (A$’000) Description

Gravity surveys            

Aeromagnetic surveys            

Other (e.g. geochemical surveys            

COMMENTS     

*

Page 5: APPLICATION AND AWARD PROCEDURESenergymining.sa.gov.au/.../0019/342703/CO2019_A-E_PEL…  · Web viewName of participant who may be contacted about the application . We hereby make

CO2019-A YEAR 2 WORK PROGRAM

Please tick a box to indicate whether the entire Year 2 program is guaranteed or not:

Guaranteed Non-guaranteed (Tick only ONE box)

EXPLORATION WELLS YEAR 2

Well 1 Well 2 Well 3 Well 4 Well 5

Cost (A$’000)                              

SEISMIC YEAR 2km/km2

length/area must be specified

Cost (A$’000)

2D Seismic            

3D Seismic            

Seismic reprocessing            

OTHER STUDIES YEAR 2

Cost (A$’000) Description

Gravity surveys            

Aeromagnetic surveys            

Other (e.g. geochemical surveys)            

COMMENTS     

Page 6: APPLICATION AND AWARD PROCEDURESenergymining.sa.gov.au/.../0019/342703/CO2019_A-E_PEL…  · Web viewName of participant who may be contacted about the application . We hereby make

CO2019-A YEAR 3 WORK PROGRAM

Please tick a box to indicate whether the entire Year 3 program is guaranteed or not. Please note that if Year 2 is not guaranteed, Year 3 cannot be guaranteed.

Guaranteed Non-guaranteed (Tick only ONE box)

EXPLORATION WELLS YEAR 3

Well 1 Well 2 Well 3 Well 4 Well 5

Cost (A$’000)                              

SEISMIC YEAR 3km/km2

length/area must be specified

Cost (A$’000)

2D Seismic            

3D Seismic            

Seismic reprocessing            

OTHER STUDIES YEAR 3

Cost (A$’000) Description

Gravity surveys            

Aeromagnetic surveys            

Other (e.g. geochemical surveys)            

COMMENTS     

Page 7: APPLICATION AND AWARD PROCEDURESenergymining.sa.gov.au/.../0019/342703/CO2019_A-E_PEL…  · Web viewName of participant who may be contacted about the application . We hereby make

CO2019-A YEAR 4 WORK PROGRAM

Please tick a box to indicate whether the entire Year 4 program is guaranteed or not. Please note that if Year 3 is not guaranteed, Year 4 cannot be guaranteed.

Guaranteed Non-guaranteed (Tick only ONE box)

EXPLORATION WELLS YEAR 4

Well 1 Well 2 Well 3 Well 4 Well 5

Cost (A$’000)                              

SEISMIC YEAR 4km/km2

length/area must be specified

Cost (A$’000)

2D Seismic            

3D Seismic            

Seismic reprocessing            

OTHER STUDIES YEAR 4

Cost (A$’000) Description

Gravity surveys            

Aeromagnetic surveys            

Other (e.g. geochemical surveys)            

COMMENTS     

Page 8: APPLICATION AND AWARD PROCEDURESenergymining.sa.gov.au/.../0019/342703/CO2019_A-E_PEL…  · Web viewName of participant who may be contacted about the application . We hereby make

CO2019-A YEAR 5 WORK PROGRAM

Please tick a box to indicate whether the entire Year 5 program is guaranteed or not. Please note that if Year 4 is not guaranteed, Year 5 cannot be guaranteed.

Guaranteed Non-guaranteed (Tick only ONE box)

EXPLORATION WELLS YEAR 5

Well 1 Well 2 Well 3 Well 4 Well 5

Cost (A$’000)                              

SEISMIC YEAR 5km/km2

length/area must be specified

Cost (A$’000)

2D Seismic            

3D Seismic            

Seismic reprocessing            

OTHER STUDIES YEAR 5

Cost (A$’000) Description

Gravity surveys            

Aeromagnetic surveys            

Other (e.g. geochemical surveys)            

COMMENTS     

Page 9: APPLICATION AND AWARD PROCEDURESenergymining.sa.gov.au/.../0019/342703/CO2019_A-E_PEL…  · Web viewName of participant who may be contacted about the application . We hereby make

CO2019-B ACREAGE RELEASE To the Executive Director, Energy Resources Division, Department for Energy and Mining (as authorised delegate of the Minister for Energy and Mining).

Full Name(s)       Participating interest (%)      Business Address      Telephone       Facsimile      Email      

Full Name(s)       Participating interest (%)      Business Address      Telephone       Facsimile      Email      

Full Name(s)       Participating interest (%)      Business Address      Telephone       Facsimile      Email      

Full Name(s)       Participating interest (%)      Business Address      Telephone       Facsimile      Email      

Name of participant who may be contacted about the application      

We hereby make application for the grant of a petroleum exploration licence in respect of the area described hereunder and as shown on the attached map.

Page 10: APPLICATION AND AWARD PROCEDURESenergymining.sa.gov.au/.../0019/342703/CO2019_A-E_PEL…  · Web viewName of participant who may be contacted about the application . We hereby make

CO2019-B

Page 11: APPLICATION AND AWARD PROCEDURESenergymining.sa.gov.au/.../0019/342703/CO2019_A-E_PEL…  · Web viewName of participant who may be contacted about the application . We hereby make

In the case of an incorporated body applicant only – A copy of our most recent audited annual financial statement and our expected financial position over the anticipated term of the licence is attached. (Include statements for each participant.)

In the case of personal applicants only – A statement demonstrating my/our expected financial position over the anticipated term of the licence is attached. (Include statements for each participant.)

The proposed work program for each of the five years of the initial term of the licence, which includes specific reference to the ‘Criteria for assessment of applications’ listed above, and a technical report that assesses the prospectivity of the area and how the proposed work program relates to this prospectivity is attached.

The application fee/remittance advice for electronic funds transfer is enclosed. Please refer to the following web page from 1 July 2019 to determine the applicable application fee for FY 2018/2019, and for DEM banking details for payments made by electronic funds transfer. Alternatively, please call the Energy Resources Division on +61 8 8429 2443:

http://www.energymining.sa.gov.au/petroleum/licensing_and_land_access/applications#tenement_requirement_summary and

http://www.energymining.sa.gov.au/petroleum/licensing_and_land_access/applications#payment_of_regulated_fees

Signature of applicant(s):

Dated this       Day of       2019

SEND APPLICATION MARKED ‘Confidential — contains PEL application’ to:

Executive Director, Energy Resources DivisionDepartment for Energy and MiningLevel 4, 11 Waymouth Street Adelaide SA 5000 AUSTRALIA

Closing date for CO2019-B applications – 4.00 pm Australian Central Standard Time

Friday 29 November 2019

CO2019-B YEAR 1 WORK PROGRAMNote: All work in Year 1 is guaranteed (Petroleum and Geothermal Energy Act 2000)

Page 12: APPLICATION AND AWARD PROCEDURESenergymining.sa.gov.au/.../0019/342703/CO2019_A-E_PEL…  · Web viewName of participant who may be contacted about the application . We hereby make

EXPLORATION WELLS YEAR 1

Well 1 Well 2 Well 3 Well 4 Well 5

Cost (A$’000)                              

SEISMIC YEAR 1km/km2

length/area must be specified

Cost (A$’000)

2D Seismic            

3D Seismic            

Seismic reprocessing            

OTHER STUDIES YEAR 1

Cost (A$’000) Description

Gravity surveys            

Aeromagnetic surveys            

Other (e.g. geochemical surveys            

COMMENTS     

*

Page 13: APPLICATION AND AWARD PROCEDURESenergymining.sa.gov.au/.../0019/342703/CO2019_A-E_PEL…  · Web viewName of participant who may be contacted about the application . We hereby make

CO2019-B YEAR 2 WORK PROGRAM

Please tick a box to indicate whether the entire Year 2 program is guaranteed or not:

Guaranteed Non-guaranteed (Tick only ONE box)

EXPLORATION WELLS YEAR 2

Well 1 Well 2 Well 3 Well 4 Well 5

Cost (A$’000)                              

SEISMIC YEAR 2km/km2

length/area must be specified

Cost (A$’000)

2D Seismic            

3D Seismic            

Seismic reprocessing            

OTHER STUDIES YEAR 2

Cost (A$’000) Description

Gravity surveys            

Aeromagnetic surveys            

Other (e.g. geochemical surveys)            

COMMENTS     

Page 14: APPLICATION AND AWARD PROCEDURESenergymining.sa.gov.au/.../0019/342703/CO2019_A-E_PEL…  · Web viewName of participant who may be contacted about the application . We hereby make

CO2019-B YEAR 3 WORK PROGRAM

Please tick a box to indicate whether the entire Year 3 program is guaranteed or not. Please note that if Year 2 is not guaranteed, Year 3 cannot be guaranteed.

Guaranteed Non-guaranteed (Tick only ONE box)

EXPLORATION WELLS YEAR 3

Well 1 Well 2 Well 3 Well 4 Well 5

Cost (A$’000)                              

SEISMIC YEAR 3km/km2

length/area must be specified

Cost (A$’000)

2D Seismic            

3D Seismic            

Seismic reprocessing            

OTHER STUDIES YEAR 3

Cost (A$’000) Description

Gravity surveys            

Aeromagnetic surveys            

Other (e.g. geochemical surveys)            

COMMENTS     

Page 15: APPLICATION AND AWARD PROCEDURESenergymining.sa.gov.au/.../0019/342703/CO2019_A-E_PEL…  · Web viewName of participant who may be contacted about the application . We hereby make

CO2019-B YEAR 4 WORK PROGRAM

Please tick a box to indicate whether the entire Year 4 program is guaranteed or not. Please note that if Year 3 is not guaranteed, Year 4 cannot be guaranteed.

Guaranteed Non-guaranteed (Tick only ONE box)

EXPLORATION WELLS YEAR 4

Well 1 Well 2 Well 3 Well 4 Well 5

Cost (A$’000)                              

SEISMIC YEAR 4km/km2

length/area must be specified

Cost (A$’000)

2D Seismic            

3D Seismic            

Seismic reprocessing            

OTHER STUDIES YEAR 4

Cost (A$’000) Description

Gravity surveys            

Aeromagnetic surveys            

Other (e.g. geochemical surveys)            

COMMENTS     

Page 16: APPLICATION AND AWARD PROCEDURESenergymining.sa.gov.au/.../0019/342703/CO2019_A-E_PEL…  · Web viewName of participant who may be contacted about the application . We hereby make

CO2019-B YEAR 5 WORK PROGRAM

Please tick a box to indicate whether the entire Year 5 program is guaranteed or not. Please note that if Year 4 is not guaranteed, Year 5 cannot be guaranteed.

Guaranteed Non-guaranteed (Tick only ONE box)

EXPLORATION WELLS YEAR 5

Well 1 Well 2 Well 3 Well 4 Well 5

Cost (A$’000)                              

SEISMIC YEAR 5km/km2

length/area must be specified

Cost (A$’000)

2D Seismic            

3D Seismic            

Seismic reprocessing            

OTHER STUDIES YEAR 5

Cost (A$’000) Description

Gravity surveys            

Aeromagnetic surveys            

Other (e.g. geochemical surveys)            

COMMENTS     

Page 17: APPLICATION AND AWARD PROCEDURESenergymining.sa.gov.au/.../0019/342703/CO2019_A-E_PEL…  · Web viewName of participant who may be contacted about the application . We hereby make

CO2019-C ACREAGE RELEASE To the Executive Director, Energy Resources Division, Department for Energy and Mining (as authorised delegate of the Minister for Energy and Mining).

Full Name(s)       Participating interest (%)      Business Address      Telephone       Facsimile      Email      

Full Name(s)       Participating interest (%)      Business Address      Telephone       Facsimile      Email      

Full Name(s)       Participating interest (%)      Business Address      Telephone       Facsimile      Email      

Full Name(s)       Participating interest (%)      Business Address      Telephone       Facsimile      Email      

Name of participant who may be contacted about the application      

We hereby make application for the grant of a petroleum exploration licence in respect of the area described hereunder and as shown on the attached map.

Page 18: APPLICATION AND AWARD PROCEDURESenergymining.sa.gov.au/.../0019/342703/CO2019_A-E_PEL…  · Web viewName of participant who may be contacted about the application . We hereby make
Page 19: APPLICATION AND AWARD PROCEDURESenergymining.sa.gov.au/.../0019/342703/CO2019_A-E_PEL…  · Web viewName of participant who may be contacted about the application . We hereby make

CO2019-C

In the case of an incorporated body applicant only – A copy of our most recent audited annual financial statement and our expected financial position over the anticipated term of the licence is attached. (Include statements for each participant.)

In the case of personal applicants only – A statement demonstrating my/our expected financial position over the anticipated term of the licence is attached. (Include statements for each participant.)

The proposed work program for each of the five years of the initial term of the licence, which includes specific reference to the ‘Criteria for assessment of applications’ listed above, and a technical report that assesses the prospectivity of the area and how the proposed work program relates to this prospectivity is attached.

The application fee/remittance advice for electronic funds transfer is enclosed. Please refer to the following web page from 1 July 2019 to determine the applicable application fee for FY 2018/2019, and for DEM banking details for payments made by electronic funds transfer. Alternatively, please call the Energy Resources Division on +61 8 8429 2443:

http://www.energymining.sa.gov.au/petroleum/licensing_and_land_access/applications#tenement_requirement_summary and

http://www.energymining.sa.gov.au/petroleum/licensing_and_land_access/applications#payment_of_regulated_fees

Signature of applicant(s):

Dated this       Day of       2019

SEND APPLICATION MARKED ‘Confidential — contains PEL application’ to:

Executive Director, Energy Resources DivisionDepartment for Energy and MiningLevel 4, 11 Waymouth Street Adelaide SA 5000 AUSTRALIA

Closing date for CO2019-C applications – 4.00 pm Australian Central Standard Time

Friday 29 November 2019

CO2019-C YEAR 1 WORK PROGRAMNote: All work in Year 1 is guaranteed (Petroleum and Geothermal Energy Act 2000)

Page 20: APPLICATION AND AWARD PROCEDURESenergymining.sa.gov.au/.../0019/342703/CO2019_A-E_PEL…  · Web viewName of participant who may be contacted about the application . We hereby make

EXPLORATION WELLS YEAR 1

Well 1 Well 2 Well 3 Well 4 Well 5

Cost (A$’000)                              

SEISMIC YEAR 1km/km2

length/area must be specified

Cost (A$’000)

2D Seismic            

3D Seismic            

Seismic reprocessing            

OTHER STUDIES YEAR 1

Cost (A$’000) Description

Gravity surveys            

Aeromagnetic surveys            

Other (e.g. geochemical surveys            

COMMENTS     

*

Page 21: APPLICATION AND AWARD PROCEDURESenergymining.sa.gov.au/.../0019/342703/CO2019_A-E_PEL…  · Web viewName of participant who may be contacted about the application . We hereby make

CO2019-C YEAR 2 WORK PROGRAM

Please tick a box to indicate whether the entire Year 2 program is guaranteed or not:

Guaranteed Non-guaranteed (Tick only ONE box)

EXPLORATION WELLS YEAR 2

Well 1 Well 2 Well 3 Well 4 Well 5

Cost (A$’000)                              

SEISMIC YEAR 2km/km2

length/area must be specified

Cost (A$’000)

2D Seismic            

3D Seismic            

Seismic reprocessing            

OTHER STUDIES YEAR 2

Cost (A$’000) Description

Gravity surveys            

Aeromagnetic surveys            

Other (e.g. geochemical surveys)            

COMMENTS     

Page 22: APPLICATION AND AWARD PROCEDURESenergymining.sa.gov.au/.../0019/342703/CO2019_A-E_PEL…  · Web viewName of participant who may be contacted about the application . We hereby make

CO2019-C YEAR 3 WORK PROGRAM

Please tick a box to indicate whether the entire Year 3 program is guaranteed or not. Please note that if Year 2 is not guaranteed, Year 3 cannot be guaranteed.

Guaranteed Non-guaranteed (Tick only ONE box)

EXPLORATION WELLS YEAR 3

Well 1 Well 2 Well 3 Well 4 Well 5

Cost (A$’000)                              

SEISMIC YEAR 3km/km2

length/area must be specified

Cost (A$’000)

2D Seismic            

3D Seismic            

Seismic reprocessing            

OTHER STUDIES YEAR 3

Cost (A$’000) Description

Gravity surveys            

Aeromagnetic surveys            

Other (e.g. geochemical surveys)            

COMMENTS     

Page 23: APPLICATION AND AWARD PROCEDURESenergymining.sa.gov.au/.../0019/342703/CO2019_A-E_PEL…  · Web viewName of participant who may be contacted about the application . We hereby make

CO2019-C YEAR 4 WORK PROGRAM

Please tick a box to indicate whether the entire Year 4 program is guaranteed or not. Please note that if Year 3 is not guaranteed, Year 4 cannot be guaranteed.

Guaranteed Non-guaranteed (Tick only ONE box)

EXPLORATION WELLS YEAR 4

Well 1 Well 2 Well 3 Well 4 Well 5

Cost (A$’000)                              

SEISMIC YEAR 4km/km2

length/area must be specified

Cost (A$’000)

2D Seismic            

3D Seismic            

Seismic reprocessing            

OTHER STUDIES YEAR 4

Cost (A$’000) Description

Gravity surveys            

Aeromagnetic surveys            

Other (e.g. geochemical surveys)            

COMMENTS     

Page 24: APPLICATION AND AWARD PROCEDURESenergymining.sa.gov.au/.../0019/342703/CO2019_A-E_PEL…  · Web viewName of participant who may be contacted about the application . We hereby make

CO2019-C YEAR 5 WORK PROGRAM

Please tick a box to indicate whether the entire Year 5 program is guaranteed or not. Please note that if Year 4 is not guaranteed, Year 5 cannot be guaranteed.

Guaranteed Non-guaranteed (Tick only ONE box)

EXPLORATION WELLS YEAR 5

Well 1 Well 2 Well 3 Well 4 Well 5

Cost (A$’000)                              

SEISMIC YEAR 5km/km2

length/area must be specified

Cost (A$’000)

2D Seismic            

3D Seismic            

Seismic reprocessing            

OTHER STUDIES YEAR 5

Cost (A$’000) Description

Gravity surveys            

Aeromagnetic surveys            

Other (e.g. geochemical surveys)            

COMMENTS     

Page 25: APPLICATION AND AWARD PROCEDURESenergymining.sa.gov.au/.../0019/342703/CO2019_A-E_PEL…  · Web viewName of participant who may be contacted about the application . We hereby make

CO2019-D ACREAGE RELEASE To the Executive Director, Energy Resources Division, Department for Energy and Mining (as authorised delegate of the Minister for Energy and Mining).

Full Name(s)       Participating interest (%)      Business Address      Telephone       Facsimile      Email      

Full Name(s)       Participating interest (%)      Business Address      Telephone       Facsimile      Email      

Full Name(s)       Participating interest (%)      Business Address      Telephone       Facsimile      Email      

Full Name(s)       Participating interest (%)      Business Address      Telephone       Facsimile      Email      

Name of participant who may be contacted about the application      

We hereby make application for the grant of a petroleum exploration licence in respect of the area described hereunder and as shown on the attached map.

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CO2019-D

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In the case of an incorporated body applicant only – A copy of our most recent audited annual financial statement and our expected financial position over the anticipated term of the licence is attached. (Include statements for each participant.)

In the case of personal applicants only – A statement demonstrating my/our expected financial position over the anticipated term of the licence is attached. (Include statements for each participant.)

The proposed work program for each of the five years of the initial term of the licence, which includes specific reference to the ‘Criteria for assessment of applications’ listed above, and a technical report that assesses the prospectivity of the area and how the proposed work program relates to this prospectivity is attached.

The application fee/remittance advice for electronic funds transfer is enclosed. Please refer to the following web page from 1 July 2019 to determine the applicable application fee for FY 2018/2019, and for DEM banking details for payments made by electronic funds transfer. Alternatively, please call the Energy Resources Division on +61 8 8429 2443:

http://www.energymining.sa.gov.au/petroleum/licensing_and_land_access/applications#tenement_requirement_summary and

http://www.energymining.sa.gov.au/petroleum/licensing_and_land_access/applications#payment_of_regulated_fees

Signature of applicant(s):

Dated this       Day of       2019

SEND APPLICATION MARKED ‘Confidential — contains PEL application’ to:

Executive Director, Energy Resources DivisionDepartment for Energy and MiningLevel 4, 11 Waymouth Street Adelaide SA 5000 AUSTRALIA

Closing date for CO2019-D applications – 4.00 pm Australian Central Standard Time

Friday 29 November 2019

CO2019-D YEAR 1 WORK PROGRAMNote: All work in Year 1 is guaranteed (Petroleum and Geothermal Energy Act 2000)

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EXPLORATION WELLS YEAR 1

Well 1 Well 2 Well 3 Well 4 Well 5

Cost (A$’000)                              

SEISMIC YEAR 1km/km2

length/area must be specified

Cost (A$’000)

2D Seismic            

3D Seismic            

Seismic reprocessing            

OTHER STUDIES YEAR 1

Cost (A$’000) Description

Gravity surveys            

Aeromagnetic surveys            

Other (e.g. geochemical surveys            

COMMENTS     

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CO2019-D YEAR 2 WORK PROGRAM

Please tick a box to indicate whether the entire Year 2 program is guaranteed or not:

Guaranteed Non-guaranteed (Tick only ONE box)

EXPLORATION WELLS YEAR 2

Well 1 Well 2 Well 3 Well 4 Well 5

Cost (A$’000)                              

SEISMIC YEAR 2km/km2

length/area must be specified

Cost (A$’000)

2D Seismic            

3D Seismic            

Seismic reprocessing            

OTHER STUDIES YEAR 2

Cost (A$’000) Description

Gravity surveys            

Aeromagnetic surveys            

Other (e.g. geochemical surveys)            

COMMENTS     

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CO2019-D YEAR 3 WORK PROGRAM

Please tick a box to indicate whether the entire Year 3 program is guaranteed or not. Please note that if Year 2 is not guaranteed, Year 3 cannot be guaranteed.

Guaranteed Non-guaranteed (Tick only ONE box)

EXPLORATION WELLS YEAR 3

Well 1 Well 2 Well 3 Well 4 Well 5

Cost (A$’000)                              

SEISMIC YEAR 3km/km2

length/area must be specified

Cost (A$’000)

2D Seismic            

3D Seismic            

Seismic reprocessing            

OTHER STUDIES YEAR 3

Cost (A$’000) Description

Gravity surveys            

Aeromagnetic surveys            

Other (e.g. geochemical surveys)            

COMMENTS     

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CO2019-D YEAR 4 WORK PROGRAM

Please tick a box to indicate whether the entire Year 4 program is guaranteed or not. Please note that if Year 3 is not guaranteed, Year 4 cannot be guaranteed.

Guaranteed Non-guaranteed (Tick only ONE box)

EXPLORATION WELLS YEAR 4

Well 1 Well 2 Well 3 Well 4 Well 5

Cost (A$’000)                              

SEISMIC YEAR 4km/km2

length/area must be specified

Cost (A$’000)

2D Seismic            

3D Seismic            

Seismic reprocessing            

OTHER STUDIES YEAR 4

Cost (A$’000) Description

Gravity surveys            

Aeromagnetic surveys            

Other (e.g. geochemical surveys)            

COMMENTS     

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CO2019-D YEAR 5 WORK PROGRAM

Please tick a box to indicate whether the entire Year 5 program is guaranteed or not. Please note that if Year 4 is not guaranteed, Year 5 cannot be guaranteed.

Guaranteed Non-guaranteed (Tick only ONE box)

EXPLORATION WELLS YEAR 5

Well 1 Well 2 Well 3 Well 4 Well 5

Cost (A$’000)                              

SEISMIC YEAR 5km/km2

length/area must be specified

Cost (A$’000)

2D Seismic            

3D Seismic            

Seismic reprocessing            

OTHER STUDIES YEAR 5

Cost (A$’000) Description

Gravity surveys            

Aeromagnetic surveys            

Other (e.g. geochemical surveys)            

COMMENTS     

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CO2019-E ACREAGE RELEASE To the Executive Director, Energy Resources Division, Department for Energy and Mining (as authorised delegate of the Minister for Energy and Mining).

Full Name(s)       Participating interest (%)      Business Address      Telephone       Facsimile      Email      

Full Name(s)       Participating interest (%)      Business Address      Telephone       Facsimile      Email      

Full Name(s)       Participating interest (%)      Business Address      Telephone       Facsimile      Email      

Full Name(s)       Participating interest (%)      Business Address      Telephone       Facsimile      Email      

Name of participant who may be contacted about the application      

We hereby make application for the grant of a petroleum exploration licence in respect of the area described hereunder and as shown on the attached map.

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CO2019-E

Page 35: APPLICATION AND AWARD PROCEDURESenergymining.sa.gov.au/.../0019/342703/CO2019_A-E_PEL…  · Web viewName of participant who may be contacted about the application . We hereby make

In the case of an incorporated body applicant only – A copy of our most recent audited annual financial statement and our expected financial position over the anticipated term of the licence is attached. (Include statements for each participant.)

In the case of personal applicants only – A statement demonstrating my/our expected financial position over the anticipated term of the licence is attached. (Include statements for each participant.)

The proposed work program for each of the five years of the initial term of the licence, which includes specific reference to the ‘Criteria for assessment of applications’ listed above, and a technical report that assesses the prospectivity of the area and how the proposed work program relates to this prospectivity is attached.

The application fee/remittance advice for electronic funds transfer is enclosed. Please refer to the following web page from 1 July 2019 to determine the applicable application fee for FY 2018/2019, and for DEM banking details for payments made by electronic funds transfer. Alternatively, please call the Energy Resources Division on +61 8 8429 2443:

http://www.energymining.sa.gov.au/petroleum/licensing_and_land_access/applications#tenement_requirement_summary and

http://www.energymining.sa.gov.au/petroleum/licensing_and_land_access/applications#payment_of_regulated_fees

Signature of applicant(s):

Dated this       Day of       2019

SEND APPLICATION MARKED ‘Confidential — contains PEL application’ to:

Executive Director, Energy Resources DivisionDepartment for Energy and MiningLevel 4, 11 Waymouth Street Adelaide SA 5000 AUSTRALIA

Closing date for CO2019-E applications – 4.00 pm Australian Central Standard Time

Friday 29 November 2019

CO2019-E YEAR 1 WORK PROGRAMNote: All work in Year 1 is guaranteed (Petroleum and Geothermal Energy Act 2000)

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EXPLORATION WELLS YEAR 1

Well 1 Well 2 Well 3 Well 4 Well 5

Cost (A$’000)                              

SEISMIC YEAR 1km/km2

length/area must be specified

Cost (A$’000)

2D Seismic            

3D Seismic            

Seismic reprocessing            

OTHER STUDIES YEAR 1

Cost (A$’000) Description

Gravity surveys            

Aeromagnetic surveys            

Other (e.g. geochemical surveys            

COMMENTS     

*

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CO2019-E YEAR 2 WORK PROGRAM

Please tick a box to indicate whether the entire Year 2 program is guaranteed or not:

Guaranteed Non-guaranteed (Tick only ONE box)

EXPLORATION WELLS YEAR 2

Well 1 Well 2 Well 3 Well 4 Well 5

Cost (A$’000)                              

SEISMIC YEAR 2km/km2

length/area must be specified

Cost (A$’000)

2D Seismic            

3D Seismic            

Seismic reprocessing            

OTHER STUDIES YEAR 2

Cost (A$’000) Description

Gravity surveys            

Aeromagnetic surveys            

Other (e.g. geochemical surveys)            

COMMENTS     

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CO2019-E YEAR 3 WORK PROGRAM

Please tick a box to indicate whether the entire Year 3 program is guaranteed or not. Please note that if Year 2 is not guaranteed, Year 3 cannot be guaranteed.

Guaranteed Non-guaranteed (Tick only ONE box)

EXPLORATION WELLS YEAR 3

Well 1 Well 2 Well 3 Well 4 Well 5

Cost (A$’000)                              

SEISMIC YEAR 3km/km2

length/area must be specified

Cost (A$’000)

2D Seismic            

3D Seismic            

Seismic reprocessing            

OTHER STUDIES YEAR 3

Cost (A$’000) Description

Gravity surveys            

Aeromagnetic surveys            

Other (e.g. geochemical surveys)            

COMMENTS     

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CO2019-E YEAR 4 WORK PROGRAM

Please tick a box to indicate whether the entire Year 4 program is guaranteed or not. Please note that if Year 3 is not guaranteed, Year 4 cannot be guaranteed.

Guaranteed Non-guaranteed (Tick only ONE box)

EXPLORATION WELLS YEAR 4

Well 1 Well 2 Well 3 Well 4 Well 5

Cost (A$’000)                              

SEISMIC YEAR 4km/km2

length/area must be specified

Cost (A$’000)

2D Seismic            

3D Seismic            

Seismic reprocessing            

OTHER STUDIES YEAR 4

Cost (A$’000) Description

Gravity surveys            

Aeromagnetic surveys            

Other (e.g. geochemical surveys)            

COMMENTS     

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CO2019-E YEAR 5 WORK PROGRAM

Please tick a box to indicate whether the entire Year 5 program is guaranteed or not. Please note that if Year 4 is not guaranteed, Year 5 cannot be guaranteed.

Guaranteed Non-guaranteed (Tick only ONE box)

EXPLORATION WELLS YEAR 5

Well 1 Well 2 Well 3 Well 4 Well 5

Cost (A$’000)                              

SEISMIC YEAR 5km/km2

length/area must be specified

Cost (A$’000)

2D Seismic            

3D Seismic            

Seismic reprocessing            

OTHER STUDIES YEAR 5

Cost (A$’000) Description

Gravity surveys            

Aeromagnetic surveys            

Other (e.g. geochemical surveys)            

COMMENTS