Forms Regulations (P.E.I. Reg. EC674/96)

1. The following forms are prescribed as set out in the Schedule: Forms 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) 1 2 Cap. O-5 Oil and Natural Gas Act Updated 2002 Forms Regulations 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” 2 Updated 2002 Oil and Natural Gas Act Cap. O-5 3 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 3 4 Cap. O-5 Oil and Natural Gas Act Updated 2002 Forms Regulations 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). 4 Updated 2002 Oil and Natural Gas Act Cap. O-5 5 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” 5 6 Cap. O-5 Oil and Natural Gas Act Updated 2002 Forms Regulations 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 ................................................................................................................... I 1-1 1-1 1-1 1-1 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 made in Date of Receipt ................................................ accordance with section ..... ................................................ of the Oil and Natural Gas ................................................ Act R.S.P.E.I. 1988, Cap. Permittee(s) 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 6 Updated 2002 Oil and Natural Gas Act Cap. O-5 7 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) 7 8 Cap. O-5 Oil and Natural Gas Act Updated 2002 Forms Regulations 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 ...................................... ............................................................ 8