Annual Summary and Expenditure Report on
Prospecting and Exploration
The information in this form is required under regulations 38 and 41 of the Crown Minerals (Petroleum) Regulations
2007; specifically the items outlined in Parts 1 and 3 of Schedule 6. The permit holder must supply this information to
New Zealand Petroleum & Minerals no later than 31 March following the end of each calendar year in which the
permit was in force.
Where information prescribed in this form (and the relevant data templates) exceeds that of the aforementioned
regulations, those data are requested and must be supplied under section 90(3)(b) of the Crown Minerals Act(1991) as
marked with an asterisk.
If there is (or has) been production under the permit, please discontinue and complete the TEMPLATE r39 & r41
Report form, otherwise please follow the instructions outlined in the boxes and add or delete lines from tables as
required.
Name your template: PXY ZZZZZ ASR 2015 where X denotes the permit type prospecting (P), exploration (E) or mining
(M); Y corresponds to licence (L) or permit (P); and ZZZZZ is the permit number.
The completed form and any relevant attachments should be uploaded to New Zealand Petroleum & Minerals, at:
https://permits.nzpam.govt.nz/aca/.
Permit holder name and address
Permit number
Reporting period
From
To
Prospecting Permit OR
Exploration Permit
Permit type
1 January 2015
31 December 2015
Operation name
Please change dates if the permit was awarded after 1 January 2014 or if the permit ended before 1 December 2014.
Document control
Name
Position
Phone
Email
e.g. Corey Burgess
Geologist
04 470 2342
Corey.burgess@mbie.govt.nz
Part
The applicable
submission
document (or
part thereof)
All
Role
Author,
reviewer etc.
Author
Please note that there is a final sign off at document end. This list will be used for clarification of certain parts, if
required.
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Data templates
If a discovery has been made under the permit at any point in time, please complete TEMPLATE
Resources and Reserves to report annual summary items 5 and 6. This includes:
5.
Petroleum initially in place and gas initially in place estimates from—
(a) a discovery; or
(b) ongoing appraisal of a discovery.
6.
Recoverable hydrocarbon resource or reserve estimates (stating the range of uncertainties) from—
(a) a discovery; or
(b) ongoing appraisal of a discovery.
If well testing was conducted under the permit in 2014, please complete TEMPLATE Production Data to
report annual summary item 10. This includes:
10. All cumulative, annual, and monthly oil, condensate (C5+), gas (methane and ethane), liquefied
petroleum gas (propane and butane), and water production figures (by field) from any appraisal
activities.
If neither of the above conditions (discovery or well testing) applies to the permit, please ignore the
attached templates and simply complete this form.
Information to be included in annual report under regulation 38 on
prospecting or exploration activities
Field investigations and surveys
1.
2.
All field investigations undertaken, including—
(a)
their location, nature, and purpose; and
(b)
the quality of the data obtained; and
(c)
any other relevant information.
Any surveys undertaken in relation to the permit.
Your response should include a summary of any geological, gravity, magnetic, geochemical surveys or literature
reviews undertaken as either fieldwork or desktop studies. Please add any figures or diagrams you wish and refer to
regulation 44 for additional guidance.
Insert your response here.
Seismic - acquisition
3.
Any seismic surveys carried out in relation to the permit, including,—
(a)
if a two-dimensional survey, the total line kilometres acquired; or
(b)
if a three-dimensional survey, the total area surveyed and the grid size.
Complete the tables below, please identify any multi-client data purchased for submission to the chief executive as
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part of the permits work programme by suffixing the survey name with (MC Data).
2D
Total for two-dimensional surveys
Acquired
Insert survey name in the column below
Permit total
e.g. Cook Strait 2D
(km)
0
300
Full Fold
Acquired
(km)
0
250
3D
Total for three-dimensional surveys
Insert survey name in the column below
Permit total
e.g. Cook Strait 3D
Acquired
(km)
0
300
Full Fold
Grid Size
Acquired
(km)
(m by m)
0
250 25 by 25
Additional information:
Include additional information in the space below.
Insert your response here
Seismic - reprocessing
4.
Any reprocessed geophysical data obtained, including the total line kilometres reprocessed.
Complete the tables below.
2D
Total for two-dimensional surveys
Insert survey name in the column below
Permit total
e.g. Cook Strait 2D
Reprocessed
(km)
0
300
3D
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Total for three-dimensional surveys
Insert survey name in the column below
Permit total
e.g. Cook Strait 3D
Reprocessed
(km 2 )
0
300
Additional information:
Include additional information in the space below.
Insert your response here
Reserves and resources
5.
Petroleum initially in place and gas initially in place estimates
6.
Recoverable hydrocarbon resource or reserve estimates (stating the range of uncertainties)
If there has been a discovery under the permit, please complete the TEMPLATE Resources and Reserves Excel
spreadsheet.
If the permit contains multiple reservoirs, please provide values for each reservoir.
Drilling activities
7.
Any drilling activities, including, for each well,—
(a)
its name, number, and location; and
(b)
its spud, total depth, and rig release dates; and
(c)
the metreage drilled for exploration appraisal; and
(d)
the metreage, or additional metreage, of any development wells, including re-entry and sidetrack
wells; and
(e)
the kick-off depth for any sidetrack wells.
Complete the table below.
If there have been more than five new wells (which includes any sidetracks), please duplicate the below table in its
entirety in the space provided.
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Well Name
Well type
Exploration,
Appraisal,
Production or
Injection
Top hole
latitude
NZGD 2000
Top hole
longitude
NZGD 2000
Bottom hole
latitude
NZGD 2000
eg. Alpha-1 ST1
Exploration
41° 14' 53.78
174° 45' 00.32
41° 14' 53.50
Bottom hole
longitude
NZGD 2000
Spud date
Total
depth
date
Completion
date
Rig release
date
174° 45' 00.68 1/02/2014 7/02/2014 14/02/2014 21/02/2014
Additional information:
Include additional information in the space below.
Insert your response here
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Reference
Depth
elevation
reference
Total Total
(metres
e.g., RKB,
depth depth
above
Rotary
(MAH) (TVD)
Mean Sea
Table
Level)
RKB
233
1800
1500
Target formation
Mangahewa
Formation
Sidetrack
kick-off Parent
depth
well
(MAH)
300
Alpha-1
Additional information:
Include additional information in the space below.
Insert your response here
Well-site activities
8.
Any well-stimulation activities and well-workover activities, their purpose, and any testing done.
Complete the tables below for any activities occurring in 2015.
Workover activities
Workovers
Insert well
name
e.g. Alpha-1
Start*
Purpose
Outcome*
Descale
Flow increase
of 2 barrels
per day
End*
(dd/mm/yy)
(dd/mm/yy)
1/03/2014
7/03/2014
Start*
End*
Depth*
Formation*
Mangahewa
Formation
(MAH)
1800
Additional information:
Include additional information in the space below.
Insert your response here.
Stimulation activities
Stimulation*
Insert well
name
e.g. Alpha-1
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Purpose*
Outcome*
Increase
permeability
Flow increase
of 2 barrels
per day
(dd/mm/yy)
(dd/mm/yy)
1/03/2014
7/03/2014
Depth*
Formation*
Mangahewa
Formation
(MAH)
1800
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Additional information:
Include additional information in the space below.
Insert your response here.
Iwi engagement report
9.
The iwi engagement report required under section 33C of the Act.
Section 33C of the Crown Minerals Act 1991 states that every holder of a Tier 1 permit must provide to the Minister an
annual report of the holder’s engagement with iwi and hapū whose rohe includes some or all of the permit area or
who otherwise may be directly affected by the permit.
The report should also note any engagement with or notification to iwi or hapū that has taken place as a requirement
of any other legislation.
The purpose of the report is to encourage engagement with relevant iwi and hapū in a positive and constructive
manner and will enable NZP&M to monitor progress in this regard. It is intended to be a high level indication of how
iwi engagement is progressing, not a detailed account of each transaction. Of course, sharing examples and details is
welcomed, but not required.
Your report should describe your engagement with iwi and hapū over the previous calendar year regarding permit
activities. Where applicable, it should also note why there has not been any engagement.
Please note the following points regarding the assessment of the report.

NZP&M will monitor the engagement with iwi and hapū and this will be an agenda item in the annual review
meetings

NZP&M will assess whether the views of iwi and hapū are included in the report and will take into account any
comments received from iwi and hapū

NZP&M may discuss with iwi and hapū the outcome of the review of the report.
Insert your response here.
Well test figures
10.
All cumulative, annual, and monthly oil, condensate (C5+), gas (methane and ethane), liquefied petroleum
gas (propane and butane), and water production figures (by field) from any appraisal activities
For each well, please complete all fields within the r39 Prod tab in the TEMPLATE Production Data Excel spreadsheet.
The information in the r39 Prod tab is requested, however, operators are only obliged to supply the information under
the r38 Test tab.
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Information to be included in annual report under regulation 41 on
expenditure incurred under permit
Expenditure
Information to be included in annual report under regulation 41 on expenditure incurred under permit
Complete the tables below where the figures are in NZD and inclusive of GST.
Activity
Exploration drilling
Including any re-entries and side-tracks
Appraisal drilling
Including any re-entries and side-tracks
Development drilling
Including any re-entries and side-tracks
Expenditure $NZD
4
Seismic reprocessing
$
5
Seismic acquisition
This includes the licencing of any multi-client data
$
6
Geological and geophysical technical analyses
$
1
2
3
7
8
Permit administration
Such as annual fees, application fees, and general administration
Environmental regulation
This includes costs associated to any resource/marine consent application and
subsequent conditions, as well as other environmental administration
$
$
$
$
$
9(a)
Operating expenditure for well testing activities*
$
9(b)
Capital expenditure for well testing activities*
$
All amounts should be entered in $NZ (GST included). Include permit fees and unattributed time in permit admin and
any planning time/costs with the related activity.
Declaration
I declare that any information provided in this submission is true and correct to the best of my knowledge and that I
am authorised to make this submission on behalf of the permit participant(s).
Print name:
Position:
Company:
Date:
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