Pipeline forms

Use the forms listed below when applying to build or manage energy pipelines on land or in coastal waters in the Northern Territory.

Applications

Name of form What it is for
Pipeline permit application or variation EPA s5, s7 and s10 PDF (886.9 KB)
Pipeline permit application or variation EPA s5, s7 and s10 DOCX (87.3 KB)
Apply for a pipeline permit, variation to a pipeline permit application or to vary a pipeline permit, to access land for pipeline route investigations.
Change of name application and/or service of documents EPA s44 and s61 DOCX (75.9 KB)
Change of name application and/or service of documents EPA s44 and s61 PDF (707.6 KB) 
Change a name on an energy pipeline licence and/or for service of documents.
Application for pipeline licence DOCX (66.4 KB)
Application for pipeline licence PDF (178.6 KB)
Apply to construct and operate a pipeline.
Dealing application for a pipeline permit or licence DOCX (65.8 KB) 
Dealing application for a pipeline permit or licence PDF (175.9 KB) 
Use this form to apply for approval of a dealing.
Transfer application DOCX (60.6 KB) 
Transfer application PDF (68.8 KB) 
Apply to transfer ownership of a pipeline licence.
Variation of pipeline licence DOCX (65.5 KB)
Variation of pipeline licence PDF (170.3 KB)
Apply to vary a pipeline licence.
Appropriate person to hold a permit or licence PDF (116.4 KB) 
Appropriate person to hold a permit or licence DOCX (84.0 KB)
Use this form when applying for, renewing or transferring a pipeline licence.

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