Form BOEM-0134 Permit Application For G&G Prospecting, Noncommercial Ex

OMB Control No.: 1010-0072
Expiration Date 08/31/2021

UNITED STATES
DEPARTMENT OF THE INTERIOR
BUREAU OF OCEAN ENERGY MANAGEMENT
(select one)

______________________________________________________________________
(Insert Appropriate Regional Office)

Requirements for Geological and Geophysical Prospecting, Exploration,
or Scientific Research on the Outer Continental Shelf
Related to Minerals Other than Oil, Gas, and Sulphur
Application for Permit or Authorization to
Conduct Geological or Geophysical
Prospecting or Exploration for Mineral Resources or
Notice of Scientific Research on the
Outer Continental Shelf Related to
Minerals Other than Oil, Gas, and Sulphur
(Attachment 1)

Nonexclusive Use Agreement for Scientific Research
(Attachment 2)

SUBMIT: Two originals, one digital copy, and one public copy (all with original signatures).

Paperwork Reduction Act of 1995 (PRA) Statement: The PRA (44 U.S.C. Chapter 35 et seq.) requires us
to inform you that the Bureau of Ocean Energy Management (BOEM) collects this information to evaluate
applications for permits or authorizations to conduct pre-lease prospecting or exploration offshore and to monitor
activities of scientific research conducted under notices. BOEM uses the information to ensure there is no
environmental degradation, personnel harm, damage to historical or cultural sites, or interference with other uses.
Information requested in this form is required to obtain or retain a benefit. An agency may not conduct or
sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid
Office of Management and Budget Control Number. The reporting burden for this form is estimated to average 88
hours per response, including the time for reviewing instructions, gathering and maintaining data, and completing
and reviewing the form. Direct your comments regarding the burden estimate or any other aspect of this form to
the Information Collection Clearance Officer, Bureau of Ocean Energy Management, 45600 Woodland Road,
Sterling, Virginia 20166.

FORM BOEM-0134 (August 2018)
Previous Editions are Obsolete.

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UNITED STATES
DEPARTMENT OF THE INTERIOR
BUREAU OF OCEAN ENERGY MANAGEMENT
REQUIREMENTS FOR GEOLOGICAL AND GEOPHYSICAL
PROSPECTING, EXPLORATION, OR
SCIENTIFIC RESEARCH ON THE OUTER CONTINENTAL SHELF
RELATED TO MINERALS OTHER THAN OIL, GAS, AND SULPHUR
Authority
You must perform all geological and geophysical prospecting, exploration, or scientific research activities
authorized and conducted on the Outer Continental Shelf (OCS) according to the OCS Lands Act, 30 CFR Part
580, as applicable, and other applicable Federal statutes and regulations, as amended.

General Requirements of Permits and Notices
You must conduct geological and geophysical activities for mineral prospecting, exploration, or scientific
research activities authorized under Section 11 of the OCS Lands Act, 30 CFR Part 580, as applicable, and in
compliance with all applicable mitigation measures so that those activities do not:
A. Interfere with or endanger operations under any lease or right-of-way or permit issued or maintained
under the OCS Lands Act;
B. Cause harm or damage to aquatic life or to the marine, coastal, or human environment;
C. Cause pollution;
D. Create hazardous or unsafe conditions;
E. Unreasonably interfere with or harm other uses of the area (including submarine cables); or
F. Disturb archaeological resources.
Any person conducting geological or geophysical activities for mineral prospecting, exploration or scientific
research under Section 11 of the OCS Lands Act and 30 CFR Part 580, as applicable, must immediately report to
us if you:
A. Detect hydrocarbon and/or mineral occurrences;
B. Encounter environmental hazards which constitute an imminent threat to human activity; or
C. Are aware of activities which adversely affect the environment, aquatic life, archaeological resources, or
other uses of the area in which you are conducting prospecting or scientific research activities.
Any person conducting shallow or deep stratigraphic test drilling activities under a permit for mineral prospecting
or scientific research under 30 CFR Part 580 must utilize the best available and safest technologies that BOEM
determines to be economically feasible.
The authorization BOEM grants you under Section 11 of the OCS Lands Act and 30 CFR Part 580, as applicable,
to conduct geological and geophysical prospecting or exploration for minerals other than oil, gas, and sulphur or
for scientific research does not confer a right to any discovered oil, gas, or other minerals, or to a lease under the
OCS Lands Act.

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Time Restriction for Permits, Authorizations, and Notices
We limit the term of a permit or authorization to a period not to exceed 3 years but we issue it in 1-year
increments. We limit extensions to a period of not more than two 1-year extensions from the initial termination
date of the permit.

Geological and Geophysical Activities Requiring Permits, Authorizations, and Notices
Geological and Geophysical Prospecting for Mineral Resources
You may not conduct geological and geophysical prospecting or exploration for minerals other than oil, gas, and
sulphur in the OCS without an approved permit or authorization unless you conduct such activities under a lease
issued or maintained according to the OCS Lands Act. You must obtain separate permits or authorizations for
either geological or geophysical prospecting or exploration for mineral resources. If BOEM disapproves an
application, the statement of rejection will give the reasons for the denial and will advise the applicant of those
changes needed for you to obtain approval.
Geological and Geophysical Scientific Research
You may not conduct geological and geophysical scientific research related to minerals other than oil, gas, and
sulphur in the OCS without an approved permit or filing of a notice. You must obtain separate permits for
geological and geophysical scientific research which involves the use of solid or liquid explosives or the drilling
of a deep stratigraphic test. If BOEM disapproves your application, the statement of rejection will give the
reasons for the denial and will advise the applicant of the changes needed for you to obtain approval.
You must file a notice with BOEM at least 30 days before you begin scientific research not requiring a permit.
We may inform you of all environmental laws and regulations pertaining to the OCS. BOEM recommends that
you submit your notice 90-120 days prior to beginning your work to ensure timely review of your notice by
BOEM

Information Required for Permits or Authorizations
Each applicant for a permit or authorization must complete the applicable sections of the Application for Permit or
Authorization (Attachment 1) and must include a public-information, page-size plat(s) showing the location of the
proposed area of activity (Section B.2 or C.1). In addition, each applicant for a geological or geophysical permit or
authorization must submit the appropriate attachment to section D of the application. This includes a detailed map of
the proposed activity for Section D.8 (Geological Application) or Section D.12 (Geophysical Application). Only
applicants for a Notice of scientific research must complete a Nonexclusive Use Agreement (Attachment 2).
The information you provide on the Application for Permit or Authorization (excluding section D) and on the
Nonexclusive Use Agreement, including continuation sheets and the page-size plat(s), is NON-PROPRIETARY
INFORMATION. These non-proprietary portions of the application constitute the "public information" copy of Form
BOEM-0134 and with the executed permit we will make them available to the public
The information listed in section D is PROPRIETARY INFORMATION. We will not make this information
available to the public without the consent of the applicant/permittee for a period mandated by law or regulation.
However, we may determine that earlier release is necessary to properly develop the area permitted.

FORM BOEM-0134 (August 2018)
Previous Editions are Obsolete.

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Modifications to Approved Permits or Authorizations
The BOEM Regional Supervisor must approve any modification to the permitted or authorized operations.

Filing Locations for Permits or Authorizations to Conduct Prospecting or
Exploration for Mineral Resources and for
Permits or Notices to Conduct Scientific Research
File two originals, one digital copy, and one public copy (all with original signatures) at the following locations at
least 30 days before you begin operations. BOEM recommends that you submit your notice or application 90-120
days prior to beginning your work to ensure timely review of your notice by BOEM.
A. For the OCS off the State of Alaska:

Regional Supervisor for Resource Evaluation
Bureau of Ocean Energy Management
Alaska OCS Region
3801 Centerpoint Dr., Suite #500
Anchorage, Alaska 99503-5823
B For the OCS in the Gulf of Mexico, off the Atlantic Coast, Puerto Rico, and U.S. Territories in
the Caribbean Sea:
Regional Supervisor for Resource Evaluation
Bureau of Ocean Energy Management
Gulf of Mexico OCS Region
1201 Elmwood Park Boulevard
New Orleans, Louisiana 70123-2394
C. For the OCS off the States of California, Oregon, Washington, or Hawaii and other Pacific
Federal Territories:
Regional Supervisor for Office of Strategic Resources
Bureau of Ocean Energy Management
Pacific OCS Region
760 Paseo Camarillo
Ste. 102
Camarillo, California 93010-6092

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Attachment 1

UNITED STATES
DEPARTMENT OF THE INTERIOR
BUREAU OF OCEAN ENERGY MANAGEMENT
(select one)
______________________________________________
(Insert Appropriate Regional Office)

APPLICATION FOR PERMIT OR AUTHORIZATION TO CONDUCT GEOLOGICAL OR
GEOPHYSICAL PROSPECTING OR EXPLORATION FOR
MINERAL RESOURCES OR NOTICE OF SCIENTIFIC RESEARCH ON THE
OUTER CONTINENTAL SHELF RELATED TO
MINERALS OTHER THAN OIL, GAS, AND SULPHUR
(Section 11, Outer Continental Shelf Lands Act of August 7, 1953, as amended on September 18, 1978, by Public
Law 95-372, 92 Statute 629, 43 U.S.C. 1340; and 30 CFR Parts 580 and 280, as applicable)

______________________________________________________________
Name of Applicant
______________________________________________________________
Number and Street
______________________________________________________________
City, State, and Zip Code
_____________________________________________________________
Application is made for the following activity: (check one)
_______Geological prospecting or exploration for mineral resources
_______Geological scientific research
_______Geophysical prospecting or exploration for mineral resources
_______Geophysical scientific research

Submit: Two originals, one digital copy, and one public copy (all with original signatures).
================================================
To be completed by BOEM
Permit Number: __________________________

FORM BOEM-0134 (August 2018)
Previous Editions are Obsolete.

Date: ________________________

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A. General Information
1. The activity will be conducted by:
________________________________
Service Company Name

For_________________________________
Purchaser(s)/User(s) of the Data

________________________________
Number and Street

_________________________________
Number and Street

_________________________________
City, State, and Zip Code

_________________________________
City, State, and Zip Code

_________________________________
Telephone/FAX Numbers

_______________________________
Telephone/FAX Numbers

________________________________
E-Mail Address

________________________________
E-Mail Address

2. The purpose of the activity is:

_________ Mineral prospecting or exploration
_________ Scientific research

3. Describe your proposed survey activities (i.e., vessel use, benthic impacts, acoustic sources, etc.) and
describe the environmental effects of the proposed activity, including potential adverse effects on
marine life. Describe what steps are planned to minimize these adverse effects (mitigation measures).
For example: 1) Potential Effect: Excessive sound level; Mitigation: Marine Mammal Observers,
mammal exclusion zone or 2) Potential Effect: Bottom disturbance; Mitigation: ROV
deployment/retrieval of vibracoring rigs (use continuation sheets as necessary or provide a separate
attachment):
_____________________________________________________________________________
_____________________________________________________________________________
4. The expected commencement date is: ______________________________________________
The expected completion date is: __________________________________________________
5. The name of the individual(s) in charge of the field operation is: ___________________________
May be contacted at: ____________________________________________________________
Telephone (Local) _______________________ (Marine) _____________________________
Email Address: _________________________

Radio call sign ___________________________

6. The vessel(s) to be used in the operation is (are):
Name (s)
Registry Number(s)
___________________ ________________________
___________________ ________________________
___________________ ________________________

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Registered owners)
__________________________
__________________________
__________________________

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7. The port from which the vessel(s) will operate is: _____________________________________
8. Briefly describe the navigation system (vessel navigation only): _________________________
_____________________________________________________________________________

B. Complete for Geological Prospecting or Exploration for Mineral Resources or
Geological Scientific Research
1. The type of operation(s) to be used is: (check one)
(a) __________ Deep stratigraphic test, or
(b) __________ Shallow stratigraphic test with proposed total depth of _____________________, or
(c) __________ Vibracoring __________________________________________________________
(d) __________ Other _______________________________________________________________
2. Attach a page-size plat showing: 1) The generalized proposed location for each test. Where
appropriate, a polygon enclosing the test sites may be used and 2) BOEM protraction areas; coastline;
point of reference
3. Distance and direction from a point of reference to area of activity __________________________
4. Label as “Public Information”
__________________________________________________________________________________

C. Complete for Geophysical Prospecting or Exploration for Mineral Resources or
Geophysical Scientific Research
1. For the proposed operation:
(a) Acquisition method (OBN, OBC, Streamer):________________________________
(b) Type of acquisition: (High Resolution Seismic, 2D Seismic, 3D Seismic, gravity, magnetic, CSEM,
etc. _______________________________________
2. Attach a page-size plat showing:
(a) The generalized proposed location of the activity with a representative polygon
(b) BOEM protraction areas; coastline; point of reference
(c) Distance and direction from a point of reference to area of activity____________________________
(d) Label as “Public Information.”
3. List all energy source types to be used in the operation(s): (Air gun, air gun array(s), sub-bottom
profiler, sparker, towed dipole, side scan sonar, etc.): ______________
_____________________________________________________________________________
4. Explosive charges will ______ will not ______ be used. If applicable, indicate the type of explosive
and maximum charge size (in pounds) to be used:
Type ___________________ Pounds ____________ Equivalent Pounds of TNT ___________
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D. Proprietary Information Attachments
Use the appropriate form on page 9 for a “geological” permit or authorization application or the form on
page 10 for a “geophysical” permit or authorization application. You must submit a separate form
BOEM-0134 to apply for each geological or geophysical prospecting permit or exploration authorization.

E. Certification
I hereby certify that foregoing and attached information are true and correct.

Print Name:__________________________________________

SIGNED ____________________________________________ DATE _____________________

TITLE __________________________________________________________________________
COMPANY NAME:________________________________________________________________
================================================

TO BE COMPLETED BY BOEM
Permit No.__________________ Assigned by ________________________________ Date ________
of BOEM
This application is hereby:
a. _____ Accepted
b. _____ Returned for reasons in the attached
The approved permit or authorization is:
a. _____ Attached
b. _____ Will be forwarded at a later date

SIGNED __________________________ TITLE

FORM BOEM-0134 (August 2018)
Previous Editions are Obsolete.

Regional Supervisor

DATE _____________

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Section D Proprietary Information Attachment
Required for an Application for Geological Prospecting Permit or
Exploration Authorization
1. Description of proposed coring, drilling or sampling method. Include heat flow measurements, and depth
of penetration.: ____________________________________________________________________
_________________________________________________________________________________

2. Description of coring, drilling or sampling equipment to be used: ____________________________
_________________________________________________________________________________
3. List proposed coring, drilling or sample location(s) with their latitude and longitude coordinates and the
total number of samples to be acquired. These locations may be sent digitally on a CD (attach separate
page if necessary):
_________________________________________________________________________________

4. Navigation system or method to be used to position sample locations: _________________________
_________________________________________________________________________________
_________________________________________________________________________________

5. Method of sample, storage, and handling: ________________________________________
_________________________________________________________________________________

6. List each test to be conducted on the samples with a brief description of its objective:
________________________________________________________________________________
________________________________________________________________________________

7. Estimated date on which samples, logs, and analyzed and/or processed data will be ready for
inspection: _______________________________________________________________________

8. Attach map(s), plat(s), and chart(s) (preferably at a scale of 1:250,000) and/or an electronic version of
same showing latitude and longitude, scale, protraction areas, specific block numbers, and specific sample
location(s) in latitude(s) and longitude(s) for each of the proposed sample site(s). The map, plat or chart
should be submitted at a sufficient size and scale to make out all details of the activities shown. Label the
hardcopy map “Proprietary,” if the data are for commercial purposes and are considered proprietary.
Along with the hardcopy map, submit on CD, the ArcGIS shapefiles needed to reproduce the map of the
proposed sample site(s) including individual site names in the attribute table.
FORM BOEM-0134 (August 2018)
Previous Editions are Obsolete.

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Section D Proprietary Information Attachment
Required for an Application for Geophysical Prospecting Permit or
Exploration Authorization

1. Detailed narrative, modeling of sound propagation, and visual description of the energy source(s) and
streamer(s) (receiving array):
_________________________________________________________________________________
_________________________________________________________________________________
2. Attach a map view diagram that illustrates vessel(s) source and receiver(s) configuration. Label each
vessel indicating its function and include the dimensions of streamer(s), tow fish, etc. Indicate the
number of chase and alternate vessels to be used. ________________________________________

3. List each energy source to be used (e.g., airgun, airgun array(s), sparker, towed dipole, side scan sonar,
sub bottom profiler, etc.). Indicate the source’s manufacturer, model, Source Level (SL) in dB re
1µPa @1m in water (RMS) and if applicable, Source Level (SL) in dB re 1µPa @1m in water (Peak to
Peak). If the manufacturer does not provide a peak to peak level (many side scan sonars, etc.), please
enter N/A. Additionally, provide the operational frequency ranges.
Energy
Source

Manufacturer

Model

Array
or
Airgun
Size (cu.
in.)

Source Level
(SL) in dB re
1µPa @1m in
water (RMS)

Source
Level (SL)
in dB re
1µPa @1m
in water
(Peak to
Peak)

Frequency
(Hz-kHz
range)

For air guns/air gun arrays, provide the maximum distance from the sound source to the following SPL in
RMS db levels: (Required for Alaska Region; GOM Region only requires this information for surveys in the
GOM that will use simsource during acquisition; Not required for Atlantic permits).
dB level
190 db
180 db
160 db

Maximum Distance from Source

4. Shot (energy pulse) frequency per linear mile (statute): _____________________________________

5. Towing depth (ft/m) of the energy source: ________________________________________________

6. Towing depth (ft/m) of the receiver(s): ___________________________________________________

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7. CSEM, OBN, Magnetotelluric, and OBC surveys: Describe the node deployment and retrieval
procedures. Indicate the location (latitude and longitude coordinates), number and spacing of any ocean
bottom receivers, cables, and anchors. If anchors will not be retrieved, provide their physical composition
and rate of decomposition. Location data may be submitted digitally on a CD (attach separate page if
necessary).

8. Navigation/positioning system or method used to position shotpoint locations and or ocean bottom
receivers: ______________________________________________________________________
_______________________________________________________________________________
9. Proposed areal extent (blocks) for 3D surveys or total number of line miles proposed for 2D or high
resolution survey: ________________________________________________________________

10. Estimated date (month and year) on which final data will be available for all proposed data sets:
_______________________________________________________________________________

11. Attach map(s), plat(s), and chart(s) (preferably at a scale of 1:250,000) and an electronic version of
same showing latitude and longitude, scale, specific protraction areas, block numbers. The map, plat, or
chart should be submitted at a sufficient size and scale to make out all details of the activities shown.
The map should be labeled “Proprietary,” if the data are for commercial purposes and are considered
proprietary. For 2D data acquisition, provide specific track lines with line identifications with the total
number of line miles proposed or a representative polygon and total number of blocks for 3D surveys.
Along with the hardcopy map, submit on CD, the necessary ArcGIS shapefiles to reproduce the map for
2D track lines including individual line names in the attribute table. For 3D surveys provide a
representative polygon as an ArcGIS shapefile.

FORM BOEM-0134 (August 2018)
Previous Editions are Obsolete.

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Attachment 2

UNITED STATES
DEPARTMENT OF THE INTERIOR
BUREAU OF OCEAN ENERGY MANAGEMENT
(select one)
______________________________________________
(Insert Appropriate Regional Office)

NONEXCLUSIVE USE AGREEMENT FOR SCIENTIFIC RESEARCH
ON THE OUTER CONTINENTAL SHELF

A. State the time and manner in which data and information resulting from the proposed activity will be
made available to the public for inspection and reproduction, such time being the earliest practicable time.
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________

B. ____________________________________ (applicant) agrees that the data and information resulting
from the proposed activity will not be sold or withheld for exclusive use.

_____________________________________________
(Signature of Applicant)
_____________________________________________
(Type or Print Name of Applicant)
_____________________________________________
(Title)
_____________________________________________
(Date)

Submit: Two originals, one digital copy, and one public copy (all with original signatures).

FORM BOEM-0134 (August 2018)
Previous Editions are Obsolete.

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