Provide the following information/documentation. Each numbered item below should be copied and appear at the top of a page with your information below.
| 1. | Existing licence number and date of commencement of licence; |
| 2. | Application for the revocation of the licence in terms of section 24 of the Act and rule 13 of these rules; |
| 3. | If the pipeline is not licensed, provide a technical description of the pipeline adequately specifying: |
| (b) | GPS Coordinates (of the inlet and outlet flanges); |
| (e) | receiving and launching stations; |
| (f) | installed design capacity; |
| (h) | receipt and delivery points; |
| (i) | connections with other pipeline systems; |
| (j) | auxiliary equipment like accumulation and inter mixture tanks; and |
| (k) | control and communication systems. |
| 4. | Detailed maps and diagrams, as appropriate. |
| 5. | A full description of the intended conversion and the reasons therefor; and |
| 6. | The impact of the conversion on users of the pipeline and any measures taken to ensure continued provision of services. |