The URL can be used to link to this page

Home My WebLink About875954Form 3000-3a UNITED STATES FORM APPROVED (January 1996) DEPARTMENT OF THE INTERI OR OMB NO. 1004-0034 BUREAU OF LAND MANAGEM?,NT Expires: September 30, 1998 TRANSFER OF OPERATING RIGHTS (SUBLEASE) IN A L~ase Serial No. LEASE FOR OIL AND GAS OR GEOTHERhiAL RESOURCES WYW-138554 Mineral Leasing Act of 1920 (30 U.S.C. 1~,~ et seq.) Act for Acquired Lands of 1947 (30 U.S.C.,351-359) '~, Geothermal Steam Act of 1970 (30 U.S,C. 1,001-1025) Department of the Interior Appropriations Act,. Fiscal Ye~..[ 1981 (42 U.S.C. 6508) Type or print plainly in ink and si~]~:I in ink. J , ' ~ PART A: TRANSFER 1. Transferee (Sublessee)* INTREPID OIL & GAS, LLC See Below for P~!':]centage Conveyed Street 1801 BROADWAY, SUITE 800 City, State, ZlI' Code DENVER, CO 80202 *If more than one transferee, check here IX and list the name(s) and address(es) of all addition'fi transfer~ees on the reverse of this form or on a separate attached sheet of paper. This transfer is for: (Check one) [] Oil and Gas Lease, or [] Geothermal Lease Interest conveYed: (Check one or both, as appropriate) [] Operating Rights (sublease) [] O,:vrriding Royalty, payment out' of production or other similar in~ crests or payments 2. This transfer (sublease) conveys the following interest: Land Description 'Percent of Interest Percent of Additional space on reverse, if needed. Do not submit documents or agreements other than Owned Conveyed Retained Overriding Royalty this form; such documents or agreements shall only be referenced herein, or Similar Interest Reserved Previously reserved or conveyed a b : c d e f INSOFAR AND ONLY INSOFAR AS. SAID LEASE COVERS: Township 23'North, Range 114 West, 6t~ P.M. Section 11: All 70.00% 70.00% None None As of Record Section 12: All Containing 1280.00 acres, more or less Intrepid' 34165% Lincoln County, Wyoming Emerald 34.65% Donze~ :! 0.70% Section 13: All 98.00% .: 98.00% None None As of Record Containing..640.00 acres, more or less Lincoln County, Wyoming Intrepid 49.50% Emerald~ 47.50% Limited from the stlrfac~ of the earth to the stratigraphic equivalent of Donze !.00% ..... 12981' as in the Dual Induction-SFL electric log from the Exxon Company :. ~OOK PR PA( E USA Graham Reservoir Unit #1. Located in the SW/4SW/4 of Section 36, - T23N-R114W, Lincoln CoUnty, Wyoming This Assignment is made subject to the terms and conditions of that certain ,.~ Acreage Purchase Letter dated May 1, 1998, by and between Tom Brown, .: ~ ,~ ~F_ L, r. tV : D Inc. and Mission Oil Corporation et al. [. IN ¢ C C 0 U tx-I 7 Y O L E R K FOR BLM USE ONLY-DO NOT Y~RITE B~LCW THIS LINE THE UNITED STATES OF AMER~C.A This .... transfer is approved solely for administrative purposes. Approval does not warrant 'that either party to thisJt~n'~'~,~6ldq,'l'e~!;,,, .. ,., , ~-[~'i~itable- [] Transfer approved effective By (Authorized Officer) (Title) (Date) Part A (Continued): ADDITIONAL SPACE for Names and addresses of additional transferees in Item l', o. I if needed, or for Land Description in Item No. 2 if needed. EMERALD RESOURCES, INC. SEE PAGE 1 FOR PERCENTAGE CON:v'EYED 934 Filhnore Way Denver, CO 80209 TERRY W. DONZE SEE PAGE I FOR PERCENTAGE CONVEYED 4048 Simms Street Wheatridge, CO 80033 O8 o Jc 4. 7 91. PART B: CERTIFICATION AND REQUES~::'rOR APPROVAL 1. The transferor certifies as owner of an interest in the above designated lease that'he/she hereby transfers ~o th~- above transferee(s) the rights specified above. 2. Transferee certifies as follows: (a) Transferee is a citizen of the United States; an association of such citiz,:.ns; a municipality; or a corporation organized under the laws of the United States or of any State or territory thereof. For the transfer of NPR-A leascs, transferee is a citi;'m ~iational, or resident alien of the United States or associations ofsu¢l~ mttzens nationals, resident al[cas or private, public or mumelpal corporations, (b) Transferee Is not co. sldered a minor under the lags of the State m which the lands covered by this transfer are located; (e) Transferee's chargeable interests, direct and indirect, in each public domai: ami acquired lands .separately in the same State, do not exceed 246,080 acres in oil and gas leases (of which up to 200,000 acres may be in oil and gas options), or 300,000 acre! in leases in each leasing Disa'ict in Alaska of which up to 200,000 acres may be in options, if this is an oil and gas lease issued in a~c. ordance with the Min~'al Leasing Act ol 1920, or 51,200 acres in any one State if this is a geothermal lease; and (d} All parties holding an intel-st in the transfer are otherwise in compliance with the regulations (t~3 (i FR Group 3100 or 3200) and the authorizing Acts; (e) Transferee is in compliance with reclamation requirements of all Federal oil and gas holdings as required by see. 17(:3) of the Mineral Leasing Act;, and (0 Transferee is not in vinlat/on ofseo. 41 of the Mineral Leasing Act. 3. Transferee's signature to this assignment constitutes acceptance of all applicable terms, conditions, stipuI'atio::s and restrictions pertaining to the lease deserlbed herein. Applicable terms and conditions include, but are not litrdted to, an obligation to conduct ali operations o a fl~. leasehold in accordance with the terms and conditions of the lease, to co.-~.E'-At :',-, all wells fur proper abandonment, to restore the leased lands upon completion of any operations as described in the lease, and to fimqish and maintain suc[ bend as may b~' ~i~ed by the lessor purs.uant to regulations 43 CFR 3104, 3134, or 3206. For geothermal transfers, an overriding royalty may not be less than one-fourth (1/4) of one percent of the value of output, nor greater than 50 percent ofth'e i'ate;ofroyalty due to th United States when this transfer is added to all previously created overridin$ royalties (43 CFR 324 I). I certify that the statements made herein by me are true, complete, and correct to the best of my knowledge and .belief and are made in good faith. Executed this '~.'~v~ dayof 'JYm]~ ,2001 "' Exeouted this /,~..--{/t.. ~ day of -,~.,,r. gQ~.~ .t~"., 2001 Name of Transferor ~... TOM BROWN, INC, INTREPID OIL & GAS, LLC Please'type or print Transferor Transferee //] /f . -Or _ ~Signalure) _- ~2~'~ ~moav:v-ia..t~.---~'/' - '_' . _~___.._..> or :' ~/' / .fSi~..f~- __'7.. _ ~ Attom~.in-f,,ct /5~! Rodn.ey C~, W.eer Pres±dent - Land ~,o~:'nP Jofi~aywz~l (S~tur~ _L [ . 555 '7'Street, Suite 1850 '(Transferors Address) ~ :~1) RESOURCE~C'~) Denver , CO 80202 /19la-dr,e,en i!;. Schulb~ Vice l~es~-dent - ~/' (City) (State) (Zip Code) .~- ~ruee R. ~jJmr, Sec~,,~Oary BURDEN HOURS STATEVIE!NT Public reporting burden for this form is estimated to average 30 minutes per response, including the lime fo:' ret:iewing instructions, gathering and maintaining data, and completing and reviewing the form. Direct comments regaxding the burden estimate or any other aspect or,his Form to U.S. Department of the Interior, Bureau of Land Management, Bureau Clearance Officer, (DW-I I0), Denver Federal Center, Building 40, P.O. Box 25045'. D::aver, CO 80225-0047 and the Office of Management and Budget, Paperwork Reduction Proiect ( I004-0034)~ Washinl~ton, D.C. 20503 Tille i $ U.S.C. Sec. 1 O01 makes it a crime for any person knowingly and will£ully to make to any Departr::e~: or agency of the United States any ~Ise, fictitious or bauciulent -- : ,: -.., ?:'.:: .... 0[~5~.~5~ h¢2KNOWLEDGEMENT STATE OF COLORADO CITY AND COUNTY OF DENVI!;;1;0 On the ~,~ day of 3uI.y; ,2001, personally appeared before me Rodney G. Mellott , who !~eing by me duly swom did say that he is the Vice President, - Land for Tom Brown, Inf:.:~ and is authorized to execute this assignment. Witness my hand and officii'lllseal. Notary Public Ga]_l Anne Bate~'.,~'2'), ddress' 555 17m Street. Suite 18~'0'~o,c'{ C0k0~b~, Denver, CO 80202 STATE OF COLORADO ) CITY AND COUNTY OF DENV¢;!R) On the ~ day of ~= ~!:~0' I .., 2001, personally appeared before me Robert P. Jomayvaz III who being 5Y me duly sw0m did say that he is the Attorney-in-Fact for Intrepid Oil & Oas, LLC, ~d is aulhorized to execute this assignment. Witness my hand and offici.;~:il seal. My Commission Expires: 9/28/01 ; · .3.;..P. ~.,! Denver, CO 80202 Z 0S75~: ;'kCKNOWLEDGEMENT 79 ~ STATE OF COLORADO ) CITY & COUNTY OF DENVER ) Onthe t'P4'(dayof .~. ~.,3< ,2001, personally appeared before me Maureen S. Schultz, who being by me duly swum d~d say that _she is the Vice President for Emerald Resources, Inc. and is authorized to execute this assignment. Witness my hand and official seal. .~go~i~xpires: ~1 (~:..~ ~." _, ~ '.Y(, ~ ~' ~gry Public ~ ~: X~O~a~ "~ ~ Address: 1801 Broadway, Suite 800 ~'A:: ~-~ o ~ ~ ~ Denver, CO 80202 :.:., ~/lllitiil lllllt~~' STATE OF COLOR~O ~: ) CITY & COUNTY OF DE~ER On the ~ay ~or~., 2001, personally appeared before me Te~ W Donze ~ _ . who being by me duly d'd say that :~s ahthorized to execme this assi~ment on his own behalfi Witness my hand and official seal. My Commission Expires: ~ [~[ ~. Nota~ Public U ' . ~1~11111~1~ Address: 1801 Broadway, Suite 800 ~{~ ....... ~ '. Denver, CO 80202 ~q s..' ,o~as~, '.:~ %~Z.. ...:5~