HomeMy WebLinkAbout923760
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UNITED STATES
DEPARTMENT OF THE INTERIOR
BUREAU OF LAND MANAGEMENT
OFFER TO LEASE AND LEASE FOR OIL AND GAS
Serial No.
000256
WYW173284
Tho: IIDdenilncd (m'~N~) offen to lease all or any of the lands iD Item 2 !bat arc available for lease plUlUanllO the Miocral Lcuina Act of 1920, &Ii amelldcd and IIIppIcmcnted (30 U.S.C. 181
elliC(.I, the Mineral J..ca¡ina Act for Acquired Lando of 1947, &Ii amended (30 U.S.c. 3SI-3S91, the AltorDey Gcocral', OpiDioD of Aprü 2. 1941 (40 Op. Atty. Gen. 41), or the
READ INS11l.UC'I10NS BEFORE COMPIEI1NG
Future rental payments must be made
on or before the anni versary date to:
Minerals Management. Service
Royalty Management Program
P.O. Box 5640
Denver. CO 80217
"Name
Strœt
City, State, Zip Code
BASELINE MINERALS INC
1645 COURT PL #422
DENVER, CO 80202
'------ .-._-~. -------- _"_______n__ _ _._____.
~-~--~-,-_.~
~. Tbis appIicaûon/offer/lease is for: (CMck only OM) X:J PUBUC DOMAIN LANDS
Surface 1DUaJia¡ alCQCY if other tIwt BLM:
Lep! description of land requeatcd: .Parcel No.:
.S£E ITEM 21N INSTRUCTIONS BELOW PRIOR TO COMPLETING PARCEL NUMBER AND SALE DATE.
T. R. Meridian Swe
o ACQUIRED LANDS (percent U.S. intere¡t
Unit/Project
·Sale Date (mIdly):_ I _ I _
COWIt)'
RECEIVED 10/26/2006 at 2:51 PM
RECEIVING # 923760
BOOK: 638 PAGE: 256
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
Amount remincd: Füing fee S
Rental fee S
Total acres applied for
Total S
DO NOT WIUTE BELOW THIS UNE
3. Land iDcludcd iD lease:
T.
R.
0190N 1160W
Sec. 002 Lars 1-4~
002 S2N2,S2;
012 ALL~
Meridian
06th
Swe
WY
County
LinooJn
I~
\b
Total acre¡ iD lease
Rental retained $
1292.380
1939.~
This lease is iuucd granting the ucluaive right 10 drül for, núnc. extracl, remove and dispoie of all the oü and JU (ucepl NIiMm) iD the lands described in Item 3 IOgether witb the ripllO bu.ild
and maintain oeceuary improvemcau then:upoa for the term ÎDlÜcatcd below, ,ubjecl to renewal or ulClliioo in accordance willi the appropriate leuina authority. Right¡ graotcd arc IUbject 10
applicable law" the tcnm. cooditiocui, and atlaCbed ilipulatiOlli of thii lcue, the Secretary of the Interior's regulations and fonnal order¡ in effect &Ii of lcue issuance, and to regulatiom and formal
order¡ bereañcr promulJ&lcd when IlOl ÚICoIIIIistent witb lease rights granted or lipcCiflC provisions of this 1_.
NOTE: TIIIi Ieue IlIIIued 10 die hip bidder punIIIIDt 10 IllaJher duly executed bid or _I..... lorm IUbmitted IIIIder 43 cn 3UO ud II subjed 10 die pro.... 01 tUt bid or
_I_t&nq .... .... IIedftecI 011 daII ,_,
Type and primary tenn of lcue:
THE UNITED
...
o Noncompetitive lcue (ten years)
('\,. \ Ir" ~~... .. : t
~ ~ __ , .. .~ : I'- ..4, '. 'II
Chie£: &_ of Fluid Minerals
'-
(Tille)
SEP 2 0 2006
OCT 0 1 2006 (Date)
iX Competitive leaae (1m yean)
o Other
EFFECTIVE DATE OF LEASE
(Coflli_d Oil revers~)
lli¡j~Imili@~If~~
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4. (a) Undenigned certifies that (1) offeror is a citizeo of the Uoited States; an Blisociation of such citizens; a municipality; or a corporntioo organized under the laws ~ \fiö JJ(JirikJ~;; ~r ri 4qy
Slate or Tenilory Ihereof; (2) all parties holding an inltrc&t in the offer are in compliance wilb 43 CFR 3100 and the leasirJ¡ authorities; Œ. offeror's chargeable interes~ 1!îrc<;( a&t ii-;direct in each
public domain and acquired lands separately in Ibe same State do not exceed 246,080 acres in oil and gao; leases (Of which up to 200,000 aaes may be in oil and gas options). or 300,000 acré:s in
leaoes in each leasing Diilrict in Aiaa¡ka of which up 10 2ØO,OOO acres may be in options, (4) offeror is not considered a !linor under the laws of the State in whicb the lands covered by this offer are
located; (5) offeror iIi in compliance with qualifications concemíng Federal coal lcase boldings provided in Ict:. 2(á)(2XA) Of the Mineral Le~·E~t; (tt6. oqeroLis..!n".~mPlian.. ce with reclamatioo
rcquiremCIÙ for all Federal oil and g'" lease boldings aa¡ required by sec. 17(g) of the Mineral Leasing Act; and (7) offeror is Dot,in violation f of' "cr. \. J i{ ¡ t' .
(b) Undenigncd as""'" that ligoal11rc 10 this offer coootitutes acceptance of this lease, including all terms. coodítiooo, and sûpulatioos of o. s'beeh"g't\.l!II boôèe, and any amendment
or separate lease that may include any land described in thi.s offer open 10 leasing at the time thi, offer. ~'* fiI'i9 but omitted foe any reason from. this lease. The oUyrftu"lhe. . ... '- ,igrF.'. tþat~. : s ¡¡ffer
cannot be wilbŒawn, either in whole or in part, W1Iess the withdrawal is received by the ~~~..State Office before thi, lcase, an ameDdwent to this 1=, or ~ I~., ~icœ,vfr ~=
the land described in thewilbŒawal, hao been signed onbebalf of the Uoited Statc&. V.:J~~ '¡lbO . . ' , .,
,.,. '.. oon?c:~
11111 oft_ will berejeded ud will danl ofteror 110 priority If k iii - properly completed ..... executed ia KCOrdaDce with the rquiatJoas, or If it Is DOt 1ICC_~y'd:e fequlred
..~. II U.s.C. Sec. 1011 __It a crime fOIl" ..y .-- kaowiDcly ..... wiUfuIIy 10 make 10 any Department or Mleocy of the'Vaked Slates any faIoe, IIcIitiouo or frauduleal ...._
01' rept-t.......1 _ 10 ..y __ wIdIia IU jwisdlctloø. ...
Duly exccutêð this
day of
LEASE TERMS
Sec. I. Rentals-ReataIs abaII be paid 10 proper offICe of lessor in advance of each lease year.
AnauaI rCllla! rates per acre or fractioo thereof are:
(a) Noncompetitive lease. $1.50 for the firSI 5 years; thereamr $2.00;
(b) Competitive lease, $1.50; for the first 5 years; thereafter $200;
(c) Other, see attachment, or
u specifted in replaúons at the time this lease is issued.
If this lease or a ponion thereof is commiued 10 an approved cooperative or unil pian which
includes a well capable of producing leased resources, and the plan contains a provision for
aIIocatioo of productioo, royalties abaII be paid on the producùon allocated 10 this lease. However,
annual rentals abaII COIIIÌJIuC: 10 be due al the rate specifted in (a), (b), or (c) for those lands
not within a panicipatiDa area.
Failure 10 pay annual rental, if due, on or before the anniversary date of this lease (or nexl
official working day if office is clOIed) sbaIJ automatically terminate this lease by operation of
law. Rentals may be waived, reduced, or suspended by the Secretary upon a sufficient showing
by lessee.
Sec. 2. Royalties-Royalties sbaIJ be paid 10 proper office of lessor. Royalties shall be computed
in accordance with reptlatioos on production removed or sold. Royalty rates are:
(a) NOIICOØIICIÎtive lease, 12 I¡', I{,;
(b) Competitive lease, 12 I¡', I{,;
(c) Other, see attachment; or
u &ICCi6ed in reauiations at the time this lease is issued.
Lcsaor reserves the ri¡bl1o &ICCify wbetbcr royalty is 10 be paid in value or in kind, and the
ri¡bl1o establish reasoaabIe minimum values on products amr giving lessee notice and an
opporIWÙIy 10 be beard. Wben paid in value, royalties shall be due; aIÌÔ payâble on the lasl day
of the mootb following the month in whicb production occurred. When paid in kind, producti<)ß .
sbaIJ be delivered, lIDless otherwise l1li.-110 by lessor, in mercbantable condition on the premises
where produced without ""'I 10 lessor. Lessee sbaIJ nOl be required to hold such production
in ""nile beyO!ld the last day of the month following the month in wbich production occurred,
nor sbàJ¡ lessee be held liable for 10.. or destruction of royalty oil or other products in storage
from cauaes beynad the reaaonabIc control of lessee.
Minimum royalty in lieu of rental of not leas than the rental whicb otherwise would be required
for that lease year IbalJ be payable at the end of each lease year beginning on or amr a discovery
in paying quantities. This minimum royalty may be waived, suspended, or reduced, and the
above royalty rates may be reduced, for all or portions of this lease if the Secretary determines
that 5UCb action is ncccssary 10 eocoufllle the greatest ultimate recovery of the leased resources,
or is otherwise jWltiflCd.
An interest cbarge IbalJ be assessed on late royalty payments or underpayments in accordance
with the Feden! Oü and au Royalty Management Act of 1982 (FOGRMA) (30 U.S.c. 1701).
Lessee IbalJ be liable for royalty payments on oil and gas lost or wasted from a lease site when
such Iou or WIU/C iIi due 10 nepigCIICC on the pan of the operator, or due 10 the failure 10 comply
with any rule, reauiation, order, or citation Wued under FOGRMA or the leasing authority.
Sec. 3. Bonds-A bond sball be tiled and maintained for lease operations as required under
re¡ulat.ions.
Sec..4. Dilip:М, rate of dcvclopoeat, unitiøtiœ, and dmina¡c-J.,es.sec shaU exercise teasonabIe
diliaeoce in dcvdopin¡ and produciD¡, and shall prevent ~ d&mäge 10, loss of, or
wlU/C of leased rcsOurccs. ·Lcsaor rèscrves righllo specify rates of devdoptnCnt and production
in the public interest and 10 require 1_ 10 subscribe 10 a cooperative or unil plan, within 30
days of aqtice, if deemed ncccssary for proper devdopment and operation of area, field, or pool
embraciD¡ tbcac leased lands. Lessee sbaJi drill and produce wells necessary 10· protect leased
lands from drainage or pay compensalory royalty for drainage in amounl dctennined by lessor.
Sec. 5. Documents, evidcncc, and inapcction-I:.cssee IhaIlfùe with proper office of lessor,
not later than 30 day, after effective date thereof, any contract or evidence of other arrangemenl
for sale or disposal of production. At IUCb times and in 5UCb form as lessor may prescribe, lessee
sbaIJ furnish detailed ,tatcmcnts ÙIOwing amounts and quality of all products rClllOved and sold,
proceeds therefrom, and amount used for production purpoocs or unavoidably losl. Lessee may
be required 10 provide plats and ocbematic diagrams showing development work and
improvements, and reports with rcspecllo panics in interest, expenditu,re¡¡, and.4epr,cc~.n; ,.'>
cœts. In the form pn::scribed by lessor, Icssœ sbaIJ keep a daily drilling record, à log, infoiÌÍlatioo \
on well survey' and teSlli, and 5 record of subaurface investigations and furnish copies to lessor
wben required. Lessee sban keep open ai all reasonabInimes for inspection by any authorized
officer oflcuor, the Icued paniscsand all wells, improvements, machinery, and fixtures thereon;
and all boob, accounts, otapI, and records relative 10 operations, surveys, or investigations
00 or in the leased lands. Leuæ sbaIJ maintain copies of all COIItncts,sales agrecinetWi, ~ting
records. and documentation 5UCb.as billinp, invoices, or similar· documcnwion..that suppons
"
,...
, 19
-.
.
(SignaNre of Lessee or Attorney-in-fact)
costs claimed as manufacturing. preparåtion, and/or transponation costs. All such records sbaIJ
be maintained in lessee's accountin~ offi~es for future audit by lessor. .,essee IhaIl maintain
required records for 6 years after they âre generated or, if an audit or investigation is underway,
until released of Ihe obligalion to maintain such reco~ds by lessor.
During existence of this lease, information obtained under this section 5baIJ be clOIed 10
inspection by the public in accordance with the Freedom of Information Act (5 U.S.C. 552),
Sec. 6. Cooouct of operations-Lessee shaU conduct operations in a manner that minimizes advenc
impacts to the land, air, and water. to cultural, biological, visual, and other resources, and 10
other land uses or users. Lessee sball tale reasonable measures deemed neccuary by lessor 10
accomplish the intent of this seclion. To the extenl consistent with lease rights granted, sucb
measures may include, bul are 110\ limited to, modification 10 siting or desi¡n of facilities, timing
of operations. and specification of interim and fmal reclamation measures. Lessor reserves the
righllo continue existing uses and to authorize fucure uses upon or in the leased lands, including
the approval of easements or rigbts-{)f-way. Such uses sball be conditioned so as 10 prevenl
unnecessary or unreasonable interference with rights of lessee.
Prior 10 discurbing the surface of the leased lands, lessee sball contact lessor to be apprised
of procedures 10 be followed and modifications or reclamation measures that may be ncccssary.
Areas 10 be discurbed may require inventories or special slU<lies to determine the extent of impacts
10 other resources. Lessee may be required to complete minor inventories or short term &ICCiaI
studlcs under guidelines provided by lessor. If in the conducl of operations, threatened or
endangered species, objects of IUsloric or scientific interest, or substantial unanticipated
environmental effects are observed. lessee shall immediately contacllessor. Lessee sbaIJ cea.sc
any operations thai would result in the destruction of such &ICCies or objects.
Sec. 7. Mining operations-To the extent thaI impacts from mining operations would be
subswllially different or greater than those associated with normal driIIiD¡ operations, lessor
reserves the right to deny approval of such operations.
Sec. 8; Extraction of heliwn- Lessor reserves the option of extracting or baving extncted bdium
from gas production in a manner specified and by means provided by lessor al no expen¡e or
loss to Icssœ or owner of the gas. Lessee sbaIJ include in any conlIaCl of sale of ¡as the provisions
of this section.
Sec. 9. Damages 10 propeny-L.essce shall pay lessor for dalt>age to le,sor', improvemculs,
and sbaIJ save and hold lessor hannless from all claims for damage or harm 10 persons or property
as a resull of lease operations.
Sec. 10. Protection of diverse interests and equal opportunity-Lessee 1balJ: pay when due all
taxes legally assessed and levied under laws of the State or the Unil<ld States; accord all empIay_
complete freedom of purchase; pay all wages alleasl twice each month in lawful mooey of the
United States; maintain a safe working environment in accordance with standard indu.stty practices;
and rake measures necessary 10 protecl the health and safety of the public.
Lessor reserves the righlto ensure that production is sold at reasonable prices and 10 prevent
monopoly. If lessee operates a pipeline, or owns controlling interesl in a pipeline or a company
operating a pipeline, which may be operated accessible 10 oil derived from tbese leased lands,
lessee shall comply with section 28 of the Mineral Leuing Act of 1920.
Lessee sball comply with Execulive Order No. 11246 of SeKCIDber 24, 196.5, as amended.
and regulations and relevanl orders of the Secretary of Labor Wued pursuant thereto. Neither
leSiCC nor lessee's subcontraclors sbaIJ maintain segregated facilities.
Sec. II. Transfer of lease interests and relinquishment of lease-As required by regulations,
lessee sbaIJ file wilb lessor any assignment or other transfer of an interesl in this lease. Lessee
may relinquish this lease or any legal subdivision by miD¡ in the proper office a wrincn
relinquisbmenl, which sbaIJ be effective as of the date of filin¡, subject tl>Jbc continued obü¡atiort
of the lessee and surety to pay all accrued rentals and royalties.
Sec. 12. Delivery ofpremiscs-At such time as all òr portions of this lease are ietùiöcd 10 lessor,
lessee shall place affected wells in condition for suspension or abandonment, reclaim the land
as specified by le.ssorand, within a reasonable period of time, remov~ equipment and
improvements IlOl deemed necessary by lessor for preservation of producible wells.
Sec. 13. Proceedings in case of default-If lessee fails to comply with any provisions of this
lease, and the noncompliance continues for 30 <bys after wrincn notice thereof. Ibis lease ,ball
be subjecl 10 cancellation ulÙess or until the leasehold contains a well capable of production
of oil or gas in pay ing quantities. or the lease is committed 10 an approved cooperative or unit
plaz¡ or conununitization agreement wlUch cont"ins a well capable of production of unitized
substances··in paying quantities. This proviliion sball not be construed to prevenl the exercise
by lessor of any other legal and equitable remedy, including waiver of the default. Any such
remedy or.waiver sballnol prevent later canceUation for tbe ~ default occurring at any other
time, Lessee sbaII be subject to applicable provisions a¡>d pena~)f FOGRMA (30 U .S.c. 1701).
Sec. 14. Heirs and successors·in-interesl-Each obligation of this lease sball extend 10 and be
bill\!ill8 upon, and every benelil hereof shall inure 10 the heirs, coxeculoCS, administi-ators,
succc:ssors, beneficiaries, or assignees of the respective parties herelo.
OOOS2e
.f'-~'-=' UNITED STATES .. " \.
i~~i~~~~i~l~~~~N~¿:~~~ ·O~~:}::¡¡~~¡¡¡~f.~ '0
COMPETITIVE OIL AND GAS OR
GEOTHERMAL RESOURCES LEASE BID
30 U.S.C. 181 et seq.; 30 U.S.C. 351 ~359; State
30 U.S.C. .1001-1025; 42 U.S.C. 6508
¡
Q~--~,.,,,~"-1-- ..,(
PARCEL NUMBER
THE BID IS FOR (Check one) :
~Oil and Gas Parcel Number
,/94
o Geothermal Parcel Number
Name of Known Geothermal Resource Area (KGRA)
".lfJ.f:Jt:.H4
FORM APPROVE
OMB NO. 1004-0074
Expires: July 31, 2003
000258
Date of sale
ð--./-J6
NT OF BID (See Instructions below)
PA YMENT SUBMITTED
WITH BID
TOTAL BID
The appropriate regulations applicable to this bid are: (I) for oil and gas leases-43 CFR 3120; (2) for National Petroleum Reserve-Alaska (NPR-A)
leases~3 CFR 3132; and (3) for Geothermal resources leases-43 CFR. 3220. (See details concerning lease qualifications on reverse.)
I CERTIFY THAT I have read and am in compliance with, and not in violation of, the lessee qualification requirements under the applicable regulations
for this bid.
I CERTIFY THA T this bid is not in violation of 18 U.S. C. 1860 which prohibits unlawful co . aho or intimidation of bidders. I further certify that
this bid wu arrived\ at independently and is tendered without collusion with any ot Idder for t. e purpose of restricti F
IMPORT ANT NOTICE: Execution of this form, where the offer is the high bi ,constitutes a b~ing lease offer,' lu
conditions. Failure to comply with the applicable laws and regulations underwh h this bid is nyi'de shall result in e' ct'
all monies submitted; / .
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City State Zip Code
INSTRUCTIONS FOR OIL AND GAS BID
(Except NPR-A)
INSTRUCTIONS
INSTRUCTIONS FOR GEOTHERMAL OR
NPR-A OIL AND GAS BID
I. Separate bid for each parcel is required. Identify parcel by the parcel
l1umber assigned in the Notice of Competitive Lease Sale.
2. Bid must be accompanied by the national minimum acceptable bid,
the first year's rental and the administrative fee. The remittance must
be in the form specified in 43 CFR 3103.1-1. The remainder of the
bonus bid, if any, must be submitted to the proper BLM office within
10 working days after the last day of the oral auction. Failure to
submit the remainder of the bonus bid within 10 workinl days will
result in rejection of the bid offer and forfeiture of all monies paid.
3. If bidder is not the sole party in interest in the lease for which the bid
is submitted, all other parties in interest may be required to furnish
evidence oftheir qualifications upon written request by the authorized
officer,
4. This bid maybe executed (signed) before the oral auction. If signed
before the oral auction, this form cannot be modified without being
executed again.
5. In view of the above requirement (4), bidder may wish to leave 5, If bidder is not the sole party in interest in the lease for which bid is
AMOUNT OF BID section blank so that final bid amount may be submitted, all other parties in interest may be required to furnish
either completed by the bidder or the Bureau of Land Management evidence of their qualifications upon written request by the authorized
at the oral auction. officer. f~/t{';. _; ..:\:-~
Title 18 U.S.C. Section 1001 ànd Title 43 U.S.C. Section 1212 make it a crime for any person knowingly and willfully to make to any deparlrnent or agency of the United
States any false, fiC\iiiou~. or fl)lUdulent statements or relX'esentations as to any matter within its jurisdiction. . .. ,.,';. _~ ~.' .
I. Separate bid for each parcel is required. Identify parcel by the
number assigned to a tract.
2. Bid must be accompanied by one-fifth of the total amount of bid. The
remittance must be in the form specified in 43 CFR 3220.4 for a
Geothermal Resources bid and 3132.2 for a NPR"A lease bid.
3. Mark envelope Bid for Geot.hermal Resources Lease in (Name of
KGRA) or Bid for NPR-A Lease, as appropriate. Be sure correct
parcel number of tract on which bid is submitted and date of bid
opening are noted plainly on envelope. No bid may be modified or
withdrawn unless such modification or withdrawal is received prior
to time fixed for opening of bids.
4. Mail or deliver bid to the proper BLM office or place indicated in the
Notice of Competitive Lease Sa/e.
(Conlinu~d on r~v~r$~)
Fonn 3000-2 (November 2(01)
OPTIONAL. USE COPY
U~~·Uu
/: A ¡
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V~i~U
000259
QUAUACATlONS
For leues that may be issued u a result of this sale under the MineraI
Leainl Act (The Act) ofl92G, a amended, the oral bidder must: (I) Be
a citizen of the United States; an association (including partn~rshipsand
trusts) of such citizens; a municipality; or a corporation organized under
the laws of tile United States or of any State or Territory thereof; (2) Be
in compliance with acreage limitation requirements wherein the bidder's
interests, direct and indirect, in oil and gas leases in the State identified
do not exceed 246,080 acres each in public domain or acquired lands
including acreage covered by this bid, of which not more than 200,000
acres are under options. If this bid is submitted for lands in Alaska, the
bidder's holdings in each of the Alaska leasing districts do not exceed
300,000 acres, of which no more than 200,000 acres are under options in
each district; (3) Be in compliance with Federal coal lease holdings as
provided in sec. 2(a)(2)(A) of the Act; (4) Be in compliance with
reclamation requirements for all Federal oil and gas holdings as
required by sec. 17 of the Act; (5) Not be in violation ofsec. 41 of the Act;
and (6) Certify that all parties in interest in this bid are in compliance
with 43 CFR Groups 3000 and 3100 and the leasing authorities cited
herein.
The Privacy Act of 1974 and the regulation in 43 CFR 2.48(d) provide
that you be furnished the following information in connection with
information required by this bid for a Competitive Oil and Gas or
Geothermal Resources Lease.
AUTHORITY: 30 U.S.c. 181 et seq.; 30 U.S.c. 351-359; 30 U.S.c.
1001-1025; 42 U.S.c. 6508
PRINCIPAL PURPOSE: The infannanon is to be used to process your
bid .
For leaes that may he issued a a result of t.... sale under the
Geothermal Steam Act of 197', a amended, the bidder mll!lt: (I) Be a
citizen of the United States; an association of such citizens; a municipality;
or a corporation organized under the laws of the United States or of any
State or Territory thereof; and (2) Be in compliance with acreage
limitation requirements wherein the bidder's interests, direct and
indirect, do not exceed 5 I ,200 acres; and (3) Certify that all parties in
interest in this bid are in compliance with 43 CFR Group 3200 and the
leasing authority cited herein.
For leases that may he Issued a a rnult of this sale under the
Department of the Interior Appropriations Act of 1981, the bidder
must: (I) Be a citizen or national of tbe United States; an alien lawfully
admitted for permanent residence; a private, pqblic or municipal
corporation organized under the laws of the United States or of any
State or Territory thereof; IIn Ulociation of such citizens, nationals,
resident aliens or private, public or municipal corporations, and (2)
Certify that all parties in interest in this bid are in compliance with 43
CFR Part 3 I 30 and the leasing authorities cited herein.
NOTICE
ROUTINE USES: (I) The adjudication of the bidder's right to the
resources for which this bid is made. (2) Documentation for public
information. (3) Transfer to appropriate Federal agencies when comment
or concurrence is required prior to granting a right in public lands or
resources. (4)(5) Information from the record and/or the record will be
transferred to appropriate Federal, State, local or foreign agencies,
when relevant to civil, criminal or regulatory investiptions or prosecu-
tions.
EFFECT OF NOT PROVIDING INFORMATION: Disclosure of the
information is voluntary. If all the information is not provided, your bid
may be rejected.
The Paperwork Reduction Act of 1995 (44 U.S.C. 3501 et seq.) requires us ID iDfonn you that:
This information is being collected in accordance with 43 CFR 3120, 43 CFR 3130, or 43 CFR 3220..
This information will be used to detennine the bidder submittinS the Júshest bid
Response to this request is required to obtain a benefit..
BLM would like yoa to know that you do not haw: 10 respmd 10 this OI'..y oilier Federal qeacy-sponsored information coUectioII unless it cisplays a curendy valid OMB
control namber.
BURDEN HOURS STATEMENT
Public reporting burden for this form is estimated to average 2 hoon per respouse including the time for reviewiDg instructions. gathering and maintaining data, and
completing and reviewing the fonn. Direct comments reprding the burden estimate or any other aspect of this form to U.S. Departnlcnt of the Interior. Bureau of Land
Management, (1004-0074), Bureau Oearance Officer (W0-630). 1620 L Street, Wubington. D.C. 20036.
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WYW1732S4
09~37hO
000260
MULTIPLE MINERAL DEVELOPMENT STIPULATION
Operations will not be approved which, in the opinion of the authorized officer, would
unreasonably interfere with the orderly development and/or production rrom a valid existing
mineral lease issued prior to this one for the same lands.
TIllS STIPULATION APPLIES TO ALL PARCELS
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WYW173284
O~~37hO
LEASE NOTICE NO.1
000261:
Under Regulation 43 CFR 3101.1-2 and tenns of the lease (BLM Fonn 3100-11), the authorized officer may require
reasonable measures to minimi7.e adverse impacts to other resource values, land uses, and users not addressed in
lease stipulations at the time operations are proposed. Such reasonable measures may include, but are not limited to,
modification of siting or design of facilities, timing of operations, and specification of interim and final reclamation
measures, which may require relocating proposed operations up to 200 meters, but not off the leasehold, and
prohibiting surface disturbance activities for up to 60 days.
The lands within this lease may include areas not specifically addressed by lease stipulations that may contain special
values, may be needed for special purposes, or may require special attention to prevent damage to surface and/or
other resources. Possible special areas are identified below. Any surface use or occupancy within such special areas
will be strictly controlled or, if absolutely necessary, prohibited. Appropriate modifications to imposed restrictions
will be made for the maintenance and operation of producing wells.
1. Slopes in excess of 25 percent.
2. Within 500 feet of surface water and/or riparian areas.
3. Construction with nozen material or during periods when the soil material is saturated or when watershed
damage is likely to occur.
4. Within 500 feet of Interstate highways and 200 feet of other existing rights-of-way (i.e., U.S. and State
highways, roads, railroads, pipelines, powerlines).
5. Within 1/4 mile of occupied dwellings.
6. Material sites.
GUIDANCE:
The intent of this notice is to infonn interested parties (potential lessees, permittees, operators) that when one or
more of the above conditions exist, surface disturbing activities will be prohibited unless or until the pennittee or the
designated representative and the surface management agency (SMA) arrive at an acceptable plan for mitigation of
anticipated impacts. This negotiation will occur prior to development and become a condition for approval when
authorizing the action.
Specific threshold criteria (e.g., 500 feet nom water) have been established based upon the best infonnation
available. However, geographical areas and time periods of concern nwst be delineated at the field level (i.e.,
"surface water and/or riparian areas" may include both intermittent and ephemeral water sources or may be limited to
perennial surface water).
The referenced oil and gas leases on these lands are hereby made subject to the stipulation that the exploration or
drilling activities will not interfere materially with the use of the area as a materials site/nee use pennit. At the time
operations on the above lands are commenced, notification will be made to the appropriate agency. The name of the
appropriate agency may be obtained from the proper BLM Field Office.
TIllS NOTICE APPLIES TO ALL PARCELS
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WYW1732B4
000262
LEASE NOTICE NO.2
BACKGROUND:
The Bureau of Land Management (BLM), by including National Historic Trails within its National Lanchcape
Conservation System, has recognized these trails as national treasures. Our responsibility is to review oui strategy
for management, protection, and preservation of these trails. The National Historic Trails in Wyoming, which
include the Oregon, California, Mormon Pioneer, and Pony Express Trails, as well as the Nez Perce Trail, were
designated by Congress through the National Trails System Act (PL. 90-543; 16 U.S.c. 1241-1251) as amended
through P.L. 10.6-509 dated November 13, 2000. Protection of the National Historic Trails is nonnally considered
under the National Historic Preservation Act (P.L. 89-665; 16 U.S.C. 470 et seq.) as amended through 1992 and the
National Trails System Act. Additionally, Executive Order 13195, "Trails for America in the 2151 Century," signed
January 18,2001, states in Section I: "Federal agencies wilL.protect, connect, promote, and assist trails of all types
throughout the United States. This will be accomplished by: (b) Protecting the trail corridors associated with
national scenic trails and the high priority potential sites and segments of national historic trails to the degrees
necessary to ensure that the values for which each trail was established remain intact." Therefore, the BLM will be
considering all impacts and intrusions to the National Historic Trails, their associated historic landscapes, and all
associated features, such as trail traces, grave sites, historic encampments, inscriptions, natural features frequently
commented on by emigrants in journals, letters and diaries, or any other feature contributing to the historic
significance of the trails. Additional National Historic Trails will likely be designated amending the National Trails
System Act. When these amendments occur, this notice will apply to those newly designated National Historic
Trails as well.
STRATEGY:
The BLM will proceed in this objective by conducting a viewshed analysis on either side of the designated centerline
of the National Historic Trails in Wyoming, except. at this time, for the Nez Perce Trail, for the pmpose of
identifying and evaluating potential impacts to the trails, their associated historic landscapes, and their associated
historic features. Subject to the viewshed analysis and archaeological inventory, reasonable mitigation measures
may be applied. These may include, but are not limited to, modification of siting or design of facilities to
camouflage or otherwise hide the proposed operations within the viewshed. Additionally, specification of interim
and final reclamation measures may require relocating the proposed operations within the leasehold. Surface
disturbing activities will be analyzed in accordance with the National Environmental Policy Act of 1969 (P.L. 91-
190; 42 U.S.C. 4321-4347) as amended through P.L. 94-52, July 3, 1975 and P.L. 94-83, August 9, 1975, and the
National Historic Preservation Act. ~ to determine if any design, siting, timing, or reclamation requirements are
necessary. This strategy is necessary until the BLM determines that. based on the results of the completed viewshed
analysis and archaeological inventory, the existing land use plans (Resource Management Plans) have to be
amended.
The use of this lease notice is a predecisional action, necessary until final decisions regarding surface
disturbing restrictions are made. Final decisions regarding surface disturbing restrictions will take place
with full public disclosure and public involvement over the next several years if BLM determines that it is
necessary to amend existing land use plans.
GUIDANCE:
The intent of this notice is to inform interested parties (potential lessees, permittees, operators) that when any oil and
gas lease contains renmants of National Historic Trails, or is located within the viewshed of a National Historic
Trails' designated centerline, surface disturbing activities will require the lessee, permittee, operator or, their
designated representative, and the surface management agency (SMA) to arrive at an acceptable plan for mitigation
of anticipated impacts. This negotiation will occur prior to development and become a condition for approval when
authorizing the action.
TIllS NOTICE APPLIES TO ALL PARCELS
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WYW1732B4
O~;¿~T~bO
000263
SPECIAL LEASE STIPULATION
This lease may be found to contain historic properties and/or resources protected under
the National Historic Preservation Act (NHP A), American Indian Religious Freedom
Act, Native American Graves Protection and Repatriation Act, E.O. 13007, or other"
statutes and executive orders. The BLM will not approve any ground disturbing activities
that may affect any such properties or resources until it completes its obligations under
applicable requirements of the NHP A and other authorities. The BLM may require
modification to exploration or development proposals to protect such properties, or
disapprove any activity that is likely to result in adverse effects that cannot be
successfully avoided, minimized or mitigated.
THIS STIPULATION APPLIES TO ALL PARCELS
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09;¿37hO
000264
WYW173284
TIMING LIMITATION STIPULATIONS - TLS
No suñace use is allowed during the foUowing time period(s). This stipulation does not apply to
operations and maintenance of production facilities.
(1) Mar 15 to lullS;
On the lands described below:
(2) as mapped on the Kemmerer Field Office GIS database;
For the purpose of (reasons):
(3) protecting nesting Sage Grouse.
Any changes to this stipulation will be made in accordance with the land use plan and/or the regulatory
provisions for such change",. (For guidance on the use of the stipulation, see BLM Manual 1624 and 3101 or FS
Manual 1950 and 2820.)
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09~Jt;-bO
000265
WYW173284
CONTROLLED SURFACE USE STIPULATION - CSU
Surface occupancy or use is subject to the following special operating constraints.
(1) Surface occupancy or use within 1/4 mile of a Sage Grouse strutting/dancing ground will be restricted or
prohibited unless the operator and surface managing agency arrive at an acceptable plan for mitigation of
anticipated impacts;
On the lands described below:
(2) as mapped on the Kemmerer Field Office GIS database;
For the purpose of:
(3) protecting Sage Grouse breeding habitat.
Any changes to this stipulation will be made in accordance with the land use plan and/or the regulatory
provisions for such changes. (For guidance on the use of the stipulation, see BLM Manual 1624 and 3101 or FS
Manual 1950 and 2820.)
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WYW173284
000266
NOTICE TO LESSEE
Provisions of the Mineral Leasing Act (MLA) of 1920, as amended by the Federal Coal Leasing
Amendments Act of 1976, affect an entity's qualifications to obtain an oil and gas lease. Section
2(a)(2)(A) of the MLA, 30 U.S.C. 201 (a)(2)(A), requires that any entity that holds and has held a
Federal coal lease for 10 years beginning on or after August 4, 1976, and who is not producing
coal in commercial quantities from each such lease, cannot qualify for the issuance of any other
lease granted under the MLA. Compliance by coal lessees with Section 2(a)(2)(A) is explained
in 43 CFR 3472.
In accordance with the terms of this oil and gas lease, with respect to compliance by the initial
lessee with qualifications concerning Federal coal lease holdings, all assignees and transferees
are hereby notified that this oil and gas lease is subject to cancellation if: (1) the initial lessee as
assignor or as transferor has falsely certified compliance with Section 2(a)(2)(A), or (2) because
of a denial or disapproval by a State Office of a pending coal action, i.e., arms-length assignment,
relinquislunent, or logical mining unit, the initial lessee as assignor or as transferor is no longer
in compliance with Section 2(a)(2)(A). The assignee, sublessee or transferee does not qualify as
a bona fide purchaser and, thus, has no rights to bona fide purchaser protection in the event of
cancellation of this lease due to noncompliance with Section 2(a)(2)(A).
Information regarding assignor, sublessor or transferor compliance with Section 2(a)(2)(A) is
contained in the lease case file as well as in other Bureau of Land Management records available
through the State Office issuing this lease.
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