HomeMy WebLinkAbout873810
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Serial No.
The undersigned (reverse) offers to lease all or any of the lands in Item 2 that are available for lease pursuant to the Mineral Leasing Act of 192Ò. as amended and supplemented (30 U.S.C. 181
et seq.). the Mineràl Leasing Act for Acquired Lands of 1947, as amended (30 U.S.C. 351-359). the Attorney General's Opinion of April 2. 1941 (40 Op. Atty. Gen. 4\). or the
Future rental payments must be made
on or before the anniversary date
to:
Minerals Management Service
Royalty Management Program
P.O. Box 5640
Denver, CO 8021.7
Form :t.OO.Hb
(October 1992)
f!;p:~/,
~'t(;['ED STATES
DEPART¡\fiB~T OF THE INTERIOR
BUREAU OF LAND MANAGEMENT
OFFER TO LEASE AND LEASE FOR OIL AND GAS
READ INS1RUCTIONS BEFORE COMPLETING
I. Name
t'!ang,Jn ii',
.t~" :
Street
Wy
City. State, Zip Code
2. This application/offer/lease is for: (Check only One) ðJ PUBLIC DOMAIN LANDS 0 ACQUIRED LANDS (percent U.S. interest
Surface managing agency if other than BLM: Unit/Project
Legal description of land requested: .Parcel No.: .Sale Date (m/d/y):_ / --'- / _
·SEE ITEM 2 IN INSTRUCTIONS BELOW PRIOR TO COMPLETING PARCEL NUMBER AND SALE DATE.
T. R. Meridian State County
BOOK 466pRPAGE_ ;~}.L
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....! !:_,I " ~.. .
Amount remitted: Filing fee $
t, r- J., ~,11.! ~tat ~erðs '~pb)¡ld fi/r
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:1!""'n"C'::-"I'~ $'t'!"{'llIW'
f\C.k1ij¡J'I~..i1i....~\~ 411 I v. 'I'';
Rental fee $
DO NOT WRITE BELOW THIS LINE
3. Land included in lease:
T.
County
ltiY
R.
State '"'
Meridian
1\!.I.:
Total acres in lease
Rental retained $
1 (~-ft{)
2<~2J ~ ~':.if)
This lease is issued granting the exclusive right to drill for, mine. extract, remove and dispose of all the oil and gas (except helium) in the lands described in Item 3 together with the right to build
and maintain necessary improvements thereupon for the tenn indicated below, subject to renewal or extension in accordance with the appropriate leasing authority. Rights granted are subject to
applicable laws, the tenns, conditions, and attached stipulations of this lease, the Secretary of the Interior's regulations and fonnal orders in effect as of lease issuance, and to regulations and formal
orders hereafter promulgated when not. inconsistent with lease rights granted or specific provisions of this lease.
Type and primary tenn of lease:
NOTE: ThIs lease is issued to the high bidder pursuant to hIs/her duly executed bid or nomination form submitted under 43 CFR 3120 and Is subject to the provisions of that bid or
nomination and those specified on this form.
:' UNITED STA= ~ ~EM~
(S}gIíi'ng Officer)
ð, _ i. ;:.;. ~::..~ ~,,,'.-~'. t 0 ì"l
o Noncompetitive lease (ten years)
ð Competitive lease (ten ye<,\I"S)
,~,¡:,,;,¡,
~)
(Title)
EFFECTIVE DATE OF LEASE
NOV 19 1997
DEC 011997
(Date)
o Other
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FOR LmEr
(Continued on reverse)
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::_ (a) \~~,1d~~~;:1tFh,d (, ( '.' ,.
.:.late or [t~n'JLüÍ:Y tJ\t;~'~_~rl"'; I./) ~H¡
p~j..bli(:. domain m~d
Je8;';j(;S in eacb h~2s¡ng
IOí;.at>,:",d; (5) off"et<J!,' i.-:: ¡ ,
l'cqnJrerílcni:s Ü;'{ ".:¡:Ì f·:c'.: '-i_:A
(D) UOOe.l;Sigfl:3d "tg,:¡;:;;,..:~, ¡h~.~í
m" separate lc:a';¡~ ih::it .t,'!~~ i~f( ,:1"""
GFi.l.m<J:. be wiibdnw/J'A> i,>iH::"
tb01and described iu the:
IftLlk @~'Jer ~'1@1 Y~'c;
i"~Y¡'W-ii¡§. ¡II V.§"j~. ::.i'i.
GJ.~~ it~;I1i~'U'2hi~ta~fi$J;i~
aTNS of tht. Unhc<Î Sf~¡tc.o;; or of any
¡,~h-:!~;f·;h;, din:cl ,and indímct, in each
! ,; ,HuH.-:). IW ~OO,OO() aCL"e,s in
bnd~, (;ov'.;rcd by this off~;r are
;, .(J.:.,I r;.Îf: Ú)r' h .~tJ ;"", ¡"It '!Ï;:-nc\:: V/ilh r;-;:cJamat¡'on
"¡:;;L'I~\1'~,1!Iìl¡L~lij ~jiY tik\~%t: J'equh.--ed
,,:.,' f~",~W~~~lNP'~Uil~ ßi'¡At~Jle!Mt3
Duly exccuied ¡hi,
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fir-A;, 1. Rcnta1s~-~1en~al§ ¡~hr1.n k,
i\.nnual rental ratc!; p~r f.~,~¡;'~:' n:'
(:1.) HmK'ÜNi.~:-~r'¡LL"~
(i)) CCJmp~tiÔ\'(~ k;
(c) Other, .c,tO
~)~: i·:'~,;!Y,";Hkd ;',~ n~?'.)t ·~~,.'U;, ;1:
Ii this K·;~g.: 1Í:i~' i<: r~'
hj(~hJlde~ a wen C~~tA.;h.' u.: r .
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All such œwrds shall
Lcs"ee sh.JI maintain
,';H:igf.'iln~~ ¡~ !.mdcrwa.y,
íUs ;'",\,:ÚO.ì ~;h~dl he: c)os.OO to
.Ad (5 O.$.C. 552).
..k·1!j i;"_H~tí;~:¡ ¡,~:;gÜ1 !o b~ apprised
.~J; ,:i:·':',,(II,i.~\; ~ju~,( ]I)~llY he ~jifX'..0ss,ary,
~u ,,~, .h,t ¡r.~ltr;: di'~ 1::i\t'l.:tU of impacts
,.'-; " !,.i~",:· Ü~· 5¡~~Ki rrrm special
! ':!\iÜfi~;, (~·~n:'at~j)e¡{ or
;;i/ ¡ ~;: ''i\:':ln.\Äg( liiW,llWif:ipf.ite.d
: 1;;~ìMj~, ~./.'~~ä.' ~t'.z;J1 CUl8C
Ç"l' kwing eÞ~ra0t~xi hf.:lium
:; 0.'V ir~;ior at no C)f~'¡.~n;e Of
.>¡ ~:r:~!r: iff g~~s rÜ.1-: p-nwisiolls
t k::t:J,.f\' It)f damage to lessnr's h.nprovemeuts.
n~"ij i~: f(~' ,hl-'¡;~f.;t~ or h::H'ir~ 10 per50ns or property
196.5, as 2ihìeuded,
:J¡O'SÜ.Uïi: i.h¡~J!'eto, Neitl:w.:r
:?·~·'i:k~.,(~; :¡{l\I¡~: k"Y~f:. cure ~·';::;UH1~ to lessor,
t·...~ :..l·;~::';..;:,j''-.'f~. ~'.,I ?~v;l'f~!iu~':rn¡~aL rcdairn the land
,:,k ~F;¡"¡r,'fj .~~. i.h~'E", r'<.':lnOVf; equipAn(~nt and
h·.. ¡;~\.:;v· '/;n~¡"'J or ~l'iTnl1H;;ihl¡f,.: wd!s,
Ú,jh .~:' f;~nú~"r"y v.lith ,<;,¿w ~~rovis.ìon~ of this
;:/~l;(\;~j j¡d,tt:f; ~bf.n)ûf, íhis lca:;:e sh.ull
;¡'.;){:......!,.,I\:J'~~¡ \·:c.H~dn¡¡ E wdi (;aíÎ's:bl~ of IJfodu<:tion
~:': I~L~,'Htá¡~:,d to ,\~! ¡;:¡,i~~,ùtv(:d eoop.etaÛ¡fe or unit
é~ 'wdX ct:~)';Jbk Hf i,rmluctiolik of m1.itized
;: ;.,j zlad; tH-; CÜHdi.'HOrl W pf<rivent the eJ;;crci&~
~··-.)I*,},;'J~I, ~lIdÚ:H~i¡~, \;,v.'~i·(.h~t of tJ~,; d~faiia. Any such
~!''-o. n~:,· pH;~..I":r!~ ~nH,:;:H~þ.ám', )'or dì!~ SaUl(J (it~t~l¡dt occUil'ing at any other
'. ,~ iMj·;~'·l:; b__J ~i!~,~Akr!blf~ ~:ìovisions and p4'\H¡~ltjcs of fO.GR1ViA (30 U ,S.C, 1701).
,.;;J. -n;id~ ühiig.at~on of thhi le~we sh~H extend to and be
''";'Jt;r''~,' te;-;,dh It'7:n')of rìh?!.H inure to liar. heirs, executors. administrators,
:'·~;:l:"~i"ò ,:..'~ uf íh,"': n~:'F!..:cdvc p~~(Hic~¡ hen".:Îo.
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.., UNITED ST AT
DEPARTMENT OF THE I· TERIOR
BUREAU OF LAND MANAGEMENT
COMPETITIVE OIL AND GAS OR
GEOTHERMAL RESOURCES LEASE BID
30 U.S.C. 181et seq.; 30 U.S.C. 351-359;
30 U.S.C. 1001-1025; 42 U.S.C. 6508
087381.0 PARCEL NUMBER
THE BID IS FOR (Check one) :
D'Oil and Gas Parcel Number
!',
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o Geothermal Parcel Number
Name of Known Geothermal Resource Area (KGRA)
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FORM APPROVED
OMB NO. 1004-0074
Expires: November 30, 1996
:'}19
State
Date of sale
AMOUNT OF BID (See Instructions helow)
PAYMENT SUBMITTED
WITH BID
TOTAL BID
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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-43 CFR 3132; and (3) for Geothermal resources leases-43 CFR 3220. (See details concerning lease qualifìcations on reverse.)
I CERTIFY THA T 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 Tthis bid is not in violation of 18 U.S.c. 1860 which prohibits unlawful combination or intimidation of bidders. I further certify that
this bid was arrived at independently and is tendered without collusion with any other bidder for the purpose of restricting competition.
IMPORT ANT NOTICE: Execution of this form, where the offer is the high bid, constitutes a binding lease offer, including all applicable terms and
conditions. Failure to comply with the applicable laws and regulations under which this bid is made shall result in rejection ofthe bid and forfeiture of
all monies submitted. \1
City
AÄNSOft~ OSTAAHN, INC.
P.O. Box 3020
-cff~t'!~~ WY 82003
(307) 632-3944
State Zip Code
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Signature of Lessee or Bidder '/í
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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
number 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 working 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 I~as~ 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 may be executed (signed) before the oral auction. If signed
before the oral auction, this form cannot be modified without b~ing
executed again.
5. In view of the above requirement (4), bidder may wish to leave
AMOUNT OF BID section blank so that final bid amount may be
either completed by the bidder or the Bureau of Land Man¡igement
at the oral auction.
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 Geothermal 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 Sale. d
~,:;: "" '.:::r:,' _ ',' _ _< _ f ,~,~
5. If bidder is ri9ti&e sqle party i~r~i:~:~;i:\t~ the lease for which bid is
submitted,/àll other parties in interest may be required to furnish
evidence of their qualifications upon written request by the authorized
officer.
. .
Title 18 U.S.c. Section 100 I, makes it a crime for any person knowingly and willfully to make to any department or agenéý of the United States any
false, fictitious or fraudulent statements or representations as to any matter within its jurisdiction.
(Continued on revf.rse)
OPtIONAL USE COpy
Form. 3000-2 (May 1994)
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QUALIFICATIONS
. For leases that may be issued as a result ofthis sale under the Mineral
Leasing Act (The Act) of 1920, as amended, the oral bidder must: (I) Be
a citizen of the United States; an association (including partnerships and
trusts) of such citizens; a municipality; or a corporation organized under
the laws of the 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 Àct; (4) Be in compliance with
reclamation requirements for all Federal oil and gas holdings as
required by sec. ] 7 ofthe Act; (5) Not be in violation of sec. 41 of the Act;
and (6) Certify that aU parties in interest in this bid are in compliance
with 43 CFR Groups 3000 and 3100 and the leasing authorities cited
herein.
For leases that may be issued as a result of this sale under the
Geothermal Steam Act of1970, ItS amended, the bidder must: (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 51,200 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 be issued as a result of this sale under the
Department of the Interior Appropriations Act of 1981, the bidder
must: (I) Be a citizen or national of the United States; an alien lawfully
admitted for permanent residence; a private, P4blic or municipal
corporation organized under the laws of the United States or of any
State or Territory thereof; an association 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 3130 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. follQwinginformation 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
PRINCIPLE PURPOSE: The information is to be used to process your
bid.
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 investigations 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 1980 (44 U.s.C. 3501 et seq.) requires us to inform you that:
This information is being collected in accordance with 43 CFR 3120, 43 CFR 31 ~O, or 43 CFR 3220.
This information will be used to determine the bidder submitting the highest bid..
Response to this request is required to obtain a benefit.
BURDEN HOURS STATEMENT
Public reporting burden for this form is estimated to average 2 hours per response, including the time for reviewing instructions, gathering and maintaining data, and·
completing and reviewing the form. Direct comments regarding the burden estimate or any other aspect of this form to U.S. Department of the Interior, Bureau of Land
Management, (Alternate) Bureau Clearance Officer, (WO-771), 1849 C Street, N.W., Washington, D.C. 20240, and the Office of Management and Budget, PapelWork
Reduction Project (1004"()074), Washington, D.C. 20503.
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Operations will not be approved which, in the opinion of the authorized
officer, would unreasonably interfere with the orderly development and/or
production from a valid existing mineral lease issued prior to this one for
the same lands.
MULTIPLE MINERAL DEVELOPMENT STIPULATION
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0873S10
LEASE NOTICE NO. 1
WYW143677
Under Regulation 43 CFR 3101.1-2 and terms of the lease (BL~ Form 3100-11),
the authorized officer may require reasonable measures to minimize 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.
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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 frozen 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).
S. Within 1/4 mile of occupied dwellings.
6. Material sites.
GUIDANCE:
The intent of this notice is to inform 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 permittee
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 from water) have been established
based upon the best information available. However, geographical areas and
time periods of concern must 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/free use permit. At
the time operations on the above lands are commenced, notification -ill be
made to the appropriate agency. The name of the appropriate agency may be
obtained from the proper BLM District Office.
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087381.0
WYW143677
CONTROLLED SURFACE USE STIPULATION - CSU
Surface occupancy or use is subject to the following special operating
constraints.
(1) Surface occupancy or use within crucial elk winter range will be restricted
or prohibited unless the operator and surface managing agency arrive at an
acceptable plan for mitigation of anticipated impacts. This plan may include
development, operations, as well as the number, location, and maintenance of
facilities;
On the lands described below:
(2) as mapped on the Kemmerer RMP stipulations overlay;
For the purpose of:
(3) limiting winter access, protecting habitat quality, and preventing the loss
of important elk winter range.
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
this stipulation, see BLM Manual 1624 and 3101 or FS Manual 1950 and 2820.)
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WYW 143677
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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 D.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, relinquishment, 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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" ? 1"
..) '.J d