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Form 3100·11b
(October 1992)
UNITED STATES
DEPARTMENT OF THE INTERlOR \
BUREAU OF LAND MANAGEMENT
OFFER TO LEASE AND LEASE FOR OIL AND GAS
Serial No.
,,)060011 ,,\,\
WYW17...1829
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 1920, as amended and supplemented (30 U.S.C. 181
el se< .J, the Mineral Leasing Act for Acquired Lands of 1947, as amended (30 V.S.C. 351-359), the Anomey General's Opinion of April 2. 1941 (40 Op. Any. Gen. 41), or the
READ INSTRUCTIONS BEFORE COMPI.EI1NG
Future rental payments must be made
on or before the anni versary date to:
Minerals Mauagement Service
Royalty Management Program
P.O. Box 5640
Denver, CO 80217
I. Name
Street
City, State, Zip Code
MEATH LL,C
27,0.1 èßJ31N CT
CHLLE'1TE, \NY 82718
2. This application/offer/lease is for: (Check only One) IX PUBLIC DOMAIN LANDS 0 ACQUIRED LANDS (percent U.S. interest
Surface managing agency if other than BLM: Unit/Project
Legal description of land re< uested: 'Parcel No.: 'Sale Date (m/d/y):_/ _/_
'S1!;E ITEM 21N INSTRUCTIONS BELOW PRIOR TO COMPLETING PARCEL NUMBER AND SALE DATE,
T. R. Meridian State County
RECEIVED 3/20/2008 at 4:22 PM
RECEIVING # 937713
BOOK: 690 PAGE: 1
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER. WY
Amount remined: Filing fee S
Rental fee S
Total acres applied for
Total S
DO NOT WRITE BELOW THIS LINE
3. Land included in lease:
T.
0230N
Se.;). . 004
004
üû9
009
016
021
028
028
R. H80\iV
LOTS 8~
S2NE,SE;
LQTS } ..479;
NE,SENW;
LOTS 1,10;
LOTS 15;
LOTS 4,14~
SENE;
Meridian
OÚlh
State
Wy
County
Lincoln
Total acres in lease
Rental retained S
736.250
I 105.50
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 term indicated below, subject to renewal or extension in accordance with the appropriate leasing authority. Rights granted are subject to
applicable laws, the terms, conditions. and attached stipulations of this lease, the Secretary of the Interior's regulations and formal 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.
NOTE: This lease Is Issued to the high bidder pursWÌnt to his/her duly executed bid or nomination fonn submitted under 43 CFR 3120 and is subject to the provisions of that bid or
nomination and those speclfted on this fonn.
o Other
:EUN'rnDþ~. '"'~
~
Chiet~ Bmm~h of FJ¡.Jid Mine.mls Ad1U(tíc~lìOf\ ~ 1 4 ?ODS
(Title) (Date)
EFFECTIVE DATE OF LEASE -At't( V 1 (.I lùB
Type and primary term of lease:
o Noncompetitive lease (ten years)
[](Competitive lease (ten years)
(Continued on reverse)
FðR"LEËSSEE
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Form 3000-).".,
(JanuJry-2Ó07)
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UNITED STATES , .~ _.
DEPARTMENT OF THE INrERiOR1~' 000003
BUREAU OF LAND MANAdËNÍENT -',- -"-;
COMPETITIVE OIL AND GAS OR
GEOTHERMAL RESOURCES LEASE BID
30 U.S.C. 181 et seq.; 30 U.S.C. 351-359;
30 U.S.C.1001-1025; 42 U.S.C. 6508
FORM APPROVED .'
OMB NO. 1004-0074
Expires: December 31, 2009
State
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PARCEL NUMBER
Date of Sale
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AMOUNT OFBID (see instructions below)
PAYMENT SUBMITTED
WITH BID
TOTAL BID
THE BID IS FOR (check one):
tÇJOil and Gas Parcel Number
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DGeothennal Parcel Number
Name of Known Geothennal Resource Area (KGRA)
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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 Geothennal resources leases--43 CFR 3220, (See details concerning lease qualifications on next page.)
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 THAT this 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 col\usion with any other bidder for the purpose of restricting competition.
IMPORTANT NOTICE: Execution of this form w,here the offer is the high bid, constitutes a binding lease offer inc1)lding al\ applicable terms and
conditions. Failure to compl~ with the a~plicable la.J.s ap.d regulations under ",;~ich this bid is!!J~d\ìil~JIJ::fèsuIt,i~.Jej&tion ofth~<f;bîa and forfeiture of
al\ monies submitted.~~:¿;J' ,.' ":-;-2" ¿// r.r./ (<'if /'<'(i~\;:r'·.~';;'.J'¿"'-. .P'<,'~.,
:'t.~~::;;'(~fL<>o:;· ¿.; ,~ørf¡<$ ~(~,,~;;y
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f^ Addr,c;ss,l~f Lessee / ,,_"
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INSTRUCTIONS FOR OIL AND GAS BID
(Except NPR-A)
I. Separate bid for each parcel is required. Identify parcel by the parcel
number assigned in the Notice o/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 Bureau of Land
Management (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 the 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 of their qualifications upon written request by the BLM,
4. This bid may be 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), the bidder may wish to leave the
AMOUNT OF BID section blank so that final bid amount may be
either completed by the bidder or the BLM at the oral auction.
INSTRUCTIONS
INSTRUCTIONS FOR GEOTHERMAL OR
NPR-A OIL AND GAS BID
I, Separate bid for each parcel is required. Identify the parcel by the
number assigned to a tract.
2, Bid must be accompanied by one-fifth of the total amount of the bid.
The remittance must be in the form specified in 43 CPR 3220.4 for a
Geothermal Resources bid and 3132.2 for a NPR-A lease bid.
3, Mark the 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 the 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 o/Competitive Lease Sale. .;;4
5. If the bidder is not the sole party in interest in the lease for which
bid is submitted, all other parties in interest may be required to
furnish evidence of their qualifications upon written request by the
BLM,
Title 18 U,S,C, Section 1001 and Title 43 U,S,C. Section 1212 make it a crime for any person knowingly and willfully to make to any department or agency of the United States
any false, fictitious or fraudulent statements or representations as to any matter within its jurisdiction.
(Continued on page 2)
OPTIONAL USE COPY
QUALIFICATIONS
For leases that may be issued as a result of this sale under the Mineral Leasing Act (The Act) of 1920; as amended, the oral
bidder must: (l) 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 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 of sec. 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.
For leases that may be issued as a result of this sale under tli'\) Geothermal Steam Act of 1970, as amended, the bidder must: (1)
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: (1) Be a citizen or national of the United States; an alien lawfully admitted for pennanent residence; a private, public 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) Certi(y that all parties in interest in this bid are in
compliance with 43 CFR Part 3130 and the leasing authorities cited herein.
NOTICES
The Privacy Act of 1974 and the regulation in 43 CFR 2A8(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 US.c. 181 et seq,; 30 US.C. 351-359; 30 US.C. 1001-1025; 42 V.S.C. 6508
PRINCIPAL PURPOSE: The information is to be used to process your bid.
ROUTINE USES: (1) 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 prosecutions.
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 US.C. 3501 et seq.) requires us to inform you that:
This information is being collected in accordance with 43 CFR 3120, 43 CFR 3130, or 43 CFR 3220.
The BLM collects this information to determine the bidder submitting the highest bid.
Response to this request is required to obtain a benefit.
The BLM would like you to know that you do not have to respond to this or any other Federal agency-sponsored
information collection unless it displays a currently valid OMB control number,
BURDEN HOURS STATEMENT: Public reporting burden for this form is estimated to average 10 minutes 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 US. Department of the Interior, Bureau
of Land Management (1004-0074), Bureau Information Collection Clearance Officer (WO-630), 1849 C Street, N.W., Mail
Stop 401 LS, Washington, D.C. 20240.
(Fonn 3000-2, page 2)
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00000'41
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MULTIPLE MINERAL DEVELOPMENT STIPULATION
Operations will not be approved which, in the opinion ofthe 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.
THIS STIPULATION APPLIES TO ALL PARCELS
LEASE NOTICE NO.1
000006
Under Regulation 43 CFR 3101.1-2 and terms of the lease (BLM 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.
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 OCCÚf.
4. Within 500 feet ofInterstate 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 inform interested parties (potential lessees, pennittees, 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 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 intennittent and ephemeral water somces 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 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.
THIS NOTICE APPLIES TO ALL PARCELS
WYW!{~V~
LEASE NOTICE NO.2
_O_~_O_OOJ
BACKGROUND:
The Bureau of Land Management (BLM), by including National Historic Trails within its National Landscape
Conservation System, has recognized these trails as national treasures. Our responsibility is to review our strategy
for management, protection, and preservation of these trails. The National Historic Trails in Wyoming, which
include the Oregon, California, Monnon Pioneer, and Pony Express Trails, as well as the Nez Perce Trail, were
designated by Congress through the National Trails System Act (P,L. 90-543; 16 U.S.C. 1241-1251) as amended
through P.L. 106-509 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, ExecutiveOrder 13195, "Trails for America in the 21 sl Century," signed
January 18, 2001, states in Section 1: "federal agencies wilI...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 purpose 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 offacilities 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, supra, to detennine if any design, siting, timing, or reclamation requirements are
necessary. This strategy is necessary until the BLM detennines 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 fu)) 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 ofthis notice is to infonn interested parties (potential lessees, pennittees, operators) that when any oil and
gas lease contains remnants of National Historic Trails, or is located within the viewshed of a National Historic
Trails' designated centerline, surface disturbing activities will require the lessee, pennittee, 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.
THIS NOTICE APPLIES TO ALL PARCELS
SPECIAL LEASE STIPULATION
000008
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
11
000009
WYW174829
TIMING LIMITATION STIPULATIONS - TLS
No surface use is allowed during the following time period(s). This stipulation does not apply to
operations and maintenance of production facilities.
(1) Mar 15 to Ju115;
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 changes. (For guidance on the use of the stipulation, see BLM Manual 1624 and 3101 or FS
Manual 1950 and 2820.)
000010
WYW174829
TIMING LIMITATION STIPULATIONS - TLS
No surface use is allowed during the following time period(s). This stipulation does not apply to
operations and maintenance of production facilities.
(1) May 1 to Jun 30;
On the lands described below:
(2) as mapped on the Kemmerer Field Office GIS database;
For the purpose of (reasons):
(3) protecting big game during parturition.
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.)
~O,0011
WYW174829
TIMING LIMITATION STIPULATIONS - TLS
No surface use is allowed during the following time period(s). This stipulation does not apply to
operations and maintenance of production facilities.
(1) Nov 15 to Apr 30;
On the lands described below:
(2) as mapped on the Kemmerer Field Office GIS database;
For the purpose of (reasons):
(3) protecting big game on crucial 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 ofthe stipulation, see BLM Manual1624 and 3101 or FS
Manual1950 and 2820.)
000012
WYW174829
CONTROLLED SURFACE USE STIPULATION - CSU
Surface occupancy or use is subject to the following special operating constraints.
(1) Surface occupancy oruse 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 Class I and II Visual Resource Management Areas.
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 Manua11624 and 3101 or FS
Manual 1950 and 2820.)
ûOOO1.3
WYW174829
CONTROLLED SURFACE USE STIPULATION - CSU
Surface occupancy or use is subject to the following special operating constraints.
(1) Surface occupancy or use within crucial big game winter range will be restricted or prohibited unless the
operator and surface mana,ging 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 Field Office GIS database;
For the purpose of:
(3) limiting winter access, protecting habitat quality, and preventing the loss of crucial big game 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 the stipulation, see BLM Manual 1624 and 3101 orFS
Manual 1950 and 2820.)
Wi...... .--.
ATTACHMENT TO EACH LEASE
NOTICE TO LESSEE
OOOOj.4
Provisions ofthe 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 tenns 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., anns-Iength 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 ofthis lease due to noncompliance with Section 2(a)(2)(A).
Infonnation 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.