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FORM 2800-14
(August 1985)
RECEIVED 8/29/2008 at 10:25 AM
RECEIVING # 941732
BOOK: 703 PAGE: 520
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
Issuing Office
KEMMERER FIELD OFFICE
UNITED STATES
DEPARTMENT OF THE INTERIOR
BUREAU OF LAND MANAGEMENT
RIW GRANT
000520
SERIAL NUMBER WYW-171144
1. A Right of Way is hereby granted pursuant to Section 28 Of the Mineral Leasing Act of 1920 as
amended (3D U.S.C. 185).
2. Nature of Interest:
a. By this instrument, the holder:
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Mountain Gas Resources Inc.
1099 18th St. Suite 1200
Denver, CO 80202-1955
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receives a right to construct, operate, maintain, and terminate a 6-inch natural gas pipeline from
the Ballerina 24-2 well, on public lands described as follows:
Sixth Principal Meridian, Lincoln County, Wyoming,
T. 21 N., R. 113 W.
sec: 2, E2SW.
b.
The permit area granted herein is 50 feet wide, 1279 feet long and contains 1.468 acres, more
or less.
c.
This instrument shall terminate on December 31, 2036, unless, prior thereto, it is relinquished,
abandoned, terminated, or modified pursuant to the terms and conditions of this instrument or of
any applicable Federal law or regulation.
d.
Notwithstanding the expiration of this instrument or any renewal thereof, early relinquishment,
abandonment, or termination, the provisions of this instrument, to the extent applicable, shall
continue in effect and shall be binding on the holder, its successors, or assigns, until they have
fully satisfied the obligations and/or liabilities accruing herein before or on account of the
expiration, or prior termination, of the permit.
3.
Rental:
For and in consideration of the rights granted, the holder agrees to pay the Bureau of Land
Management fair market value rental as determined by the authorized officer unless specifically
exempted from such payment by regulation. Provided, however, that the rental may be
adjusted by the authorized officer, whenever necessary, to reflect changes in the fair market
rental value as determined by the application of sound business management principles, and so
far as practicable and feasible, in accordance with comparable commercial practices.
4. Terms and Conditions: ð 3 c). 'gi OÐO
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a.
This permit is issued subject to the holder's compliance with all applicable regulations contained
in Title 43 Code of Federal Regulations part 2800.
b.
In the event that the public land underlying the right-of-way (ROW) encompassed in this grant,
or a portion thereof, is conveyed out of Federal ownership and administration of the ROW or the
land underlying the ROW is not being reserved to the United States in the patenUdeed and/or
the ROW is not within a ROW corridor being reserved to the United States in the patenUdeed,
the United States waives any right it has to administer the right-of-way, or portion thereof, within
the conveyed land under Federal laws, statutes, and regulations, including the regulations at 43
CFR Part [2800][2880], including any rights to have the holder apply to BLM for amendments,
modifications, or assignments and for BLM to approve or recognize such amendments,
modifications, or assignments. At the time of conveyance, the patentee/grantee, and their
successors and assigns, shall succeed to the interests of the United States in all matters
relating to the right-of-way, or portion thereof, within the conveyed land and shall be subject to
applicable State and local government laws, statutes, and ordinances. After conveyance, any
disputes concerning compliance with the use and the terms and conditions of the ROW shall be
considered a civil matter between the patentee/grantee and the ROW Holder.
c.
Upon permit termination by the authorized officer, all improvements shall be removed from the
public lands within 90 days, or otherwise disposed of as provided in paragraph (4)(d) or as
directed by the authorized officer.
d.
Each permit issued for a term of 20 years or more shall, at a minimum, be reviewed by the
authorized officer at the end of the 20th year and at regular intervals thereafter not to exceed 10
years. Provided, however, that a permit granted herein may be reviewed at any time deemed
necessary by the authorized officer.
e.
The stipulations, plans, maps, or designs set forth in Exhibits A and 8, dated November 16,
2007 attached hereto, are incorporated into and made a part of this permit instrument as fully
and effectively as if they were set forth herein in their entirety.
f.
Failure of the holder to comply with applicable law or any provision of this permit shall constitute
grounds for suspension or termination thereof.
The holder shall perform all operations in a good and workmanlike manner so as to ensure
protection of the environment and the health and safety of the public.
h.
The holder shall construct, operate, and maintain the facilities, improvements, and structures
within this right-of-way in strict conformity with the plan of development which was approved and
made part of the permit on November 16, 2007. Any relocation, additional construction, or use
that is not in accord with the approved plan of development, shall not be initiated without the
prior written approval of the authorized officer. A copy of the complete permit, including all
stipulations and approved plan of development, shall be made available on the right-of-way area
during construction, operation, and termination to the authorized officer. Noncompliance with
the above will be grounds for immediate temporary suspension of activities if it constitutes a
threat to public health and safety or the environment.
i.
Any cultural and/or paleontological resource (historic or prehistoric site or object) discovered by
OOô522
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the holder, or any person working on his behalf, on public or Federal land shall be immediately
reported to the authorized officer. Holder shall suspend all operations in the immediate area of
such discovery until written authorization to proceed is issued by the authorized officer. An
evaluation of the discovery will be made by the authorized officer to determine appropriate
actions to prevent the loss of significant cultural or scientific values. The holder will be
responsible for the cost of evaluation and any decision as to proper mitigation measures will be
made by the authorized officer after consulting with the holder.
j. The holder shall conduct all activities associated with the construction, operation, and
termination of the right-of-way within the authorized limits of the right-of-way.
k. Except rights-of-way expressly authorizing a road after construction of the facility is completed, the
holder shall not use the right-of-way as a road for purposes other than routine maintenance as
determined necessary by the authorized officer in consultation with the holder.
I. The holder shall seed all disturbed areas with the seed mixture listed below. The seed mixture
shall be planted in the amounts specified in pounds of pure live seed (PLS)/acre. There shall be
no primary or secondary noxious weed seed in the seed mixture. Seed shall be tested and the
viability testing of seed shall be done in accordance with State law(s) and within nine months
prior to purchase. Commercial seed shall be either certified or registered seed. The seed
mixture container shall be tagged in accordance with State law(s) and available for inspection
by the authorized officer.
Seed shall be planted using a drill equipped with a depth regulator to ensure proper depth of
planting where drilling is possible. The seed mixture shall be evenly and uniformly planted over
the disturbed area. (Smaller/heavier seeds have a tendency to drop to the bottom of the drill
and are planted first. The holder shall take appropriate measures to ensure this does not
occur.) Where drilling is not possible, seed shall be broadcast and the area shall be raked or
chained to cover the seed. When broadcasting the seed, the pounds per acre noted below are
to be doubled. The seeding will be repeated until a satisfactory stand is established as
determined by the authorized officer. Evaluation of growth will not be made before completion
of the second growing season after seeding. The authorized officer is to be notified a minimum
of ten days prior to seeding of the project.
Seed mixture may be selected from information found at:
http://www.pinedaleonline.com/brochuresmaps/seedmixbrochure. pdf
Pure Live Seed (PLS) formula: % of purity of seed mixture times % germination of seed mixture
= portion of seed mixture that is PLS.
m. No routine maintenance activities shall be performed during periods when the soil is too wet to
adequately support construction equipment. If such equipment creates ruts in excess of four
inches deep, the soil shall be deemed too wet to adequately support construction equipment.
n. The Holder shall be responsible for total control of all invasive/noxious weed species on any and
all disturbed sites, including areas outside the development where weeds have established due
to project installation and development. If at all possible all vehicles and equipment used for
000523 4
project construction and developments should be power or high pressure washed prior to
entering the project area. Guidelines in Partners Against Weeds, An Action Plan for the Bureau
of Land Management needs to be followed as outlined in Appendix 4 as a prototype for weed
prevention measures on public lands.
The Holder is responsible for consultation with the Authorized Officer and/or local authorities for
acceptable weed control methods, and shall comply with the following:
Use of pesticides shall comply with all applicable Federal and State laws. Pesticides shall be
used only in accordance with their registered uses within limitations imposed by the Secretary of
the Interior. Prior to the use of the pesticides, the Holder shall obtain from the Authorized
Officer, written approval of a Pesticide Use Proposal Plan showing the type and quantity of
material to be used, pest(s) to be controlled, method of application, locations of storage and
disposal of containers, and any other information deemed necessary by the Authorized Officer.
Only those chemicals (pesticides and herbicides) listed on the BLM approved label list are
authorized for use on public lands. A Pesticide Use Proposal (PUP) must be submitted for each
chemical used, and it cannot be used until approval has been obtained in writing from the BLM
authorized officer. The report needs to include any surfactants or dyes used in the spraying
operation.
Applicator(s) of chemicals used must have completed the pesticide certification training and
have a current up to date Certified Pesticide Applicator's License.
Pesticide Application Records for the areas and acres treated must be submitted to the BLM
Kemmerer Field Office each year. This includes the following:
Brand or Product name
EPA registration number
Total amount applied (use rate #A.I./acre)
Date of application
Location of application
Size of area treated
Method of treatment (air/ground)
Name of applicator
Certification number and dates
Costs to treatment
Amount of surfactants or dyes used in spraying operation
The record information must be recorded no later than 14 days following the pesticide
application and must be maintained for ten years.
o. The holder of Right-of-Way No. WYW-171144 agrees to indemnify the United States against
any liability arising from the release of any hazardous substance or hazardous waste (as these
terms are defined in the Comprehensive Environmental Response, Compensation and Liability
Act of 1980, 42 U.S.C. 9601, et sea. Or the Resource Conservation and Recovery Act of 1976,
42 U.S.C. 6901 et sea.) On the right-of-way (unless the release or threatened release is wholly
unrelated to the right-of-way holder's activity on the right-of-way). This agreement applies
without regard to whether a release is caused by the holder, its agent, or unrelated third parties.
(,005221 5
p. Authorized construction, routine maintenance, or surface disturbance is not allowed during the
period from March 15 to July 15 for the protection of sage grouse nesting and brood rearing
habitat.
The holder may request an exception in writing to the above stipulation. Any exceptions to the
stipulation must be approved in writing by the authorized officer prior to conducting any surface
disturbing or prior to conducting activities disruptive to wildlife. The exception request must
explain the reason(s) for the exception, why the proposed activities will not impact the species
or their habitat, and the dates for which the exception is requested. Data supporting the
exception must accompany the written request.
q. Authorized construction, routine maintenance, or surface disturbance is not allowed during the
period from November 15 through March 14 for the protection of Sage Grouse Winter Habitat.
The holder may request an exception in writing to the above stipulation. Any exceptions to the
stipulation must be approved in writing by the authorized officer prior to conducting any surface
disturbing or prior to conducting activities disruptive to wildlife. The exception request must
explain the reason(s) for the exception, why the proposed activities will not impact the species
or their habitat, and the dates for which the exception is requested. Data supporting the
exception must accompany the written request.
r. Ninety days prior to termination of the right-of-way, the holder shall contact the authorized
officer to arrange a joint inspection of the right-of-way. This inspection will be held to agree to
an acceptable termination (and rehabilitation) plan. This plan shall include, but is not limited to,
removal of facilities, drainage structures, or surface material, recontouring, topsoiling, or
seeding. The authorized officer must approve the plan in writing prior to the holder's
commencement of any termination activities.
IN WITNESS WHEREOF, The undersigned agrees to the terms and conditions of this permit.
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(Signature of Holder) (Signatuli f Authorized Officer)
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(Title) (Title)
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l ~ate) (Effective Date of Permit)
EXHIBIT "A"
WYW-171144
November 16, 2007
Proposed
Ballerina #24-2 Well Connect
Page 1, Section 7
Gas Gathering Line Application
000525
A) One buried 6 inch natural gas pipeline, approximately 1,279 feet in length, of which 1,279
feet of the pipeline are on Federal lands, to connect the proposed:
Ballerina #24-2 well that is staked in the SEV4SWV4 of Section 2, T21N, R113W, of Lincoln
County, Wyoming;
to a portion of the existing Ballerina #30-2 pipeline that is in the SWV4 of Section 2, T21N,
R113W, of Lincoln County¡ Wyoming;
Topographic Map(s): Cow Hollow Creek;
B) Valves and appurtenances to control flow; meter runs as needed,
C) 1,279 feet of permanent right-of-way (ROW), 50 feet wide, containing ±1.468 acres.
D) The Length of term for the ROW is requested for a period of thirty (30) years with options to
renew for as long as there are marketable quantities of gas available
E) Year around.
F) Up to 3;500 MCFD of natural gas and associated liquids from each well.
G)
Planned construction of the pipeline will begin upon receipt of ROW Grant. It will take
approximately seven (7) working days to complete construction of this project.
. .
H) No temporary work areas needed.
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PLAN OF DEVELOPMENT
To Accompany
Ballerina #24-2 Well Connect
Gas Gathering line Application
000526
I. PROJECT DESCRIPTION
The buried 6 inch steel pipeline will head in a Northwesterly direction from the proposed
Ballerina #24-2 well that is staked in the SEV4SWV4 of Section 2, Township 21 North, Range
113 West, to a portion of the eXisting Ballerina #30-2 pipeline that is in the SWV4 of Section
2, Township 21 North, Range 113 West, in Lincoln County, Wyoming.
The total length of the ROW is approximately 1,279 feet, of which 1,279 feet of the pipeline
are on Federal lands. A 50 foot wide corridor is requested for construction, operational and
maintenance purposes, containing ±1.468 acres.
The pipeline will consist of a 6 inch pipe, 0.156 inch wall thickness, Grade X-42 pipe with a
maximum operating pressure of approximately 1200 psig. The average operating
temperature of the pipeline is between 50 OF and 60 of.
Associated facilities include valving and metering.
All permanent above ground facilities, piping, and valving will be a flat, non-contrasting color
harmonious with the surrounding landscape. Present warehouse stock colors comprise of
either Carlsbad Canyon (2.SY 6/2), Desert Brown (10 YR 6/3), and Shale Green (SY 4/2).
II. RECONNAISSANCE AND LOCATION
. ,
Reconnaissance reveals that the route selected was the most practical route in relation to
the well location and the nearest collector pipeline.
No other alternatives were considered because the proposed route utilizes existing surface
scars as much as possible.
III. ANCILLARY RIGHTS OF WAY AND PERMITS
MGR will secure all rights of way on adjacent non-federal lands prior to pipeline construction.
MGR will notify authorized ROW users of MGR's proposed pipeline crossings or overlaps on
the grounds occupied by the affected ROW users. Any associated road and utility permits
will be secured from the appropriate regulatory agency prior to construction. All equipment
and vehicular access into the pipeline project will be confined to existing roads and the
established ROW corridor. No major reconstruction or rerouting of these roads is intend~
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IV.
DESIGN
600527
The design, construction, engineering, maintenance and Inspection of the proposed
pipeline will be directed by MGR personnel.
V. CONSTRUCTION
All design, material, and construction, operation, maintenance, and termination
practices shall be in accordance with safe and proven engineering practices.
All equipment and vehicular access into the pipeline project will be confined to
existing roads and the established ROW corridor. No major reconstruction or
rerouting of these roads is intended.
Construction sites shall be maintained in a sanitary condition at all times; waste
materials at those sites shall be disposed of promptly at an appropriate waste
disposal site. "Waste" means all discarded matter Including human waste, trash,
garbage, refuse, oil drums, petroleum products, ashes and equipment.
A litter policing program shall be implemented by the holder, and approved of in
writing by the authorized officer, which covers all roads and sites associated with the
ROW.
Pipeline construction will commence when all permits and ROW documents have
been secured.
MGR will notify the authorized officer 5 days in advance of starting any construction
activities, All private surface landowners will be contacted prior to construction for
access ~'1d surface us~ge.
MGR will not allow any construction or routine maintenance activities during periods
when soil is too wet to adequately support construction equipment. If such
equiprn~nt creates surface ruts in excess of 4 inches deep, MGR will deem that soil
conditions are too wet to adequately support construction equipment. Construction
activities will not be allowed until soil conditions improve.
Winter construction will not proceed/continue if the frost is deeper than one-foot.
Frost less than one-foot deep will be stockpiled as topsoil. The BlM will be contacted
prior to construction in winter conditions.
Construction of the proposed pipeline will occur in a planned sequence of pipeline
operations along the route. The construction period will commence as follows:
Seven (7) working days contingent upon weather conditions.
All construction materials will be hauled to the job by truck, as needed, and strung
along the ROW as it arrives. Pipe will be strung in such a manner as to cause the
least interference with the normal use of the land crossed by the ROW. A motor
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grader with a blade will be used to knock down vegetation¡ such as sage brush
within as much of the permanent ROW as is needed to provide a safe working area.
A minimum of the top six inches of soil¡ more or less if the BLM deems necessary¡
will be stock piled on the side of the ROWand spread back over the area from which
it was taken¡ after the final grading. Spoil and topsoil would be windrowed
separated along the nonworking side of the trench, (If approved in writinq bv the
authorized officer MGR will use a brush hoq to cut down veqetation, such as saqe
brush within as much of the ROW as is needed, no topsoil will be bladed to the side
of the ROW. Except in cases where veqetation is too dense to be removed or in the
interest of providinq a safe workinq area.)
A wheel trencher will be used to dig a trench to an average depth of 48 inches¡
stacking the dirt beside the ditch. After the pipe is placed in the ditch a motor
grader or caterpillar will be used to push the dirt back into the trench. The fill on the
trench will then be tamped into place with the grader wheels¡ leaving a berm of four
inches to accommodate settling. Disturbance of the top soil within the ROW will be
kept to a minimum. In areas of excessively steep hillsides or to provide a smooth
approach to a cut or gully¡ as well as at stream bank crossings and at established
work stations¡ some blading may be required to provide a safe and suitable working
area for the equipment and workers, When this occurs the top six inches of soil will
be stock piled on the side of the ROWand spread back over the area from which it
was taken, after the final grading. Before seeding any disturbed areas (if
applicable), the ROW will be restored to its original form, slope, contour¡ and soil
density to the extent practicable.
The construction- force is expected to number approximately eight to ten persons at
the peak of construction. No temporary work camps are proposed.
The following is a list of f.:onstruction equipment proposed on the pipeline project:
a. 2 Welding Trucks
b. 1 Tractor Trailer
c. 1 Two Ton Truck
d. 4 Pickup Trucks
e. 1 Seed Driller and Tractor (if applicable)
f. 1 Backhoe
g. 1 Trackhoe
h. 1 Side Boom Caterpillar
i, 1 Trencher
j. 1 Caterpillar Dozer
After pipeline construction is completed, pipeline markers will be installed at specified
intervals for identifying the pipe's location.
No toxic substances are proposed for use in connection with the construction
project; however if toxic substances are required, usage shall conform with
provisions of the Toxic Substances Control Act of 1976, as amended (40 CFR Part
702-799). Any release of toxic substances (leaks, spills, etc.) in excess of the
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reportable quantity as established by 40 CFR Part 117,3 shall be reported as required 00ô529
by the Comprehensive Environmental Response, Compensation, and Liability Act,
Section 102 B. A copy of any requested report required by any Federal or State
agency of a reportable release or spill of any hazardous material shall be furnished to
the authorized officer within 5 working days of the occurrence of the spill or release.
The holder(s) shall comply with all applicable Federal laws and regulations existing or
hereafter enacted or promulgated. In any event, the holder(s) shall comply with the
Toxic Substances Control Act of 1976, as amended (15 U.S.c. 2601, et seq.) with
regard to any toxic substances that are used, generated by or stored on the ROW or
on facilities authorized under this ROW grant.(See 40 CFR, Part 702-799 and
especial/y, provisions on polychlorinated biphenyls, 40 CFR 761.1-761.193.)
Additionally, any release of toxic substances (leaks, spills, etc.) in excess of the
reportable quantity established by 40 CFR, Part 117 shall be reported as required by
the Comprehensive Environmental Response, Compensation and Liability Act of
1980, Section 102b. A copy of any report required or requested by any Federal
agency or State government as a result of a reportable release or spill of any toxic
substances shall be furnished to the authorized officer concurrent with the filing of
the reports to the involved Federal agency or State government.
The holder of ROW No, agrees to indemnify the United States against any
liability arising from the release of any hazardous substance or hazardous waste (as
these terms are defined in the Comprehensive Environmental' Response,
Compensation and Liability Act of 1980, 42 U,S.c. 9601, et seq. or the Resource
Conservation and Recovery Act of 1976,42 U.S.C.6901 et seq.) on the ROW (unless
the release or threatened release is wholly unrelated to the ROW holder's activity on
the ROW. This agreement applied without regard to whether a release is caused by
the holder, its agent, or unrelated third parties.
,
Western Gas Resources, Inc. will not conduct hydrostatic testing on the pipeline, it's
Western Gas Resources, Inc. and its subsidiaries policy not to conduct hydrostatic
testing on pipelines less than 26,400 feet in length therefore no water will not be
used ~o test this pipeline.
IV OPERATION AND MAINTENANCE
The pipeline will be routinely patrolled and inspected by foot or by vehicle to check
for problems such as erosion, ROW condition, unauthorized encroachment on the
ROWand any other situations that could cause a safety hazard or require preventive
maintenance. If damage shall occur to the pipe from external sources, repair or
replacement of the portion of the pipeline may be necessary. Detailed line break and
emergency procedures are used as routine operational procedures of MGR.
The holder shall conduct all activities associated with the construction, operation,
and termination of the ROW within the authorized limits of the ROW.
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VII
STABILIZATION AND ABANDONMENT
Following the completion of the pipeline, the ROW traversed by the pipeline
construction will be restored in accordance with the landowner's requirement, or
those agencies having jurisdiction. All disturbed areas will be re-contoured so that
the disturbed area blends into the surrounding terrain. Appropriate measures will be
taken to prevent erosion through the use of construction diversion terraces, rip-rap,
matting, and water bars.
All disturbed areas along the pipeline corridor will be reseeded to the landowner's or
regulatory agency's specifications. Seed will be planted uSing a drill and in areas not
suitable for drilling, the seed will be broadcasted and raked or chained to cover the
seed. The application rate and seed mixture will comply to the landowner's or
regulatory agency's specifications.
Upland Sites Seed Mix
Scecies
Varietv
Drill Seedina Rate
Western wheatgrass
Thickspike wheatgrass
Indian Ricegrass
Shadscale saltbush
Globemallow
Rosanna
Critana
Nezpar
6 Ibs/acre PLS
6 Ibs/acre PLS
3 Ibs/acre PLS
3 Ibs/acre PLS
0.5 Ibs/acre PLS
Total
18.5 Ibs/acre
Salin LOwlands SeedMix
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Scecies
Western wheatgrass
Bottle.brush squirreltail
Gardner saltbush
Indian ricegrass
Varietv
Rosanna
Drill Seedina Rate
6 Ibs/acre PLS
3 Ibs/acre PLS
2 Ibs/acre PLS
4 Ibs/acre PLS
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15 Ibs/acre
Wet Meadow/Marsh Seed Mix
Scecies
Alkali sacaton
Nebraska sedge
Tufted hairgrass
Alkali grass
Varietv
Drill Seedina Rate
3 Ibs/acre PLS
1 Ibs/acre PLS
2 Ibs/acre PLS
4 Ibs/acre PLS
Total
10 Ibs/acre
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Pure Live Seed (PLS) formula: % of purity of seed mixture times % germination of
seed mixture= portion of seed mixture that is PLS.
If pesticides are required, MGR will comply with all applicable Federal and State laws.
Pesticides will be used in accordance with registered uses and within limitations
imposed by the Secretary of Interior. Before using pesticides, (including emergency
situations, MGR will obtain from the authorized officer a written approval of a plan
showing the type and quantity of material used, pest(s) to be controlled, method of
application, location of storage, disposal of containers, and any other information
deemed necessary.
MGR will be responsible for weed control on the disturbed areas within the
established limits of the ROW. MGR will coordinate with the authorized officer or
local authorities, to obtain acceptable weed control methods for the disturbed areas
within the ROW limits.
MGR will obtain any necessary authorization to abandon the facilities from the
appropriate regulatory agency, The pipeline will be capped and abandon in place,
aboveground pipeline facilities will be removed and all unsalvageable materials will
disposed of at authorized sites. Re-grading and re-vegetation of disturbed land
areas (if applicable) will be completed as necessary.
Ballerina #24-2
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VIII
(::00532
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EXHIBIT "B"
WYW-171144
November 16, 2007
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PROPOSED PIPELINE
FOR
MOVNTAIN GAS RESOURCES, INC.
TOTAL PROPOSED LENGTH: 1,278.9'1:
PROPOSED PIPELINE - - - - - - EXISTING ROAD