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HomeMy WebLinkAbout956543FORM 2800 -14
(August 1985)
3. Rental:
Ernest Thornock
1403 Pine Creek Road
Cokeville, WY 83114
6 PM, T. 25 N., R. 118 W.,
section 33, Lot 26;
Lincoln County, Wyoming,
4. Terms and Conditions:
RECEIVED 11/5/2010 at 12:17 PM
RECEIVING 956543
BOOK: 756 PAGE: 703
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
UNITED STATES
DEPARTMENT OF THE INTERIOR
BUREAU OF LAND MANAGEMENT
R/W GRANT
SERIAL NUMBER WYW- 171120
Issuing Office
KEMMERER FIELD OFFICE
00u703
1. A Right -of -Way is hereby granted pursuant to Title V of the Federal Land Policy and Management Act of
October 21, 1976 (90 Stat. 2776; 43 U.S.C. 1761).
2. Nature of Interest:
a. By this instrument, the holder:
receives a right to construct, operate, maintain and terminate an access road to private property on public
lands described as follows:
b. The permit area granted herein is 60 feet wide, 420 feet long. The right -of -way contains 0.58 acres, more
or less.
c. This instrument shall terminate on December 31, 2037, 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.
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.
00'0'704 2
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. 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.
c. 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.
d. The stipulations, plans, maps, or designs set forth in Exhibits A and B, dated August 27, 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.
e. Failure of the holder to comply with applicable law or any provision of this permit shall constitute
grounds for suspension or termination thereof.
f. 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.
g. 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 August 27, 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.
h. Construction activities will not be conducted using frozen or saturated soils or during periods when water
shed damage is likely to occur.
Any cultural and /or paleontological resource (historic or prehistoric site or object) discovered by 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. 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 project construction
and developments should be power or high pressure washed prior to entering the project area. Guidelines
00 705
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.
3
1. Failure of the holder to share maintenance cost in dollars, equipment, material, or manpower
proportionate to grantee's use with other authorized users may be adequate grounds to terminate the right
of-way grant. The determination as to whether this has occurred and decision to terminate shall rest with
the authorized officer. Upon request, the authorized officer shall be provided with copies of any
maintenance agreement entered into.
m. If snow removal from the road is undertaken, equipment used for snow removal operations shall be
equipped with shoes to keep the blade 2 inches off the road surface. Holder shall take special precautions
where the surface of the ground is uneven and at drainage crossings to ensure that equipment blades do
not destroy vegetation.
n. The holder of Right -of -Way No. WYW- 171120 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 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.
o. 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 to
(Signature of Holder)
(Title)
6 /lc (io
(Da
and conditions of this permit.
00&706 4
ignature of uthorized Officer)
AL Mtler464,Fg_
(Title)
Ocfiber. ?l i 2pID
(Effective Date of Perm
Exhibit "B"
WYW- 171120
August 27, 2007
&707
I want to construct an access road across a small strip of BLM land which would provide
access to my private property. The road would provide primary access to future home
sits on my property. It would be used on a year round basis by recreational non
ceimmercial vehicles. I would like to begin construction in the fall and plan to complete
the road in approximately 15 days. I will also need access to provide power and
t telephone service to my property. I will need permanent access as the road will provide
access to permanent housing. The road will connect on the north with the existing Pine
Creek Road.
PLAN OF DEVELOPMENT FOR PROPOSED ACCE
Description of facility
Design Criteria
The road would be approximately 420' in length and have a 15' wide driving surface.
The road will be surfaced with a 6" deep layer of crushed gravel. I will need a right -of-
way width of 60' as required by county development regulations and to provide adequate
width for snow removal. Power and phone lines will be run at least 4' below the surface
on the east side of the road near the right of way boundery.
Construction
Prior to construction, I will stake the centerline and flag the construction limits of the
roadway and the limits of the right -of -way. I will also flag the future location of the
power and phone line.
I will notify your office at least 5 days prior to construction. I will do the actual road
construction and dig the trench or trenches for power and phone access.
I will re -seed any disturbed areas outside the driving surface with a pre- approved native
seed mixture.
I will be responsible for weed control under BLM guidelines.
Operation and Maintenance
I will maintain the gravel road and the right -of -way in an environmentally safe and
friendly manner.
Cross section
•Y:
Customer(s): ERNESTAORNOCK
Exhibit A"
WYW-171120
August 27, 2007
Easeme Indary
Field Office: Cokeville Field Office
Assisted By Demont B Grandy
000708
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Bureau of Reclamation
ta Forest Service
National Park Service
Private
State
streams canals
sections
40Q 0 400 800 1.200 1,600
Feet