HomeMy WebLinkAbout870487Form 3100•l1b
(C ^lober 1992)
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
et seq.), the Mineral 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. 41), or the
1. Name LC!$ Ltd LLC
street Box 596
cit State, Zip Code Denver, CO 80201
2 This application /offer /lease is for: (Check only One) X PUBLIC DOMAIN LANDS 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
3 Land included in lease:
T 0190N R 1130W 06th Meridian
sec 032 NE;
(Continued on reverse)
-ED STATES
DEPARTMENT OF THE INTERIOR
BUREAU OF LAND MANAGEMENT
OFFER TO LEASE AND LEASE FOR OIL AND GAS
READ INSTRUCTIONS BEFORE COMPLETING
BOOK i iJ e PR PAGE 5 7
870487
Total acres applied for
Amount remitted: Filing fee Rental fee Total
DO NOT WRITE BELOW THIS LINE
WY state Lincoln
OF LAND M AN AG EMENT
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 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.
Type and primary term of lease:
Noncompetitive lease (ten years)
Q Competitive lease (ten years)
NOV 01 1994 (Date)
Other EFFECTIVE DATE OF LEASE
THE UNITED STATES OF AMERICA
by
County
(Signing Officer)
Land Law Examiner
(Title)
Serial No.
WYW134456
RECERIED
LINCOLN COUNTY CLERK
OD DEC 28 Ail 9. l t
JEANNE WAGNER
KEMMERER, WYOMING
Total acres in lease 160.000
Rental retained 240 00
4CT 2 6 1994
NI Al
'olalay saiued ampads31 341 jo saau89sse Jo 's30e!3gaueq `slossaoans
`s.Joitnslunupe •slolnaax3 'snag alp of alms! 11845 joela4 1paueq ,Clans pug 'uodn 8ucpu!q
aq pus 01 puma toys *seal sup Jo uouy844go toeg- lsaialu!- u!- slossaaans pug snail 44 seas
(I OLI 'J'S'fl 0£) VWlOOd ;o saoreuad pug suo0uotd alge34dde 01 pofgns aq pegs sass -j •aa1n
tango Auv 15 guwn33o lougap aides ag1103 u0gepa3uea 1aie4 tuanud 1011 pays Jan!e4510 ,(crewel
qns Auy •lptwjap a41 3o Jamey Su!pnpu! `,(pawal algel!nba pue Ie taf 'Apo ,Cue 3o lossat Aq
aSplaxa asp luanald o4 pannsuo3 aq iou pays uo!s!nold s!yy 'sawnuenb 8u!Aed u! saaueisgns
poziuun30 uonanpoid ;o atgedea tame su!eluoa 439144 ivawaal2e uonez!1iununuo3 10 mod
9c1O to an31000d003 panoldde UV 01 pannut 1oa 14 amen! 341 10 'Sannuenb BuiAed m SB8 10 4)o 3o
uonanpoid 3o algedea tame sureluoa ploiaseal 341 ;gun 10 spin onepaausa 01 13a[gns aq
pegs mat sup •Joalato aatlou uauum loge s,Cep 0£ 1o; sanu!iuo1 aaueildwoxuou 341 pue '*seal
sle{13o suolslnold Aye gum Aldwoa o4 spe3 vassal 34 unepap 30 15113 111 s8u!paalold '£I 'ass
'scam algonpold 3o uonenlasald 103 lossat Aq ,Ctessaaau pawaap tou 0uawanoldwi
ptuv luotudlnba a4011131 '1001 10 pound aigeuoseal a ulgl!m 'pue Jossat Aq pagiads se
poet 341 unspal luauiuopuege 10 uo!suadsns lo; uo31Ipuoa 0 seam pa13a aaetd pegs =sal
'lossat 01 pvulnt31 ale 3se31 Sf4130 suoWlod 10 118 se aui11 yaps 1V- sSslwald30 Alaiulea Z1
•531115(01 pue genial pa111338 115 ,(ed 01 ,()31111 pue 33ssal 341 3o
uone8990 p3nuouo314101 oaCgns `8u14y 3o amp 3413o se a.5313a332 aq pegs 1431445 lulusgsinbu1431
uauum a *auto 1adold 341 in Bugg Aq uoislnipgns !dal ,Sus to areal sup 4slnbulpl ,Cow
=seal 'areal sup ul 911313901 ue 3o 11350511 13410 .Cue lossat gum 3333 11sgs vassal
`suoneolla1 Aq pannbal sy- asea13o luaulyslnbwpt pus slsalalul asset ;o 1a ;susly '11
•53mp353 pa18831831 u!51u18w pegs sto1ae11uo3gns s,3assat IOU vassal
1atpoN •053)x41 tuensind panes! Jog81 3o (1B11133s a4i 3o mum 1Uenatal pus suo95111831 pue
'p'lpuawS 55 `5961 '11 10 0W 3 1d 3 S 3 94ZI l 044 JaptO 3nnnaaxg 41!45 Aldwoa 14541 vassal
'0Z61 3 339 80 4 341 30 8Z 11031035 top% A1dwo3 pegs 325501
'spout postal *sag) 111013 panuap 4)o 01 34g!ssa335 palelado aq ,Cow goiym •amladld a 8u1151ado
Auedwo3 a 10 3011d91 e m 1531310 801109UO3 sumo 10 `au!ladld a Satelado eassai jj 'Afodouow
luanald o1 pue saiud a4Qeuos5al 1e P1os 51 uooanp01d Imp amnia 01 14811 a4i samosa] lossat
•3 9gnd a4) 3o A133es pue 411534 141 1a3toJd o1 ,(ISssaleu 5311158310 37451 pue
teuzgasid A.nsnpus plspUBIS 41145 33ueps03a511 luaul10n4u3 8u1110m 3381 a (1151455111:saiwS pau8fl
aql 3o Aanow In3Me! m 411100 4353 33i451 15514 15 538em 44e ,(sd :ase431nd 3o =paw; alajdw03
saaA01dtuo ;iv warn :sum P3uu f1 34110 31815 a41 3o smug lapun patnal pue passass5 Aps834 saw)
Its anp uaym dad :pegs 33ss3'4- Alwnuoddo ttnba pue stsataiul ammo 3o u0!1a31otd .01
•suoilsladO *seal 3o 111531 8 se
Av1adold 10 suoslad 01 U11e410 a88wep 103 Ringo 4)e tool; motley 105534 P4oy pus ones pegs pue
'slnawanoldun 5,105534 0l aheu18p 103 105534 dad pegs 3assa4- AUadold o1 saSetueQ '6 •335
'uon335 sun 30
suotsinold 341 st8 Jo ales 30 13511UO3 Aus m apn430 418145 a0s531 •Se8 a413o laumo 10 vassal 015501
10 asuadza ou 15 lossat Aq popinold sus2w Aq pue pogpads lauuBUI e m uonanpold se8 wag
'mum poonnea Smntq 10 Sunae.nza 3o uondo 341 s24l0sal lossat- wn1laq 3o uon3811xg 8 .vas
'stung¢ 3do tons 3o tenoldde duap o1 1481J 3141 53.513131
105134 'saogluado Su!i4mp 481111011 logy p33eposse 35041 11541 13)8318 10 11131333433 d44e9usslsgns
aq P4nom suonelado 8u!Urm 111013 mutton 1541 luatxa 341 01- suonelado SU!U1W J 2 8
•5133040 10 s313ads 43115 3o uonan)lsap 341 110 140521 pinom 1840 suonelado Aug
assa3 pegs 23152l •105124 13aiuoa Apletpatutut pegs vassal 'panl3sgo ale 5103331 4etuawuol!nua
p31ed!anuvun 485U59sgns 10 `1531at01 3gnua131 10 39011T4 3o 53afyo 'sa43ads pa1a8uepua
10 pau318314p '50051113d0 jo onpuo3 a4p 111 31 lossa4 Aq pap!nold samppm8 lapun s3IP1115
Iswads 111127 110145 10 S311OIU34U1 101.9W 3134511003 0l pannbol aq Amu vassal 530100/3/ 1a410 01
51.38511030 maize 341 w!uuat2P co sapanis 45133ds 10 53110u3n14 an11b33 dew paglsys!p a4 0l seaty
•gaiteS232u aq dew 1591 511(155110 U0111nUela3110 SUO31e393pow pug pa45o4o3 aq o1 salnpa3otd 3o
pasudde 24 01 lossat 1381903 14ets 33ss34 'spue4 postal alp jo 33831ns 341 Smginlstp o1 loud
'vassal 3o 114811 41!45 a3ua13;1atm 3195uosvoJU11 10 A155s333UUn
luanald 01 s8 os pauompuo0 3q (gays sasn tons 484510 -514811 10 sluawasea 30 1540/445 391
81npnoul 'spuel pasta! 341 m 10 uodn sasn shin3 azuotpne 07 pue 5355 8uIstea anulluo3 0114811
a411 03.(12831 101531 531nse3U1 Uopeu ep31 151113 pU8 mum! 3o UOi1BaII3adS P01 'suonelado 3o
8tnw11 'camp!) 3o u84s3p 10 81145 01 uon8Oglpow '01 mom! 1ou ate mq 'ap143u0 A5W solnseaw
43n1 `paitm8 114811 31e31 gum 111315184103 11131x3 341 03 11041308 Sup 30 11131U1 341 454451(110308
01 101534 Aq Aless133U pawaep 5310seaw 34geuosea1 31(51 pegs vassal 513511 10 50111 poet sago
01 pue '5331(10531 131410 4)0e '1e1544 `4531So4olq '451191413 01 `131845 p11e '118 'p 3 41 01 510edw1
3513npe saztu nnut 1891 lauuew e m suo0Blado 13npu03 f1545 041131- suotleladO ;o mnpuoD 9 aaS
'(ZSS 'y's'fl s) I3V 1104151100311130 wop331d 341 Toy 33U8p1oa3e ul olt9nd a41 Aq Uol13ad5m
01 pasop 3q pegs uon3as sup spun p3ulelgo 1100etol03ul `asea4 s141 3o 331131510 BuunQ
'lossat Aq SpIoOa1 4ons'gelment 0 uoie844go 3413o p3s53431 pion
A8m13pun 54 U01e83153nu0 10 none ue 31 '10 pa1813U32 ale da 131{8 Stead 91o; soma= p31mba1
(11811118111 (lays vassal •105534 Aq lone aunty 103 1234330 8111111110338 5,205101 m Nutt-Mew aq
41 spt0031 flans 419 '51503 uone11Odsue11 Jo/pue 'uone18da1d •8uunlDe;nusw se p3unep 51503
(138 ui A9uio11V 10 =seal 3o aleugu215)
G,;
SNR111. 3SV31
51/04405 1e41 uo!leluawnaop 18451141 10 'soa!0nm '581144pq se tans uo4e1u3wn30p pug 'scr1033J
8u4uno33e 's)11awa3128 sales '5135111103 Ire JO s9id03 uunulsw pegs aassrl 'slue) prigs' 341 m 10 uo
suo4e8!lsantn 10 '14anlns '511opeJado of annela1 sp10a31 pus 'sdew '5111410338 `5)1004 41 pug
'uoala4 3 52110x43 pue A1amg3eW 51u3tu3notdtm 'spats [is pue sas!wald pa58a4 ay) 'meat Jo 1334330
pazuo47ne ,Sus Aq uo!laadsu! 103 saunl 34481105831 4)e 1e undo dam! pegs 345121 •4)31111)31 113945
105134 01 131403 9541053 pug suo!leSilsanu! 33e31nsgns 30 3310321 8 pue '55131 pue sAanin5 porn uo
100000310 '804 a 'p100312us 1p Apsp a deal( pegs 305131 '105531 Aq poquasatd two; 3 4101 '51503
uo9et3a1dep 4)115 `saln9puadx2 `15313111! u! 534511d 01 13ads31 gum 5110431 pity 'ssuawanoldun
pug 741045 luawd0(343p 8U!45045 st11a18e1p 3petu3935 pug staid 3P4401d o1 pan(1b31 aq
au' vassal '1504 k44ePloneun 10 538041114 uo!pnpold 103 pasn on=ce pus 'wo1331341 5p033o1d
'taps guy pano1031 coupon! lye 3o.(1448nb Pus 511n10u18 Su!mogs 41/130121515 Pa41 4 44
aass04 •aqu3s31d Aew lossat se two; tons to pue sawn tons ly 'uo43npold 3o lesods!p 10 a(es 103
1113U138U8111 1341030 aauap!na 10 15811UO3 At1e '3oa1341 amp 34453a3331ape sAsp 04 Imp 13181 IOU
'105531 30 331330 134014 41 3453 11e45 335531 U0113adSU4 pus '301134)1.53 '51u311111301J •4 'Y35
'105131 Aq paunulalap lunow5 u! 38531Elp 1o; A1l1Ao1 .(loissuadwo3 d8d 10 3280(utp wag spuel
p358a4 1301014 0t.(1ess333U glom aanpold pue pup 44145 115131 '5PU84 paeva! asatp 8038154103
pod 10 'play 'vamp 0 11014 81340 Puy 1ua10dmanap 134014/03 A185sa33u pawaap34 '333101130 s(ep
0£ 11f41!m 'U84d nun 10 3441813d003 a o1 aqu3sgns 01 225134 annbal 01 pus 1s33a1m 3419nd 341 u!
1104134133014 pus 1u9wdo4343p 30 sate, A343345 011481.1 13■13131 101131 •5331410931 4191e3130 318845
10 '30 5101 `01 a88wep A18ssa03uun luanald 14845 P05 '80onpold pus 8utdopn3p u! 330384414)
alg8uoseas 34131353 pays 3as541 325ul51p pue uonez(IUSI tuawdopnap 30 anal '33419839u 4
suoneln831
Joplin pal4nbal se 111onelado asea4 103 muumuu) pus papa 34 118145 puoq y -1pu0g 345
'AluoIpne Sulsual 34) 10 V3flJDO3 19411111 puss! Uo!en3 10 •1ap10 'uo41e4nla1 'ecru ,Cos 41!45
d4dtuoa o1 angel a9t 01 ant 10'101¢lado a9t30 nod 341 uo 33ua84483u 013np s! a117m 101804 tons
uaym a14s asea4 a to01; omens 101504 588 pub 4)o 110 5111310.(54 A74eAo1 1o3 ;Reg aq 44845 305531
(IOLi 'D'S'11 0£) (VI811ood) 4861 3 3uaw38et154n4 AllsAo14 s5O pus 450 is13p33 3 41 (O445
a3uepio33e u! sluaw.Cedlapun 10 sluaw,(ed A115d01 3184 uo p 553518 aq 44 98184315113111! ay
•p 38145/9490 1! 10
'5301110531 pa1e34 alp 3o.41341033131311411441113111l8 341 38811103113 of .41e513300 51 t on3e tans 15
samtulalap.(18131335 alp 3! assa4 sup Jo su03110d 10 He 103 'p93np31 aq ,taw 53181 A141Ao1 34oge
alt pug '4133114)31 10 papuadsns 'pan!1s45 aq ,Sew AneAo1 00114111!0 5 !4 'sannuenb ZuI(ed m
Ala /was!) 8131;e 10 uo Sunn1!8aq lead areal 4ova 3o pus asp 18 314eded aq f etas lead areal 1591103
pa1!nb31 aq morn 3114514110 yan4m 4lslua, a41 yelp ss341ou 3o mow 30 not m .(115.(01 wnunu!y,4
'02113130 40111103 34geu0s831 349 puoA044 535580 way
3881015 us sonpold 1a910 10 4)0 4411X0.1 Jo uot13n11sap 10 1104 103 3195!4 P434 3q aassa4 pegs 1ou
paun33o uo!13npo1d 43!445 u! tpuow 345 8u!45opo; plow 349 3o Asp Ism all puod3q 288,011
u0313npo1d 4305 P409 o1 p311nb31 aq iou pegs vassal •101521 01 003 lnoyu45 pa3npold a134m
saslw314 310 uo uontpuo3 algelueyalaw 114 '10ssa4 Aq 0141aa18e 35!ml3tpo mum `paiaepap 3q 14845
uoganpold 'pull! u! pled ua14M p311n3ao uon35po1d 43149 u! plow 349 8utyopo; 411100 ag13o
Asp 1584 341 uo a4ge.ed pub anp aq pegs sa314edo 'amen m p58d U9944 'matt 3q o9 (11841110440
115 pue 334100 vassal Stung lame 143npold uo 5311454 w unuun 344euoseal tpogel53 01 nap
341 pue 'punt u! 10 an48n 0 pled 314 o1 s! A11e.o1 1a41a445 A3! 0114841 341 554/3531 105831
'panes! 14 *seal s!41 aunt a41 le sao!etn831 w p04343ads se
10 :tuatutOe44e 3as '13410 (3)
96Y4 3102 1 34 (4)
!'t 4i 44 '31531 an1 .1 1t 0 d 100300 N (s)
:315 53181 A11eA013 'P4os 10 pa401031 uo4lDnpold uo 1110148441831 41545 3311e4)10338 m
palndwo3 aq pegs san4edox •lossa13o aagJo 1adold 01 pled aq 14sgs Sa4148Aoy- san48X0)3 'Z 'a35
•aassa4 Aq
811!450(451ua!3133ns a uodn .(18131335 alp Aq papuadsns 10 'p33npal 'p34t845 3q Amu 541911314 'yen
3o umlelado Aq ase34 sup 21811111931 (14e3newolne 1Te45 (paso43 s! 33930;! Abp Sumo* 4131330
5530 10) 31804 544) 30 atop .(15513411008 alp 3103aq 10 U0 '3143 31 181031 41511108 Aed o1 3104183
'role 8unedl3!ued a 11141445 iou
spue4 aso41 103 (a) to •(q) '(5) w p3813ads 3181 349 1e anp 3q o1 anU4UO3 f4u45 moat 1enu11e
`1343450F3 35534 514101 pm uon0npold a41 110 pled aq f1egs 53118.01 'uon3np01d 3o uon830445
1o; uotslnold a 505871103 uetd 3144 pue 's331nosal 1415534 Suonpold ;o aptedv3 11ant a sapnp01
143!445 cold nun 10 an48Jad000 p 401448 us o1 p3U41110103 11 3031a4p uoiuod 8 10 35111 sup 31
'panes! s! 35¢01 554) aunt 341 111 10041840231 04 px31ads 1e
10 '1u341i43511e vas •191410 (a)
`00Z$ `•8 S 7 J 341103 !051$ 'mat 3441)340uo3 (q)
:00•42 12mea134n '5183.(4 15113 al) 1o3 04'44 'am! annll3dwo3uoN (s)
:315 3031341 110310513 10 3108 134 19181 4511111 184111119
'183.( *seat 43ea 3o 330844)8 114 105594 3o 334330 ladold o1 pied 14 44 54elua14- 5481U3)3 4 'an
61 �Cej1 ..s t 1441 pa1n3359 A n
IQ
'uo4W4ps4mf 514 41 4414 1a4tetu Aue 01 se s4o44etuasaldai 10
sluaulan 95 wa npuw snoopy 'i8483 Are sawe4S palFun an Jo A3ua88 10 4uauq.lsdas Are o4 anew 01 ApnNpim pus 448uynou>, uosaad Aue 103 aw4118 4 sal4ew mot .7 is 3 5 n 81 'stuawded
pal4nbaa 3 44 A4 paureduJo33e you 54 14 31 10 `8uo14e408a1 341 41414 134iep40338 110 pa5naexa pus pala4dwo3 A41ado1d 4011 s4 54 34 Af.lo(1d on 101a1jo p 444m pue papafi a9 Q3 s s44Z
Pa1409 3411 30 310409 00 P 002 1 0°°(1 5e54 '1 3 49 01 P POST x45
elano3lanayo!5(45 '350.4 3)ued35 5 10 '351534 11441 01 luawpuawe ue 'asea4 sup alo3aq 2a4330 awls W1t31ado14 340 Aq pan4aoa1 14 lemea 1cl1445 ay1 ssa4Un yted 114 10 ato4m 04 J3993'(1%aap4441.4 3q puma
1a33o 5(44 7541 saal&e 13411031013330 393 •asea4 5441 111013 1105e3t Ave 103 p344!wo 114 p ato sera 13330 sun atop 2441 le 8u4sea4 01 undo 13330 sup 04 paquasap poet Aue apn4out Amu leg) 3sea4 3181edas 10
141awpuaws Aue pue 'a39oU u3n48 ua3q se9101333o 404445 3o suooloti!4s pue '51041!)5103 `510131 445 8u!pn004 *sea! sup 3o 3a0473410ae sa4sy4suoa 13330 5491 01 3nueo845 leg) seal &e pau84s1apun (q)
•409 39130 14 '035 3o 1104154044 04 4051 s! 1013330 (4,) [3U11 :lay 8148831 Ie 0 413 0 (8)LT •335 44 palmba1 se 5804)4oq area! suit pt15 44 45J3Pad peso; s1 (1awa1411(3 1
5011ew54aol 41!45 33ue!1d000 0 14 1012 (9) 4OV 211!5eal 45130!W 3 41 3 (VXZXOZ •3as u! pap!nold 12o!P4oq astral teo3 4elapa3 Su!40aa0oa suop5a!3tenb t00% 00415!441003 m 14 1ara330 (S) 1 p 3 1e 30 4
vas 1a33o 5141 Aq 13310400 spout alp ya4445 414 3le)S ay 3o sine! act 13pun 1011401 a palap!s1o0 on s! 14 ua33 0 (4) `suo44do 114 aq Awn salve 000'001 o) do coup%3o sllsely 0j 134-014138 (1!seat t oea 0! soma!
01 83r"e 000`00£ 10 '(5003140 sus 4)415 ii0 04 39 Aew salve 000'00Z 04 do 4319% 30) saseat 558 04111 too u! 531015 080`941 4)3a3x2 iou op 31515 30175 041 m Alaleledas sous! palinbae pue u4ewop 0445nd
gees m `53244104 4)11 "13j111919ea8154p 1 (4) 119!541oy1ne 8455534 244 pue fi 4{1145 33[te444m03 U4 ale 13330 3544 u! 11313194 ue 8114)404 1' 30313441 A101412110 31515
Aue 30 10 52110S p:.0el a411ap4m paz4ue810 uo444u04100 a 10 :A041:d!3!un0 a 30 0049743055E tn; :s31e1S 132409 x11 30 4nzg4a a 54 101233 1(130 pa (s) '4
UNITED STAT E
DEPARTMENT OF THE INTERIOR
BUREAU OF LAND MANAGEMENT
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
THE BID IS FOR (Cheek one)
Oil and Gas Parcel Number
Geothermal Parcel Number
Name of Known Geothermal Resource Area (KGRA)
IMPORTANT NOTICE: Execution of this form, where the offer is the high bid, constitutes a bi
conditions. Failure to comply with the applicable laws and regulations under which this bid is
all monies subrnitted.
Address of Lessee
bey „e_e_
(Cnneinn ei on re•ve rve)
PARCEL NUMBER
City State
INSTRUCTIONS FOR OIL AND GAS BID
(Except NPR A)
RS z
Zip Code
1. Separate bid for each parcel is required. Identify parcel by the parcel
number assigned in the Notice oJ'Competitive Lease Sale.
2. Bid must be accompanied by the national minimum acceptable hid,
the first year's rental and the administrative fee. The remittance must
he 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 lease for which the bid
is subrnitted, all other parties in interest may be required to furnish
evidence of their qualifications upon written request by the authorized
officer.
4. This bid may be executed (vigned) 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
AMOUNT OF BID section blank so that final hid amount may be
either completed by the bidder or the Bureau of Land Management
at the oral auction.
State
INSTRUCTIONS
OFFICIAL COPY
W d M ■t r S 0/1 /o y
FORM APPROVED
OMB NO. 1004 -0074
Expires: April 30, 1994
Date of sale
45 6
578
AMOUNT OF BID (See Instructions below)
TOTAL BID PAYMENT SUBMITTED
WITH BID
200
s, r .t 4 i i 121 r
st I Is1� r an t f:11
The appropriate regulations applicable to this hid are: (1) for oil and gas leases -43 CFR 3126; (2) for Nationa Petroleum Reserve Alaska (NPR -A)
leases- -43 CFR 3132; and (3) for Geothermal resources leases--43 CFR 3220. (See details concerning lease qualifications on reverse.)
1 C ERTI FY 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 hid 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.
LC” LTP. (-Le
Print or Type Name of Lessee Signature of Lessee or Bidder
ase offer, including all applicable terms and
result in rejection of the bid and forfeiture of
INSTRUCTIONS FOR GEOTHERMAL OR
NPR -A OIL AND GAS BID
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.
5. If bidder is not the sole party in interest in the lease for which hid is
subrnitted, all 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 1001, makes it a crirne 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.
Form 3000 -2 (July 1991)
.p3133fuJ aq rCi w
@;lcl.nor(`Irarl.told roil sr uOneuuojer d41 IIpJ1 'F,.I> lun(+3A SI uoneruJorul
:?41 JO 3n13e)3SIQ :NOLLVVILEOd141 ONiGIAO£1d lON do 103d:A
w!!GEI
n o3soid iU `1u011e2nSaAU1 r(Jo1e10?3 J0 1euiwiJ3,11A13 01 lue,tala.!. u3!rr'xi
's31Du3;Je t!rtla.OJ Jo 10301 `01'=15 •re.apa fi aleludoidde 01 p3J1a9su:lr1
+(4 111 p.oZlal all Jo /pue p.oaa.r 04 leclJ
1 wo1j noro:ul (5)(t) sa:1n0c;?J
ao spue'i ill 1481. e 2uuueJ2 at Jot.id pa.nnba.1 sl 33113.1.1n :nroo .to
U1UIc:1 a. 1,.. s013ua2e 1e1apad alt rJ 1c.- ;.Jdr, of J3jsueii. (Lr t or) u 2.r.i.
rignd lei t.,::1.!uluawn30 s v pry suil 10 i 1
q1 01 1tj 10pptq 341 JO u: l,f 1Je ar il t 11
•waJaq p31t0 sarliJOglnr, 2urse31 341 pue
=31 ::ldcuo0 w DIE pro s1? {1 ui 1s3J31ul ill sarlJed Ire letil ri +=.j
(t) rue "F1109E10d103 lEd10111110.1 JO aeilgnd `31eAiJd .10 s1.10l1e
00j2t. S_ 001[3 gins jo 1.1011J 1130:33E ue !J+.30.1=';41.
e JO ;;;Els 1)0''01' ago JO'Si =jc .13pun pa rti1 TO
1>ydl3lenral 10 O4Qnd `aliAl.rd r r -.0 -1)'103 luaus wind 'u, p
_,1nJAie( aoarr: ue `saluis pairuil atli jo rr•uoneu JO U ZI11 i ofj (1 7 1 ri
,0 3 1 1-'77 *r.Ib 1161 Jo ;13' suolree r (r .01.01111 azil JO 1;110'4+I( e =3
31 bgo:s on a ;:vs srgl jo llnsa.l tL s3 pass! aq lb laa 11
1 ;nle 7t� dnOJo 21l3.
i or 11L 3111 AJi3J0 a (E) put
10_ r,; 1 0.011 s Japplr,r o
pdtll(1 +4tJ� i
111tc13'urtA 'SU3Z11i343ns ;C Jo!{
+`"i 4:Di01Y 111 -11 4 pr rr
6 40
ut3.1.34 1)01!3 t;lllor ule
0d11103 U! 3J11 1)11] =I11' 0!
tiOZ I S 1)02;'X0 1'=
I r..r or tlA Slt]awa.tinl
L pt x' 10 +.101.11 r� FCLLi J_
I; ::St u.;:S31t?1 13ants(10+0J
y!'
41 61 JO 1 [1i12J1i., a fe,..
7.01.1.0N
t)(1UiI o.-)1Ji I91 iU
G: Le
ri ;li a is i
z i1Ji
'Eo oz -0' j'uo18u1gseM `(4Loo-600T) laafold uollanpaj
11O,aJaded `taSpng pile luawa8eueptl Jo aa1110 aql po€ `oyZOZ a ul'uolgulgseM N `14a -lr 1 6VRT `(TLL `ia31j10 aaue.eal0 neaing (aleu.ally) luawD5uueyl
puei jo ile^ttto,, `Jopaiul alp jo luautlieel:,L i 's -jj of w.ol l:l jr:41.)adse laglo S_,F 10 alemgse a1) slq aql VulinglIal siO4111U100 taa.il(J'wuoj 3Ell Vript A:,r 1)!0 SI!iia'dwo
lid iidp Jtt :lultw prig 2ui1ag c 10.1,_110' st;l: ea; .r 4otll 1ql `iitispral.;ul as +3 ::tncq Z a`ssxdAe :ul p',;011 1115;i' uUOJ sly' 10J uaj,xny vullri+dai allyud
1N30131d1S SbfOH N34af18
ujauaq e ureigo 01 paJinhai s! ls3nb3.1 1141 01 asuodsa21
'prq )s30!4 341 3u111rwgns Japprq a41 aurw.3l3p 01 pasn aq rpm 0.09ew.0ju! slgl
'KU 213. £i -lo `0£I£ 21dJ £t OZI£ HAD £t 411M 33Ur.pJ033e U! pa1331103 Sulaq s! uorlewJOjut 1141
:1041 no,S uuojut 01 sn sanlibaj Chas )a 105E ‘J'S pt) 0861 Jo 13d uo113npa' lJOMJaded 341,
Jnori ;saaoid 01 past' aq 01 Si uopurir ioJu! 041
'Ng
3SOd1dfld JldIONIEJd
8059 J'S'fl Zt'SZ0I
•J•S fl 0£ 651, IS£ J 5 O£ bas is 181 'J S fi Of :All>dOHlflt/
'011101 S331n0S '1J (01134103
JO :ti puu Ist l 3Apti3dwo3 e Joj..pjq.s141 ,Sq paiinb3a uollewioju!
411/t1 U0113auuo3 +11 u0tl1WJOju1 2ui1101toJ 0131 pags!UJOJ a4 no;( leg)
apii oJd (p)g17 `J.-fl £tut uo!1e1n3a1 341 pue tLtgl JO 13'(i :SOPALJd 141
1313''
1)3110 3n1liOL11ne 2u!seal 041 pue 001E rUY, 000£ Sdno.o d.33 £t g11M
33uar'ciruo u! :;J? prq 1141 U! 1sa131u1 ill sarlJed Ile le4i tiJi111J (9) pue
:13v .rl1Jo gas Jo ucrle'c1A ill 34 ION (S) `130` 041 in LI .33s nq pannba.l
se `:2&JIR1o4 S1? pue ll0 1e.13p3d ire Jot siu3wa.mba-1 uoilewel3al
guA.m 3- 3uet1dwo3 ill a3 (t) `13v 3g1 jo (y)(G)(e)Z .3 3s to papiAOJd
se 12.7'1)'04 asea( Few le'apad g1tM 331.1e4e1u.1c3 1:1 30 '131.11stp 4001
u! 1il0lido af!tln 331 S013e 000`00-6 1.1131.0 3.1007 013 L13t4M J0 `sa1O1? 000`00£
1)030x0 100 op st01J1stp 2wse31 e>(selb 141 JO 40113 01 5)3u4p1o4 s,Japprei
'41 ill spur' J0j pa11!wgns Si prq 1141 I1 suoildo .lapun aJe 1310E
i00`O0 '.141 431grA jo 'piq A( r_;n .32?3101r )3lrlpni )F +r
11)00' 3)03 t: lu a0 111OWOp 311411(3 ill 5 _rai O;i4 9t(; p013:c3 100 1;
.J'l, 01 105003 ;Fi3 put pc, 0! ..00131 3!.F )l3- n1) 'S1SJJa1':.�
.;,J•..l;lg 1L':g to 1 311.1:4010.1111 ,1i Lio116 i+i.lj r' t; tea., t?4 1ini 6,:u !1ri 1L5o!
i•; p:s,!JI 'LI'_
:1!153
i fl!j. hl.�;f.�1pnp Le I� UOnt i3C1 _S ?1P'1' (f, A1+,1"3 15!47 JO
15500111313114 i1U 534 '310= 311510 'gG Jti y.,.. ^g 1 '43) la rry
spusT amss alp
Jog auo sign. oq aoiid panssi assai Tuzautm 2uigsixa pggsn s moz; uoTlonpozd
Jo /pus quamdojanap kpapio age gppt aaa ;zalui kTgsuossazun pTnom 'zaoTJgo
pazT1opns alp go uoiuzdo aqq uT 'goigm panozdds aq lou TiTm suoTquzado
NOIZV'IIIdIIS IN2MO'ISA2a 'IV2iSNI�I N'IdIL'IflW
LEASE NOTICE NO. 1
'0;
581
45
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 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.
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).
THIS NOTICE APPLIES TO ALL PARCELS
t:__ (10J
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, 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.
WYW134456
32