HomeMy WebLinkAbout867519Form 3100 -11b
(October 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 Acgaired 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
Street
READ INSTRUCTIONS BEFORE COMPLETING
8ASELINE MINERAL: INC;
1645 COURT PL #422
cit state, Zip Code DENVER, CO 80202
2. This application /offer /lease is for: (Check only One) LXPUBLIC 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
00 AUG 15 Af'~
Amount remitted: Filing fee Rental fee
!!,,r '�tgt,�� JEANNI-.
DO NOT WRITE BTSAfinttIt'a
3. Land included in lease:
UNITED STATES
DEPARTMENT OF THE INTERIOR
BUREAU OF LAND MANAGEMENT
OFFER TO LEASE AND LEASE FOR OIL AND GAS
0220N R. 0 W 061-1 1 Meridian
sec.. 012 NESW, S2SW;
024 NW, SE;
025 SE;
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 iisrovewenta thereupon for the term indicated below, subject to renewal or extension in accordance with the appropriate leasing authglty granted are subject to
applicable laws, the terrnd, conditions, and attached stipulations of this lease, the Secretary of the Interior's regulations and formal orders in effect as of lease ts§u$hce, 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)
L y Competitive lease (ten years)
O Other
(Continued on reverse)
8675 9
R EC 1VE
WY State
THE UNITED STATES OF AMERICA
Lincoln
County
Serial No.
Future rental payments must be made
on or before the anniversary date
to
Minerals Management Service
Royalty Management Program
P.O. Box 5640
Denver, CO 80217
BOOK PR PAGE S
.7it itN
V OM1NG
County
(Title)
7
Total acres applied for
Total
Total acres in lease 600.000
Rental retained 900.00
gnmg Office CEP 17 1999
Chief, Lease ..le Mineral. Section S
Q (Date)
EFFECTIVE DATE OF LEASE OCT 0 1999
Fi IZZSEE
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f ir WA
NOIZVIIIaILS 'IVUNIH �'IdIJTIfl I
OS(? i19
LEASE NOTICE NO. 1
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.
6. Material sites.
GUIDANCE:
The intent of this notice is to inform interested parties (potential lessees,
permittees, operators) that when one or more of the above conditions exist,
surface disturbing activities will be prohibited unless or until the permittee
or the designated representative and the surface management agency (SMA)
arrive at an acceptable plan for mitigation of anticipated impacts. This
negotiation will occur prior to development and become a condition for
approval when authorizing the action.
Specific threshold criteria (e.g., 500 feet from water) have been established
based upon the best information available. However, geographical areas and
time periods of concern must be delineated at the field level (i.e., "surface
water and /or riparian areas" may include both intermittent and ephemeral water
sources or may be limited to perennial surface water).
The referenced oil and gas leases on these lands are hereby made subject to
the stipulation that the exploration or drilling activities will not interfere
materially with the use of the area as a materials site /free use permit. At
the time operations on the above lands are commenced, notification will be
made to the appropriate agency. The name of the appropriate agency may be
obtained from the proper BLM District Office.
WYW149057
260
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(1) Nov 15 to Apr 30;
On the lands described below:
For the purpose of (reasons):
TIMING LIMITATION STIPULATION TLS
26 2
No surface use is allowed during the following time period(s). This
stipulation does not apply to operation and maintenance of production
facilities.
(2) as mapped on the Kemmerer RMP stipulations overlay;
(3) protecting big game crucial winter range.
WYW149057
Any changes to this stipulation will be made in accordance with the land use
plan and /or the regulatory provisions for such changes. (For guidance on the
use of this stipulation, see BLM Manual 1624 and 3101 or FS Manual 1950 and
2820.)
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