HomeMy WebLinkAbout867526Form 3100 -lib
(October "992)
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 1tENNEY ROBERT 3
Street 3064 DAHLIA ST
City, State, Zip Code DENVER r C() 80222
2 This application /offer /lease is for: (Check only One) CI PUBLIC DOMAIN LANDS
Surface managing agency if other than BLM: Unit /Project
Legal description of land requested: *Parcel No
*SEE ITEM 2 IN INSTRUCTIONS BELOW PRIOR TO COMPLETING PARCEL NUMBER AND SALE DATE.
T. R. Meridian State
O Noncompetitive lease (ten years)
0' Competitive lease (ten years)
BOOK PR PAGE 3 1-
O Other EFFECTIVE DATE OF LEASE
(Continued on reverse)
UNITED STATES
DEPARTMENT OF THE INTERIOR
BUREAU OF LAND MANAGEMENT
OFFER TO LEASE AND LEASE FOR OIL AND GAS
READ INSTRUCTIONS BEFORE COMPLETING
8615
DO NOT WRITE BELOW THIS LINE
0 ACQUIRED LANDS (percent U.S. interest
(Title)
f s US1 5 M1 9;1#`-
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
County
3. Land included in lease:
T. 0220N R. 1150W 06th WY WY Stat Li,nct'in County
sec. 005 LOTS 1-3;
005 S2NJ,SENW,S2;
006 LOTS 2 3
006 SWNE,,SENW;
007 E2W2, W2'SE, SESE;
008 E2 E2W2 SWNW, SWSW
017 N2,SW,W2SE
*Sale Date (m /d /y):.
Type and primary term of lease:
Total acres in lease
Rental retained
F
Serial No.
WYW1 !it3r392
Total acres applied for
Amount remitted: Filing fee Rental fee Total
2123.010
3186.00
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 Nreupon for the term indicated below, subject to renewal or extension in accordance with the appropriate leasing authottty. tights granted are subject to
applicable laws, the terms, conditions, and attached`Stipul4tio'hs of this lease, the Secretary of the Interior's regulations and formal orders in effect as of lease issu'anc, 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 speclfied.on this form.
Airtik
Signing. *Iirr r) A
941)1e M.in r��.s s on 4 20
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6. Material sites.
GUIDANCE:
LEASE NOTICE NO. 1
318
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.
WYW150892
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.
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 Field Office.
Z680SIMAM
Pup OS6T Tsnu'N SI JO TOTE Pup i7Z9T Isn'N Nu aas `uoTgsIndT s slqq. go asn
aqa uo aouppzn2 aod) •saausuo Mons 103 suoTSTnoad /Ctoapin2ai aqq ao /pus uwTd
asn puwT alp ugim aouspi000s uI apsui aq TIIm uoTqpindTas sTgl. off, sa2usuo Auy
•gsgigpq 2uTlsau esno.2 a2Bs SuTgoaload
:(suossaa) go asodand aui zoa
:ksTaano suoTlsIndTas aye iaiammeN au. uo paddsui ss (Z)
:AoTaq pagTaosap spusT aga uo
�T£ Inc 01 I gad (T)
se PIT Fo n
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slay (s)poTled atoll 2uTmITT03 at( 2nTanp pamoTTs sT asn aonans oN
FT£
sal NOIyy'IIIdIyS NOIIVJIHIZ ONIWII
Surface occupancy or use is subject to the following special operating
constraints.
(1) Surface occupancy or use within 1/4 mile of a sage /sharp- tailed grouse
strutting /dancing ground 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 RMP stipulations overlay;
For the purpose of:
(3) protecting sage /sharp tailed grouse breeding habitat.
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.)
oscrS•tal
330
CONTROLLED SURFACE USE STIPULATION CSU
WYW150892
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alp uo a0uspTn2 aod) •sauEgo lions log suoTsTnoad Aaogsin2aa ao /pus usid
asn puwT aqi IpTM aouspa000s uT apEm eq TTTM uoTqsTndps sTgp oq sa2usgo 1Cuy
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nso MoIZv'rnaLLs asn sovaNns Qs'I'IO2IZNo
TZ
•sagTs oTaoasTq 2uTpoagoad (E)
:3o asodand aql aog
:sari; 80T330 uoTgsnaasaad oTaogsTH aqsgS 2uTmo2CM aqq uo paddam ss (Z)
:AoTaq pagTaosap spuWT aql u0
:sloEdmT pagsdToTpuE 3o uoTgsgT1Tm .zog
uwwd aTgqadaoos uE qv anTaas Aoua2s 2uT2auEm aos ;ans pus aogvaado alp ssaTun
paqTgTgoad ao pagoTagsaa act TTTt 'sauTm TEoo oTaogsTq aaggo omq puE 'umoq puE
auTm TEoo gaTgns oTaolsTq exp. 3o aum 1 uTpTM asn ao tCouEdn000 aoEganS (T)
•s2UTea4suo0
2ui482ado TwToads 2uTpoTTo; exp. of 209Nns ST asn ao .Cousdn000 aos3ans
322
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.
WYW150892,