HomeMy WebLinkAbout867528Form 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 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
Street
City, State, Zip Code
Type and primary term of lease:
Noncompetitive lease (ten years)
Competitive lease (ten years)
(Continued on reverse)
UNITED STATES
DEPARTMENT OF THE INTERIOR
BUREAU OF LAND MANAGEMENT
OFFER TO LEASE AND LEASE FOR OIL AND GAS
GI SLER PATRICK Mt e 5
1470 NE 1ST ST 100
.BEND, OR 97701
B00ICpR PAGE.,3
867
READ INSTRUCTIONS BEFORE COMPLETING
2 This application /offer /lease is for: (Check only One) ❑'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 *S Date (m /d /y):
*SEE ITEM 2 IN INSTRUCTIONS BELOW PRIOR TO COMPLETING PARCEL NUMBER AND SALE DATE.
T. R. Meridian State
27
Amount remitted: Filing fee Rental fee
CRhief,
by
00 AL
1
JE4NTV
KEMP)ir ER. ye Y 0 A t: G
CY+I�kV�
DO NOT WRITE BELOW THIS LINE
3. Land included in lease:
0200N 1160 i Obta. WY. Lincoln
T. R Meridian State County
see. 002E LOTS 1,4;
002 SESE;
002 NWSW (EXCL 5.05 AC IN RR
002 ROW WYWU294446)
014 ALL;
024 ALL;
026 ALL;
(Title)
Other EFFECTIVE DATE OF LEASE
County
Serial No.
1iiYW1 r°1 ?t''6
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
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 improypFtnen9 tbers for the term indicated below, subject to renewal or extension in accordance with the appropriate leasing aut3tority, Rights granted are subject to
applicable laws, the terms, coridittions, and attached Ydtipulations of this lease, the Secretary of the Interior's regulations and formal orders in effect as of lease isskaike and to regulations and formal
orders hereafter promuigated,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.
sable Miner
ATES OF AMERICA
I t k•./
t7 ng
Sec 1io
Total acres applied for
Total
Total acres in lease 0 760
Rental retained 3085 50
ZOQ U (Date)
FOR LESSEE
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96805TRAfi
Nozsmanazss anammaima arlazsznw
1Z:41.491®
LEASE NOTICE NO. 1
3 26
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).
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.
5. Within 1/4 mile of occupied dwellings.
6. Material sites.
GUIDANCE:
1YW150896
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.
96805
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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.)
CONTROLLED SURFACE USE STIPULATION CSU
328
WYW150896
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Surface occupancy or use is subject to the following special operating
constraints.
(1) Surface occupancy or use within 1/4 mile of the Hams Fork Cutoff of the
Oregon Trail 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 Oregon /Mormon Pioneer National Historic Trails Management
Plan;
For the purpose of:
(3) protecting historic trails.
Any changes
plan and /or
use of this
2820.)
330
CONTROLLED SURFACE USE STIPULATION CSU
WYW150896
to this stipulation will be made in accordance with the land use
the regulatory provisions for such changes. (For guidance on the
stipulation, see BLM Manual 1624 and 3101 or FS Manual 1950 and
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Ssssa'i os aols0N
03013544
B00K PR PAGE
867528
WARRANTY DEED
WITNESS my hand as of the 15th day of May, 2000.
1
B. Gene Brown
r
B. Gene Brown, a single man, of Bouse, La Paz County, Arizona (mailing address:
PO Box 630, Bouse, AZ 85325), grantor, for and in consideration of TEN AND NO /100
DOLLARS ($10.00), and other valuable considerations receipt whereof is hereby
acknowledged, CONVEYS and WARRANTS to Michael Charbonneau and Joyce
Charbonneau, husband and wife, of PO Box 116, Grover, WY 83122, grantees, the
following described real estate, situate in Lincoln County, and State of Wyoming, hereby
releasing and waiving all rights under and by virtue of the homestead exemption laws of
the State, to -wit:
A parcel of land in the Southwest Quarter of the Southwest Quarter
(SW1 /4SW1/4) of Section 29, T33N, R118W of the 6 P.M., more completely
described as follows:
BEGINNING at a point where the South line of Section 29 intersects the
centerline of Highway U.S. 89 at Station 967 +71.4 of F. A. Project No. 184B;
thence N41 °34'W, 1128.6 feet; thence S0 °39'E, 844.6 feet; thence S89 °53'E,
739.2 feet to point of beginning. Said parcel of land containing 7.167 acres,
more or less.
TOGETHER WITH all buildings, manufactured homes, and improvements
located on the described premises.
SUBJECT TO all covenants, conditions, easements, exceptions, restrictions,
reservations and rights of way of sight or record.
RECEIVED
(110 AUG 15 r 1
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