HomeMy WebLinkAbout977767Form X100 -11
(October 2008)
Amount remitted: Filing fee
3. Land included in lease:
T. 0190N R. 1180W
Sec. 034 ALL;
(Continued on page 2)
_ZED STATES
DEPARTMENT OF THE INTERIOR
BUREAU OF LAND MANAGEMENT
OFFER TO LEASE AND LEASE FOR OIL AND GAS
The undersigned (page 2) offers to lease all or any of the lands in item 2 that are available for lease pursuant to the Mineral Lands 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),
or (other).
READ INSTRUCTIONS BEFORE COMPLETING
1. Naive TRAIL ENERGY LLC
Street 6029 W SAGE FORK RD
City, State, Zip Code WEST JORDAN, UT 840815686
2. This application/offer /lease is for: (Check Only One) El PUBLIC DOMAIN LANDS ACQUIRED LANDS (percent U.S. interest
Surface managing agency if other than Bureau of Land Management (BLM): Unit/Project
Legal description of land requested: *Parcel No.: *Sale Date (mm/dd/yyyy):
*See Item 2 in Instructions below prior to completing Parcel Number and Sale Date.
T. R. Meridian State County
977767 7/28/2014 4:48 PM
LINCOLN COUNTY FEES: $54.00 PAGE 1. OF 15
BOOK: 836 PAGE: 847 OIL GAS LEASE
JEANNE WAGNER, LINCOLN COUNTY CLERK
1IIIIII111111IIIII IIII11111II11111111111 IIIIIIII IIIII111111111III1111IIII
DO NOT WRITE BELOW THIS LINE
Meridian 06th
ORIGINAL.
WYW183079
Total acres applied for
Rental fee Total
State WY County Lincoln
0.
0.
0
eh
Total acres in lease 640.00 1+,, i :t s t
Rental retained 96b.d(L �:•:L,;,y..
Serial Number
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 form submitted under 43 CFR 3120 and is subject to
the provisions of that bid and those specified on this form.
THE UNITEDTES OF �Iv1 cA
Type and primary term:
Noncompetitive lease (ten years) by
(BLM) MAY 3 0 2 014
Chief, Branch of Fluid Minerals Adjudication
❑x Competitive lease (ten years) (Title) (Date)
JUN ®1 2014
Other EFFECTIVE DATE OF LEASE
4. (a) Undersigned certifies that (1) offeror is s zen of the United States; an association of such citi a municipality; or a corporation
organized under the laws of the United States a, ,,f any State or Territory thereof, (2) all parties holdin•wn interest in the offer are in compliance
with 43 CFR'3100 and the leasing authorities; (3) offeror's chargeable interests, direct and indirect, in each public domain and acquired lands
separately in the same State, do not exceed 246,080 acres in oil and gas leases (of which up to 200,000 acres may be in oil and gas options or
300,000 acres in leases in each leasing District in Alaska of which up to 200,000 acres may be in options, (4) offeror is not considered a minor
under the laws of the State in which the lands covered by this offer are located; (5) offeror is in compliance with qualifications concerning Federal
coal lease holdings provided in sec. 2(a)2(A) of the Mineral Leasing Act; (6) offeror is in compliance with reclamation requirements for all
Federal oil and gas lease holdings as required by sec. 17(g) of the Mineral Leasing Act; and (7) offeror is not in violation of sec. 41 of the Act.
(b) Undersigned agrees that signature to this offer constitutes acceptance of this lease, including all terms conditions, and stipulations of which
offeror has been given notice, and any amendment or separate lease that may include any land described in this offer open to leasing at the time
this offer was filed but omitted for any reason from this lease. The offeror further agrees that this offer cannot be withdrawn, either in whole or in
part unless the withdrawal is received by the proper BLM State Office before this lease, an amendment to this lease, or a separate lease,
whichever covers the land described in the withdrawal, has been signed on behalf of the United States.
This offer will be rejected and will afford offeror no priority if it is not properly completed and executed in accordance with the T
regulations, or if it is not accompanied by the required payments.
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Duly executed this
Title 18 U.S.C. Section 1001 and Title 43 U.S.C. Section 1212 make it a crime 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.
Sec. 1. Rentals Rentals must be paid to proper office of lessor in
advance of each lease year. Annual rental rates per acre or fraction
thereof are:
(a) Noncompetitive lease, $1.50 for the first 5 years; thereafter $2.00;
(b) Competitive lease, $1.50; for the first 5 years; thereafter $2.00;
(c) Other, see attachment, or
as specified in regulations at the time this lease is issued.
R this lease or a portion thereof is committed to an approved cooperative
or unit plan which includes a well capable of producing leased resources,
and. the plan contains a provision for allocation of production, royalties
must be paid on the production allocated to this lease. However, annual
rentals must continue to be due at the rate specified in (a), (b), or (c)
7entals for those lands not within a participating area.
Failure to pay annual rental, if due, on or before the anniversary date of
:his lease (or next official working day if office is closed) must
automatically terminate this lease by operation of law. Rentals may be
waived, reduced, or suspended by the Secretary upon a sufficient
showing by lessee.
See. 2. Royalties Royalties must be paid to proper office of lessor.
Royalties must be computed in accordance with regulations on
3roduction removed or sold. Royalty rates are:
;a) Noncompetitive lease, 12 1/2
b) Competitive lease, 12 1/2
c) Other, see attachment; or
is specified in regulations at the time this lease is issued.
(Continued on page 3)
day of 20
LEASE TERMS
Lessor reserves the right to specify whether royalty is to be paid in value
or in kind, and the right to establish reasonable minimuth values on
products after giving lessee notice and an opportunity to be heard.
When paid in value, royalties must be due and payable on the last day
of the month following the month in which production occurred. When
paid in kind, production must be delivered, unless otherwise agreed to
by lessor, in merchantable condition on the premises where produced
without cost to lessor. Lessee must not be required to hold such
production in storage beyond the last day, of the month following the
month in which production occurred, nor must lessee be held liable for
loss or destruction of royalty oil or other products in storage from
causes beyond the reasonable control of lessee.
Minimum royalty in lieu of rental of not less than the rental which
otherwise would be required for that lease year must be payable at the
end of each lease year beginning on or after a discovery in paying
quantities. This minimum royalty may be waived, suspended, or reduced,
and the above royalty rates may be reduced, for all or portions of this
lease if the Secretary determines that such action is necessary to
encourage the greatest ultimate recovery of the leased resources, or is
otherwise justified.
An interest charge will be assessed on late royalty payments or
underpayments in accordance with the Federal Oil and Gas Royalty
Management Act of 1982 (FOGRMA) (30 U.S.C. 1701). Lessee must be
liable for royalty payments on oil and gas lost or wasted from a lease site
when such loss or waste is due to negligence on the part of the operator,
or due to the failure to comply with any rule, regulation, order, or citation
issued under FOGRMA or the leasing authority.
(Signature of Lessee or Aftorrneyaft -f
II .0
.P
(Form 3100 -11, page 2)
1
Sec. 3. Bonds -A boi filed and mainta
as requiied under regulations.
for lease operations
Sec. 4. Diligence, rate of development, unitization, and drainage Lessee
must exercise reasonable diligence in developing and producing, and
must prevent unnecessary damage to, loss of, or waste of leased
resources. Lessor reserves right to specify rates of development and
production in the public interest and to require lessee to subscribe to a
cooperative or unit plan, within 30 days of notice, if deemed necessary
for proper development and operation of area, field, or pool embracing
these leased lands. Lessee must drill and produce wells necessary to
protect leased lands from drainage or pay compensatory royalty for
drainage in amount determined by lessor.
Sec. 5. Documents, evidence, and inspection- Lessee must file with
proper office of lessor, not later than 30 days after effective date thereof,
any contract or evidence of other arrangement for sale or disposal of
production. At such times and in such form as lessor may prescribe,
lessee must furnish detailed statements showing amounts and quality of
all products removed and sold, proceeds therefrom, and amount used for
production purposes or unavoidably lost. Lessee may be required to
provide plats and schematic diagrams showing development work and
improvements, and reports with respect to parties in interest,
expenditures, and depreciation costs. In the form prescribed by lessor,
lessee must keep a daily drilling record, a log, information on well
surveys and tests, and a record of subsurface investigations and fumish
copies to lessor when required. Lessee must keep open at all reasonable
times for inspection by any representative of lessor, the leased premises
and all wells, improvements, machinery, and fixtures thereon, and all
books, accounts, maps, and records relative to operations, surveys, or
investigations on or in the leased lands. Lessee must maintain copies of
all contracts, sales agreements, accounting records, and documentation
such as billings, invoices, or similar documentation that supports costs
claimed as manufacturing, preparation, and/or transportation costs. All
such records must be maintained in lessee's accounting offices for future
audit by lessor. Lessee must maintain required records for 6 years after
they are .generated or, if an audit or investigation is underway, until
released of the obligation to maintain such records by lessor.
During existence of this lease, information obtained under this section
will be closed to inspection by the public in accordance with the
Freedom of Information,Act (5 U.S.C. 552).
Sec. 6. Conduct of operations Lessee must conduct operations in a
manner that minimizes adverse impacts to the land, air, and water, to
cultural, biological, visual, and other resources, and to other land uses or
users. Lessee must take reasonable measures deemed necessary by lessor
to accomplish the intent of this .section. To the extent consistent with
lease rights granted, such measures may include, but are not limited to,
modification to siting or design of facilities, timing of operations, and
specification of interim and final reclamation measures. Lessor reserves
the right to continue existing uses and to authorize future uses upon or in
the leased lands, including the approval of easements or rights -of -way.
Such uses must be conditioned so as to prevent unnecessary or
unreasonable interference with rights of lessee.
Prior to disturbing the surface of the leased lands, lessee must contact
lessor to be apprised of procedures to be followed and modifications or
reclamation measures that may be necessary. Areas to be disturbed may
require inventories or special studies to determine 1 tl�e,extent of impacts
to other resources. Lessee may be required to complete miizgr inwentories
or short term special studies under guidelines prol'ed by lessor,,I the
conduct of operations, threatened or a endang re spec es' object' of
historic or scientific interest or substptipltAtptin ;ronrnerrtal
effects are observed, lessee must im t tit
fti cies
cease any operations that would resu
(Continued on page 4)
Mining operati To the extent that ir )m mining
operations would be st tantially different or greater than those
associated with normal drilling operations, lessor reserves the right to
deny approval of such operations.
Sec. 8. Extraction of helium- Lessor reserves the option of extracting or
having extracted helium from gas production in a manner specified and
by means provided by lessor at no expense or loss to lessee or owner of
the gas. Lessee must include in any contract of sale of gas the provisions
of this section.
Sec. 9. Damages to property- Lessee must pay lessor for damage to
lessor's improvements, and must save and hold lessor harmless from all
claims for damage or harm to persons or property as a result of lease
operations.
Sec. 10. Protection of diverse interests and equal opportunity- Lessee
must pay when due all taxes legally assessed and levied under laws of the
State or the United States; accord all employees complete freedom of
purchase; pay all wages at least twice each month in lawful money of the
United States; maintain a safe working environment in accordance with
standard industry practices and take measures necessary to protect. the
health and safety of the public.
Lessor reserves the right to ensure that production is sold at reasonable
prices and to prevent monopoly. If lessee operates a pipeline, or owns
controlling interest in a pipeline or a company operating a pipeline,
which may be operated accessible to oil derived from these leased lands,
lessee must comply with section 28 of the Mineral Leasing Act of 1920.
Lessee must comply with Executive Order No. 11246 of September 24,
1965, as amended, and regulations and relevant orders of the Secretary of
Labor issued pursuant thereto. Neither lessee nor lessee's subcontractors
must maintain segregated facilities.
Sec. 11. Transfer of lease interests and relinquishment of lease -As
required by regulations, lessee must file with lessor any assignment or
other transfer of an interest in this lease. Lessee may relinquish this lease
or any legal subdivision by filing in the proper office a written
relinquishment, which will be effective as of the date of filing, subject to
the continued obligation of the lessee and surety to pay all accrued
rentals and royalties.
Sec. 12. Delivery of premises -At such time as all or portions of this lease
are returned to lessor, lessee must place affected wells in condition for
suspension or abandonment, reclaim the land as specified by lessor and,
within a reasonable period of time, remove equipment and improvements
not deemed necessary by lessor for preservation of producible wells.
Sec. 13. Proceedings in case of default -If lessee fails to comply with any
provisions of this lease, and the noncompliance continues for 30 days
after written notice thereof, this lease will be subject to cancellation
unless or until the leasehold contains a well capable of production of oil
or gas in paying quantities, or the lease is committed to an approved
cooperative or unit plan or communitization agreement which contains a
well capable of production of unitized substances in, paying quantities.
This provision will not be construed to prevent the exercise by lessor of
any other legal and equitable remedy, including waiver of the default.
Any such remedy or waiver will not prevent later cancellation for the
same default occurring at any other time. Lessee will be subject to
applicable provisions and penalties of FOGRMA (30 U.S.C. 1701).
Sec. 14. Heirs and successors -in- interest -Each obligation of this lease
will extend to and be binding upon, and every benefit hereof will inure to
the heirs, executors, administrators, successors, beneficiaries, or
assignees of the respective parties hereto.
(Form 3100 -11, page 3)
A. General:
1. Page 1 of this form is to be completed only by parties filing for a
noncompetitive lease. The BLM will complete page 1 of the form
for all other types of leases.
2. Entries must be typed or printed plainly in ink. Offeror must sign
Item 4 in ink.
3. An original and two copies of this offer must be prepared and
filed in the proper BLM State Office. See regulations at 43 CFR
1821.2 -1 for office locations.
4. If more space is needed, additional sheets must be attached to
each copy of the form submitted.
B. Special:
Item I -Enter offeror's name and billing address.
Item 2- Identify the mineral status and, if acquired lands, percentage
of Federal ownership of applied for minerals. Indicate the agency
controlling the surface of the land and the name of the unit or Project
which the land is a part. The same offer may not include both Public
NOTICES
Domain and Acquired la. Offeror also may provide other information
that will assist in establis.....g title for minerals. The description of land
must conform to 43 CFR 3110. A single parcel number and Sale Date
will be the only acceptable description during the period from the first
day following the end of a competitive process until the end of that same
month, using the parcel number on the List of Lands Available for
Competitive .Nominations or the Notice of Competitive Lease Sale,
whichever is appropriate.
Payments: The amount remitted must include the filing fee and the first
year's rental at the rate of $1.50 per acre or fraction thereof. The full
rental based on the total acreage applied for must accompany an offer
even if the mineral interest of the United States is less than 100 percent.
The filing fee will be retained as a service charge even if the offer is
completely rejected or withdrawn. To protect priority, it is important that
the rental submitted be sufficient to cover all the land requested. If the
land requested includes lots or irregular quarter quarter sections, the
exact area of which is not known to the offeror, rental should be
submitted on the basis of each such lot or quarter quarter section
containing 40 acres. If the offer is withdrawn or rejected in whole or in
part before a lease issues, the rental remitted for the parts withdrawn or
rejected will be returned.
Item 3 -This space will be completed by the United States.
The Privacy Act of 1974 and the regulations in 43 CFR 2.48(d) provide that you be furnished with the following information in connection with
information required by this oil and gas lease offer.
AUTHORITY: 30 U.S.C. 181 et seq.; 30 U.S.0 351 -359
PRINCIPAL PURPOSE: The information is to be used to process oil and gas offers and leases.
ROUTINE USES: (1) The adjudication of the lessee's rights to the land or resources. (2) Documentation for public information in support of notations
made on land status records for the management, disposal, and use of public lands and resources: (3) Transfer to appropriate Federal agencies when
consent or concurrence is required prior to granting a right in public lands or resources. (4)(5) Information from the record and/or the record will be
transferred to appropriate Federal, State, local or foreign agencies, when relevant to civil, criminal or regulatory investigations or prosecutions.
EFFECT OF NOT PROVIDING INFORMATION: If all the information is not provided, the offer may be rejected. See regulations at 43 CFR 3100.
(Form 3100 =11, page 4)
PARCEL NUMBER
AMOUNT OF BID (see instructions below)
TOTAL BID
PAYMENT SUBMITTED
WITH BID
0 'o
1 N om
THE BID IS FOR (check one):
2 and Gas Parcel Number s 5
Geothermal Parcel Number
o
U P,.
b: Niai
,•M
i
II
Name of Known Geothermal Resource Area (KGRA)
Form 30007 -2
(August 2007)
The appropriate regulations applicable to this bid are: (1) for oil and gas leases -43 CFR 3120; (2) for National Petroleum Reserve Alaska (NPR
leases--43 CFR 3132; and (3) for Geothermal resources leases -43 CFR 3220. (See details concerning lease qualifications on next page.)
I CERTIFY 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 bid 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.
IMPORTANT NOTICE: Execution of this form where the offer is the high bid, constitutes a binding lease offer including all applicable terms and
conditions. Failure to comply with the applicable laws and regulations under which this bid is made will result in rejection of the bid and forfeiture of
all monies submitted.
I Ya. t r bn LL c
Print o Name of Lessee
19`? Sal(. e Fo c (7P
Addre3 of Lessee
Zjer 3o race:
City
Title 18 U.S.C. Section 1001 and Title 43 U.S.C. Section 1212 make it a crime 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.
(Continued on page 2)
UNITED STATES
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
uT F`(e)
State Zip
INSTRUCTIONS FOR OIL AND GAS BID
(Except NPR -A)
1. Separate bid for each parcel is required. Identify parcel by the parcel
number assigned in the Notice of Competitive Lease Sale.
2. Bid must be accompanied by the national minimum acceptable bid, the
first year's rental and the administrative fee. The remittance must be in
the form specified in 43 CFR 3103.1 -1. The remainder of the bonus
bid, if any, must be submitted to the proper Bureau of Land
Management (BLM) office within 10 working days after the last day of the
oral auction. Failure to submit the remainder off the bonus bid
within 10 working days will result in rejection of the bid offer and
forfeiture of all monies paid.
3. If the bidder is not the sole party in interest in the lease for which the
bid is submitted, all other parties in interest may be required to furnish
evidence oftheir qualifications upon written request by the BLM.
4. This bid may be executed (signed) 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), the bidder may wish to leave the
AMOUNT OF BID section blank so that final bid amount may be
either completed by the bidder or the BLM at the oral auction.
INSTRUCT!
1
2
3
State
Signature of Lessee or Bidder
Date of Sale
336 /9
ONS INSTRUCTIONS FOR GEOTHERMAL OR
NPR -A OIL AND GAS BID
Separate bid for each parcel is required. Identify the parcel by the
number assigned to a tract.
Bid must be accompanied by one -fifth of the total amount of the 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.
Mark the 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 the 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 the bidder is not the sole party in interest in the lease for which
bid is submitted, all other parties in interest may be required to
fumish evidence of their qualifications upon written request by the
BLM.
For leases that may issued as a result of this sale under the Mineral Leasing
bidder must: (1) Be-a citizen of the United States; an association (including partn:
or a corporation organized under the laws of the United States or of any State or T-
limitation requirements wherein the bidder's interests, direct and indirect, in oil and
246,080 acres each in public domain. or acquired lands including acreage covered b
under options. If this bid is submitted for lands in Alaska, the bidder's holdings in e
300,000 acres, of which no more than 200,000 acres are under options in each distr
holdings as provided in sec. 2(a)(2)(A) of the Act; (4) Be in compliance with reclar
holdings as required by sec. 17 of the Act; (5) Not be in violation of sec. 41 of the
bid are in compliance with 43 CFR Groups 3000 and 3100 and the leasing authorit
For leases that may be issued as a result of this sale under the Geothermal Ste
Be a Citizen of the United States; an association of such citizens; a municipality; of
United States or of any State or Territory thereof; and (2) Be in compliance with ac
interests, direct and indirect, do not exceed 51,200 acres, and (3) Certify that all pa
CFR Group 3200 and the leasing authority cited herein.
For leases that may be issued as a result of this sale under the Department of t
bidder must: (1) Be a citizen or national of the United States; an alien lawfully acl
municipal corporation organized under the laws of the United States or of any Stat
nationals, resident aliens or private, public or municipal corporations, and (2) Certi
compliance with 43 CFR Part 3130 and the leasing authorities cited herein.
QUALIFICATIONS
NOTICES
Act (The Act) of 1920; as amended, the oral
rships and trusts) of such citizens; a municipality;
rritory thereof; (2) Be in compliance with acreage
gas leases in the State identified do not exceed
y this bid, of which not more than 200,000 acres are
ach of the Alaska leasing districts do exceed
ict; (3) Be in compliance with Federal coal lease
nation requirements for all Federal oil and gas
ct; and (6) Certify that all parties in interest in this
es cited herein.
m Act of 1970, as amended, the bidder.must: (1)
a corporation organized under the laws of the
reage limitation requirements wherein the bidder's
ties in interest in this bid are in compliance with 43
he Interior Appropriations Act of 1981, the
pitted for permanent residence; a private, public or
or Territory thereof; an association of such citizens,
fY that all parties in interest in this bid are in
The Privacy Act of 1974 and the regulation in 43 CFR 2.48(d) provide that you be furnished the following information in
connection with information required by this bid for a Competitive Oil and Gas or Geothermal Resources Lease.
AUTHORITY: 30 U.S.C. 181 et seq.; 30 U.S.C. 351 -359; 30 U.S.C. 1001 -025; 42 U.S.C. 6508
PRINCIPAL PURPOSE: The information is to be used to process your bid.
ROUTINE USES: (1) The adjudication of the bidder's right to the resource for which this bid is made. (2)
Documentation for public information. (3) Transfer to appropriate Federal tgencies when comment or concurrence is
required prior to granting a right in public lands or resources. (4)(5) Informiation from the record and /or the record will be
transferred to appropriate Federal, State, local or foreign agencies, when re evant to civil, criminal or regulatory
investigations or prosecutions.
EFFECT OF NOT PROVIDING INFORMATION: Disclosure of the information is voluntary. If all the information is not
provided, your bid may be rejected.
(Form 3000 -2, page 2)
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.
i 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 naive of the
appropriate agency may be obtained from the proper BLM Field Office.
l III 'Pp f
3UR
tt e r opy
rflii t
EMENT
LEASE NOTICE NO. 1
THIS NOTICE APPLIES TO ALL PARCELS
WYW183079
STRATEGY:
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LEASE NOTICE NO. 2
BACKGROUND:
The Bureau of Land Management (BLM), by including National Historic Trails within its National Landscape
Conservation System, has recognized these trails as national treasures. Our responsibility is to review our strategy
for management, protection, and preservation of these trails. The National Historic Trails in Wyoming, which
include the Oregon, California, Mormon Pioneer, and Pony Express Trails, as well as the Nez Perce Trail, were
designated by Congress through the National Trails System Act (P.L. 90 -543; 16 U.S.C. 1241 -1251) as amended
through P.L. 106 -509 dated November 13, 2000. Protection of the National Historic Trails is normally considered
under the National Historic Preservation Act (P.L. 89 -665; 16 U.S.C. 470 et seq.) as amended through 1992 and the
National Trails System Act. Additionally, Executive Order 13195, "Trails for America in the 21 Century," signed
January 18, 2001, states in Section 1: "Federal agencies will...protect, connect, promote, and assist trails of all types
throughout the United States. This will be accomplished by: (b) Protecting the trail corridors associated with
national scenic trails and the high priority potential sites an.d segments of national historic trails to the degrees
necessary to ensure that the values for which each trail was established remain intact," Therefore, the BLM will be
considering all impacts and intrusions to the National Historic Trails, their associated historic landscapes, and all
associated features, such as trail traces, grave sites, historic encampments, inscriptions, natural features frequently
commented on by emigrants in journals, letters and diaries, or any other feature contributing to the historic
significance of the trails. Additional National Historic Trails will likely be designated amending the National Trails
System Act. When these amendments occur, this notice will apply to those newly designated National Historic
Trails as well.
The BLM will proceed in this objective by conducting a viewshed analysis on either side of the designated
centerline of the National Historic Trails in Wyoming, except, at this time, for the Nez Perce Trail, for the purpose
of identifying and evaluating potential impacts to the trails, their associated historic landscapes, and their associated
historic features. Subject to the viewshed analysis and archaeological inventory, reasonable mitigation pleasures
may be applied. These may include, but are not limited to, modification of siting or design of facilities to
camouflage or otherwise hide the proposed operations within the viewshed. Additionally, specification of interim
and final reclamation measures may require relocating the proposed operations within the leasehold. Surface
disturbing activities will be analyzed in accordance with the National Environmental Policy Act of 1969 (P.L. 91-
190; 42 U.S.C. 4321 -4347) as amended through P.L. 94 -52; July 3, 1975 and P.L. 94 -83, August 9, 1975, and the
National Historic Preservation Act, supra, to determine if any design, siting, timing, or reclamation requirements are
necessary. This strategy is necessary until the BLM determines that, based on the results of the completed viewshed
analysis and archaeological inventory, the existing land use plans' (Resource Management Plans) have to be
amended.
The use of this lease notice is a predecisional action, necessary until final decisions regarding surface
disturbing restrictions are made. Final decisions regarding surface disturbing restrictions will take place
with full public disclosure and public involvement over the next several years if BLM determines that it is
necessary to amend existing land use plans.
GUIDANCE:
The intent of this notice is to inform interested parties (potential lessees, permittees, operators) that when any oil and
gas lease contains remnants of National Historic Trails, or is located within the viewshed of a National Historic
Trails' designated centerline, surface disturbing activities will require the lessee, permittee, operator or, their
designated representative, and the surface management agency (SMA) to arrive at an acceptable plan for mitigation
of anticipated impacts. This negotiation will occur prior to development and become a condition for approval when
authaiiizkix. the action.
THIS NOTICE APPLIES TO ALL PARCELS
oI3y
WYW183079
Greater Sage- Grouse Habitat: The lease may in part, or in total, contain important Greater sage
grouse habitats as identified by the BLM, either currently or prospectively. The operator may be
required to implement specific measures to reduce impacts of oil and gas operations on the
Greater sage grouse populations and habitat quality. Such measures shall be developed during
the Application for Permit to Drill (APD) on -site and environmental review process and will be
consistent with the lease rights granted.
LEASE NOTICE NO. 3
THIS NOTICE APPLIES TO ALL PARCELS
WYW183079
LEASE STIPULATION NO. 1
This lease may be found to contain historic properties and /or resources protected under
the National Historic Preservation Act (NHPA), American Indian Religious Freedom
Act, Native American Graves Protection and Repatriation Act, Executive Order 13007, or
other statutes and executive orders. The BLM will not approve any ground disturbing
activities that may affect any such properties or resources until it completes its
obligations (e.g., State Historic Preservation Officer (SHPO) and tribal consultation)
under applicable requirements of the NHPA and other authorities. The BLM may require
modification to exploration or development proposals to protect such properties, or
disapprove any activity that is likely to result in adverse effects that cannot be
successfully avoided, minimized or mitigated.
THIS STIPULATION APPLIES TO ALL PARCELS
WYW183079
ENDANGERED SPECIES ACT SECTION 7 CONSULTATION STIPULATION
The lease area may now or hereafter contain plants, animals, or their habitats determined to be
threatened, endangered, or other special status species. BLM may recommend modifications to
exploration and development proposals to further its conservation and management objective to
avoid BLM- approved activity that will contribute to a need to list such a species or their habitat.
The BLM may require modifications to or disapprove proposed activity that is likely to result in
jeopardy to the continued existence of a proposed or listed threatened or endangered species or
result in the destruction or adverse modification of a designated or proposed critical habitat. The
BLM will not approve any ground disturbing activity that may affect any such species or critical
habitat until it completes its obligations under applicable requirements of the Endangered
Species Act as amended, 16 U.S.C. 1531 et seq., including completion of any required
procedure for conference or consultation.
LEASE STIPULATION NO. 2
THIS STIPULATION APPLIES TO ALL PARCELS
WYW183079
MULTIPLE MINERAL DEVELOPMENT STIPULATION
Operations will not be approved which, in the opinion of the authorized officer, would
unreasonably interfere with the orderly development and /or production from a valid existing
mineral lease issued prior to this one for the same lands.
LEASE STIPULATION NO. 3
THIS STIPULATION APPLIES TO ALL PARCELS
WYW183079
No surface use is allowed during the following time period(s). This stipulation does not apply to
operations and maintenance of production facilities.
(1) Mar 15 to Jul 15;
On the lands described below:
(2) as mapped on the Kemmerer Field Office GIS database;
For the purpose of (reasons):
(3) protecting nesting Greater sage grouse.
TIMING LIMITATION STIPULATIONS TLS
WYW183079
r r L
,N
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 the stipulation, see BLM Manual 1624 and 3101 or FS
Manual 1950 and 2820.)
ATTACHMENT TO EACH LEASE
NOTICE TO LESSEE
WYW183079
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.
to.bt.aitr.e:antQomp= a' Capy
of the ;official;record's on file
UL 1:1 201
1
United States
Department of the Interior
Bureau of Land Management
5353 Yellowstone Rd., Cheyenne, WY 82009 -4137
Competitive OH and Gas
Lease Bid Receipt
T.O190Ni, R.1180W, 06th PM, WY
Sec 034 ALL;
Lincoln County
Legal Description
assee Name (as it will appear on lease)"
Gel
usiness Mailing Address
ity
tate
ZIP Code
S
u
hone Number (including area code)
1
6
6
J
6
C.1
0
1
640.000 Acres
1
6
cj
1„
c
k-
2.
09
Parcel 53
State W Y Date of Sale C I n r/ 1 4
Table: Bidder:
Lease Serial Number: WY'vg g,...;
7
Total Acres (rounded)
X
Bid per. Acre
MENEM
Total Bonus
Minimum Bonus @$2
Advance Rent $1.50
Administrative Fee
MOM
Minimum Due
Additional Bonus.
Total Due
Check
Received 3.4 4 G;
Within 10 working days, send
any additional payment, and a
copy of this form, to:
Bureau of Land Management
P.O. Box1828
Cheyenne, WY .82003 -1828
or
Bureau of Land Management
5353 Yellowstone Road
Cheyenne, WY 82009 -4137
Name of Bidder (print)
640.00
5 .C.D0
c
o
1280..0()
960.00
1550()
2395.00
3. Q o 1
34-.3q DO
Charge
WY 3120 -10 09/98