HomeMy WebLinkAbout892635FORM 3000-3a
(January
UNITED STATES
.,- DEPARTMENT OF THE INTERIOR
BUREAU OF LAND MANAGEMENT
TRANSFER OF OPERATING RIGHTS (SUBLEASE) IN A
LEASE FOR OIL AND GAS OR GEOTHERMAL RESOURCES
Mineral LeaSing Act of 1920 (30 U.S.C. 181 et seq.)
Act for Acquired Lands of 1947 (30 U.S.C. 351-359)
Geothermal Steam Act of 1970 (30 U.S.C. 1001-1025)
Department of the Interior AppropriatiOns Act, Fiscal Year 1981 (42 U.S.C. 6508)
Type or print plainly in ink and sign in ink.
FORM APPROVED
OMB NO. 1004-0034
Expires: September 30, 1998
Lease Serial No.
WYW-131930
PART A: TRANSFER BOOK ,~3~IpR PAO~.
1. Transferee (Subleasee)* EnCana Energy Resources, Inc. --
Street 950 17th Street, Suite 2600 RECEIVED
City, State, ZIP Code Denver, Colorado 80202 LINCOLN COUNTY
*If more than one transferee, check here~ and list the name(s)and~(~)q~l additional transferees on the reverse of this form or on a
separate attached sheet of paper, ~--~ ~ 03 ~U~ 20 tl~ 9:
This transfer is for: (Check one) ~ Oil and Gas Le~e, or ~ Geothermal Le~e
JEANNE
Interest conveyed: (Check one or both. as appropriate)~ Operating Rights (sublease)~ Ove~iding Royal~, pay~t~:~p~d6~ti~a~6~ :~er
similar interests or payments
2. This transfer (sublease) conveys the following interest:
Land Description- Percent of Interest Percent of
Additional space on reverse, if needed. Do not submit documents or agreements other Owned Conveyed Retained Overriding Royalty
than this form; such documents or agreements shall only be referenced herein, or Similar Interests
Reserved Previously
reserved
or conveyed
a b c d e f
Township 20 North, Range 113 West, 6th P.M. 50% 50% 0% None Of record
Section 12: NE/4NW/4, NW/4NE/4
containing 80.00 acres, more or less
Lincoln County, Wyoming
FOR BLM USE ONLY -- DO NOT WRITE BELOW THIS LINE
THE UNITED STATES OF AMERICA
This transfer is approved solely for administrative purposes. Approval does not warrant that either party to this transfer holds legal or equitable
title to this lease.
[] Transfer approved effective
By '
......... (Title) ' :~ (Date)
Part A (Continued): ADDITIONAL SPACE for Names and addresses of additional assignees in Item N°. 1, if needed, or for Land Description in Item No. 2, if needed.
499
PART Bi CERTIFICATION AND REQUEST FOR APPROVAL
I, The Assign0r certifies as owner of an Mterest M the aboye deslgnated lease ihat he/she hereby assigus to the above assignee(s) the Hghts specified above'
2. Assignee certifies as folloWS: (a) Assignee is a Citizen of the United States; an association of such citizens; a municipality; or a corporation brganized under thc laws
of the United States m' of any State or territory thereof. For the assignment of NPR-A leases, assignee is a citizen, national, or resident alien of the United States or
association of such citizens, nationals, resident aliens or private, public or municipal corporations; Lb) Assignee is not considered a minor under the laws of the State
in which the lands covered by this assignment are located; (c) Assignee'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 ~o 200,000 acres maybe 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, if this is an oil and gas lease issued in accordance with the Mineral Leasing Act of 1920, o£ 51,200
acres in any one State if this is a geothermal lease; (d) All parties holding an interest in the assignment are otherwise in compliance w/th the regulations (43 CFR Group.
3100 or 3200} and the authorizing Acts; (e) Assignee is in compliance with reclamation requirements for all Federal oil and gas lease holding~ as required by see. 17(g)
of the Mineral Leasing Act; and (f) Assignee is not in violation of sec. 41 of the Mineral Leasing Act.
3. Assignee's signature to this assignment constitutes acceptance of all applicable terms, conditions, stipulations and restrictions pertaining to the lease described herein.
For geothermal assignments, an overriding royalty may not be less than one-fourth (~A) of one percent of the value.of output, nor greater than 50 percent of the rate of royalty
due to the United States when this assignment is added' to all previously created overriding royalties (43 CFR 3241).
I certify that the statements made herein by me are true, complete, and co~ect to the best of my knowledge and belief and. are made in good faith.
Executed this '20th day of May ,19 2003
Name of Assignor as shown on current lease Cabot OII and Gas Corporation
or R. Scott Butler, Vice President /~.
Attorney-in-fact
(Signature)
600 17th Street, Suite 900 North
(Assignor's Address)
Denver, Colorado 80202
(City) (State) (Zip Code)
Executed this 15t h
Assignee E n C a n
or
Attorney-in-fact
day of d U ] ,y ,-I.9-
EnCana Energy Resources, Inc.
nerq~Resources, Inc.
2O03
donatha~ _. Grannis, Attorney-in-Fact
950 Seventeenth Street, Suite 2600
Denver, CO 80202
Public reporting burden for this form is estimated to average 30 minutes per response including the time for reviewing instructions, gathering and maintaining data, and
completing and reviewing the form. Direct comments regarding the burden estimate or any other aspect of this .form to U.S. Department of the Interior, Bureau of Land
Management, Bureau Clearance Officer (DW-110), Denver Federal Center, Building 40, P.O: Box 25047, Denver, CO 80225-0047 and the Office of Management and
Budget, Paperwork Reduction Project (1004-0034), Washington, D.C. 20503.
Title 18 U.S.C. Sec. 1001 makes 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 ils jurisdiction. :
500
STATE OF COLORADO
COUNTY OF DENVER
) ss
)
The foregoing instrument was acknowledged b~fore me, the undersigned Notary Public, this
,,~o ,'~, day of . /'¢,cv , 2003, by R. Scott Butler, known to me to be the Vice President
for Cabot Oil & Gas' Corporation and who acknowledged to me that he executed same as his
free and voluntary act and deed on behalf of said Corporation for the uses and purposes
therein set forth.
WITNESS my hand and official seal the day and year last above written.
My Commission Expires: