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Home My WebLink About897616Form 3000-3a (February 2002) 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) ' FORM APPROVED OMB NO. 1004-0034 Expires: October 3 l, 2004 Lease Serial No. WYE-0-007675C Type or print plainly in ink and sign in ink. , PART A: TR/~NSFER Transreree(Sublessee)' ~O0~e,ou,¢es,],¢. BOOK .,~'..</C~__pRP.~_iGE ~t)U ~ECEIVED Street P.O.~o, 43~Z ' 'LINCOLN COUNTY CLERK City, State, ZIP Code Houston, ~ 772104362 97616 *If more th~ one ~sferee, check here ~ and list the name(s) and ad,ess(es) of all addti tonal ~nsf~eesOt[ ~q~on -[~t~e re~eIs~6~ t~i~;fo~ ~ ~' fl~ or on a sepmate a~ched sheet of paper. "'~ ~s transfer is for: (Checkone) ~ Oil ~d Gas Lease, or ~Geothe~alLease Interest conveyed: (Check one or both, as appropriate) ~erating~(suble~e) ~Ove~dingRoyal~,pa~entoutofproductionorother simil~ interes~ or pa~ents 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 than Owned Conveyed Retained Overriding Royalty Similar Interests this form; such documents or agreements shall only be referenced herein. Reserved Previously reserved or conveyed a b c d e f Township 26 North, Range l 13 West, 6th P.M. Secfon 3: Lot 1 Containing 41.00 acres, more or less Lincoln County, Wyoming As to the Mesa Verde Sands and all other sands below 1,200 feet from the 66.551725% 18.905625% 47.646101Y'A -0- Those of surface and not exceeding 2,672 feet from the surface. Record As to the Frontier Formation 100% 91.980700% 8.019300% -0- Those of Record As to the Bear River (Muddy) Formation 100% 82.895700% 17.104300% -0- Those of Record FOR BLM USE ONLY - DO NOT WRITE BELOW THIS LINE UNITED STATES OF AMERICA This transfer is approved solely for administrative purposes. Approval does not warrant that either party 1o this transfer holds legal or equitable title to this lease. [] Transfer approved effective By (Authorized O~ce0 (Title) (Dale) (Continued on reverse) Part A (Continued): ADDITIONAL SPACE for Names and addresses ofadditional transferees in Item No. 1, if needed, or for Land Description in Item N~o. needed. PART B - CERTIFICATION AND REQUEST FOR APPROVAL The transferor certifies as owner if an interest in the'above designated lease that he/she hereby transfers to the above assignee(s) the rights specified above. Transferee certifies as follows: (a) Transferee is s citizen of the United States; an association of such citizens; a mumcipality; or a corporation organized under the laws of the United States or of any State or territory thereof. For the transfer of NPR-A leases, transferee is a citizen, national, or resident alien of the United States or associations of such citizens, nationals, resident aliens or private, public or municipal corporations, (b) Transferee is not considered a minor under the la~s of the State 'in which the lands covered by this transfer are located; (c) Transferee'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, if this is an oil and gas lease issued in accordance with the Mineral Leasing Act of 1920, or 51,200 acres in any one State if this is a geothermal lease; {d) All parties holding an interest in the transfer are otherwise in compliance with the regulations (43 CFR Group 3100 or 3200) and the authorizing Acts; (e) Transferee 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 {f) Transferee is not in violation of sec. 41 of the Mineral Leasing Act. Transferee's signature to this assignment constitutes acceptance of all applicable terms, conditions, stipulations and restriclions pertaining to the lease described herein. Applicable terms and conditions include, but ate not limited to, an obligation to conduct all operations on the leasehold in accordance with the terms and conditions of the lease, Io condition all wells for proper abandonment, to restore ihe leased lands upon completion of any operations as described in the lease, and to furnish and maintain such bond as may be required by the lessor pursuant In.regulations 43 CFR 3104, 3134, or 3206. Fos: geothermal transfers, an ove~ding royalty may not be less than one-fourth (I/4) 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 3240. I certi~ that the'statements made herein by mc are tree, complete, and correct to the best of my knowledge and belief and are rpad faith. nfTransfer r show. on cn en,'ease (Please type or print) Transt~rOror (Signslure) TraTree /[~l~/'~at Attumey. in_fact 4,~94 Y c45'~"~ Anorney-in-fact //y , (Signature) /~ (Signs~ P. O. Box 36366 3. 14'ichae'l '(Trans feror's Address). Houston TX 77236 · (City) (Sla~e) (Zip Code) 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 lnteriur, Bureau of Land Management (1004-0034), Bureau Clearance Officer, (WO~630), Mail Stop 401 LS, 1849 C Street, N.W., Washington, D.C. 20240. Title 18 U.S.C. Sec. 1001 makes it a crime for any person knowingly aad willfuliy to make to any Department or agency of the United States any false, fictitious or fraudulent statements or representations as to any matter wtthin its jurisdiction. (Form 3000-3a (1199) (page 2) STATE OF COLORADO ) )§ COUNTY OF DENVER ) ACKNOWLEDGEMENT 4O2* The foregoing instrument was acknowledged before me this 21st day of January 2004, by J. Michael Schween, Agent and Attorney-in-Fact for EOG Resources, Inc. Witness my hand and.official seal, My Commission Expires: July 9, 2005 ACKNOWLEDGEMENT STATE OF TEXAS .) )§ COUNTY OF ,/!/~'/~'/¢'/,.~ ) TQ~ foregoing instrument was acknowledged before me this 14th day of January 2004, by/~... ,~,..../~,~'~ , Agent and Attorney-in-Fact for Chevron U S ~ i~c itness my hand and official seal. My Commission Expires: