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HomeMy WebLinkAbout907400Form 3000-3a (Feb~y 2002) UNITED STATES {][ Pt~ ! Y,[I~ [ O F [~kF~ IN [ [ R ff~EPARTMENT OF THE ~TE~OR ~U~[AU OF [.),SO b~.~fA~:[~([~~AU OF L~D MANAGEMENT a T~~ OF OPE~TING RIGHTS (SUBLEASE) IN A 0h DEC - asE AND GAS OR GEOTHERMAL SOURCES ~E C~['~ M~eral Leaskg Act of1920 (30 U. S.C. 181 etseq.) C H [ Y [ ~ ~{ ~, W Y 0 ~ti ~i for Acquired L~ds of 1947 (30 U.S.C. 351-359) Geothemal Steam Act of 1970 (30 U.S.C. 1001-1025) Depaament of the htefior Appropriations Act, Fiscal Year 1981 (42 U.S.C. 6508) FOR/vi APPROVED ' OtVI~ NO. 1004-0034 Expires: October 31, 2004 Lease Serial No. WYW-132409 Type or print plainly in ink and si~wn in ink. 1. Transferee (Sublessee)* Street City, State, ZIP Code *If more than one transferee, check here attached sheet of paper. This transfer is for (Check One) PART A: TRANSFER Cabot Oil & Gas Corporation 17.50% Lario Oil & Gas Company 600 17th Street, Suite 900 North 301 S. Market Street Denver CO 80202 Wich/ta, KS 67202 ~] and list the name(s) and address(es) of all additional transferees on the reverse of this form or on a separate Interest conveyed: (Check one or both, a~' appropriate) 17.50% ~-~Oil and Gas Lease, or ~-~ Geothermal Lease ~ Operating Rights (sublease) ~--~Overriding Royalty, payment out of production or other similar interests or payments 2. This transfer (sublease) conveys the following interest: Land Description Percent of Interest Owned Conveyed Retained Additional space on reverse, if needed. Do not submit documents or agreements other than this form such documents or agreements shall only be referenced herein. Township 23 North. Ranae 112 West, 6th P.M.: Section 8: NWSW Containing 40.00 acres, more or less Lincoln County, Wyoming 100% 35% 65% Percent of Overriding Royalty or Similar interests Reserved Previously reserved ;'. ~ or conveyed e f None 6.5%* Limited from the surface of the earth to the stratigraphic equivalent of 11,096' as found in the Bridget 21-8 well, located in SW4 of Section 8, T23N-R112W, Lincoln County, Wyoming. This assignment is made subject to that certain Farmout Agreement dated September 20, 1995, by a,-,cl between Lario Oil & Qa~ Company an~ p~tra/E~xploration LLC and Marathon Oil Company covering the above lands, and this assi_~ament is made effective November 2, 2002, the day after payout of the Bridger 21-8 Well. *Effective as of November 2, 2002, 1% of the/~verridi~g royalty previously reserved by Lario Oil & Gas Company and Petral Exploration LLC is converted in total to the Working Interest covered by this assignment, which reduces the previously reserved ORRI from 7.5% to 6.5% RECEIVED 4/1/2005 at 10:53 AM RECEIVING # 907400 BOOK: 582 PAGE: 145 JEANNE WAGNER LINCOLN COUNTY CLERK KEMMERER, WY 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 to this transfer holds legal or le title to this lease. Transfer approved effective (Authorized Officer) (Title) LAND LAW EXAMINER FOR ASSlGNEI (Date) Part A (Continued): ADDITIONAL SPACE for Names and addresses of additiorml assignees in Item No. 1, if needed, or for Land Description in Item No. 2, if needed. PART B: CERTIFICATION AND REQUEST FoRAPPROVAL I. The transferor certities as owner of an interest in the above designated lease that he/she hereby assigns to the above Transferee(s) the rights specified above. 2. Transferee certifies as follows:(a) Transferee is a citizen or the United States; an association of such citizens; a municipality, or a corporation organized under the laws of the United States or of any 8tare or territory thereo£ For the transfer of NPR-A leases, transferee 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, (b) Transferee is not considered a minor under the laws of the State in which the lands covered by this transfer are located; (e) Transferee's chargeable interests, direct or 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 lea.sing 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 Js a geothem~al 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. IT(g) of the Mineral Leasing Act; and (0 Transferee is not in violation of sec. 41 of the Mineral Leasing Act. 3. Transferee's signature to this assignment constitutes acceptance Of all applicable terms, conditions; stipulations and restrictions pertaining to the lease described herein. Applicable terms and conditions include, but are not limited to, an obligation to conduct all operations on the leasehold in accordance with the terms and conditions of the lenin, to condition all wells for proper abandonment, to restore the leased lands upon completion of any operations as described in the lease, and to furniih and maintain such bond as may b~ required by the lessor pursuant to regulations 43 cFR 3104, 3134, or 3206. For geothermal transfers, an overriding royalty may not be less than one-fourth (1/4)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 assigrm~ent is added to all previously created overriding royalties (43 CFR 3241). I certify that the statements made herein by me are tree, complete, and correct to the best of my knowledge and belief and are made in good faith. Executedthis ~d dayof ~'ff~ ,2004 but effective as of Nove/nber 2, 2002 Nan~e of Transferor as shown on current lease Chevron U.S.A. Inc. Please type or print or (Signature) Attorney-in-fact O.F. Baldwin II (Signature) P. O. Box 36366 Houston 77236 (City) (Zip Code) (Transferors Address) Texas, :~. ,.,.'~ (state) Executed this lO~h dayof ~1~1~' ,20 04 but effective as of November 2, 2002 Cabot Oil & Gas Corporatio Tmnsreree or . (Silage) Executed this day of ,20 04 but effective as of November 2, 2002 Lafio Oil & Gas Company Trans[eree or (Signature) Attorney-in-fact ~ u ' ' · ' " ..... ' : :' · ' '. ...... F;':~',i?~ .,'. ;?-.%! . : . ' P bhc reporting burden for th~s form ~s estanated to average 30 m~nutes per response, urcludtng the hme for reviewing instructions, gatllenng ~d maln~g da~ ~ complehng ~d renewing ~e fo~ D~ect commen~ regardNg ~e bmden estimate o} iny o~er ~pect of this fern to U.S Depment of the hterinr Bureau of Lind Mmagemant (1604'~03~) Bmeau CIe~mce ember ~O-630) Mail Stop 40i LS 1849 C Street, NW., W~h~o~ D.C.. 202~.. Title 18 u.s2c;}sec. 1001 m~es it a crime for ~y person ~owNgly~,~d. willfully. , .~IbTmake, td'a¢3~ep~ment or agency of the United S~tes my false, fictitio~, or ~udulm~ s~temenN or represen~tions ~ to ~y matter within its jurisdiction. (Form 3000-3a (2/02) page 2 Part A (Continued): ADDITIONAL SPACE for Names and addresses of additional assignees in Item No. 1, if needed, or for Land Description in Item No. 2, ifrmeded. PART B: CERTIFICATION AND REQUEST FOR APPROVAL The transferor certifies as owner of an interest in the above designated lease that he/she hereby assigns to the above Transferee(s) the fights specified above. Transferee cef6fies as follows:(a) Trapaferee is a citizen of the United States; an asaociation of such citizens; a raunicipalitz 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, trm'aferee 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, Co) Transferee is not considered a minor under the taws of the State in which the lands covered by this transfer are located; (c) Tran.sferec's chargeable interests, direct or 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 ia 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 ia a geothermal lease; (d) Al! 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 ~eqinred by sec. 17(g) of the Mineral Leasing Act; and (0 Transferee is not in violation of sec. 41 of the Mineral Leasing Act. 3.¸ Transferee% signature to this assigra~ent constitutes acceptance of.air app!_icab[e .terms, conditions, ~tipulations and restrictions.pertaining to the lease described herein_ Applicable terms and conditions include, but are not limited .to. an obligation to. cqnduct all 9perati9n~. on the leasehold in accordance with the terms and oon~itinns of the lease, to condition all wells for proper abandonment, to restore the leased lands upon completion of any operations as described in the lease, and to furnish and maintain such bond as may bt required by the lessor pursu3nt to.regu ations 43. CFR 310.4, 3134, or 3206. For geothermal transfers, an overriding royalty may not be less than onevfourth (1/4) of one percent of the value of output, nor greater than 50 percent of the rate of royalty due to the Un/ted States when this assignment is added to all previously created ovemding royalties (43 CFR 324t). I certify that the statements made herein by me are mae, complete, and correct to the best of my knowledge and belief and are made in good faith. Transferor ~ or (Signature) Attorney-in-fact O.F. Baldwin II (Signature) P. O. Box 36366 (Transferors Address) Texas Executed this day of ,20 04 but effective as of November 2, 2002 Cabot Oil & Gas Corporation (Signature) or Attorney-in-fact Executed this dayof ~ ,20 04 but effective as of November 2, 2002 Houston 77236 Lario Oil & Gas Compa~_y~ .......... or Attorney-in-fact : . ........... ·" : -. . .... . . . ' . . . . M'chael, r ,I W_O'~'~W. O' y comment~ regarding the burden estimate or any other aspect of this form to LI.S. Department of the Interior, Bureau of Land Management (1004'~4-~[~e'~u ~Iearanfie Officer, (Wo~630) Mai Stop 401 LS C Street NW. Washington, D C 90240 : ' Title 18 US.C. Sec. 100l 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 its jurisdiction. GForm 3000-3a (2/02) page 2 Form 3000-3a CFeb~ao' 2002) UNITED STATES llEPARIMEN~ OF i}it iN[LRlij~EPARTMENT OF THE INTERIOR BUREAU BF LAS¢ ~,t,.:,~,.,~.. ~ ........ OF LAND MANAGEMENT g T/~.S~t~R OF OPERATING RIGHTS (SUBLEASE) IN A ' BEC -EEA'SEF'OR OIL AND GAS OR GEOTHERMAL RESOURCES R E C E t ~'/E [3 Mineral Leasin8 Act of 1920 (30 U.S.C.]SI ~t ,ecl.) C HE Y E~)tE, et Y 0~'~ I f"~ £or Acquked LaMs 9,f ]9,47 (30 U..S.C. Geothermal Steam Act of' lg?0 (:30 U.S.C. Department of the InteriOr Appropriations Act, Fiscal Year 1981 (42 U.S.C. 6508) Type or print plainly in ink and sign in ink PQP~ APPRO~D · OMB NO. 1004-0034 Expkes: October 31, 2004 ,ease Serial No. WYW-132409 1. Transferee (Sublessee)* Street City, State, ZH' Code *If more than one transferee, check here attached sheet of paper. This transfer is for (Check One) PART A: TRANSFER Cabot Oil & Gas Corporation 17.50% Lario Oil & Gas Company 600 17th Street, Suite 900 North 301 S. M,arket Street Denver CO 80202 Wichita,KS 67202 and list the name(s) and address(es) of all additional transferees on the reverse of this form or on a separate Interest conveyed: (Check one or both, ax appropriate) 17.50% ~'~ Oil and Gas Lease, or ~ Geothermal Lease ~-~ Operating RighCs (sublease) [--~Ovemding Royalty, payment out of production or other 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 than this form Owned Conveyed Retained Overriding Royalty such documents or agreements shall only be referenced herein. :.~ or Similar interests Reserved . Previously - reserved a b c d e f Township 23 North. Range I 12 West, 6th P.M.: Section 8: NWSW 100% 35% 65% None 6.5%* Containing 40.00 acres, more or less Lincoln County, Wyoming Limited from the surface of the earth to the stratigraphic equivalent of 11,096' as found in the Bridger 21-8 well, located in SW4 of Section 8, T23N-R112W, Lincoln County, Wyoming. , This assignment is made subject to that certain Farmout Agreement dated September 20, 1995, by and between Lario Oil & Gas Company and Petral Exploration LLC and Marathon Oil Company covering the above lands, and this assLmunent is made effective November 2, 2002, the day after payout of the Bridget 21-8 Well. :: :' ' ':- ' : ........ *Effective as of November 2, 2002, 1% of the overriding royalty previously reserved by Lario Oil & Gas Company and Petral Exploration LLC is converted in total to the Working Interest covered by this assignment, which reduces the previously reserved ORRI from 7.5 % to 6.5% FOR BLM USE ONLY - DO NOT WRITE BELOW THIS LINE UNITED STATES OF AMERICA This transfer is approved solely for administ[ativ~ purposes. Approval do? not. warrant that either party to this transfer holds legal or equitable title to this lease. . . ,: Transfer approved effedtlve ....... By (Authorized Officer) (Title) (Date) (Continued on revers0 STATE OF TEXAS § COUNTY OF HARRIS § ..' . i ' '' ' ' : ~' ':i ' ~: ' '~' ' .; ", · ~':' :-" "This instrument was acknowledged before me On ih~ day °f~/t~~ 2004 by O. F. Baldwin II, Attorney-in'Fact for CheVron U.S.A. Inc,', :a P~nnsylvJnia' corporation, on behalf of Said corporation. - / Notary/Public for the State of Texas My Commission Expires: August 11, 2006 STATE OF COLORADO § COUNTY oF DENVER § This instrument was acknowledged before me on the __ day of co 2004, by for Lario.Oil & Gas Company, a DelawarJ corporation, on behalf of said corporation. . 'i ~ Notary Public for the State of Colorado My Commission Expires: STATE OF COLORADO COUNTY OF DENVER 2004, This instrument was acknowledged before me on the by ~../'~'oq? 73,,-P/e~- for Cabot Oil & Gas Corporation, corporation, on behalf of said corporation. Notary Pul:0ic for the State of Colorado My Commission Expires: /~f~ day of.Fe?7/,.~,~,,, a NOTARY pUBLIC My Commission Explmil 1/12/~!0~'!7:7 STATE OF TEXAS § COUNTY OF HARRIS § 2004 bTh~s i~st%ment was acknowledged before me on the ,-/~/~l~ day of/~/~ y . . B dwin II, Attorney-in-Fact for Ch.evron U.S.A. Inl;r:;~ Pennsyl,{ania corporation, on behalf of said corporation. ,ff ~, / } / ili~'~'~ u(~'~t~?~§ I! Notaryl/ublic for the State of Texas  My Commission Expires: August 11, 2006 STATE OF COLORADO § COUNTY OF DENVER § This instrument was acknowledged before me on the ~ ~'3~day of 2004, by Michael~,r.,,_o,~r_~,.rW. O'Shaughnessy corporation, on be ali ot smd corporation. for Lario Oil & Gas Company, a Delaware My Commission Expires: STATE OF COLORADO .~ ~-~- ........ : ..... COUNTY OF DENVER § DUANE L. HALEY · NOTARY PUBLIC STATE OF COLORADO My Commission ~ 2004, This instrument was acknowledged before me on the by for Cabot Oil corporation, on behalf of said corporation. __. day of , & Gas Corporation, a Notary Public for the State of Colorado My Commission Expires: