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UNITED STATES
Serial No.
Form 3200-24a
(September 2008)
DEPARTMENT OF THE INTERIOR
BUREAU OF LAND MANAGEMENT
OFFER TO LEASE AND LEASE FOR GEOTHERMAL RESOURCES
(For New Leases Issued Under the Energy Policy Act of 2005 [August 5, 2005])
The undersigned (see page 2) offers to lease all or any of the lands in item 2 that are available for lease pursuant to the Geothermal
Steam Act of 1970, as amended (30 U.S.C. 1001-1025).
READ INSTRUCTIONS BEFORE COMPLETING
1. Name
1a. Street
1b. City
1c. State
1d. Zip Code
2. Surface managing agency if other than BLM:
Unit/Project:
Legal description of land requested (segregate by public domain and acquired lands): Enter T., R., Meridian, State and County
Total Acres Applied for
Percent U.S. interest
Amount remitted:
Processing Fee $
Rental Fee $
Total $
DO NOT WRITE BELOW THIS LINE
3. Land included in lease: Enter T., R., Meridian, State and County
Total Acres in Lease
Rental Retained $
In accordance with the above offer, or the previously submitted competitive bid, this lease is issued granting the exclusive right to drill for, extract, produce, remove, utilize, sell,
and dispose of all the geothermal resources in the lands described in Item 3 together with the right to build and maintain necessary improvements thereupon, for a primary term of
10 years and subsequent extensions thereof in accordance with 43 CFR subpart 3207. 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, when not inconsistent with the provisions of this lease,
regulations and formal orders hereafter promulgated.
THE UNITED STATES OF AMERICA
Type of Lease:
Competitive
BY
Noncompetitive
(Signing Official)
Noncompetitive direct use (43 CFR subpart 3205)
(Printed Name)
Comments:
(Title)
(Date)
EFFECTIVE DATE OF LEASE
Check if this is a converted lease
EFFECTIVE DATE OF LEASE CONVERSION
(Continued on page 2)