Form 3200-24
UNITED STATES
November 2001)
DEPARTMENT OF THE INTERIOR
BUREAU OF LAND MANAGEMENT
OFFER TO LEASE AND LEASE FOR GEOTHERMAL RESOURCES
Serial No.
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 (30 U.S.C. 1001-1025).
Read Instructions Before Completing
1. Name
Street
City, State, Zip Code
2. Surface managing agency if other than BLM:
Unit/Project
Legal description of land requested (segregate by public domain and acquired lands):
T.
R.
Meridian
State
County
Total acres applied for
Percent U.S. interest
Amount remitted: Filing fee $
Rental fee $
Total $
DO NOT WRITE BELOW THIS LINE
3. Land included in lease:
T.
R.
Meridian
State
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. 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 lease rights granted or specific provisions of this lease, regulations and formal orders hereafter promulgated.
THE UNITED STATES OF AMERICA
by
Type of lease:
(Signing Officer)
Noncompetitive
(Title)
(Date)
Competitive
EFFECTIVE DATE OF LEASE
Other
(Continued on page 2)