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  • Wildlife Stipulation Exception Request Form - Blm

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Bureau of Land Management Pinedale Field Office Wildlife Stipulation Exception Request Form Well Operator or Right-of-Way Holder: Project Name: Well Number: Activity Start Date: Wildlife COA s/Stipulations.

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How to fill out the Wildlife Stipulation Exception Request Form - Blm online

Completing the Wildlife Stipulation Exception Request Form provided by the Bureau of Land Management is an important step in obtaining necessary approvals for your project. This guide offers clear, step-by-step instructions to help you navigate the process with confidence, whether you have prior experience or are new to document management.

Follow the steps to effectively complete the Wildlife Stipulation Exception Request Form online.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor. This will allow you to access the document needed for submission.
  2. Fill in the 'Well Operator or Right-of-Way Holder' section by providing the name of the person or organization responsible for the project. This identifies who is making the request.
  3. Enter the 'Project Name' to clearly define what the submission relates to. Make this concise yet descriptive.
  4. In the 'Well Number' field, input the specific number associated with the well involved in the project, if applicable.
  5. Provide the 'Activity Start Date' to indicate when you plan to commence the project, which is crucial for planning and environmental assessment.
  6. List any applicable 'Wildlife COA’s/Stipulations Involved' to ensure compliance with wildlife protection guidelines.
  7. Fill in the 'Date Requested' field, specifying the day you are submitting the request.
  8. Input the BLM Permit number associated with your project. This could be a lease, right-of-way, or gravel permit number.
  9. Complete the 'Legal Description, Township, Range, Section and Quarter' section to provide specific geographical details about the project area.
  10. Indicate the 'Activity Duration' to estimate how long the project will take, which helps with scheduling and resource allocation.
  11. In the 'Activity Description' section, provide a comprehensive account of the planned activities, including any ancillary services like gas pipeline installation, and mention the right-of-way holder’s name and number.
  12. Craft a brief 'Justification for Request' that outlines the reasons for the exception request to support your application.
  13. Fill in the contact information with your 'Contact Name', 'Address', 'Phone Number', and 'Fax Number'. Note that approvals will only be sent via fax.
  14. Attach a 7.5 minute topographical quadrangle map of the project area to the form, which is a required document for submission.
  15. Include any completed wildlife surveys that are relevant to your request. This information is crucial for environmental assessments.
  16. Review all sections for accuracy and completeness. Once finalized, you can save your changes, download the form, print, or share it as needed.

Start completing your Wildlife Stipulation Exception Request Form online today for a seamless submission process.

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