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<br />U. S. DEPII.RTMENTOF AGRICULTURE
<br />
<br />Fa rest Service
<br />
<br />F$-2700-9a
<br />OMS No.
<br />0596-0082
<br />Holder No,. I Issue Date 1- Expil'2tion Date
<br />I-I I I t ~XJOXt OX
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<br />AGFi!CULTUEII.L IRRIGATION AND LIVESTOCK
<br />WATEFlING SYSTEM EASEMENT
<br />
<br />Type Site
<br />916
<br />
<br />Authortty
<br />676
<br />
<br />Auth. Type
<br />010
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<br />SlatefCounty
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<br />jl,:t of October 21,1976
<br />
<br />t,:t at October 27, 1986
<br />(Pub. L 98-545), 36 CFR 261,
<br />Subpart Ei.
<br />
<br />Regia rJForestlDis\rict
<br />I I
<br />
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<br />
<br />Congo Dist.
<br />
<br />Lalttude
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<br />longitude
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<br />THIS EASEMEN"r, is issued this_ day of , _, by the UNITED STATES OF AMERICA,
<br />acting by and thr(lugh the Forest Service, Department of Agricuhure. hereinafter called Grantor,
<br />to ' at lhe State ot
<br />hereinafter called the Holder(s).
<br />
<br />.'.1
<br />
<br />WHEREAS, the '-1older has applied for an easement under Section 501 of the Federal Land Policy and
<br />Management Ad. of October 21,1876, as amende<:! by Pub. L. 99-545 [90 StaL 2743; 43 U.S.C" 1761), for
<br />agricultural irrigation or livestock watering system taciltties located on lands owned by the United Slates on the'
<br />National Forest, in the CountlY] lies) at
<br />
<br />State of
<br />
<br />wrrNEsSETH
<br />
<br />WHEREAS, up(ln acceptance of this easement the Holder relinquishes all right. title, and interest in and to any
<br />easement iSSUld tor the same lands by the Unite<:! Slates by any previous grant or pemil
<br />
<br />NOW THEREFORE. the UnITed States does hereby grant. subject to valid existing rights, an easement for
<br />occupancy with water conveyance system facilities at lands as [shown on the map (plat)] (specmcally described
<br />by a centerline jescription] [contained in Exhibtt --1 , attached hereto and incorporated herein, as provided
<br />by the Holder and hereby accepte<:l by the Authorized Officer.
<br />
<br />DESCRIPTION OF WATER SYSTEM
<br />
<br />Facility Name>:
<br />
<br />Headgate De:;cription:
<br />
<br />Location:
<br />
<br />Length on N.ational Forest System lands:
<br />
<br />Width of :;asement:
<br />
<br />e)
<br />
<br />This eaSllment is issued subject to the following terms, provisions, and conditions applicable to the
<br />Hold',r, Its permitt.ees, contractors, assignees, and successors In Interest.
<br />
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