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Sec. 15. SPeCIAL STIPULATIONS (CanfdJ <br />~ <br /> Q <br />i~ <br />N ~ -~ <br />W ; t't ,~J <br /> <br />y ;^ (` <br /> <br />r <br />_n <br /> T_ <br />;~ <br />~ Tl <br />L <br />NOTICE <br />The Privacy Act and the regulation at 43 CFR 2.48(d) provide that you be furnished with the following information in connection with the <br />information required by this ]ease. ~ ~ - - <br />AUTHORITY: 30 U.S:C. 181 et seq., 30 U.S.C. 351-359 - <br />PRINCIPAL PURPOSE: The information required by this lease is used to allow the BLM to gather data relevant to the extent and quality <br />of public coal resources and to manage the leasing and development of coal is the public interest. <br />ROUTINE USES: (1) Repori the amount of coat leased, entities m whom leased, and, in aggregate, production from leases for revenue <br />and other purposes. (2) Subject m restrictions and conditions stated in the lease. abhorize the sito-specific extmetion of pubhe coal <br />resources. <br />EFFECT OF NOT PROVIDING INFORMATION: Report and disclosure of the information is mandatory for aIl lessees. <br />• The Paperwork Reduction Act of 1980 (44 U.S.C. 3501, et seq.) requires us to inform you that: <br />This information is being collected to authorize and evaluate proposed and ongoing mining operations on federal wal leases and to <br />compute tsvenaes owed to lessor. <br />Response to this request is mandatory for the types of activities specified in 43 CFR Group 3400. <br />BURDIN HOURS STATEMENT <br />Public mporting burden for this forth is estimated to range from 25 minutes for reviewing the instructions and completing and signing the <br />lease form m SW burden boors for complytag with the information requirements connected with resource recovery and exploration plans• <br />and mining plans. Direct comments regarding the burden estimate or any other aspect of this form to: U.S. Department of the Interior, <br />Bateau of Land Management, (Alternate) Bureau Clearance Officer, 7849 C St., N.W., Washington, D.C. 20240, and the Office of <br />Management and Budget, Paperwork Reduction Project (1004-0073), Washingtoq D. C. 20503 <br />THE UNITED STATES OP AMERICA <br />>~r~ Lan., CO wt/.~a..nln <br />Company nrlenna Name <br />9 <br />(Si store of Lessee) <br />By G. 3~.~. R.~-ry-'. N.JtA~Q,e. <br />-~~J? EN !a Z uRe l~ <br />(Signing Officer) <br />+/M..(,'Y.~><+.y.Y ila0 t.i r,,E c~.:a~. ~ ~~6~X+-6~ ~~"~`~~iu.ee.te} <br />f15de) (Tice) <br />mate) <br />8~a7 ~O~ <br />-T-(nate> <br />Title 18 U.S.C. Section 1001, makes it a crime for any person knowingly and willfully to make to any department ar agency of the United States any <br />false, fittitioua or fraudulent etatementa or representations as to any matter within its jurisdiction. <br />• This form does not constitute an information collection as defined by 44 U.S.C. 3502 and therefore does not require OMB approval. <br />411.5. GOVERNMENT PRINTING OFFICE 1995-6)4~r32 <br />