united states department of the interior bureau of land management

united states department of the interior bureau of land management

Save Form 2520-l (February 2015) Print Clear UNITED STATES DEPARTMENT OF THE INTERIOR BUREAU OF LAND MANAGEMENT FORM APPROVED OMB NO. 1004-0004 E...

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Form 2520-l (February 2015)

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UNITED STATES DEPARTMENT OF THE INTERIOR BUREAU OF LAND MANAGEMENT

FORM APPROVED OMB NO. 1004-0004 Expires: September 30, 2015

Serial Number

DESERT LAND ENTRY APPLICATION

Address (include zip code)

1. Name (first, middle initial, last) Email

Phone Number

hereby applies to enter, under the Desert Land Act for the purpose of reclaiming the lands by permanent irrigation and cultivation within four (4) years from allowance of this application, the public lands described as follows: TOWNSHIP

RANGE

SECTION

MERIDIAN

State of 2.

SUBDIVISION

containing a total of

acres

Enclose filing fee of $15 plus advance payment of 25¢ per acre, or fraction thereof $ Total $

3a. Are you at least 21 years old?

Yes

No

b. Of what State are you a bona fide resident? c. Are you a citizen of the United States?

Yes

No

If naturalized give: Date in (city and state)

in the Court of

d. If not a citizen, have you filed a Declaration of Intention to become a citizen of the United States? Yes No (If “ yes,” attach full details) e. Are you an employee, the spouse, or an agent of an employee of the Department of the Interior? 4a. Have you made any other application under the Desert Land Act? serial number)

Yes

b. Have you ever received by assignment any lands under the Desert Land Act? office and serial number)

Yes

No (If “yes,” give office and

Yes

No (If “yes,” give

c. Have you entered, acquired title, or are you now claiming an entry under any of the nonmineral public land laws since August 30, 1890? Yes No (If “yes,” state total number of acres)

5.

Have you made a personal on-the-ground examination of every legal subdivision of the above described land? Yes No

(Continued on page 2)

No

6a.

Have you, or to your knowledge has any other person, ever worked any of the subdivision for minerals? (If “yes,” give details) Yes No

b. Are these lands within any mining claim or other claim of record under the United States mining laws or the mining Yes (If “yes,” give details) laws of the State? No

c. Do you know of any vein or lode of quartz or other rocks in place, bearing gold, silver, cinnabar, lead, tin, or copper, or any deposit of coal, placer deposits, other valuable mineral deposits, salt deposit, or salt springs? (If “yes,” specify) Yes No

7a. Is this application for lands that will produce cultivated crops without application of water for irrigation? Yes No Yes

b. Do the lands in their natural state produce enough native grass for cutting of hay?

No

c. Are the lands applied for occupied or improved by yourself or any other person, association, or corporation? Yes No (If “yes,” specify)

9.

Show in the chart below the soil characteristics of each subdivision (see specific instructions)

SECTION

LEGAL SUBDIVISION

(1)

(2)

(Continued on page 3)

CHARACTER OF SURFACE

TEXTURE

DEPTH OF TOP SOIL

RELATIVE SALINITY OR ALKALINITY

CHARACTER OF SUBSOIL

ACRES IRRIGABLE

Are the lands applied for irrigated or watered, or overflowed at any season of the year? Yes No (If “yes,” specify)

SLOPE IN PERCENT

8.

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(Form 2520-1, page 2)

Name (first, middle initial, last) 10.

Serial Number

Complete the items below concerning irrigation requirements

ACRES

b. Type of crop to be grown

a. Total acreage irrigable

c. Water requirements per acre (state whether in miners inches, gallons/minute, or cubic feet/second)

d. Source of water (e.g., well, river, irrigation district, water company; give name of organization)

e. Well data: (1) Depth of static water

feet

(2) Diameter

inches

(3) Completed cost

dollars

(4) Pump requirement

horsepower

(5) Type of pump

f.

(6) Cost of pump

dollars

Cost of sprinkler system (mainlines, laterals, heads, etc.)

dollars

g. Costs of levelling, ditches, and canals

dollars

h. Costs of other installations (e.g., river pump stations, penstocks)

dollars 11. Attach a complete plan of irrigation that shows at least the following: a. Map showing location of lands applied for by legal description, and an accurate detailed diagram of the entire proposed irrigation system to be used in the permanent reclamation and production of agricultural crops in this proposed entry. b. Topography, shown by contour interval of 10 feet or less, if a gravity irrigation system is planned. c. Location and source of permanent water supply, including the type, size, dimensions, and location of all facilities for transporting the water from its source to the lands, such as, river pump stations, penstocks, pipelines, holding ponds, etc. d. Location, type, size, and gradient in percent, of any water distribution ditches and laterals necessary to irrigate all irrigable portions of each legal subdivision adequately. e. Location, type, size, and dimensions of all other installations necessary for the irrigation of the lands, such as, sprinkler systems, mainlines, etc. 12a. Is there adequate water supply of suitable quality available to you for the irrigation of all the irrigable portions of the lands applied for? Yes No b. Have you proceeded as far as possible toward acquiring by appropriation, purchase, or contract, a right to the permanent use of sufficient water to irrigate and reclaim permanently all of the irrigable portions of each of the Yes legal subdivisions applied for? No (If “yes,” you must present as evidence and make a part of this application copies of any committments you may have, which show the legal source of your proposed water supply)

(Continued on page 4)

(Form 2520-1, page 3)

Yes

13a. Is reclamation and permanent cultivation of the lands in this application economically sound?

No

b. Complete and make a part of this application an estimated farm budget showing annual costs and returns that would be involved in the permanent reclamation and cultivation of the lands in this application. Include at least the following items: Estimated Annual Production Costs: Farm automobiles and trucks* Machinery and tractors* Irrigation system* Farm buildings, fences, and other improvements in operation of farm, not including irrigation system and residence* Seed, fertilizer, herbicides, insecticides Water costs Cash wages to hired labor Interest on borrowed money (such as short term or operational loans) Taxes (personal such as on machinery and equipment) Cost of marketing (trucking, storage, treatment, etc.) Other - Itemize (insurance, custom machine hire) TOTAL ANNUAL COSTS

$ 0.00

Estimated Annual Income Crop:

Acres of Production

X

Units Per Acre**

X

Price Per Unit

=

X

X

=

$ 0.00

X

X

=

$ 0.00

X

X

=

$ 0.00

X

X

=

$ 0.00

X

X

=

$ 0.00

X

X

=

$ 0.00

TOTAL ANNUAL INCOME

Estimated Annual Net Income (total annual income less total annual costs) c.

$

Are the lands in this application accessible to a farm produce market? (If “yes,” attach a brief explanation to this application)

d. Does it show the initial and continuing annual operations and production costs?

Yes

$

0.00

$

0.00

No Yes

No

*Annual costs of operation, including depreciation, maintenance and interests **Bushels, cwt., tons, etc.

(Continued on page 5)

(Form 2520-1, page 4)

14.

If any subdivisions of the lands of this application are noncontiguous, or do not lie in as compact a form as possible, attach and make a part of this application an explanation of the economic feasibility of farming all the lands, applied for as an economic unit.

15.

If you had assistance in completing this application, give the following information: NAME AND ADDRESS

ASSISTANCE GIVEN

DATE

16. If the lands described in this application have not been classified as suitable for desert entry pursuant to the provisions of Section 7, of the Taylor Grazing Act of June 28, 1934, as amended, (43 U.S.C. 315F) and the requirements of the regulations in 43 CFR Part 2400, please consider the application as a petition for such classification. 17. Attach a statement or declaration explaining in detail all arrangements that you have made or that you plan to make with regard to financing, irrigation, reclamation, or cultivation of the lands for which you are applying. I CERTIFY That all of the statements made by me in this application and the attachments submitted as a part of this application are true, complete, and correct to the best of my knowledge based upon my personal examination of the lands applied for, and other investigations which I have personally made; that the statements which I have made in this application are made in good faith; and that they have not been made for me by any agent or representative.

(Date)

(Signature of Applicant)

Title 18 U.S.C., Section 1001, makes it a crime for any person knowingly and willfully to make to any department or agency of the United States any false, fictitious, or fraudulent statements or representations as to any matter within its jurisdiction.

CAUTION TO APPLICANTS Land Locators and Land filing Services are in no way connected with the U.S. Bureau of Land Management and they cannot make any commitments or promises for the Bureau regarding the Federal lands or resources administered by the Bureau. Therefore, if you have consulted, or are filing your application through a Land Locator or Filing Service it may be to your advantage to check with a local Better Business Bureau, Chamber of Commerce, or similar organization to ascertain that the individual or firm you are dealing with is reliable and does not charge excessive fees for services rendered.

(Continued on page 6)

(Form 2520-1, page 5)

UNITED STATES DEPARTMENT OF THE INTERIOR BUREAU OF LAND MANAGEMENT STATEMENT OF WITNESS

I, Name (first, middle initial, last) and Address (include zip code)

certify that I am well acquainted with the character of each and every legal subdivision or portion of the land described in the foregoing application, which said application has been read to me; that I became acquainted with said land by personal and careful examination of each and every legal subdivision or portion thereof on (date(s) of last examination)

, 20

; that I have been acquainted with it for about

years,

that my knowledge of the land is such as to enable me to testify understandingly concerning it; that same is desert, nonmineral land; and that each and every statement made by applicant in the foregoing application as to the condition, character, and situation of said land is true of my own personal knowledge; and I further state that I am not interested, in any way or manner, directly or indirectly, present or prospective, in the applications in support of which this statement is made, nor in the land itself, nor in any title thereto which may be acquired by said applicant or any other person, and that I signed this statement in the land district in which the above-described land is located.

(Date)

(Signature of Witness)

Title 18 U.S.C, Section 1001, makes it a crime for any person knowingly and willfully to make to any department or agency of the United States any false, fictitious, or fraudulent statements or representations as to any matter within its jurisdiction.

(Continued on page 7)

(Form 2520-1, page 6)

UNITED STATES DEPARTMENT OF THE INTERIOR BUREAU OF LAND MANAGEMENT STATEMENT OF WITNESS

I, Name (first, middle initial, last) and Address (include zip code)

certify that I am well acquainted with the character of each and every legal subdivision or portion of the land described in the foregoing application, which said application has been read to me; that I became acquainted with said land by personal and careful examination of each and every legal subdivision or portion thereof on (date(s) of last examination)

, 20

; that I have been acquainted with it for about

years,

that my knowledge of the land is such as to enable me to testify understandingly concerning it; that same is desert, nonmineral land; and that each and every statement made by applicant in the foregoing application as to the condition, character, and situation of said land is true of my own personal knowledge; and I further state that I am not interested, in any way or manner, directly or indirectly, present or prospective, in the applications in support of which this statement is made, nor in the land itself, nor in any title thereto which may be acquired by said applicant or any other person, and that I signed this statement in the land district in which the above-described land is located.

(Date)

(Signature of Witness)

Title 18 U.S.C, Section 1001, makes it a crime for any person knowingly and willfully to make to any department or agency of the United States any false, fictitious, or fraudulent statements or representations as to any matter within its jurisdiction.

(Continued on page 8)

(Form 2520-1, page 7)

GENERAL

INSTRUCTIONS

1. This form is to be used in applying for desert entry on public lands under the Desert Land Act of March 3, 1877, as amended. 2. This application and all attachments must be filed in the proper Bureau of Land Management (BLM) Office for the State in which the lands are located. The application must be filed and received in the proper BLM Office within ten (10) days from the date it is executed, otherwise, it will not gain any priority of filing, cannot be accepted, and will be rejected. Applications for lands in North Dakota and South Dakota should be filed in the BLM Office in Billings, Montana. 3. This application for desert entry must be original and prepared on a typewriter or printed plainly and signed in ink or indelible pencil. If additional space is needed in furnishing any of the required information, it should be prepared on additional sheets, initialed, and attached and made a part of this application.

SPECIFIC

4. Where questions indicate that an answer can be made by check mark, the applicant should fill in these spaces where applicable. 5. The application and statements of witnesses must be signed and filed in the proper BLM State Office in which the land is located. 6. The statements on this form must be completed and executed by each of two (2) competent witnesses. The use of immediate members of the applicant’s family or other relatives as witnesses is discouraged because of the question of conflict of interest that may arise. NOTE: The mere filing of an application confers no right upon the applicant to settle upon or occupy the land. Any such unauthorized settlement or occupancy prior to the allowance of the entry by the Government constitutes a Trespass. The applicant may, however, go upon and examine the land for the purpose of determining the facts needed in connection with the application.

INSTRUCTIONS

(Items not listed are self-explanatory) Item 1

Show complete name and full post office address, including zip code. Note: The applicant must inform the proper BLM Office immediately of any change of address.

2

A filing fee of $15 is required with each application. In addition, an advance payment of 25¢ per acre, or fraction of an acre is required.

3b

The applicant must be a bona fide resident of the State in which the land applied for is located, except as to the lands in Nevada, where the qualification as to citizenship is that of the United States without regard to State of residence. Indicate proper citizenship status. Non-citizens are not qualified to make application unless a formal declaration of intention to become a citizen has been filed.

3c

8

If there is any spring or water hole on the lands applied for, state the exact location and size thereof, and give an estimate of the quantity of water in gallons per day which it is capable of producing. State any other information about the spring or water hole which would be helpful in determining whether its use is beneficial or necessary for the grazing of domestic livestock. State also if the spring is a hot spring or if its waters contain curative properties (Executive Orders April 17, 1926 and July 7, 1930).

9

Column 1 – Indicate section or sections of land applied for opposite the appropriate legal subdivisions within the section as listed in column 2. Column 2 – Each legal subdivision must be listed sepaEach legal subdivision means each quarterrately. quarter section of 40 acres, or each designated lot as shown on the plat of survey of the section. Column 3 – Indicate, by percentage, the general slope of each legal subdivision. If portions of the subdivision are substantially different than the greater portion,

(Continued on page 9)

Item

10

list and describe them separately. A topographic map may be submitted as an attachment and made a part of the application if desired by the applicant as a means of showing more clearly the slopes of the lands applied for. If a topographic map is submitted the contour interval should be no greater than 10 feet. Column 4 – Indicate the general surface conditions such as level, slightly rolling, rolling, rough, etc. Column 5 – Indicate the general texture or physical properties of the soil. General terms such as silt, sandy, loam, clay, gravel, etc., or a combination of these terms will adequately describe the texture of the soil. Column 6 – Indicate the average or a representative depth of top soil in inches. Numerous soil samples may be required to obtain a good representative sample. Location of each soil sample, and depth of top soil should be shown on an attached soils map. Column 7 – Indicate, by general descriptive terms such as negligible, slight, moderate, or critical, the salinity or alkalinity of the area. If portions of each subdivision are substantially different from the remaining portions list separately. Indicate the smaller subdivisions under column 2. Column 8 – Indicate the character of the subsoil. A description of subsoil character may require several soil samples. This information can be obtained while measuring the depth of the topsoil as required under column 6. General descriptive terms, such as gravel, hardpan, sand, clay hardpan, etc., may be used. Column 9 – Indicate total irrigable acres for each legal subdivision. Line (c) – Indicate the water requirements for economic agricultural crop production. Base this requirement on item 9 and other factors, such as evaporation loss, soil permeability, etc. A good source for this type of information is the local County Extension Agent’s Office and the Soil Conservation Service Office serving the area.

(Form 2520-1, page 8)

SPECIFIC INSTRUCTIONS (Con.) Item

11

Line (d) - Indicate the source of water; well, spring, canal, etc. If the source of water is a well, complete lines (e)(1) through (e)(6); otherwise show, in detail, source, quantity, and dependability of water on attachment required under item 11. Line (e)(2) - Indicate the diameter of proposed well that will insure delivering the water required for irrigation of all irrigable lands in the entry during the average irrigation season and the average irrigation periods. Line (e)(3) - Indicate the anticipated total cost of the well Include drilling, casing, etc., costs. Do not include pump and power costs. Line (e)(5) - Indicate type of pump, electrical, gas, etc. Manufacturer’s name and number can be shown. Line (e)(6) - Indicate total cost of pump, power supply, and pumping facilities. Line (h) - If the proposed entry is to be developed through an association with other applicants for a common water delivery system, the cost must show the applicant’s share of the joint costs for construction and operation of the common system. A detailed and accurate map must be prepared and attached showing the complete irrigation plan for the entire entry. The map should illustrate and identify those portions of the proposed entry that cannot be irrigated or cultivated because of the rough, rocky, etc., character of the land.

12b Documents indicating the acquisition of a water right may consist of a certified copy of a court decree, a deed, or other title instrument, or a contract, by which the applicant holds the right to acquire such deed or other title instrument. The document or documents must show that the right would be a permanent right to sufficient water to irrigate and reclaim all of the irragable

(Continued on page 10)

Item

portions of each of the legal subdivisions applied for. Applicant must submit plausible presumptive evidence that an adequate water supply is available.

13b Complete and make a part of this application an estimated Farm budget which clearly shows the economic feasibility of the proposed entry. This Farm budget must show the initial and continuing annual production costs and income that would be expected in permanent reclamation and cultivation of the lands in this application. For estimating annual production costs of machinery, equipment, buildings, and improvements use only that portion of these costs contributing to reclamation and permanent cultivation of the lands included in this application. Do not include capitalized costs or purchase costs of equipment or other improvements. 14

Submit this information only if the entry is not compact as possible or if all the legal subdivisions are not contiguous. “Not Contiguous” means not having a common boundary.

17

Furnish as a separate attachment to this application a full disclosure explaining in full detail all plans, made either independently or by agreements or arrangements with other persons or parties, for the financing and actual development, irrigation, cultivation, and farming of the lands in the entry you are applying for. This statement must explain all oral and written arrangements and prepared arrangements known to you, or known to others acting on your behalf. If such exist, submit with the statement a copy of each item, formal or informal, whether or not it has been signed or adopted. The statement does not have to follow any particular form, but it must be typewritten.

(Form 2520-1, page 9)

NOTICES The Privacy Act of 1974 and the regulation in 43 CFR 2.48(d) provide that you be furnished the following information in connection with information required by this Desert Land Entry Application and Statement of Witness. AUTHORITY: 43 U.S.C. 321-323, 325, 327-329. PRINCIPAL PURPOSE: The information is to be used to process the application for a Desert Land Entry. ROUTINE USES: (1) The adjudication of the applicant’s rights to the land or resources. (2) Documentation for public information in support of notations made on land status records for the management, disposal, and use of public lands and resources. (3) Transfer to the appropriate Federal agencies when concurrence is required prior to granting a right in public lands or resources. (4)(5) Information from the record and/or the record will be transferred to appropriate Federal, State, local or foreign agencies; when relevant to civil, criminal or regulatory investigations or prosecutions. EFFECT OF NOT PROVIDING INFORMATION: Disclosure of the information is required to obtain or retain a benefit. If all the information is not provided, additional information may be obtained from other sources or the application may be rejected. The Paperwork Reduction Act of 1995 requires us to inform you that: BLM collects information to process your request for Federal lands under the provisions of the Desert Land Act Regulations, found in 43 CFR Section 2520. Response to this request is required to obtain or retain a benefit, see 43 CFR Subpart 2521.2. BLM would like you to know that you do not have to respond to this or any other Federal agency-sponsored information collection unless it displays a currently valid OMB control number. BURDEN HOURS STATEMENT: Public reporting burden for this form is estimated to average 2 hours per response, including the time for reviewing instructions, gathering, and maintaining data, and completing and reviewing the form. Direct comments regarding the burden estimate or any other aspect of this form to U.S. Department of the Interior, Bureau of Land Management (1004-0004), Bureau Information Collection Clearance Officer (WO-630), 1849 C Street, N.W., Mail Stop 401 LS, Washington, D.C. 20240.

(Form 2520-1, page 10)