Fillable APPLICATION PROJECT INSTRUMENT UNITED STATES SECTION Easement Recreational (International Boundary and Water Commission)

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APPLICATION PROJECT INSTRUMENT UNITED STATES SECTION Easement Recreational (International Boundary and Water Commission)

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  • 59 check-boxes
  • 24 other fields

Country of origin: US
File type: PDF

U.S.A. forms for International Boundary and Water Commission

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UNITED STATES SECTION
INTERNATIONAL BOUNDARY AND WATER
COMMISSION
REALTY AND ASSET MANAGEMENT DIVISION
4191 NORTH MESA STREET
EL PASO, TEXAS 79902
MAIL TO: REALTY@IBWC.GOV
PROJECT
APPLICATION
Permit # ________________
INSTRUMENT
TYPE:
License
Right Of Entry
Easement
Permit
No Objection Letter
Modification to
existing outgrant
Recreational Permit Lease
Prior to beginning any project, 24 hour notice must be given to the USIBWC. If applicable, upon
completion of project you must also provide final deliverables to the commission.
Instrument holder shall notify applicable area utility/safety offices prior to executing granted privileges,
construction, or drilling.
We hereby agree to replace said premises satisfactory to the United States Federal Government at our own
expense, and to hold the United States Section, International Boundary and Water Commission (USIBWC)
harmless from any and all damages or expense caused by, or in any way connected with, the use of said
property or restoring the same to its original condition. USIBWC specifications shall be met unless otherwise
authorized by the United States Government or their authorized representative. If work cannot be completed by
expiration date, applicant must re-submit an application to the USIBWC Realty and Asset Management Division.
Print Name/Business Applicant Signature Date mmddyy
SITE INFORMATION:
LOCATION: COUNTY/STATE:
PROJECT NAME: INTENDED START/END DATE:
REQUEST DESCRIPTION:
CONTACT INFORMATION:
MAILING ADDRESS:
NAME: PHONE NUMBER: EMAIL:
APPLICANT: CONTRACTOR REPRESENTATIVE OTHER: _________________
FOR AGENCY USE ONLY
PROJECT AREA:
LAT & LONG COORDINATES:
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SUPPLEMENTAL
I – APPLICATION ATTACHMENTS
CHECK ALL THAT APPLY
ATTACHED
CHECK APPROPRIATE
BLOCK
N/A
a. Application Cover (Required Attachment)
c. Vicinity map/USGS (Required Attachment)
d. Technical drawings (Required if applicable)
e. Surveying material/metes and bounds (Required if Applicable)
f. Plans and specifications (Required if Applicable)
g. If application is to amend an existing license or lease, identify previous application
zaand attach instrument copy.
h. If application is for an oil or gas pipeline, describe any related right of way or
00temporary use permit applications, and identify previous applications
b. Letter of Application (Required Attachment)
II – PROJECT CERTIFICATES AND REVIEWS (See How To Apply)
a. Historical Preservation Office (Required Attachment)
b. U.S Department of Interior, Fish and Wildlife Service (Required Attachment)
c. United States Army Corps of Engineers (Required Attachment)
e. Texas Parks & Wildlife (Required for Texas Project Only)
f. Texas Commission on Environmental Quality (Required for Texas Projects
ssOnly – For Air, Land, and Water quality)
g. State Water Commissions (Required if applicable in state)
h. Department Of State, Bureau of Western Hemisphere Affairs (land based crossings)
i. Bureau of Energy Resources (Liquid-petroleum based crossings)
j.
k.
l.
m.
i.
k.
l.
m.
REQUEST DESCRIPTION CONTINUED:
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APPLICATION PROJECT INSTRUMENT UNITED STATES SECTION Easement Recreational (International Boundary and Water Commission)

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Completed 19 July 2020

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