8. Are all activities, facilities, services, nancial aid, or other benets as a result of your proposed development provided without regard to race, color,
religion, national origin, sex, or age? Yes No (If “no,” describe the situation or activity and your plans for achieving compliance.)
9. Are all activities, facilities, and services constructed or provided as a result of your proposed development accessible to and usable by persons with
disabilities? Yes No (If “no,” describe the situation or activity and the reasons for nonaccessibility).
Applicant’s Signature Date
Title 18 U.S.C. Section 1001 and Title 43 U.S.C. Section 1212, make it a crime for any person knowingly and willfully to make to any department or
agency of the United States any false, ctitious, or fraudulent statements or representation as to any matter within its jurisdiction.
GENERAL INSTRUCTIONS
1. Type or print plainly in ink.
2. Submit application and related plans to the BLM District or Resource Area Ofce in which
the land is located.
3. Study controlling regulations in 43 CFR 2740 (Sales) and 43 CFR 2912 (Leases).
4. If applicant is non-governmental association or corporation, attach a copy of your charter,
articles of incorporation or other creating authority. If this information has been previously
led with any BLM ofce, refer to previous ling by date, place, and case serial number.
5. If applicant is non-governmental association or corporation, attach a copy of your authority
to operate in the State where the lands applied for are located. If previously led with any
BLM ofce, refer to previous ling by date, place, and case serial number.
SPECIFIC INSTRUCTIONS
(Items not listed are self - explanatory)
Item
2. If land is surveyed, give complete legal description. If land is un-
surveyed, description should be by metes and bounds connected, if
feasible, by course and distance with a corner of public land survey. If
possible, approximate legal subdivisions of unsurveyed lands should
be stated. Acreage applied for must not exceed that specied by regu-
lations.
3a. Generally, title to lands will not be granted upon initial approval of
an application. In order to assure proper development or use plans,
the general practice will be to issue a lease or lease with option to
purchase after development is essentially completed. In any case,
term of lease may not exceed 20 years for non-prot organizations
or 25 years for governmental agencies, instrumentalities or political
subdivisions.
4. Leases and patents under this act are conditioned upon continuing
public enjoyment of the purposes for which the land is classied. The
plan of development, use, and maintenance must show, at a minimum:
a. A need for proposed development by citing population trends,
shortage of facilities in area, etc.
b. That the land will benet an existing or denitely proposed pub-
lic project authorized by proper authority.
c. Type and general location of all proposed improvements, including
public access (roads, trails, etc.). This showing may take the
form of inventory lists, maps, plats, drawings, or blueprints in
Item
any combination available and necessary to describe the nished
project. Site designs should be provided for intensive use sites and
general information about improvements existing or planned on
lands within the overall project.
d. An estimate of the construction costs, how the proposed project
will be nanced, including a list of nancial sources, and an
estimated timetable for actual construction of all improvements
and facilities.
e. A plan of management to include operating rules, proposed source
and disposition of revenues arising from the proposed operation,
personnel requirements, etc.
f. A specic maintenance plan to include, for example, sewage and
garbage disposal, road maintenance, upkeep and repair of grounds
and physical facilities, etc.
g. Applications for solid waste disposal sites must comply with
guidelines established by the Environmental Protection Agency
(40 CFR 258) and must include a detailed physical description of
the site including a map, description of ground water situation, soil
characteristics and management plan.
6. This may consist of a copy of a delegation of authority, resolution or
other evidence of authority from the governing board of the applicant’s
organization, copy of the by-laws of the organization, or the like.
(Continued on page 3)
(Form 2740-1, page 2)
