Additional Site Information. Partial Surrender/Memorandum of Partial Surrender (MoPS) Notes: For a MoPS to be processed, IOGC requires an amending agreement to be submitted for the portion that will be excluded from the partial surrender. The MoPS and the amending agreement will be executed simultaneously. See pages 11 and 12 for Guide to Completing an IOGC Memorandum of Partial Surrender (MoPS) Is the application for a partial surrender (MoPS)? Yes No If Yes, provide rationale for a partial and not full surrender: has an amending agreement been submitted to IOGC? Yes No If No, the reclamation application and MoPS will be not be processed until the amending agreement is received. Land Use What is the current surrounding land use? Agricultural Commercial Industrial Residential/Parkland Other:____________________ Has the end land use for the site changed? Yes No If Yes, indicate previous land use: Agricultural Commercial Industrial Residential/Parkland Other:____________________ was the proposed end land use discussed with the First Nation and IOGC and is the criteria consistent with those discussions? Yes No For either answer, include Land Use Criteria Change Authorization4 with written authorization from IOGC and BCR from First Nation. Non-Oilfield Waste Is there any non-oilfield waste buried on site (e.g., concrete, gravel, debris)? Unknown No Yes If Yes, provide details, First Nation BCR approval, and confirm location(s) identified on attached survey plan or map: Facilities or Features to Remain in Place Are there any facilities or features (e.g., water well, access road, Texas gate, approaches, culverts, fences, others) to remain in place? Yes No If Yes, describe what feature(s) are to remain and their purpose: are the facilities or features stable and non-hazardous? Yes No If No, describe: has a First Nation BCR been secured5? Yes No If Yes, is the BCR and copy of the existing survey plan outlining which facilities are to remain in place attached? Yes No If No, the application will be deemed incomplete until the BCR is received. Surface Land Information
Appears in 2 contracts
Sources: Reclamation and Surrender Application, Reclamation and Surrender Application