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- Form PR4306 "Direct Oil and Gas Lease Application and Requirements" - Michigan
Form PR4306 "Direct Oil and Gas Lease Application and Requirements" - Michigan
What Is Form PR4306?
This is a legal form that was released by the Michigan Department of Natural Resources - a government authority operating within Michigan. As of today, no separate filing guidelines for the form are provided by the issuing department.
Form Details:
- Released on April 10, 2020;
- The latest edition provided by the Michigan Department of Natural Resources;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form PR4306 by clicking the link below or browse more documents and templates provided by the Michigan Department of Natural Resources.
Download Form PR4306 "Direct Oil and Gas Lease Application and Requirements" - Michigan
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2DNR Cashier’s Use Only
Michigan Department of Natural Resources – Minerals Management Section
D
O
G
L
IRECT
IL AND
AS
EASE
A
R
PPLICATION AND
EQUIREMENTS
This information is required by authority of Part 5, Section 502, Act 451 of 1994, as amended.
Direct Oil and Gas Lease Application Fee
SEE REQUIREMENTS AND INFORMATION ON PAGE 2.
Dept
Approp
Fund
Unit
Dept Rev Function
751
45100
1284
7900
9162
MM9050
L
I
A
I
ESSEE
NFORMATION
PPLICANT
NFORMATION
Name of Intended Lessee
Name of Applicant/Agent
Telephone
Address
Address
City, State, ZIP
City, State, ZIP
Specific State-Owned Minerals Requested (Legal Description)
Proposed Drilling Unit Acreage and Type (i.e., 80-acre Antrim, 40-acre Niagaran)
Development
Nondevelopment
Proposed Drilling Unit Description
Unitized Area Name and Description (Describe or Include Map)
Proposed Surface Well Location (Bottom hole also if directional drill)
Lease Terms Offered (bonus per acre, term, royalty rate)
C
A
D
E
HECK
PPLICABLE
OCUMENTS
NCLOSED
Leasehold Ownership Affidavit
Map of Drilling Unit and Request
Application Fee
Registered Survey
Mineral Tract Map
MDOT Acquisition Deed(s)
Applicable Assignments
Private Leases and Drafts Paid
Subdivision Plat Map
List of Name(s) and Address(es) of Current Severed Surface Owner(s) for State-Owned Minerals Requested.
Other Documents (please list below)
D
L
A
F
:
IRECT
EASE
PPLICATION
EES
Development Request: $500 per Quarter Section / Nondevelopment Request: $200 per Quarter Section
Number of Quarter
Development
Nondevelopment
Total Amount Due
FOR DNR AUDIT USE ONLY
Sections Requested
Requests (@ $500 each)
Requests (@ $200 each)
$
TOTAL AMOUNT PAID:
Make check or money order payable to "State of Michigan" (do not send cash) and submit with the completed application.
MAIL TO:
CASHIER’S OFFICE
MICHIGAN DEPARTMENT OF NATURAL RESOURCES
PO BOX 30451
LANSING MI 48909
EXPRESS MAIL TO:
CASHIER’S OFFICE
MICHIGAN DEPARTMENT OF TRANSPORTATION
VAN WAGONER BUILDING, FIRST FLOOR
425 WEST OTTAWA STREET
LANSING MI 48933
1
PR4306 (Rev. 04/10/2020)
DNR Cashier’s Use Only
Michigan Department of Natural Resources – Minerals Management Section
D
O
G
L
IRECT
IL AND
AS
EASE
A
R
PPLICATION AND
EQUIREMENTS
This information is required by authority of Part 5, Section 502, Act 451 of 1994, as amended.
Direct Oil and Gas Lease Application Fee
SEE REQUIREMENTS AND INFORMATION ON PAGE 2.
Dept
Approp
Fund
Unit
Dept Rev Function
751
45100
1284
7900
9162
MM9050
L
I
A
I
ESSEE
NFORMATION
PPLICANT
NFORMATION
Name of Intended Lessee
Name of Applicant/Agent
Telephone
Address
Address
City, State, ZIP
City, State, ZIP
Specific State-Owned Minerals Requested (Legal Description)
Proposed Drilling Unit Acreage and Type (i.e., 80-acre Antrim, 40-acre Niagaran)
Development
Nondevelopment
Proposed Drilling Unit Description
Unitized Area Name and Description (Describe or Include Map)
Proposed Surface Well Location (Bottom hole also if directional drill)
Lease Terms Offered (bonus per acre, term, royalty rate)
C
A
D
E
HECK
PPLICABLE
OCUMENTS
NCLOSED
Leasehold Ownership Affidavit
Map of Drilling Unit and Request
Application Fee
Registered Survey
Mineral Tract Map
MDOT Acquisition Deed(s)
Applicable Assignments
Private Leases and Drafts Paid
Subdivision Plat Map
List of Name(s) and Address(es) of Current Severed Surface Owner(s) for State-Owned Minerals Requested.
Other Documents (please list below)
D
L
A
F
:
IRECT
EASE
PPLICATION
EES
Development Request: $500 per Quarter Section / Nondevelopment Request: $200 per Quarter Section
Number of Quarter
Development
Nondevelopment
Total Amount Due
FOR DNR AUDIT USE ONLY
Sections Requested
Requests (@ $500 each)
Requests (@ $200 each)
$
TOTAL AMOUNT PAID:
Make check or money order payable to "State of Michigan" (do not send cash) and submit with the completed application.
MAIL TO:
CASHIER’S OFFICE
MICHIGAN DEPARTMENT OF NATURAL RESOURCES
PO BOX 30451
LANSING MI 48909
EXPRESS MAIL TO:
CASHIER’S OFFICE
MICHIGAN DEPARTMENT OF TRANSPORTATION
VAN WAGONER BUILDING, FIRST FLOOR
425 WEST OTTAWA STREET
LANSING MI 48933
1
PR4306 (Rev. 04/10/2020)
REQUIREMENTS AND INFORMATION
1. Application and/or cover letter should reflect:
•
Name and address of intended Lessee. Name and contact number of Applicant/Agent, and address of
who to mail leases to if different from the intended Lessee.
Specific state-owned minerals being requested, i.e., SW1/4 NW1/4, Section 5, T29N, R06W, Mancelona
•
Township, Antrim County.
•
Classification requested; Development or Nondevelopment (see below).
Development classifications may be requested and will result in the need for field review. Additionally,
Nondevelopment classifications will continue to be offered and specifically processed for those minerals
under the jurisdiction of other state agencies which have historically required Nondevelopment
classifications, i.e., Military Affairs, Department of Transportation (MDOT).
Direct oil and gas leases are issued on a quarter-section basis. As of March 1, 1997, the following
nonrefundable application review fee must be submitted with each request for the application to be
considered:
Development request: $500
Nondevelopment request: $200
Type of drilling, i.e., Antrim, Niagaran, or Prairie du Chien (PDC).
•
•
Proposed drilling unit, i.e., NW1/4, Section 5, T29N, R06W, Mancelona Township, Antrim County. If the
request is within a proposed or existing Unitized Area (UA), Uniform Spacing Plan (USP), or Voluntarily
Pooling Agreement (VPA), include a copy or draft of the applicable agreement which describes all lands
involved.
•
Proposed surface location of well, if known, and Department of Environment, Great Lakes, and Energy,
Oil, Gas, and Minerals Division Permit Application number, if available.
•
Proposed lease terms. Minimum of three-sixteenths (3/16) royalty and maximum of three years.
2. Must be able to show majority leasehold ownership in drilling unit pursuant to R299.8105(1). Therefore,
submit copies of:
•
Private leases for lands included within the proposed drilling unit.
Copies of drafts paid and Lease Purchase Report (if applicable).
•
Executed assignments if private leases reflect a different Lessee.
•
Survey to verify "majority" interest if state-owned minerals reflect one-half of drilling unit, i.e., 80-acre
•
Niagaran unit intended and state records reflect 40-acre interest. Lessee will need to provide a registered
surveyor's verification that actual state interest is less than 40 acres, i.e., 39.877 and Lessee interest is
39.955 acres.
A mineral tract map coinciding with the leasehold ownership interests submitted.
•
3. Map outlining proposed drilling unit and state-owned minerals being requested. If requesting minerals within
a proposed UA, USP, or VPA, highlight boundary of all lands included in same.
4. If the request involves minerals located in a platted subdivision, a copy of the recorded plat and projected
acreage calculation must be included. A registered surveyor's verification may be required to confirm the
acreage amount.
5. If the request involves MDOT lands or highway right-of-way, a copy of the deed reflecting how MDOT
acquired the parcel is required along with a limited attorney title opinion if MDOT acquired the minerals
through dormancy.
6. If the request involves a surface owner other than Department of Natural Resources (DNR), applicant must
provide surface owner name, address, and legal description.
7. Public Noticing by the Applicant must be completed at least thirty (30) days in advance of the anticipated
DNR approval date. Upon completion of preliminary review of application by DNR staff, the applicant must
place a Public Notice in the local newspaper. Directions for completing the Public Notice process will be
provided by the DNR.
2
PR4306 (Rev. 04/10/2020)
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