BLM Wyoming

These forms are obsolete

U.S. DEPARTMENT OF THE INTERIORBUREAU OF LAND MANAGEMENT
Wyoming
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Right-of-Way Construction Notice

You must select the field office in which you are conducting your operations.
	Cody	Pinedale	Rock Springs
	Kemmerer	Rawlins	Worland
	Casper
Note: please use a period as a separator instead of a hypen or slash (e.g. 10.03.08 instead of 10-03-08 or 10/03/08)

BLM Realty Specialist assigned to ROW:
Right-of-Way Holder:	Contact Name:
Right-of-Way Number:	Phone: Email:

Type of Right-of-Way: Road Pipeline Other (include description):

Well Name & Number or Project Name:

¼ ¼

Section:

Township North

Range West

Split Estate: Yes No

Projected Construction Start Date:
Additional Information?

This notice must be submitted prior to disturbance and/or construction and in the time frame specified in the Conditions of Approval of your APD.

Please contact [email protected] if you receive an error message after clicking "Submit."