Form 81 



UNITED STATES DEPARTMENT OF AGRICULTURE 



FOREST SERVICE 



STIPULATIONS 



(Irrigation, Municipal, Mining.) 

 (Acts Mar. 3, 1891; May 11, 1898; Feb. 1, 1905.) 



Uses 



(Forest.) 



(Name of applicant.) 



(Reservoir) (ConduH) 



(Date of application.) 



Whereas the right of way applied for 



by 



(hereinafter called the Applicant . . ) is within the 



National Forest, as shown by a certain tracing executed by 



on. , 19. . , and filed in the United States Land Office at 



, State of 



on , 19 . . ; and 



Whereas the regulations of the United States Department of the Interior concern- 

 ing rights of way for railroads, reservoirs, canals, etc., provide that whenever such 

 rights of way are located upon National Forests, the applicant must enter into such 

 stipulations and execute such bonds as the Secretary of Agriculture may require for 

 the protection of the National Forests; and 



Whereas the Secretary of Agriculture requires, for the protection of said 



National Forest that the Applicant., shall enter into the stipulations hereinafter set 

 forth: 



Now, therefore, in consideration of the granting of the right of way applied for, the 

 Applicant., do., hereby stipulate and agree, and do., bind himself, his heirs, exec- 

 utors, administrators, and assigns, and each of them jointly and severally (themselves, 

 their heirs, executors, administrators, and assigns, and each of them jointly and sev- 

 erally) (itself, its successors, and assigns) as follows, to wit: 



1. To pay to the National Bank of 



(United States depository) or such depository or officer as may hereafter be designated 

 by the United States, to be placed to the credit of the United States, in advance of 

 cutting or construction, as required by the supervisor of said National Forest, for all 

 live and dead timber, standing and down, merchantable in the judgment of the Forest 

 supervisor, cut, damaged, killed, or destroyed, on said right of way, title to which at 

 the time of said cutting, damaging, killing, or destroying, is in the United States, in 

 accordance with the scale or estimate of the Forest officers, at a rate to be fixed by said 

 supervisor, which shall correspond to the prevailing stumpage rates charged on said 

 Forest at the time said timber is cut, damaged, killed, or destroyed; and to dispose of 

 all brush, refuse, or unused timber accumulating at such times upon such right of way 

 in such manner as may be required by the Forest officers. 



2. To pay to the United States depository or officer. . as aforesaid, on demand, for 

 all damage to said National Forest resulting from the breaking of, or the overflowing, 

 leaking, or seepage of water from, the reservoir or ditch, and for all damage to said 



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