Form 5-5516 Grazing Permit for Organized Tribes

Form 5-5516 UNITED STATES OMB Control No.1076-0157

DEPARTMENT OF THE INTERIOR Expires: XX/XX/XXXX

BUREAU OF INDIAN AFFAIRS

GRAZING PERMIT FOR ORGANIZED TRIBES

(WRITE ALL NAMES IN FULL)

The __________________________ Tribe of the _____________________________ Indian Reservation and______________________ Agency,

(Name of organized tribe)

organized under a constitution and bylaws, pursuant to section 16 of the Act of June 18, 1934 (48 Stat. 984), and incorporated pursuant to section 17 of the said act (Delete reference to incorporation where charter not issued) by authority of law and under the regulations (25 CFR 166) prescribed by

the Secretary of the Interior, hereby grants permission to____________________________________ of ______________

(Name of Permittee)

______________________________________________, to hold and graze livestock on the tribal land of range unit __________________

(Post -office address) (Number or Name)

of said Reservation, a schedule of said lands is attached hereto and made a Part of this permit, for a period beginning,_____________ , and

(Date)

terminating not later than, _______________, covering livestock in the number, kind, and the grazing season as shown in the following

(Date)

schedule subject to the payment of all fees and full compliance with the attached range control stipulations which are made a part of this permit:

NUMBER OF HEAD	KIND OF STOCK	GRAZING SEASON		ANNUAL RENTAL	DATE AND PLACE PAYABLE
		From	To

This permit is issued with the understanding that a total of______________ head of ________________ will be grazed on this unit, the grazing capacity of privately owned or leased lands in the unit being _______________ head of , the right to the use of which is recorded with the Superintendent of the Reservation and a schedule of which is attached hereto and made a part of this permit.

This permit shall be of no force or effect until signed and sealed by the authorized tribal officers and approved by the Superintendent of the Indian Agency.

Issued at the ______________________________________ this ________ day of________________________

(Agency or Tribal Office) (Month / Year)

___________________________________________________

(Name of tribal organization)

By_________________________________________________

___________________________________________________

(Title)

I accept this Permit and the attached range control stipulations.

Witness_____________________________________

Witness_____________________________________

Witness_____________________________________ Permittee_________________________________________________

Approved:___________________________________

(Date)

___________________________________________ (SEE REVERSE FOR ADDITIONAL TERMS)

(Superintendent)

Page 2 of Grazing Permit For Organized Tribes OMB Control No. 1076-0157

Expires: 09/30/2003

Unless authorized by the officers issuing and approving this permit in writing only livestock bearing the brands and marks herein shown shall be grazed under authority of this permit:

Draw Brands And Where Located On Animal

In consideration of the above privileges the permittee agrees to pay the said tribe the sum of money found to be due from the permittee according to the provisions of this permit and the permittee further agrees to pay the grazing fees annually in advance. An acceptable bond as described in the regulations (166.602) may be required to guarantee full performance of this permit.

It is understood and agreed by the permittee that this permit is terminable and revocable in whole or in part pursuant to the regulations (25 CFR 166.208). It is also understood and agreed that any part of the area covered by this permit may be excluded from this range unit by the Superintendent in the exercise of his discretion, and thereupon this permit shall cease and determine as to the parts of the range unit thus eliminated, the number of stock stipulated shall be reduced in conformity thereto, and the payments due hereunder shall be adjusted accordingly, provided that the termination of this permit had not been due to the fault of the permittee or to a violation of the terms of this permit by or on behalf of the permittee. ( 25 CFR 166.228)

All payments due hereunder shall constitute a prior and first lien upon all livestock grazed under this permit and other property incidental to the enjoyment of the privileges granted, except that when the permittee obtains a loan from the Farm Service Agency it is understood and agreed that the prior and first lien upon said livestock and other property under this provision in the permit shall be subordinated to the lien of all chattel mortgages now held or hereafter acquired by the Farm Service Agency from the permittee except as to the payment of the annual grazing fees due for the first operating year of the loan. The agency office contains public records of the United States pertaining to Indian tribal lands and all persons are charged with notice and knowledge thereof. A copy of each permit must be filed promptly in the agency office. Such copy shall be available at all times for public inspection. If the permittee so desires he may file or record a copy of this permit at his own expense, in the proper county office.

This permit shall not be assigned, sublet, or transferred without the written consent of the parties thereto, and the surety if any, pursuant to the regulations. (25 CFR 166.229).

The Superintendent will make decisions relative to the interpretation of the terms of this permit and the range control stipulations which are attached hereto, and the terms of this permit cannot be varied in any detail except as herein provided without the written approval of the parties thereto and the surety.

No member of, or delegate to Congress or Resident Commissioner shall be admitted to any share or part of this permit, or to any benefit that may arise therefrom, but this provision shall not be construed to extend to this permit if made with a corporation or company for its general benefit.

Paperwork Reduction Act Statement: This information is collected to manage agriculture and grazing leases. The information is supplied by a respondent to obtain or retain a benefit, that is, a lease. It is estimated that responding to the request will take an average of 20 minutes to complete. This includes the amount of time it takes to gather the information and fill out the form. If you wish to make comments on the form, please send them to the Information Collection Control Officer, Bureau of Indian Affairs, 1849 C Street NW, Mail Stop 4603 MIB, Washington, DC 20240. Note: comments, names and addresses of commentors are available for public review during regular business hours. If you wish us to withhold this information, you must state this prominently at the beginning of your comment. We will honor your request to the extent allowable by law. In compliance with the Paperwork Reduction Act of 1995, as amended, the collection has been reviewed by the Office of Management and Budget and assigned a number and expiration date. The number and expiration date are at the top right corner of the form. Please note that an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless there is a valid OMB clearance number.