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Chapter 16

Form 16-6

Surface Damage Payment Addendum

Notice of confidentiality rights: If you are a natural person, you may remove or strike any or all of the following information from any instrument that transfers an interest in real property before it is filed for record in the public records: your Social Security number or your driver’s license number.

Date:

Grantor:

Grantee:

Easement Property:

Real Property:

Easement Agreement:

This Surface Damage Payment Addendum modifies the Easement Agreement. Terms defined in the Easement Agreement have the same meaning in this Addendum. The terms of the Easement Agreement that are not modified by this Addendum remain in effect.

1.Damage Payments.      Grantee agrees to pay Grantor, in addition to any other con­sideration paid for the Easement, the following amounts as damages for use of the Easement Property:

The following are examples of possible damage provisions.

Item for Which Payment Is Due

Amount of Payment Due

Time Payment Due

Water well location other than test well or monitoring wells (on area not larger than 1 acre), compensation will be $[amount] for each additional acre occupied

$[amount] per location

Before drilling or construc­tion

Sanitary Control Easement

$[amount] per location

Before drilling or construc­tion

Pumping plant sites, including tank battery and related Facili­ties (on area not larger than [number] acres), compensa­tion will be $[amount] for each additional acre occupied; if water wells and pumping plant sites are installed at the same location, Grantee will pay separate damages for each

$[amount] per location

Before construction

Aboveground pipeline appur­tenances, including tank bat­teries if not on well site or pumping plant site (except for signs required by law) (on area not larger than [number] acres), compensation will be $[amount] for each additional acre occupied

$[amount] per location except $[amount] per air valves

Before construction

Use of existing roads on Real Property

$[amount] per [rod/linear foot]

Before construction of Facil­ities

Pipelines (underground)

$[amount] per [rod/linear foot]

Before beginning of ditching for pipelines

New roads constructed by or on behalf of Grantee

$[amount] per [rod/linear foot]

Before beginning construc­tion of road

Electric or communications lines placed on Real Property

$[amount] per [rod/linear foot]

Before construction of Facil­ities

Fences—removal

$[amount] per [rod/linear foot]

Before beginning construc­tion

Fences—new

$[amount] per [rod/linear foot]

Before beginning construc­tion

2.Injury to Grantor’s Property.      Grantee will be liable and will promptly provide reasonable compensation to Grantor for any damage to Grantor’s improvements, livestock, or real or personal property caused by the negligence of Grantee, its employees, agents, invitees, representatives, or contractors while performing services or acts on the Real Property. The amount of damages will be determined in accordance with the provisions of paragraph 24. of the Easement Agreement.

3.Injury to Grantee’s Property.      Grantor will be liable and will compensate Grantee for any damage to Grantee’s Facilities or real or personal property caused by the neg­ligence of Grantor, its employees, agents, invitees, representatives, or contractors. The amount of damages will be determined in accordance with the provisions of paragraph 24. of the Easement Agreement.

4.Interest.      Amounts owing under this agreement that are not paid when due will accrue interest at the highest interest rate allowed by applicable law.

   
[Name of grantor]

   
[Name of grantee]

Include acknowledgment.