PERMFILE116069 - Laserfiche WebLink

Home Browse Search

~= R i '~ ,- NOTICE The Privacy Act o! 1974 and she rcgulation in 43 CFR 2.481d) provide that you br furnished the following information in conncction with information requircd by this application. AUTHORITY: 30 U.S.C. 601,602: 43 U.S.C. 1201; 60 Stet. 367 PRINCIPAL PURPOSE -The information is so be used to process your application (or a Free Use Permit. ROUTINE USES: (I) The adjudication of she applicants'rights to the land or resourccs. 12) Documcntation for public information in support of notations madc on land status records for the managcmenl, disposal, and use o! public lands and resources. (J) Transfer to appropriate Federal agencies when concurrence is requircd prior so granting a right in public lands or resources. (41 Transfer so the U.S. Dcpanmem ofJmtice in she cvem of litigation involvmgshe records or the subject maucr of the records. (5) Transfer, in the evens there is indicated a violation or potential violation of a scat use, regulation, rule, ordcr or license, whether civil. criminal or regulatory in nature,to she appropriate agency or agencies; whether Federal, State, local or foreign, charged with the responsibility of investigation or prosecuting such violation or charged wish cnforci ng or implementing she ss es ute, rule, rcgulation, order or license violated or potentially violated. EFFECT OF NOT PROVIDING INFORMATION - If you do not furnish all the information required by this form, your application may be rejccscd. The Paperwork Reduction Acs of 1980 (46 U.S.C. 3501 et. say.) requires us so inform you that Information a being collected to obtain vegetal and mineral depletion informaion relevam to natural resource inventory. Information will be uscd for depletion records. , Response to this request is mandatory (d3-5510) so fulfill the rcyuircmems for the cuumg of timber and for oil and gas claimants.