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Contact Information
Contact person*
Date information is needed by*
Title
Organization*
Address
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
Phone
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E-mail*
Information type
What type of information are you requesting? (Please be as specific as possible)
Legal Township & Range
Section(s)
USGS Map Name
Nearest Town or Locatable Landmark
If possible, submit a map showing the area of concern, preferably as a shapefile.
Information Application
For what project will the information be applied? (i.e. Rosie Creek research project, mine expansion, etc.)
How will the acquired information be applied? (i.e. EIS, management plan, etc.)
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Contact Information