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Secured Hazard Information Form - Nevada Division of Minerals - minerals state nv

Secured Hazard Information Form - Nevada Division of Minerals - minerals state nv 2026

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The document is a form from the State of Nevada regarding Abandoned Mine Lands, specifically for securing hazard information. It requires ownership and claimant details, hazard identification numbers, location coordinates, and a request for labeled photos or image files to update the database on secured hazards.

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Click ‘Get Form’ to open it in the editor.
Begin by filling out the Ownership/Claimant Information section. Enter your name and address clearly in the designated fields.
Locate the NDOM Hazard ID Number field and input the relevant identification number associated with your hazard.
In the Hazard Location section, provide accurate UTM coordinates for both Easting/Longitude and Northing/Latitude. Choose between UTM NAD83 or UTM NAD27 as applicable.
Attach a labeled photo of the secured hazard. Ensure that any image files are clearly marked so they can be easily identified in the database.
Review all entered information for accuracy before submitting your form to ensure a smooth processing experience.

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