Mining Claim Form PDF Details

The Mining Claim form encapsulates a series of key documents crucial for anyone looking to assert mineral extraction rights on both federal and state lands. The Arizona Department of Mines and Mineral Resources, with its base at 1502 West Washington in Phoenix, plays a pivotal role in facilitating the acquisition and maintenance of these rights. This compilation of forms, identified under Circular No. 115 and revised in July 2009, includes critical notices such as the Location Notice for Lode Mining Claim (MCF100) and the Location Notice for Placer Mining Claim (MCF102), along with necessary affidavits and maps that prospective miners must submit to stake their claims effectively. Notably, these forms serve the dual purpose of complying with the statutory requirements set by agencies and can be freely reproduced for filing purposes. They are accessible for download in PDF format, ensuring that the process remains transparent and within reach for the average citizen, despite its inherent complexities. Particularly, the forms take into account the nuances of mineral rights acquisition, annual work performance, maintenance fees, and additional aspects concerning the identification and legal declaration of mining claims. Moreover, the mention of a moratorium on patenting claims highlights a significant restriction; the current legal framework prevents the conversion of these claims into private land ownership, underscoring the government's stewardship over public lands. By demystifying the legal and procedural pathways, these documents pave the way for more individuals to partake in mining activities, subject to regulatory compliance and ethical considerations.

QuestionAnswer
Form NameMining Claim Form
Form Length2 pages
Fillable?Yes
Fillable fields43
Avg. time to fill out9 min 10 sec
Other namesclaim arizona available online, arizona form mines, arizona claims available make, claim form mines blank

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ADMMR

Arizona Department of Mines and Mineral Resources

1502 West Washington, Phoenix, AZ 85007 Phone 602-771-1600

1-800-446-4259 in Arizona FAX 602-771-1616 www.mines.az.gov

 

MINING CLAIM FORMS

 

Circular No. 115 revised July 2009

MCF100

Location Notice for Lode Mining Claim

MCF102

Location Notice for Placer Mining Claim

MCF100a

Claim Map

MCF108

Affidavit of Performance of Annual Work

MCF110

Notice of Intent to Hold Mining Claims/Sites

MCF112

Maintenance Fee Payment

MCF114 Supplemental Attachment (for additional claims)

MCF116

Notice of Non-liability for Labor and Materials Furnished

The forms in this circular may be reproduced for filing with the Bureau of Land Management and the County Recorders’ office. There are no officially designated forms, but the forms provided meet the statutes and the requirements of these agencies. These forms may also be downloaded from the Department website, www.mines.az.gov/claimforms.pdf in PDF format.

Find the Bureau of Land Management’s Maintenance Fee Waiver Certification form 3830-2 at: www.blm.gov/pgdata/etc/medialib/blm/az/pdfs.Par.44542.File.dat/3830-2_MaintFee.pdf

The following is a brief summary of the filing process for Federal mining claims:

Mineral rights can be obtained on State or Federal lands that are open to mineral entry. Mining claims, leases, and mineral material sales apply to Federal Lands. Prospecting permits, leases, and material sales apply to State Trust Land. The process is complex, but can be accomplished by the average citizen.

Mining claims cannot be used as a residence or home site. Under the current moratorium on patenting claims, no title to the land can be obtained.

The initial claim recording expenditure for a federal mining claim is about $10 at the county recorder’s office and is $189 total fees at the Bureau of Land Management.

The steps in acquiring mineral rights are generally as follows:

l. Find an area of interest and determine its legal description (i.e. Township, Range, Section, etc.)

2.Determine surface and subsurface ownership status as explained in ADMMR Special Report SR23, Manual for Determination of Status and Ownership, Arizona Mineral and Water Rights

3.Acquire and maintain mineral rights as described in ADMMR Special Report SR12, Laws and Regulations Governing Mineral Rights in Arizona.

The above publications may be ordered from ADMMR or perused at the Department's office and at select Arizona libraries.

I:\Pubs\lawreg\Forms MCF Series\Cir115ClaimFormsCover.doc 7/27/2009

__________________________________________________________________________________

 

LOCATION NOTICE FOR LODE MINING CLAIM

 

 

 

 

NOTICE IS HEREBY GIVEN that the _________________________

BLM

 

 

 

___________________________lode mining claim has been located

Date

 

Stamp

 

 

 

by _________________________________ whose current mailing

 

 

address is ______________________________________________

 

 

______________________________________________________ .

 

 

 

 

The general course of this claim is ____________________________ and it is situated in __________________

County, Arizona. This claim is _____________ feet in length and _____________ feet in width. This claim runs

from the location monument on which this location notice is posted approximately _________ feet in a

________ direction to the _________ end line and _________ feet in a __________ direction to the

___________ end line. This claim is marked by six monuments, one at each corner and one at the center of each

end line of the claim.

 

 

The location monument on which this notice is posted is situated within Section ________, Township _____

______, Range _____ ______, Gila Salt River Base and Meridian, Arizona and this claim encompasses portions

of the following quarter section (s), section (s), Township (s) and Range (s) _____________________________

_________________________________________________________________________________________

 

Gila Salt River Base and Meridian, Arizona.

 

 

The locality of this claim with reference to some natural object or permanent monument and additional information

(if any) concerning its locality are as follows:_______________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

DATED AND POSTED on the ground this _________ day of _______________ , 20____.

LOCATOR (s) _______________________________________________________

Form MCF100

Revised July 2005

This form is available from the Arizona Department of Mines & Mineral Resources and may be reproduced.

1 mile

MINING CLAIM MAP

Lode ( ) Placer ( )

1 mile

NW NE

SWSE

Scale : 1" = 2000 feet

1.The above map depicts the __________________________ mining claim, which is located in Section (s)

___________ , Township _______ _______ , Range ______ ______ , Gila and Salt River Base and Meridian,

______________________ County, Arizona.

2. The type of corner and location monuments used are as follows: _________________________________

______________________________________________________________________________________.

3. The bearings and distances in degrees and feet between claim corners are as depicted on the map.

Form MCF100a

Revised July 2005

This form is available from the Arizona Department of Mines & Mineral Resources and may be reproduced.

BLM
Date
Stamp

___________________________________________________________________________________

LOCATION NOTICE FOR PLACER MINING CLAIM

NOTICE IS HEREBY GIVEN that the ________________________

____________________ placer mining claim has been located by

_________________________________ whose current mailing

address is_______________________________________________

_______________________________________________________.

The general course of this claim is ___________________________ and it is situated in

_________________ County, Arizona.

This claim is _____________ feet in length and _____________ feet in width. This claim runs from the

location monument on which this location notice is posted approximately _________ feet in a ___________

direction to the _________ end line and _________ feet in a __________ direction to the ___________ end line.

This claim is marked by four monuments, one at each corner of the claim.

The location monument on which this notice is posted is situated within Section ________, Township

_____ ______ , Range _____ ______ , Gila Salt River Base and Meridian, Arizona. This claim encompasses

portions of the following legal subdivision(s) if located by legal subdivision or the following quarter section (s), section (s), Township (s) and Range (s) ________________________________________________________

______________________________________________________ ,Gila Salt River Base and Meridian, Arizona.

The locality of this claim with reference to some natural object or permanent monument and additional information (if any) concerning its locality are as follows: ___________________________________________

________________________________________________________________________________________

________________________________________________________________________________________.

DATED AND POSTED on the ground this _________ day of _______________ , 20____.

LOCATOR (s) _______________________________________________________

Form MCF102

Revised July 2005

This form is available from the Arizona Department of Mines & Mineral Resources and may be reproduced.

When Recorded Return Document to:

______________________________

______________________________

______________________________

_____________________________________________

Check here is this is a change of address.

Telephone: ___________________________

E-mail address: ________________________

____________________________________________________________________________________

AFFIDAVIT OF PERFORMANCE OF ANNUAL WORK

1.State of Arizona, County of _______________________________ss:

2.I (Name) _______________________________________________

3.Reside at (Address) ______________________________________

________________________________________________________

City _________________________ County _____________________

BLM

Date

Stamp

State ____Zip ____________ being duly sworn, depose and say that I am a citizen of the United States, more than

eighteen years of age, and that all of the facts set forth in this affidavit, subject to the provisions and penalties of 18 U.S.C. 1001 pertaining to the filing of false, fictitious, or fraudulent statements with the United States, are true and correct according to the best of my knowledge, information and belief.

4. Owner’s name and address (If not shown in Items 1-3 above). _______________________________________

___________________________________________________________________________________________

5.That I am personally acquainted with the mining claim(s). The work and improvements were made by and at the expense of the owner(s) of said claim(s). Said contiguous group of claims, listed on this document, are situated in the

____________________ (optional) Mining District; ___________________________ County, Arizona.

Line

AMC

CLAIM/SITE NAME

COUNTY RECORDER

TWP

RNG

SEC

NUMBER

DATA (If available)

No.

 

 

 

 

 

 

 

 

 

 

1

 

 

 

 

 

 

2

3

4

5

6

Form: MCF108

Revised Jan. 2006

Page 1 of 2

AFFIDAVIT OF PERFORMANCE OF ANNUAL WORK – page 2

BLM

Date

Stamp

7

8

9

10

6.That between the dates starting at 12 o’clock noon on September 1, 20 ____ and ending at 12 o’clock noon on September 1, 20 ____ at least $ ______________dollars worth of work and improvements were done and performed upon said claim(s) or upon one or more of a contiguous group of claims for the benefit of all, wholly or partly outside of a contiguous group of claims for the benefit of all, not including the location work.

7.That the following persons were employed to perform the work and improvements described herein: ___________

_____________________________________________________________________________________________

8.That the work and improvements performed were: ___________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

9.Dated:____________ Signature: _________________________________________________________________

SUBSCRIBED AND SWORN TO before me, a Notary Public, this ___________ day of ___________ 20________

By: _________________________________________________________

Notary Public _________________________________________________

My Commission Expires ________________________________________

Bureau of Land Management Arizona State Office www.az.blm.gov

No. of Claims: __________ x $10 =___________

Check No.: __________ Init. _______________

Receipt No.: _____________

For BLM Use Only

Form: MCF108

Revised Jan. 2006

Page 2 of 2

This form is available from the Arizona Department of Mines & Mineral Resources and may be reproduced.

___________________________________________________________________________________

NOTICE OF INTENTION TO HOLD MINING CLAIMS/SITES

When Recorded Return Document to:

__________________________________

__________________________________

__________________________________

___________________________________________________

Check here if this is a change of address. Telephone: _______________________________

E-mail Address ____________________________

BLM

Date

Stamp

I (We) intend to hold the claims(s) and/or site(s) listed below for the calendar year 20___, and I (We) have filed or will file a Notice of Intent to Hold in the county where the claim (s) is located.

Reason for filing a Notice of Intent to Hold instead of an assessment work filing (check one): Maintenance fee was paid to maintain claim(s) during this assessment year.

Mill or tunnel sites.

Claim(s) was located during the current assessment year.

BLM has deferred assessment work (attach copy of decision granting deferment, or pending petition for deferment including date petition was filed.)

Line

AMC

CLAIM/SITE NAME

COUNTY RECORDER

TWP

RNG

SEC

NUMBER

DATA (If available)

No.

 

 

 

 

 

 

 

 

 

 

1

 

 

 

 

 

 

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3

 

 

 

 

 

 

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Form: MCF110

Revised Jan.2006

Page 1 of 2

NOTICE OF INTENTION TO HOLD MINING CLAIMS/SITES page 2

BLM

Date

Stamp

1.State of Arizona, County of ________________________________________

2.I (Name) _______________________________________________________

3.Reside at (Address) ________________________________________________________________________

City _____________________ County __________ State ______Zip ____________ being duly sworn, depose and

say that I am a citizen of the United States, more than eighteen years of age, that all of the facts set forth in this notice, subject to the provisions and penalties of 18 U.S.C. 1001 pertaining to the filing of false, fictitious, or fraudulent statements with the United States, are true and correct according to the best of my knowledge, information and belief.

4. Owner’s name and address (If not shown in Items 1-3 above). _______________________________________

___________________________________________________________________________________________

5. Dated:____________ Signature: _______________________________________________________________

Bureau of Land Management Arizona State Office www.az.blm.gov

No. of Claims: __________ x $10 =___________

Check No: ___________ Init. _______________

Receipt No.: _____________

For BLM Use Only

Form: MCF110

Revised Jan. 2006

Page 2 of 2

This form is available from the Arizona Department of Mines & Mineral Resources and may be reproduced.

___________________________________________________________________________________

MAINTENANCE FEE PAYMENT

Claimant Name: ____________________________

Address: __________________________________

City: _______________State: ____ Zip: _________

Telephone: ________________________________

E-mail address: ____________________________

Signature: _________________________________

Check here if this is a change of address.

BLM

Date

Stamp

 

 

LINE

 

 

AMC

 

 

CLAIM/SITE NAME

 

 

COUNTY RECORDER

 

 

TWP

 

 

RNG

 

 

SEC

 

 

 

 

NO.

 

 

NUMBER

 

 

 

 

DATA (If available)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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7

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

List additional claims on Form MCF114.

 

No. of Claims: __________ x $140 =___________

 

 

 

 

 

 

 

 

 

 

 

 

Check No: ___________ Init. _______________

 

Bureau of Land Management

 

 

 

Receipt No.: _____________

 

 

 

 

 

 

 

 

 

 

Arizona State Office

 

 

 

For BLM Use Only

 

 

 

 

 

 

 

 

 

 

www.blm.gov/az/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Form: MCF112

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Revised July 2009

 

 

This form is available from the Arizona Department of Mines and Mineral Resources and may be reproduced.

SUPPLEMENTAL ATTACHMENT

May be used with the following forms for listing additional mining claims:

Check One.

Affidavit of Performance of Annual Work Maintenance Fee Payment

Notice of Intent to Hold Mining Claims

Notice of Non-Liability for Labor and Materials Furnished

BLM

Date

Stamp

LINE

NO.

AMC

NUMBER

CLAIM/SITE NAME

COUNTY RECORDER DATA (If available)

TWP

RNG

SEC

Form MCF114

Revised June 2005

This form is available from the Arizona Department of Mines & Mineral Resources and may be reproduced.

________________________________________________________________________________

NOTICE OF NON-LIABILITY FOR LABOR AND MATERIALS FURNISHED

NOTICE IS HEREBY GIVEN that the undersigned is the owner of the following described mine or unpatented mining claims situated in ________________ County, Arizona, the names of which and the book(s) and page(s) or

document number(s) of recording of the location notice(s) in the office of the recorder of said county and the BLM serial numbers of which, are as follows:

Line

AMC NUMBER

CLAIM/SITE NAME

COUNTY RECORDER

TWP

RNG

SEC

DATA (If available)

No.

 

 

 

 

 

 

 

 

 

 

 

1

 

 

 

 

 

 

2

3

4

5

Pursuant to the terms of a _________________ agreement entered into between the owner and

______________________ which is dated and is for a term commencing on ________________ and ending on

__________________, the property will be in the possession of and operated by _________________________.

The owner is not and will not be working or operating the claims or mine or any part of the claims or mine and does not intend to purchase supplies or materials for the claims or mine or to employ any persons to labor thereon during the term of the above-described agreement.

The owner will not be liable for labor performed or materials or merchandise furnished in the operation or development of the claims or mine during the term of the above-described agreement, and the claims or mine will not be subject to a lien or any debts incurred for labor performed or materials or merchandise furnished for the operation or development of the claims or mine during the term of the agreement.

DATED AND POSTED on the ground this ______ day of ____________, 20_____.

OWNER __________________________

SUBSCRIBED AND SWORN TO before me, a Notary Public, this ___________ day of ___________ 20________

By: _________________________________________________________

Notary Public _________________________________________________

My Commission Expires ________________________________________

Form MCF116

Revised July 2005

This form is available from the Arizona Department of Mines & Mineral Resources and may be reproduced.

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