Mining, Land & Water Applications and Forms

Affidavit of Annual Labor Form

• Used annually to certify that the required annual labor was done on each mining claim. This document must be timely recorded in the appropriate recording district office. For additional information see the Annual Labor Fact Sheet. To change a recorded affidavit you will need to record an Amended Form.

Affidavit of Initial Production for Mining

• Used to meet the State of Alaska's regulatory requirements to record an Affidavit of Initial Production for a new mining operation.

Annual Placer Mining Application and Related Forms (APMA's)

• Almost a "one stop shop" for placer mine permitting. In some cases additional Federal permits are required. For additional information see Mining Permits Through the Annual Placer Mining Application Process Fact Sheet.

Production Royalty on Locatable Minerals

• Any miner who received a mining license in the previous year or if you are a claim owner, operator, lessee, or royalty interest recipient; you are required to file these forms by May 1. For additional information see Production Royalty Fact Sheet.

Quit Claim Deed for Mining Claims Form

• Used to transfer ownership of a mining claim. This form must be recorded in the appropriate recording district office.

Rental Calculation Worksheet for Mineral Locations on State-Owned Land

• Used to calculate the first rental payment due at the time of recording a new location certificate/notice.

State Mining Claim MTRSC Location Certificate/Notice

• Used as a Posting Notice on new MTRSC mining location based on legal description. One copy goes on the appropriate corner post of the claim and one copy is recorded in the appropriate recording district. For more information see MTRSC New Locations Fact Sheet. To change a recorded certificate you will need to record an Amended Certificate.

State Mining Claim Traditional New Location Certificate/Notice

• Used as a Posting Notice on new NON-MTRSC mining location based on the traditional method of locating on the ground. This is only for 40 acre claims that do not conform to MTRSC requirements. One copy goes on the appropriate corner post of the claim and one copy is recorded in the appropriate recording district. For more information see Staking Requirements for Mineral Locations on State Land. To change a recorded certificate you need will to record an Amended Form.

State Prospecting Site New Location Certificate/Notice

• Used as a Posting Notice on new prospecting site location. One copy goes on the appropriate corner post of the claim and one copy is recorded in the appropriate recording district. For more information see Prospecting Site New Locations Fact Sheet. To change a recorded certificate you will need to record an Amended Form.

Traditional Claims Amended/Convert to MTRSC Location Notice/Certificate

• Used as a Posting Notice for Traditional Claims when they are converted and/or posted as MTRSC locations. For additional information see Converting Traditional Mining Claims to MTRSC Locations Fact Sheet.

Amended New Location Notice/Certificate forms

To change a recorded certificate you will need to record the appropriate amended form below:

• Amended New Location Certificate for MTRSC Claims Only
• Amended New Location Certificate for Traditional Claims Only
• Amended New Location Certificate Prospecting Sites Only
• Traditional Claims Amended/Convert to MTRSC Location Notice Certificate

Land Forms  /  Water Forms

Aquatic Farm Joint Agency Application Packet

• Part I: Application Guidelines and Contacts
• Part II: Application Form and Instructions
• Operation and Development Plan
• Amendment: Amendment Request Form

Land Use Authorizations

• Information Sheet: Permits for Commercial Recreation Activity on State Owned Land
• Fact Sheet: Generally Allowed Uses on State Land
• Commercial Recreation Permit Application Form
• Land Use Permit Application Form Packet with all supplemental forms

Packet Includes:
• Land Use Application Form with cover letter
• Land Use Permit Application Supplemental Questionnaire for: Off Road Travel
• Land Use Permit Application Supplemental Questionnaire for: Use of Marine Waters (Tide & Submerged Lands)
• Land Use Permit Application Supplemental Questionnaire for: Use of Uplands and Non Marine Waters

Land Sales Forms

• Declaration of Intent
• Nomination of State Land for Sale Form (with Factsheet)
• Over-The-Counter Land Sale Application, Declaration of Intent and Instructions
• Veteran Eligibility Application/Affidavit, Waiver of Veteran's Discount Eligibility, and Instructions for Veteran Land Discounts

Development Plan

Environmental Risk Questionnaire

Kasilof Mooring Buoy - General Permit Application

Limited Material Permit

Material Sale Application

Public Recreational Easement (AS 34.17.100)

Reclamation Plan

Shore Fishery Application Form

Unorganized Borough Plat Certificate Templates

Unorganized Borough Plat Submittal Application


Mining Forms  /  Water Forms

Alaska Dam Safety Program Project Data Sheet

• For additional information see the Dam Safety in Alaska Fact Sheet.

Alaska Dam Safety Program Visual Inspection Checklist

• For additional information see the Dam Safety in Alaska Fact Sheet.

Alaska Water-Use Data System (AKWUDS) reporting form

• AKWUDS (Alaska Water Use Data System) contains data on known water usage collected at locations throughout the state.

Application for Certificate of Approval to Construct, Modify, Remove, or Abandon a Dam

• For additional information see the Dam Safety in Alaska Fact Sheet.

Application for Reservation of Water

• For additional information see Reserving Water for Instream Use Fact Sheet.

Application for Temporary Water Use

• Required for the temporary use (under 5 years) of a significant quantity of water as defined by law. There are no water rights associated with this permit. For additional information see the Water Rights in Alaska Fact Sheet.

Application to Transfer a Certificate of Approval to Operate a Dam

• Required to transfer authorization to operate a dam to a new operator. For additional information see the Dam Safety in Alaska Fact Sheet.

Application for Water Rights

• Used by a property owner to initiate, develop, and perfect a water right for the beneficial use of water from a specific source of surface or ground water. For additional information see the Water Right Fact Sheet.

Change of Address for Water Rights

• Used to notify the Water Management Section of an individuals change of Name or Mailing Address.

Change of Property Ownership for Water Rights

• Used to notify the Water Management Section of a change in the ownership of property where a water right permit/certificate is established.

Hazard Classification and Jurisdictional Review Form

• Used to determine the downstream hazard classification of a dam in accordance with 11 AAC 93.157 and to determine if a dam is under the jurisdiction of the Alaska Dam Safety Program based on the definition of a dam articulated under Alaska Statute 46.17.900(3).

Notice of Relinquishment of Water Rights Form

• Must be signed by the owner of the property with a water right permit/certificate when the owner is voluntarily relinquishing all or part of the property's water right. This form must be notarized. For additional information see the Water Rights in Alaska Fact Sheet.

Request for Water Right Permit Extension

• A one time permit extension may be granted for cause if the water right is not fully developed by the expiration date on the permit. For additional information see the Water Rights in Alaska Fact Sheet.

Statement of Beneficial Use of Water

• Must be signed by the property owner to certify that water use on the property is fully developed. Once the water use if fully developed, a permanent water right certificate may be issued. This form must be notarized. For additional information see the Water Rights in Alaska Fact Sheet.

Water Well Record (Driller's Well Log) Form

• Well Drillers are required to submit to the Division, a completed "well log" of each well drilled. For additional information see Alaska Hydrologic Survey.

Water Well Record Decommissioning Form

• This form is intended to convey information regarding the decommissioning of a water well as required by both DEC and DNR. Add additional datasheets as necessary. For additional information see Alaska Hydrologic Survey.

Mining Forms  /  Land Forms