Form FS-2800-0023 Significant Cave Nominations

U.S. DEPARTMENT OF AGRICULTURE

Forest Service

SIGNIFICANT CAVE NOMINATION WORKSHEET

Person or Organization Submitting this Nomination:

Name_______________________________________________________________

Address____________________________/________________/______________ Street City State & zip

Telephone # (____)_______________ Email_____________________ Date __________

Person to contact for additional Information:

Name____________________________ Telephone (____)_________________

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Nomination Information:

Cave Name_______________________________

* Location: ___ State, __ Town. _________ Range. _____ Section._________

OR GPS Coordinates:

Lat.__________________ Long._______________________ Format.__________________

Position Error/ # of Satellites______________________________

Coordinate System_____________________________________

OR Verbal description:

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* Topographic Map Enclosed: Yes ____ No ____

* Cave Map Enclosed: Yes ____ No ____

Administering Federal Agency: _______________________________________________

Local field office where cave is located: _________________________________________

* Information marked with an (*) is considered confidential under (section 5, Federal Cave Resources Protection Act, 1988) and is not subject to public disclosure under the Freedom of Information Act (Section 552 of Title 5 U.S. Code).

A cave must meet one or more of the following criteria to be eligible for designation as a significant cave. If you circle "yes" for one or more of these criteria, please explain why in the remarks section. If desired, you may attach additional materials that will support your conclusions.

YES NO Biota: The cave provides seasonal or year-long habitat for organisms or animals; contains species or subspecies of flora or fauna native to caves; are sensitive to disruption; or are found on State or Federal sensitive, threatened, or endangered species lists.

Remarks: _________________________________________________________________________

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YES NO Cultural: The cave contains historic properties or archaeological resources or other features that are included in, or eligible for, inclusion in the National Register of Historic Places because of its research importance for history or prehistory, its historical associations, or other historical or traditional significance.

Remarks: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

YES NO Geologic/Mineralogic/Paleontologic: The cave possesses one or more of the following features:

(1) Geologic or mineralogic features that are fragile, or that exhibit interesting formation processes, or that are otherwise useful for study.

(2) Deposits, sediments, or features useful for evaluating past events.

(3) Paleontological resources with potential to contribute useful educational and scientific information.

Remarks: _________________________________________________________________________

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YES NO Hydrologic: The cave is a part of a hydrologic system or contains water that is important to humans, biota, or development of cave resources.

Remarks: ___________________________________________________________________________

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YES NO Recreational: The cave provides or could provide recreational opportunities or scenic values.

Remarks: ___________________________________________________________________

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YES NO Educational or Scientific: The cave offers opportunities for educational or scientific use; the cave is virtually in a pristine state, lacking evidence of contemporary human disturbance or impact; or the length, volume, total depth, pit depth, height, or similar measurements are notable.

Remarks:_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

YES NO Specially Designated Area: All caves located within special management areas, such as Special Geologic Areas, Research Natural Areas, or National Monuments that are designated wholly or in part due to the cave resources found therein are determined to be significant.

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Remarks:_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Additional Comments:

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Sketch:

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number.  The valid OMB control number for this information collection is 0596-NEW.  The time required to complete this information collection is estimated to average 11 hours per response, per person, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

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