2016 Version
Originally a BLM form/ form questions may be addressed to BIA Pacific Regional Office
Land Description Review Worksheet
United States Department of the Interior
[Agency/Tribe]
[Location]
To: Bureau of Land Management (BLM) [State Office] Cadastral Survey
Attention: [Chief Cadastral Surveyor]
From: [Print - Agency or Tribe, Office and Official]
Subject: Land Description Review (LDR) Worksheet
BIA LAND AREA CODE:
ALLOTMENT/TRACT NO:
PURPOSE:
Please review the land description(s) in the attached conveyance/activity document(s) for the
case identified above, complete the attached interoffice memo, and return them to me for filing
in the official case file [when applicable]. The purpose for the LDR is: [insert purpose].
In addition, BLM is to report upon (check box(es) below, and within the brackets circle the
requested service(s)):
Condition of corner monuments based upon (existing knowledge or office investigation or
field investigation).
Condition of boundary line marking based upon (existing knowledge or office investigation
or field investigation).
Practicability of the boundaries for compliance with program purposes based upon (existing
knowledge or office investigation or field investigation).
Condition of Geographic Coordinate Data Base (GCDB).
Acres determined from BLM records.
Acres determined by other means.
Other:___________________________________________________________________.
The LDR is needed by: [Insert Date]
Authorized by:
Name:
Title and Contact Information:
Date:
[Signature]
[Print Name]
[Include agency or tribal affiliation]
DateReceivedByCadastralSurvey: ____________________
Received By: ________________________
Attachments:
This worksheet is to be retained in the official casefile