Request for Consultation and Files Search Request Form

Please complete this form and attach a copy of the appropriate USGS Quad map or areal photograph showing the project location and any drawings of the proposed undertaking. All fields must be completed in order for your file search request to be processed. The form will be submitted electronically to the Tribal Historical Preservation Office (THPO) and a copy emailed to the email address you provide. Please email request@cccrpd.com with any questions you may have.

Individuals Name:

Your Organization:

Street

City

State

Zip

Telephone

Fax

Email

Project Name

Government Agency Involved

Describe the project. Please identify any work that will involve ground
disturbance or the demolition and/or modification of existing buildings.
If none of these are to occur, please indicate this.

Describe any previous disturbance and the current land use.
Please indicate any and all disturbances. Many times a full class III
inventory may not be necessary if there is previous disturbance; however,
by submitting this request you can expect a letter indicating if a survey is necessary or not.
This letter may be enough to fulfill cultural resource requirements.

Land Ownership

Approximate date of proposed project initiation.

Township Range Section

***IMPORTANT, please attach a 7.5 min map and/or satellite image with the proposed project outlined. In addition, please include any construction drawings or blue prints. Remember to include ALL areas to be disturbed by construction, including staging areas, access roads, and other areas impacted by ground disturbing activities. You will only receive clearance for the areas on the attached map***

Attach a file

Add another file

Chippewa Cree Tribal Historic Preservation Office

Request for Consultation and Files Search Request Form