ML15203A237

Enclsoure 2 Tribal Response Form 08_03_12

ML15203A237
Person / Time
Site:	Zion  File:ZionSolutions icon.png
Issue date:	02/02/2016
From:	Division of Fuel Cycle Safety, Safeguards, and Environmental Review
To:
Bjornsen A B
Shared Package
ML15203A207	List: ML15203A216 ML15203A231 ML15203A237 ML15296A441 ML15296A448 ML15296A452 ML15296A453 ML15296A454 ML15296A460 ML15296A463 ML15296A467 ML15296A469
References
Download: ML15203A237 (1)

Text

Tribal Response Form

- Cultural Resource Considerations Project Name: _________________________________________________

Tribal Department you represent:

Cultural Resources Other____________________

Response to this request for consultation:

Thank you for the project information; however, the Tribe does not wish to consult on this proposed project. The Tribe does not have a comment or concern at this time, although we request to be updated regarding this project.

The Tribe wishes to consult on this project. Please contact the Tribe further to discuss our interests.

___________________________________

Signature of individual completing form

___________________________________

Name __________________________

Date

__________________________

Name of Tribe If interested in consultation or being updated regarding this project, please indicate below who should be contacted.

Name (please print): ______________________________________________

Phone Number*: ______________________________________________

E-mail address*: ______________________________________________

Fax Number*:

______________________________________________

If interested in being updated about this project, your preferred method of notification would be:

Letter E-mail Phone May be subject to public disclosure Return to:

U. S. Nuclear Regulatory Commission ATTN: Alan Bjornsen Mail Stop: TWFN 4 B16 Washington, DC 20555

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