ML15203A237: Difference between revisions

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{{#Wiki_filter:Tribal Response Form  
{{#Wiki_filter:Tribal Response Form - Cultural Resource Considerations Project Name: _________________________________________________
- Cultural Resource Considerations Project Name: _________________________________________________
Tribal Department you represent:
Tribal Department you represent:
Cultural Resources Other____________________
Cultural Resources             Other____________________
Response to this request for consultation:
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.
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.
The Tribe wishes to consult on this project. Please contact the Tribe further to discuss our interests.
___________________________________
___________________________________                                   __________________________
Signature of individual completing form
Signature of individual completing form                               Date
 
___________________________________                                   __________________________
___________________________________
Name                                                                   Name of Tribe If interested in consultation or being updated regarding this project, please indicate below who should be contacted.
 
Name (please print): ______________________________________________
Name __________________________
Phone Number*:         ______________________________________________
 
E-mail address*:       ______________________________________________
Date 
Fax Number*:           ______________________________________________
 
__________________________
 
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:
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:
Letter           E-mail       Phone
U. S. Nuclear Regulatory Commission ATTN: Alan Bjornsen Mail Stop: TWFN 4 B16 Washington, DC 20555
  *May be subject to public disclosure Return to:
-0001}}
U. S. Nuclear Regulatory Commission ATTN: Alan Bjornsen Mail Stop: TWFN 4 B16 Washington, DC 20555-0001}}

Revision as of 09:57, 31 October 2019

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
Shared Package
ML15203A207 List:
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 Date

___________________________________ __________________________

Name 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 20555-0001