Tribal Input

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Tribal Historical & Cultural Preservation Department

THCP: Tribal Input Form

For informal requests for comment only. The following form is required for a request for information and/or comment for a proposed project for informational purposes only, not constituting AB 52, SB 18 or any other request within the regulatory framework for a proposed activity or project.

Step 1 of 6

16%

Name(Required)

First Last

TRIBAL INPUT REQUESTEE

Point of Contact

First Last

Phone

Entity Represented

Summarize Your Information Request Below

2. SUBJECT PROPERTY (Project Site)

Project Name

Assessor's Parcel Number(s)

Township and Range

Address

Street Address Address Line 2 City State ZIP Code

Project Type

Industrial

Commercial

Residential

Recreational

Other

Project Size

Approx. Acres

3. PROPOSED PROJECT STAGE

NAHC SLF REQUEST RESULTS

Available

In Preparation

Not Available

Other

Please check off which applies to the document type.

SCCIC SEARCH REQUEST RESULTS

Previous Reports Cover All or a Portion of the Proposed Project Site

Previous Reports Cover No Portion of the Proposed Project Site

Cultural Resources Identified Within the APE

Cultural Resources Not Identified Within the APE

Results Not Yet Available

Request Not Yet Submitted

Please check off which applies to the document type.

APE Boundry

0-0.25 mile

0.25-0.50 mile

0.50-0.75 mile

0.75 mile- 1 mile

Greater than one mile

Please check off which applies

What factors contributed to the determination of the APE boundary limits?

Proposed Project Site Field Survey Method

No Field Survey Has Been Completed

Windshield Survey

Pedestrian Survey

Extended Phase I Survey

Phase II Testing and Evaluations

Phase III Data Recovery

Please check off which applies to the document type.

Confirm Whether a Tribal Representative Was Present If XPI, Phase II and/or Phase III Work Was Conducted

Tribal Representative Present

Tribal Representative Not Present

No Extended Phase I, Phase II or Phase III Work was Conducted

Please check off which applies to the document type.

Cultural Resource Assessment

In Preparation

50% Complete

Complete Draft Format

Please check off which applies to the document type.

Geotechnical Report

Available

In Preparation

Not Required by Lead Agency

Not Available

Please check off which applies to the document type.

Biological Report

Available

In Preparation

Not Required by Lead Agency

Not Available

Please check off which applies to the document type.

Construction/Grading Plans

Available

In Preparation

Not Required by Lead Agency

Not Available

Please check off which applies to the document type.

Upload Available Documents

Drop files here or

Max. file size: 100 MB.

Submitting all documentation marked as “available” to the Cultural Resources Management (CRM) Division of the Fernandeño Tataviam Band of Mission Indians (FTBMI) will assist in the proper determination of the sensitivity level and associated requirements for the subject property. All documentation submitted to the CRM Division of the FTBMI will be treated as confidential and only used for the evaluation of the subject property and internal training practices when necessary.

Upload Available Documents

Drop files here or

Max. file size: 100 MB.

4. PREVIOUS ACTIVITIES

Has the site been previously developed?

Yes

Unsure

Does the site currently contain fill?

Yes

Unknown

What portion of the property has NOT been previously impacted and/or contains Native soil?

20% or less

50% or less

80% or less

100% or less

Unknown

Are there any oak trees on the subject property or within 100 feet of the property?

Yes

5. OAK TREE ENCROACHMENT

Removal

Please identify the number of oak trees proposed for:

Encroachment

Please identify the number of oak trees proposed for:

To Remain

Please identify the number of oak trees proposed for:

Total

Total Existing Oak Trees

Are there any oak trees on or next to the subject property that date to or prior to 1934?

Yes

Estimated oak tree dimensions (average):

Select one of the following:

No activity will occur within five feet of any oak tree dripline (canopy) or within 15 feet of any oak tree trunk, whichever distance is greater. This applies to both oak trees located on the subject property AND oak trees next to the subject property.

Activity will occur within five feet of any oak tree canopy or within 15 feet of any oak tree trunk. All oak tree dimensions, including trunk diameter and canopy, are accurately depicted on the site plan and are drawn to scale.

6. APPLICANT CONSENT

Consent(Required)

I have read, understand, and consent to the submission of this form. I understand that all information shared with me, the CRM Firm I'm associated with or the proposed project developer by the Cultural Resources Management (CRM) Division of the Fernandeño Tataviam Band of Mission Indians (FTBMI) is completely confidential. No information shared by the CRM Division of the FTBMI with the applicant completing this form, the associated CRM Firm or the proposed project developer shall be shared, distributed or kept without formal, written consent from the CRM Division of the FTBMI

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(Required)

The information provided in this application, including all attachments, are accurate and correct

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(Required)

I understand that the submittal of inaccurate or incomplete information and plans may result in extension of the subsequent review period.

Application Processing Fee

Intake Processing Fee(Required)

Price:

Total

Credit Card

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