Application to Establish a New Campsite on Gwich’in Land

Application to Establish a New Campsite on Gwich’in Land

(For Use by Gwich’in Participants as well)
Section 1: General
Applicant Name
Application Date (MM-DD-YYYY)

MonthDayYear
Date
Enrollment Number (If you are a Gwich'in Participant)
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Address
Street Address
PO Box
Province/Territory
Postal Code
Section 2: Campsite Details
Proposed Project Start (Date or Period e.g Summer 2025)
Indicate proposed use of area: (Traditional/Cultural, Year Round/Seasonal, Recreational, etc.)
Location of campsite? (include coordinates and map and Parcel #/Letter)
List all cabins or camps within a 1 km radius of your location:
List all current and traditional users of the area:
Identify areas where wood would be harvested and water source: (please provide map showing all locations requested in this application)
Provide description of proposed camp structures:

Disposal method for

Identify areas where wood would be harvested and water source: (please provide map showing all locations requested in this application)

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Please attach a photo of your campsite or cabin.

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Section 3: Signatures
I hereby certify that the information contained in this registration application is true and correct.
Applicant Signature
Should be Empty: