NStQ Referrals Office

Referral Submission Form

All fields with asterisks (*) are required fields. Upon clicking the “Submit” button at the bottom of the page, an email receipt will be automatically sent to the email address provided. Please contact stewardshiptech@nstq.org if you do not receive a receipt within 1 hour of submission.

This submission will not be processed if it is incomplete. Once you have submitted your form by clicking the ‘Submit’ button at the bottom of the page you may save a copy to your computer. Manually emailed copies of this form will not be accepted.

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Part 1 – General Information

* File Number(s)

* Project Name

Referral TypeProvincial Referral Under the Yecweminul’ecw AgreementNon-Signatories

Application type

Decision Maker (Position Description)

Related to existing referralNoYes

Related Referral ID(s)

Area (km/ha/m) or Volume

Timing - e.g. season(s) when work will be doneSpringSummerFallWinter

* Project Description

* Project Location

Additional comments

Archaeological sites nearby

Community employment opportunities

* Government Statute(s)

Tenure Type or Section

* Preliminary engagement level

* Response Requested By

Part 2 – Your Contact Information

* Name

* Email Address

Organization

Title

* Phone Number

Fax Number

* Street

* City

* Province

* Postal Code

* Country

Part 3 – Proponent Information I am the proponent

* Name

Email Address

Organization

Title

Phone Number

Fax Number

Street

City

Province

Postal Code

Country

Spatial Footprint

Please attach a spatial data file that represents the footprint of the project area. Do not include other spatial areas like nearby rivers or roads in this file.

Submit spatial information in either KML/KMZ or shapefile format. If providing shapefiles, please zip (compress) contents into a single file, 'example projectxyzshape.zip'.

Supporting Documentation

Please attach any relevant supporting files (e.g. maps, previous archaeology reports, etc.)

Submit spatial information in either KML/KMZ or shapefile format. If providing a shapefile, please zip (compress) contents into a single file.

Add a file

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