Access to Inuit-Owned Lands Form

Application to Access Inuit Owned Lands and Water Use

Location of activities by map coordinates. Attach ORIGINAL maps and sketches.

Max Latitude(Required)
°
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Minimum Latitude(Required)
°
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Max Longitude(Required)
°
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Minimum Longitude(Required)
°
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Coordinate of Camp (if applicable) – Latitude
°
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Coordinate of Camp (if applicable) – Longitude
°
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Camp(Required)
NOTE: Please specify projection, datum, and digital format. Please provide the data as an Arc Info cover, ArcView Shape file or an . E00 file.
Drop files here or
Max. file size: 50 MB.

    Periods of operation; including periods of seasonal shut down and periods for restoration.

    Start Date(Required)
    Completion Date(Required)

    Period of access required (up to one or two years for licenses, depending Start Date Completion date on license level, up to five years for residential/recreational leases and level I and II commercial leases, and up to forty years for level Ill commercial leases)

    Start Date(Required)
    Completion Date(Required)

    Other rights, licenses, permits or leases related to this application. Provide proof of rights or indicate if in the process of applying for rights.

    Rights, licenses, permits or leases(Required)
    In process of applying for rights?(Required)
    Drop files here or
    Max. file size: 50 MB.

      Type Of Land Use Activity

      Check off the appropriate land use activities.
      Mining/Oil & Gas
      Construction
      Tourism
      Municipality
      Research
      Other

      Type Of Water Use

      Select the kind of project for which you will use the water, and the type of water use
      Undertaking Water
      Water Use

      Quantity Of Water Involved

      Please include the quantity of water will use during the Land Use activity

      Waste

      Describe the type of waste produced by the activity
      Waste Items

      Land Use Permit

      Permit 1
      If not, date expected
      Permit 2
      If not, date expected
      Permit 3
      If not, date expected
      Permit 4
      If not, date expected

      Impact

      Predicted environmental impacts of undertaking and proposed mitigation measures (direct, cumulative impacts)
      Proposed Time Schedule
      Start Day
      Completion Day

      Project Summary

      Provide a NON-TECHNICAL project summary. This should include a non-technical description of the project proposal, no more than 300 words, in English and lnuktitut (lnuinnaqtun, in the West Kitikmeot). The project description should outline the project activities and their necessity, method of transportation, any structures that will be erected, expected duration of activity and alternatives considered. If the proposed activity fits into any long-term developments, please describe the projected outcome of the development for the area and its timeline.

      Attach a detailed project description as outlined in APPENDIX A.

      Max. file size: 50 MB.

      Land Use Application Fees

      Note: The land use fee is for the amount of land used on an annual basis. Land Use Fee, # of Hectare Used = NUMBER x $50.00/Hectare =TOTAL
      Land Use License I
      Residential/Recreational Lease
      Marble Island Tourism
      Land Use Application Fees

      Water Application Fees

      Water license Application Type
      Note: The water application type is related to the Land use application type. A water Protection fee will be charged according to the type and stage of the development project. Volume water use (m3) x $26.35/1000m 3 = Water Use Fee [Volumetric Fee]

      Confirmation

      Select One(Required)
      Applicant Full Name(Required)
      Application Date(Required)