2020-09-28 ACBCI Monitoring FormTRIBAL HISTORIC PRESERVATION OFFICE
5401 Dinah Shore Drive
PALM SPRINGS, CA 92264
(760) 699-6800
FAX (760) 669-6924
Agua Caliente Band of Cahuilla Indians
Tribal Historic Preservation Office
Monitoring Request Form
Please fill out the information below. Once the Tribal Historic Preservation Office receives the request we will
complete a draft contract for your review. Upon your approval our team will provide legal review and finalize
the contract for signatures.
1.What is the name of the project?
2.What is the address of the project?
3.What is the name of the land owner? Please provide the owner's address, phone number, fax number,
email and President and/or owner's name.
4.Please provide a brief description of your project. Include a description of ground disturbing activities.
5.What date will construction begin?
6.How many days grubbing?
7.How many days grading and pad preparation?
8.How many days utility installation?
9.Does your project have conditions of approval? Please provide our office with a copy.
10.Please provide contact information for authorized signatory. Include name, title, address, phone
number and email address.
11.Include a map of your project and return form and supporting documents to:
Agua Caliente Band of Cahuilla Indians
Tribal Historic Preservation Office
ACBCI-THPO@aguacaliente.net
(760) 699-6800.