Indian and Northern
Affairs Canada
Affaires indiennes
et du Nord Canada
APPLICATION FOR LAND USE PERMIT
FOR OFFICE USE ONLY - RÉSERVÉ AU BUREAU
Application fee 
Land use fee 
General receipt no. 
Date 
Class 
Permit no.
To be completed by all applicants 
New application
Amendment  
1. Applicant's name and mailing address (Full name, no initials)  
Fax no. 
2.  Head office address  
Telephone no. 
Field supervisor 
E-Mail address 
Radio telephone 
3.  Other personnel (subcontractor, contractors, company staff, etc.) 
Refer to Section 21 of the Territorial Land Use Regulations
Refer to Section 22(2)(b) of the Territorial Land Use Regulations (Use last page of form if necessary.) 
b)  Please indicate if a camp is to be set up (Use last page to provide details.) 
6.  Summary of potential environmental and resource impacts
(Describe the effects of the proposed program on land, water, flora and fauna and related socio-economic areas.)
(Use separate pages if necessary.) 
Telephone no. 
Fax no.
INTER  50-019 E  2004-11-02  
No(s) exploration permit mineral claims (if applicable) 
PP4918, PP6685, PP6686, PP7004, PP7005, PP7486   
a(i) 
X

a(ii)
a(iii)
b
c
4.  Qualifications
5. a)  Summary of operation (Describe purpose, nature and location of all activities.) 
Page 1 of 4
Telephone no.

		                                                                                                                                                                 (604) 331 4605
		Indicator Minerals Inc.
		Suite 275 – 1075 West Georgia Street
		Vancouver, BC, V6E 3C9
		                                                                                                                                                                  (604) 331 4654

		Same as above

		Anthony Margarit                                         To be provided once established

		Fugro – Airborne Geophysics
		Drilling – to be determined for 2009 program
		Great Slave Helicopters - helicopter
TOTAL : 10 – 15 people 

  There will be a total of 10 - 15 people working on this project.

Please see the attached Summary.

A camp will be established during the summer of 2008.  See attached map showing the proposed location of the temporary camp.

During all activities, every effort will be made to avoid disturbance to wildlife.  Denning and nest sites will be avoided and the locations recorded and the information provided to the local wildlife officer and as an appendix in the annual reports required.
All archaeological sites will be respected and reported immediately.  There will be no discharge of any kind in to any water bodies.  Sumps at camp and at the drill sites will be located a minimum of 31 m from the normal high water mark of any water body. See
the attached Spill Contingency Plan, and Abandonment and Reclamation Plan for more information.  See attached Plan.

  
7.  Proposed restoration plans (Please use last page if required.) 
8.  Other rights, licences or permits related to this permit application (mineral claims, Yukon timber permits, water licences, etc.)     
Roads  
Is this to be a pioneered road?
Provide details on back page 
Has the route been laid out or ground truthed?    
9.  Proposed disposal methods 
a)  Garbage: 
b)  Sewage (Sanitary & Grey Water): 

Not applicable

c)  Brush & trees:

Not applicable

d)  Overburden (Organic soils, waste material, etc.): 
10.  Equipment (Includes drills, pumps, etc.) (Please use last page if necessary.) 
Type and no. 
Size 
Proposed use                     
11. 
Fuels 
Number of containers 
Capacity of containers 
Diesel     
Gasoline   
Aviation Fuel   
Propane 
Other   
12.  Containment fuel spill contingency plans (Please attach separate contingency plan if necessary.) 
13.  Methods of fuel transfer (To other tanks, vehicles, etc.)
INTER  50-019 E  2004-11-02
APPLICATION FOR LAND USE PERMIT
Page 2 of 4 
Indian and Northern
Affairs Canada
Affaires indiennes
et du Nord Canada

All sumps will be covered as required.  Empty fuel drums will be removed on a regular basis and at the end of the project all fuel drums will be removed from fuel caches.  A final inspection of all sites occupied and or disturbed will be conducted.  Please see attached Abandonment and Restoration Plan.  All activities will be documented and photos will be taken to be included in annual reports.

A water licence application is being submitted to the Nunauvt Water Board in addition to this Land Use Licence     application, as well a Land Use Licence III application is being submitted to the Qikiqtani Inuit Association.

N/A

N/A

Sewage will be removed from site, grey water will go to a sump.

 Combustible garbage will be        
incinerated                                             

              Helicopter									   Putting crews in the field

         	  Drill								   Drilling									    
  Generator				  5-10 kw  drill 		 		   Provide power
     
               Water Pumps							   		  Provide water for drill & camp

 						   50			           205 litres
             					5		                    205 litres

                                                                       50	205 litres
 						25			         100 lb

	Please see attached Spill Contingency Plan.

	Refueling will be done using a small stand pipe hand and/or electrical pump.

 

  This project will 
               Operate each year from March through to the end of October.  We are currently applying for a two year permit,

X

              the maximum period allowed, although this program will continue beyond that time frame.
14.  Period of operation (Includes time to cover all phases of project work applied for, including restoration.) 
15.  Period of permit (Up to two years,
with maximum of one year extension.)  
16.  Location of activities by map co-ordinates (Attached maps and sketches.) 
Minimum Latitude 
Degrees  72° 
Minimum Longitude 
Map sheet no.       48A

17.	Applicant (Print full name)
Anthony Margarit 
Signature 
Date 
18.  Fees
Class  A   -  $150    
Land Use Fees:
Less than or equal to 2 hectares
$50.00  
$ 50.00
For each additional hectare over 2 hectares or portion of a hectare
X $50.00 =  
$
Total application and land use fees   
$200.00
19.  Calculation of area involved (Includes access, staging areas, airstrips, campsites, etc.) 
Total area (Ha) 
Less than or equal to 2 hectares 
TOTAL (For fee calculation) 
20.  Application checklist
a)
Application signed and dated   
b)
Fees attached 
c)
Map included
Timber permit applied for - Yukon
f)
Fees attached
g)
Lease applied for
h)
Address and telephone number
d)
Screening report
e)
Accepted by 
Remarks (Please use last page if additional space is required.) 
Date 
INTER  50-019 E  2004-11-02
APPLICATION FOR LAND USE PERMIT  
2008/ 06/ 01
Start date
Completion date 
2013/ 10/ 30
Class  B -  $150
FOR OFFICE USE ONLY              
Page 3 of 4 
$ 150.00  
Minutes  37’
Seconds  53”
Degrees  82°
Minutes  49’
Seconds  97”
Maximum Latitude 
Degrees  72°
Maximum Longitude 
Minutes  62’
Seconds  42” 
Degrees  83°
Minutes  99’
Seconds  99”
Indian and Northern
Affairs Canada
Affaires indiennes
et du Nord Canada