FS-2700-30 Application for Permit for Archaeological Investigations

Use Code: ______________ Authorization ID: _________ Contact ID:______________	U.S. DEPARTMENT OF AGRICULTURE FOREST SERVICE APPLICATION FOR PERMIT FOR ARCHAEOLOGICAL INVESTIGATIONS <USER NOTES FOR AUTHORITY> <Select all authorities that apply. Delete any that do not apply.> Authority: Archaeological Resources Protection Act of 1979, 16 U.S.C. 470aa-mm Antiquities Act of 1906, 16 U.S.C. 431-433 Organic Act of 1897 16 U.S.C. 551				FS-2700-30 (09/2020) OMB No. 0596-0082
Instructions: Complete and return two copies of this application form and required attachments to the appropriate Forest Service administrative unit. All information requested must be completed before the application will be considered. Use separate pages if more space is needed to complete a section.
1. Name of applicant (individual, institution, corporation, partnership, or other entity)
2. Mailing address				3. Telephone numbers
				4. Email addresses
5. Nature of archaeological work proposed □ Survey and recordation □ Limited testing (shovel tests, scrapes, probes) □ Formal testing and/or surface collection (project- specific) □ Excavation and/or removal (project-specific) □ Conservation and protection, e.g., ruin stabilization, restoration, rock art conservation, ARPA damage assessments (project-specific)		6. Location of proposed work (attach additional sheets) a. Description of federal lands involved. Specification of state, county, and Forest Service administrative unit where work is to occur, using best available data, e.g., global positioning satellite coordinates, Universal Transverse Mercator coordinates, township, range and section (cadastral) subdivisions, or metes and bounds. Readable copy of map at appropriate scale showing specific areas for which permit is desired. b. Identification of archaeological or other cultural resources involved.
7. Duration of proposed work Duration of entire project: From To Duration of fieldwork: From To
8. Principal investigators Name of individuals responsible for planning and overseeing field projects, including supervision of staff and responsibility for the professional quality of resource evaluations and recommendations.			Principal investigators contact information Telephone numbers: Email addresses:

9. Field director Name of individuals responsible for carrying out field projects, for technical quality of fieldwork through direct on-the-ground supervision of all aspects of fieldwork and data gathering, for proposing resource evaluations and recommendations for further treatment, and for preparing field records and descriptive reports.	Field director contact information Telephone numbers: Email addresses:
10. Permit holder Name of individual who will be responsible for fulfilling the terms and conditions of the permit or who has authority to bind the entity applying for the permit to its terms and conditions.	Permit holder contact information Telephone numbers: Email addresses:
11. The applicant must attach the following to the application form: a. A description of the purpose, nature, and extent of the work proposed, including how and why it is proposed to be conducted (include research design, methods, and curation). b. A summary of support capabilities, including the location and a description of necessary facilities and equipment, the personnel to be involved in the proposed work, and, in the case of an applicant that is an entity, its organizational structure and staffing. c. A summary of the applicant’s experience in completing the kind of work proposed, including similar projects and government contracts and federal permits that were previously held, that are currently in force, with their effective dates, and that are pending or planned, by agency and region or state, reports or publications resulting from similar work, and any other pertinent experience. d. For each individual named in blocks 8 and 9, a resume including education, training, and experience in the kind of work proposed and in the role proposed. e. A written certification, signed by an authorized official of the proposed curatorial facility, attesting to the facility’s capability and willingness to accept any collections, records, data, photographs, and other documents generated during the proposed permit term and to assume permanent curatorial responsibility for those materials on behalf of the United States Government pursuant to 36 CFR Part 79. Archaeological and historical artifacts excavated or removed from National Forest System lands and their associated documentation shall remain the property of the United States. Custody of any Native American human remains or cultural items subject to the Native American Graves Protection and Repatriation Act (NAGPRA), 25 U.S.C. 3001-3013, that are removed from National Forest System lands shall be determined in accordance with NAGPRA and its implementing regulations at 43 CFR Part 10.
12. Proposed publications for results of work conducted under the permit
13. Signature of individual named in block 10		14. Date signed

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond, to a collection of information unless it displays a valid OMB control number.  The valid OMB control number for this information collection is 0596-0082.  Response to this collection of information is mandatory. The authority to collect the information is the Organic Administration Act, 16 U.S.C. 551.  The time required to complete this information collection is estimated to average 4 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

   

In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, religion, sex, gender identity (including gender expression), sexual orientation, disability, age, marital status, family/parental status, income derived from a public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA (not all bases apply to all programs).  Remedies and complaint filing deadlines vary by program or incident.

Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign Language, etc.) should contact the responsible agency or USDA’s TARGET Center at (202) 720-2600 (voice and TYY) or contact USDA through the Federal Relay Service at (800) 877-8339.  Additionally, program information may be made available in languages other than English.

To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at How to File a Program Discrimination Complaint and at any USDA office or write a letter addressed to USDA and provide in the letter all of the information requested in the form.  To request a copy of the complaint form, call (866) 632-9992.  Submit your completed form or letter to USDA by: (1) mail: U.S. Department of Agriculture, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, SW, Washington, D.C. 20250-9410; (2) fax: (202) 690-7442; or (3) email: [email protected]. 

USDA is an equal opportunity provider, employer, and lender.

The Privacy Act of 1974 (5 U.S.C. 552a) and the Freedom of Information Act (5 U.S.C. 552) govern the confidentiality to be provided for information received by the Forest Service.

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