Exhibit B Organic Act Permit application.pdf

FS-2700-30 (01/2014)

OMB No. 0596-0082

Use Code: 442

Authorization ID:

Contact ID:

U.S. DEPARTMENT OF AGRICULTURE

FOREST SERVICE

APPLICATION FOR PERMIT FOR ARCHAEOLOGICAL

INVESTIGATIONS

Select all authorities that apply

Authority:

Organic Act of 1897, 16 U.S.C. 551

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) Click here to enter text.

2. Mailing address Click here to enter text.

3. Telephone numbers Click here to enter text.

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

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.

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b. Identification of archaeological or other cultural resources involved.

7. Duration of proposed work

Duration of permit: From: Click here to enter a date. To: Click here to enter a date.

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.

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Principal investigator contact information

Telephone numbers: Click here to enter text.

Email addresses: Click here to enter text.

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9. Field Directors

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.

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Field Directors contact information

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

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

Burden and Non-Discrimination Statement

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. 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.

The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, age, disability, and where applicable, sex, marital status, familial status, parental status, religion, sexual orientation, genetic information, political beliefs, reprisal, or because all or part of an individual’s income is derived from any public assistance. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.) should contact USDA’s TARGET Center at 202-720-2600 (voice and TDD).

To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, 1400 Independence Avenue, SW, Washington, DC 20250-9410 or call toll free (866) 632-9992 (voice). TDD users can contact USDA through local relay or the Federal relay at (800) 877-8339 (TDD) or (866) 377-8642 (relay voice). USDA is an equal opportunity provider and employer. 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.

13. Signature of individual named in block 10

X Permit Holder Signature and Title

14. Date signed Click here to enter a date.

APPLICATION FOR PERMIT FOR ARCHAEOLOGICAL INVESTIGATIONS