ANTIQUITIES PERMIT APPLICATION

UNDERWATER ARCHEOLOGY

GENERAL INFORMATION

I. PROPERTY TYPE AND LOCATION

Project Name (and/or Site Trinomial)

County (ies)

USGS Quadrangle or NOAA Chart Name and Number

UTM Coordinatesfrom: Zone E N

to: Zone E N

Location

Federal Involvement Yes No

Name of Federal Agency

Agency Representative

II. OWNER (OR CONTROLLING AGENCY)

Owner

Representative

Address

City/State/Zip

Telephone (include area code)Email Address

III. PROJECT SPONSOR (IF DIFFERENT FROM OWNER)

Sponsor

Representative

Address

City/State/Zip

Telephone (include area code)Email Address

PROJECT INFORMATION

I. PRINCIPAL INVESTIGATOR (ARCHEOLOGIST)

Name

Affiliation

Address

City/State/Zip

Telephone (include area code)Email Address

II. PROJECT DESCRIPTION

 Underwater survey (May include remote sensing survey and diver ground-truthing)

 Underwater testing

 Underwater site excavation (data recovery)

(over)

ANTIQUITIES PERMIT APPLICATION UNDERWATER ARCHEOLOGY (CONTINUED)

III. PERMIT DURATION (Maximum Allowed: Survey – 1 Year; Testing – 2 Years; Data Recovery – 4 Years)

Requested Permit Duration

Proposed starting date of fieldwork

Proposed starting date of report preparation

IV. CURATION AND REPORT

Temporary Curatorial or Laboratory Facility

Artifact Conservation Facility, if applicable

Permanent Curatorial Facility

V. FUNDING

List funding sources to cover the costs of fieldwork, report preparation and artifact conservation and curation

VI. LAND OWNER’S CERTIFICATION

I,, as legal representative of the Land Owner, , do certify that I have reviewed the plans and research design and that no investigation will be preformed prior to the issuance of a permit by the Texas Historical Commission. Furthermore, I understand that the Owner, Sponsor and Principal Investigator are responsible for completing the terms of this permit.

Signature Date

VII. SPONSOR’S CERTIFICATION

I,, as legal representative of the Sponsor, , do certify that I have reviewed the plans and research design and that no investigation will be preformed prior to the issuance of a permit by the Texas Historical Commission. Furthermore, I understand that the Sponsor, Owner and Principal Investigator are responsible for completing the terms of this permit.

Signature Date

VIII. PRINCIPAL INVESTIGATOR’S CERTIFICATION

I, , as Principal Investigator employed by (Investigative Firm), do certify that I will execute this project according to the submitted plans and research design and will not conduct any work prior to the issuance of a permit by the Texas Historical Commission. Furthermore, I understand that the Principal Investigator (and the Investigative Firm), as well as the Owner and Sponsor, are responsible for completing the terms of this permit.

Signature Date

Principal Investigator must attach an outline of proposed work for survey and a research design for testing or data recovery, a copy of the USGS quadrangle or NOAA chart showing project boundaries, and any additional pertinent information. Curriculum vita of Principal Investigator must be on file with the Texas Historical Commission’s Archeology Division.

TEXAS HISTORICAL COMMISSION’S OFFICIAL USE ONLY

Reviewer Date Permit Issued

Permit Number Permit Expiration Date

Type of Permit Date Received for Data Entry