Di Form 1926 - Application For Permit For Archeological Investigations
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2DI Form 1926 (Rev Sept 2004)
FOR OFFICIAL USE ONLY
OMB No. 1024-0037
Date Received ____________
Exp. Date (01/31/2008)
Sent for Review____________
Control No. _______________
United States Department of the Interior
Application for Permit for Archeological Investigations
Under the Authority of
The Archaeological Resources Protection Act of 1979
(16 U.S.C. 470aa-mm; 43 CFR 7);
and/or The Antiquities Act of 1906
(P.L. 59-209; 34 Stat. 225; 16 U.S.C. 431-433; 43 CFR 3)
and/or the appropriate Bureau-specific statute
Such as
The Reclamation Act; The National Park Service Organic Act; The National Wildlife
Refuge System Administration Act; The Federal Land Policy and Management Act
Instructions: Complete and return two copies of this application form and required attachments to the appropriate State or
Regional Office of the land managing bureau involved. 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 (institution, corporation, partnership, individual, or other entity)
2. Mailing address
3. Telephone number(s)
4. Email address(es)
5. Nature of archeological work proposed
6. Location of proposed work (attach additional sheets)
□
a. Description of Federal lands involved. Indicate State, county, and Federal
administrative unit. Specify the best available location data, e.g., GPS
Survey and Recordation
coordinates, UTM coordinates, township, range and section (cadastral)
□
subdivisions, or metes and bounds. Include a readable copy of a map or plan
Limited Testing and/or Collection (project-specific)
at an appropriate scale showing specific areas for which permit is desired.
□
Excavation and/or Removal (project-specific)
b. Identification of archeological resource(s) or other cultural resource(s)
involved (if applicable).
7. Time of proposed work
Overall duration of project:
From
To
Estimated duration of fieldwork:
From
To
8. Principal Investigator
Principal Investigator contact information
Name of individual(s) responsible for planning and generally overseeing field
Telephone number(s):
projects, including overall supervision of staff and overall responsibility for the
professional quality of resource evaluations and recommendations.
Email address(es):
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