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FS-2700-4m (XX/202X)
OMB No. 0596-0082
U.S. DEPARTMENT OF AGRICULTURE
FOREST SERVICE
SPECIAL USE PERMIT FOR ARCHAEOLOGICAL INVESTIGATIONS
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Authority:
The Archaeological Resources Protection Act of 1979, 16 U.S.C. 470aa-mm
The Antiquities Act of 1906, 16 U.S.C. 431-433
The Organic Act of 1897, 16 U.S.C. 551
1. Holder:
2. Date of corresponding application:
3. Address:
4. Telephone numbers:
5. Email addresses
7. Name of principal investigators:
Telephone numbers:
Telephone numbers:
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6. Name of Authorized Officer:
Email addresses:
Email addresses:
8. Name of field directors authorized to carry out
field projects:
Telephone numbers:
Email addresses:
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9. Activities authorized:
Consulting: Project-specific
Consulting: Blanket (non-ground-disturbing survey only) Academic Research (consulting activities not authorized) Nonground-disturbing activities (such as surveys)
Non-ground-disturbing activities that include limited testing (e.g., shovel tests or scrapes)
Ground-disturbing activities (e.g., excavation or collection) involving archaeological resources more than 100 years old.
Ground-disturbing activities (e.g., excavation or collection) involving archaeological resources 100 years old or less.
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10. Legal description of National Forest System lands authorized for use (hereinafter “the permit area”):
From:
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11. Permit term:
To:
12. Name and address of the curatorial facility in which collections, records, data, photographs, and other
documents resulting from activities conducted under this permit shall be deposited for permanent preservation
on behalf of the United States Government:
I. GENERAL TERMS
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A. AUTHORITY. This permit is issued pursuant to [authority], 36 CFR Part 251, Subpart B, 36 CFR Part
296, the Uniform Rules and Regulations of the Antiquities Act of 1906, 43 CFR Part 3, and applicable
Forest Service policies and procedures and is subject to their provisions.
B. AUTHORIZED OFFICER. The authorized officer for this permit is the Forest or Grassland
Supervisor, a District Ranger, or the Station, Institute, or Area Director with delegated authority pursuant to
Forest Service Manual 2700.
C. ANNUAL REVIEW. If this permit is issued for more than one year, it shall be reviewed annually by the
authorized officer.
D. CONTINUATION OF USE AND OCCUPANCY. This permit is not renewable. The holder may
request an extension of this permit for a limited, specified period to complete activities authorized under
this permit. Requests for an extension must be submitted in writing at least one month before expiration of
this permit.
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E. AMENDMENT. This permit may be amended in whole or in part by the Forest Service when, at the
discretion of the authorized officer, such action is deemed necessary or desirable to incorporate new terms
that may be required by law, regulation, the applicable land management plan, or projects and activities
implementing the land management plan pursuant to 36 CFR Part 218. Any amendments to this permit
under this clause must be in writing and must be signed and dated by the authorized officer.
F. COMPLIANCE WITH LAWS, REGULATIONS, AND OTHER LEGAL REQUIREMENTS. In
exercising the privileges granted by this permit, the holder shall comply with all present and future federal
laws and regulations and all present and future state, county, and municipal laws, regulations, and other
legal requirements that apply to the permit area, to the extent they do not conflict with federal law,
regulations, or policy. The Forest Service assumes no responsibility for enforcing laws, regulations, and
other legal requirements that fall under the jurisdiction of other governmental entities.
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G. NON-EXCLUSIVE USE. The use and occupancy authorized by this permit are not exclusive. The
Forest Service reserves the right of access to the permit area, including a continuing right of physical entry
to the permit area for inspection, monitoring, or any other purpose consistent with any right or obligation of
the United States under any law or regulation. The holder shall allow the authorized officer or the
authorized officer’s representative full access to the permit area at any time the holder is in the field
for purposes of examining the permit area and any recovered materials and related records. The Forest
Service reserves the right to allow others to use the permit area in any way that is not inconsistent with
the holder’s rights and privileges under this permit, after consultation with all parties involved.
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H. ASSIGNABILITY. This permit is not assignable or transferable.
II. OPERATIONS
A. OPERATING PLAN. The application corresponding to this permit is incorporated as part of this permit
and is attached as Appendix A. The authorized officer may supplement the information contained in the
permit and incorporate an operating plan as appropriate or necessary.
B. REQUIRED PERMITS. The holder shall obtain all other permits required for conducting the activities
authorized by this permit.
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C. QUALIFIED INDIVIDUALS. Archaeological project design, literature review, development of regional
historical contexts, site evaluation, conservation and protection measures, and recommendations for
subsequent investigations shall be developed with direct involvement of an individual who meets the
Secretary of the Interior's Historic Preservation Professional Qualifications Standards in Archaeology
(Appendix A to 36 CFR Part 61) or the qualifications codified at 36 CFR 296.8. Fieldwork shall be overseen
by an individual who meets the Secretary of the Interior's Historic Preservation Professional Qualifications
Standards in Archaeology.
D. CONDITION OF OPERATIONS. The holder shall maintain the authorized improvements and permit
area to standards of repair, orderliness, neatness, sanitation, and safety acceptable to the authorized
officer and consistent with other provisions of this permit. Standards are subject to periodic change by the
authorized officer when deemed necessary to meet statutory, regulatory, or policy requirements or to
protect National Forest System resources.
E. USE OF NATIONAL FOREST SYSTEM ROADS AND NATIONAL FOREST SYSTEM TRAILS. The
holder’s use of National Forest System roads and National Forest System trails shall comply with
applicable requirements in 36 CFR Part 212, Subpart A; 36 CFR Part 261, Subpart A; and orders issued
under 36 CFR Part 261, Subpart B. Motor vehicle use shall be consistent with designations made under
36 CFR Part 212, Subpart B, unless specifically provided otherwise in the operating plan. Over-snow
vehicle use shall be consistent with designations made under 36 CFR Part 212, Subpart C, unless
specifically provided otherwise in the operating plan.
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F. PROHIBITION ON USE OF MECHANIZED EQUIPMENT IN WILDERNESS AREAS. The holder shall
not use mechanized equipment in wilderness areas and shall not use mechanized equipment in proposed
or potential wilderness areas without prior written approval from the authorized officer.
G. PROHIBITION ON FLINT KNAPPING AND LITHIC REPLICATION EXPERIMENTS. The holder
shall not conduct any flint knapping or lithic replication experiments at any archaeological site, aboriginal
quarry source, or non-archaeological site that might be mistaken for an archaeological site as a result of
such experiments.
H. PROHIBITION ON IMPEDING OR INTERFERING WITH OTHER USES. The holder shall
perform the activities authorized by this permit so as not to impede or interfere with administrative or
other authorized uses of National Forest System lands.
I. MINIMIZING GROUND DISTURBANCE. The holder shall keep ground disturbance to a minimum
consistent with the nature and purpose of the authorized fieldwork.
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J. RESOURCE PROTECTION. The holder shall conduct all activities so as to prevent or minimize scarring,
erosion, littering, and pollution of National Forest System lands, water pollution, and damage to watersheds.
In addition, the holder shall take precautions at all times to prevent wildfire. The holder may not burn debris
without prior written approval from the authorized officer.
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K. PREVENTION OF INJURY. The holder shall take precautions to protect livestock, wildlife, the public,
and other users of National Forest System lands from accidental injury at any excavation site.
L. DESTRUCTION AND FELLING OF TREES OR OTHER VEGETATION. The holder shall not destroy
or fell any trees or other vegetation on National Forest System lands without prior written approval from the
authorized officer.
M. RESOURCE MANAGEMENT FACILITIES. The holder shall not disturb resource management
facilities, such as fences, reservoirs, and other improvements, within the permit area without prior written
approval from the authorized officer. Where disturbance of a resource management facility is necessary,
the holder shall return it to its prior location and condition.
N. BACKFILLING. The holder shall backfill all subsurface test and excavation sites as soon as possible
after recording the results and shall restore subsurface test and excavation sites as closely as possible to
their original contour.
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O. REMOVAL OF STAKES AND FLAGGING. The holder shall remove temporary stakes and flagging
installed by the holder upon completion of fieldwork.
P. SITE RESTORATION. The holder shall restore all camp and work areas to their original condition
before vacating the permit area. Refuse shall be carried out and deposited in disposal areas approved by
the authorized officer.
Q. TITLE TO ARTIFACTS AND ASSOCIATED DOCUMENTATION. Archaeological and historical
artifacts excavated or removed from National Forest System lands and any associated documentation
shall remain the property of the United States.
R. NATIVE AMERICAN GRAVES PROTECTION AND REPATRIATION ACT (NAGPRA). In
accordance with 25 U.S.C. 3002(d) and 43 CFR 10.4, if the holder inadvertently discovers human remains,
funerary objects, sacred objects, or objects of cultural patrimony on National Forest System lands, the
holder shall immediately cease work in the area of the discovery and shall leave these discoveries intact
and in place. The holder shall follow the applicable NAGPRA protocols for the undertaking provided in the
NAGPRA plan of action or the NAGPRA comprehensive agreement; if there are no such agreed-upon
protocols, the holder shall as soon as practicable notify the authorized officer of the discovery and shall
follow up with written confirmation of the discovery. The activity that resulted in the inadvertent discovery
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may not resume until 30 days after the authorized officer certifies receipt of the written confirmation, if
resumption of the activity is otherwise lawful, or at any time if a NAGPRA plan of action has been executed
by the Forest Service following tribal consultation and any pre-conditions have been met.
S. ADDITIONAL REQUIREMENTS. Prior to beginning any fieldwork under the authority of this permit,
the holder shall contact the authorized officer responsible for administering the lands involved to obtain
further instructions regarding current land and resource conditions.
III. REPORTING REQUIREMENTS
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A. PRELIMINARY REPORT. The holder shall submit a preliminary report to the Designated Forest
Service Heritage Professional within [___days/___weeks] of completion of the first stage of fieldwork. The
preliminary report shall enumerate what was done during the first stage of fieldwork, how it was done, by
whom, where, and with what results, including maps, global positioning satellite data, an approved site
form for each newly recorded archaeological site, and the holder’s professional recommendations
for identified resources on their eligibility for inclusion on the National Register of Historic Places
regarding resource significance, as appropriate. Depending on the scope, duration, and nature of the
work, the Designated Forest Service Heritage Professional may require progress reports periodically for
the duration of the authorized activities.
B. DRAFT FINAL REPORT. Within [
days/
weeks] of completion of fieldwork, the holder shall
submit an edited draft final report to the Designated Forest Service Heritage Professional for review to
ensure conformance with applicable laws, regulations, policies, and procedures and the terms of this
permit.
C. FINAL REPORT. The holder shall submit the original final report and at least two copies to the
Designated Forest Service Heritage Professional within [___days/___weeks/
months] after
completion of fieldwork.
D. BLANKET SURVEY CONSULTING PERMIT. If this is a multi-year survey consulting permit, at the
end of each calendar year, the holder shall submit to the Designated Forest Service Heritage Professional
a report enumerating all activities conducted under this permit.
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E. DEPOSIT OF MATERIALS AND DOCUMENTS WITH A CURATORIAL FACILITY. Within 90 days of
the date the final report is submitted to the Designated Forest Service Heritage Professional, the holder
shall deposit all artifacts, samples, and collections and original or clear copies of all records, data,
photographs, and other documents resulting from activities authorized by this permit with the curatorial
facility named in block 12.
F. CATALOGUE AND EVALUATION OF DEPOSITED MATERIALS. The holder shall provide the
Designated Forest Service Heritage Professional with a catalogue and evaluation of all materials
deposited with the curatorial facility named in block 12, including the facility’s accession or catalogue
numbers, and confirmation, signed by an authorized curatorial facility official, that artifacts, samples, and
collections were deposited with the approved curatorial facility. The confirmation shall include the date the
materials were deposited and the type, number, and condition of the deposited materials.
G. CONFIDENTIALITY OF SENSITIVE RESOURCES. The holder agrees to keep the specific location
of sensitive resources confidential. Sensitive resources include but are not limited to threatened,
endangered, and rare species; archaeological sites; caves; fossil sites; minerals; commercially valuable
resources; and traditional cultural properties.
H. CONFIDENTIALITY OF INFORMATION IDENTIFYING ARCHAEOLOGICAL SITES. Without the
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Designated Forest Service Heritage Professional’s prior written approval, the holder shall not publish any
locational or other information identifying archaeological sites that could compromise their protection and
management by the federal government.
I. IDENTIFICATION OF FOREST SERVICE PERMIT. Any published article, paper, or book containing
results of work conducted under this permit shall specify that the work was performed in the National
Forest under a Forest Service permit.
IV. RIGHTS AND LIABILITIES
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J. SUBMISSION OF WRITTEN MATERIALS. The holder shall submit a copy of any published or
unpublished report, article, paper, or book resulting from the authorized activities (other than reports
required by clauses III.A, III.B, and III.C) to the Designated Forest Service Heritage Professional and the
appropriate official of the curatorial facility named in block 12. The holder shall submit tabular and spatial
data to the Designated Forest Service Heritage Professional in the format specified in Appendix A. The
holder may only share redacted copies of the final report, reviewed and approved by the Designated
Forest Service Heritage Professional, with the project proponent.
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A. LEGAL EFFECT OF THE PERMIT. This permit, which is revocable and terminable, is not a contract
or a lease, but rather a federal license. The benefits and requirements conferred by this authorization are
reviewable solely under the procedures set forth in 36 CFR Part 214 and 5 U.S.C. 704. This permit does
not constitute a contract for purposes of the Contract Disputes Act, 41 U.S.C. 601. The permit is not real
property, does not convey any interest in real property, and may not be used as collateral for a loan.
B. VALID EXISTING RIGHTS. This permit is subject to all valid existing rights. Valid existing rights
include those derived from mining and mineral leasing laws of the United States. The United States is not
liable to the holder for the exercise of any such right.
C. ABSENCE OF THIRD-PARTY BENEFICIARY RIGHTS. The signatories of this permit do not intend
to confer any rights on any third party as a beneficiary under this permit.
D. DAMAGE TO UNITED STATES PROPERTY. The holder has an affirmative duty to protect from
damage the land, property, and other interests of the United States that are associated with the use and
occupancy authorized by this permit. Damage includes but is not limited to destruction of or damage to
National Forest System lands, fire suppression costs, and destruction of or damage to federally owned
improvements.
D
1. The holder shall be liable for all injury, loss, or damage, including fire suppression costs, prevention
and control of the spread of invasive species, and the costs of rehabilitation or restoration of natural
resources, resulting from the holder’s use and occupancy of the permit area. Compensation shall include
but not be limited to the value of resources damaged or destroyed, the costs of restoration, cleanup, or
other mitigation, fire suppression or other types of abatement costs, and all administrative, legal (including
attorney's fees), and other costs.
2. The holder shall be liable for damage to all roads and trails of the United States caused by use of the
holder or the holder's heirs, assignees, agents, employees, or contractors to the same extent as provided
under clause IV.D.1, except that liability shall not include reasonable and ordinary wear and tear.
E. ENVIRONMENTAL PROTECTION
1. Compliance with Environmental Laws. The holder shall in connection with the use and occupancy
authorized by this permit comply with all applicable federal, state, and local environmental laws and
regulations, including but not limited to those established pursuant to the Comprehensive Environmental
Response, Compensation, and Liability Act (CERCLA), as amended, 42 U.S.C. 9601 et seq., the
Resource Conservation and Recovery Act, as amended, 42 U.S.C. 6901 et seq., the Federal Water
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Pollution Control Act, as amended, 33 U.S.C. 1251 et seq., the Oil Pollution Act, as amended, 33 U.S.C.
2701 et seq., the Clean Air Act, as amended, 42 U.S.C. 7401 et seq., the Toxic Substances Control Act,
as amended, 15 U.S.C. 2601 et seq., the Federal Insecticide, Fungicide, and Rodenticide Act, as
amended, 7 U.S.C. 136 et seq., and the Safe Drinking Water Act, as amended, 42 U.S.C. 300f et seq.
2. Definition of Hazardous Material. For purposes of clauses IV.E and IV.F, "hazardous material" shall
mean (a) any hazardous substance under section 101(14) of CERCLA, 42 U.S.C. 9601(14); (b) any
pollutant or contaminant under section 101(33) of CERCLA, 42 U.S.C. 9601(33); (c) any petroleum
product or its derivative, including fuel oil, and waste oils; and (d) any hazardous substance, extremely
hazardous substance, toxic substance, hazardous waste, ignitable, reactive or corrosive materials,
pollutant, contaminant, element, compound, mixture, solution or substance that may pose a present or
potential hazard to human health or the environment under any applicable environmental laws.
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F. INDEMNIFICATION OF THE UNITED STATES. The holder shall indemnify, defend, and hold
harmless the United States for any costs, damages, claims, liabilities, and judgments arising from past,
present, and future acts or omissions of the holder in connection with the use and occupancy authorized by
this permit. This indemnification provision includes but is not limited to acts and omissions of the holder
or the holder’s heirs, assignees, agents, employees, or contractors in connection with the use and
occupancy authorized by this permit which result in (1) violations of any laws and regulations which are
now or which may in the future become applicable; (2) judgments, claims, demands, penalties, or fees
assessed against the United States; (3) costs, expenses, and damages incurred by the United States; or
(4) the release or threatened release of any solid waste, hazardous waste, hazardous materials, pollutant,
contaminant, oil in any form, or petroleum product into the environment. The authorized officer may
prescribe terms that allow the holder to replace, repair, restore, or otherwise undertake necessary curative
actions in combination with or as an alternative to monetary indemnification.
V. LAND USE FEE AND DEBT COLLECTION
A. LAND USE FEE. The land use fee for this permit is waived pursuant to 36 CFR 251.57(b)(2) or the
authorized use and occupancy are noncommercial and are not subject to a land use fee.
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A. LAND USE FEE. The holder shall pay an annual land use fee of $#AMOUNT# from [date] to [date]
and thereafter annually on [date], in the amount of $#AMOUNT#.
B. MODIFICATION OF THE LAND USE FEE. The land use fee may be revised whenever necessary to
reflect the market value of the authorized use or when the fee system used to calculate the land use fee is
modified or replaced.
C. LAND USE FEE PAYMENTS
1. Crediting of Payments. Payments shall be credited on the date received by the deposit facility, except
that if a payment is received on a non-workday, the payment shall not be credited until the next workday.
2. Disputed Fees. Land use fees are due and payable by the due date. Disputed land use fees, other
than land use fees recalculated pursuant to an audit, must be paid in full. Adjustments will be made if
dictated by an administrative appeal decision, a court decision, or settlement terms.
3. Late Payments
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(a) Interest. Pursuant to 31 U.S.C. 3717 et seq., interest shall be charged on any land use fee not paid
within 30 days from the date it became due. The rate of interest assessed shall be the higher of the
Prompt Payment Act rate or the rate of the current value of funds to the United States Treasury (i.e., the
Treasury tax and loan account rate), as prescribed and published annually or quarterly by the Secretary
of the Treasury in the Federal Register and the Treasury Fiscal Requirements Manual Bulletins. Interest
on the principal shall accrue from the date the fee amount is due.
(b) Administrative Costs. If the account becomes delinquent, administrative costs to cover processing
and handling the delinquency shall be assessed.
(c) Penalties. Pursuant to 31 U.S.C. 3717(e)(2), a penalty of 6% per year shall be assessed on the total
amount of any debt, including interest and administrative costs, that is more than 90 days delinquent. The
penalty shall accrue from the same date on which interest charges begin to accrue.
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(d) Termination for Nonpayment. This permit shall terminate if the holder fails to pay any land use fee,
interest, or any other charges within 90 calendar days of the due date. The holder shall remain
responsible for the delinquent charges, as well as any other costs of restoring the site to its original
condition, including hazardous waste cleanup.
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4. Administrative Offset and Credit Reporting. Delinquent land use fees and other charges associated
with this permit shall be subject to all rights and remedies afforded the United States pursuant to
31 U.S.C. 3711 et seq. and its implementing regulations. Delinquencies are subject to any or all of the
following:
(a) Administrative offset of payments due the holder from the Forest Service.
(b) If in excess of 120 days, referral to the United States Department of the Treasury for appropriate
collection action as provided by 31 U.S.C. 3711(g)(1) and its implementing regulations.
(c) Offset by the Secretary of the Treasury of any amount due the holder, as provided by 31 U.S.C.
3720A et seq.
(d) Disclosure to consumer or commercial credit reporting agencies.
VI. REVOCATION, SUSPENSION, AND TERMINATION
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A. REVOCATION AND SUSPENSION
1. The authorized officer may revoke or suspend this permit in whole or in part:
(a) For noncompliance with federal, state or local law;
(b) For noncompliance with the terms of this permit;
(c) For abandonment or other failure of the holder to exercise the privileges granted; or
(d) At the discretion of the authorized officer, for specific and compelling reasons in the public interest.
2. The authorized officer may revoke this permit at the request of the holder. Revocation at the request of
the holder must be agreed to in writing by the authorized officer. As a condition of revocation of this permit
at the request of the holder, the authorized officer has discretion to impose any terms deemed appropriate
as provided for in this permit.
3. Prior to revocation or suspension, other than revocation at the request of the holder under clause VI.A.2
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and immediate suspension under clause VI.C, the authorized officer shall give the holder written notice of
the grounds for revocation or suspension. In the case of revocation or suspension based on clause
VI.A.1(a), VI.A.1(b), or VI.A.1(c), the authorized officer shall give the holder a reasonable period, not to
exceed 90 days, to cure any noncompliance.
B. RELINQUISHMENT OF ARTIFACTS AND DOCUMENTS. Within 30 days of revocation or
suspension of this permit, the holder shall deliver to the Designated Forest Service Heritage Professional
all artifacts and originals of all photographs, negatives, catalogues, field notes, analysis sheets, reports in
any stage of preparation, computer files, and any other records resulting from any activity conducted under
this permit.
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C. IMMEDIATE SUSPENSION. The authorized officer may immediately suspend this permit in whole or
in part when necessary to protect public health or safety or the environment. The suspension decision
shall be in writing. The holder may request an on-site review with the authorized officer’s superior of the
adverse conditions prompting the suspension. The authorized officer’s superior shall grant this
request within 48 hours. Following the on-site review, the Authorized Officer’s superior shall promptly
affirm, modify, or cancel the suspension.
D. APPEALS AND REMEDIES. Written decisions made by the Authorized Officer relating to
administration of this permit are subject to appeal pursuant to 36 CFR Part 214. Revocation or suspension
of this permit shall not give rise to any claim for damages by the holder against the Forest Service.
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E. TERMINATION. This permit shall terminate when by its terms a fixed or agreed upon condition, event,
or time occurs without any action by the Authorized Officer. Examples include but are not limited to
expiration of the permit by its terms on a specified date. Termination of this permit is not subject to
administrative appeal and shall not give rise to any claim for damages by the holder against the Forest
Service.
F. CONTINUATION OF OBLIGATIONS AND LIABILITIES BEYOND TERMINATION OR
REVOCATION. Notwithstanding the termination or revocation of this permit, its terms shall remain in
effect and shall be binding on the holder and the holder’s personal representative, successors, and
assignees until all the holder’s obligations and liabilities accruing before or as a result of termination or
revocation of this permit have been satisfied.
VII. MISCELLANEOUS PROVISIONS
D
A. MEMBERS OF CONGRESS. No member of or delegate to Congress or resident commissioner shall
benefit from this permit either directly or indirectly, except to the extent the authorized use provides a
general benefit to a corporation.
B. MERGER CLAUSE. This permit, and any appendices incorporated into this permit by reference,
constitute the complete understanding of the parties to this permit as to the rights, duties, and
obligations of each party as of the date of issuance of this permit. If there are any inconsistencies
between any of the preceding clauses and any subsequent clauses or appendices to this permit, the
preceding clauses shall govern.
THIS PERMIT IS ACCEPTED SUBJECT TO ALL ITS TERMS.
BEFORE THIS PERMIT IS ISSUED TO AN ENTITY, DOCUMENTATION MUST BE PROVIDED TO THE
AUTHORIZED OFFICER OF THE AUTHORITY OF THE SIGNATORY FOR THE ENTITY TO BIND IT
TO THE TERMS OF THIS PERMIT.
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ACCEPTED:
___________________________________________________________________________________
[NAME AND TITLE OF PERSON SIGNING ON BEHALF OF HOLDER,
DATE
IF HOLDER IS AN ENTITY]
#HOLDER_NAME#
APPROVED:
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___________________________________________________________________________________
#AUTHORIZED OFFICER NAME#
DATE
#TITLE#
__________________________ National Forest
USDA Forest Service
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PAPERWORK REDUCTION ACT STATEMENT
According to the Paperwork Reduction Act of 1995, a Federal agency may not conduct or sponsor, and a person is not required to
respond to, an information collection request unless it displays a valid Office of Management and Budget (OMB) control number.
The valid OMB control number for this information collection request is 0596-0082. Response to this information collection request
is required to obtain or retain benefits, specifically, a special use authorization. The authority for this information collection request is
The Archaeological Resources Protection Act of 1979, 16 U.S.C. 470aa-mm. The time required to complete this information
collection request is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data
sources, collecting and maintaining the data needed, and completing and reviewing the information collection request. Send
comments regarding this burden estimate or any other aspect of this information collection request, including suggestions for
reducing the burden, to Forest Service Information Collections Officer, SM.FS.InfoCollect@usda.gov, with OMB control number
0596-0082 in the subject line.
PRIVACY ACT STATEMENT
Pursuant to 5 U.S.C. § 552a(e)(3), this Privacy Act statement serves to inform you of the following concerning the collection of the
information on this form.
D
Purpose: The Privacy Act of 1974 requires that the Director of Recreation, Heritage, and Volunteer Resources staff and the
Director of Lands, Minerals, and Geology Management staff provide the following statements to individuals from whom they request
information.
Authority: Collection of this information solicited on this form is authorized by The Archaeological Resources Protection Act of
1979, 16 U.S.C. 470aa-mm.
.
Routine Uses: The information collected will be used by Forest Service officials to ensure that your use of National Forest System
lands is administered in accordance with applicable statutes, regulations, and directives. The information collected from you is
retained in the Special Uses Data System (SUDS) and is retrieved by the Forest Service create reports for the Agency’s Special
Uses Program, generate bills for collection of land use fees for your authorization, monitor compliance with your special use
authorization, and other matters pertaining to administration of your special use authorization. SUDS is a component of the Forest
Service’s Natural Resources Manager database (NRM). A complete list of the routine uses of NRM can be found in the system of
records notice associated with this form, FS-24.
Disclosure: The submission of this information is required to obtain or retain benefits, specifically, a special use authorization.
NONDISCRIMINATION STATEMENT
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, disability, age, marital status, family/parental status, income
derived from a public assistance program, political beliefs, or reprisal or
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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 the State or local Agency that administers the program or contact
USDA through the Telecommunications Relay Service at 711 (voice and TTY). 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 the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit the 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: program.intake@usda.gov.
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USDA is an equal opportunity provider, employer, and lender.
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File Type application/pdf File Title SPECIAL USE PERMIT FOR ARCHAELOLOGICAL INVESTIGATIONS File Modified 2025:06:23 16:45:55-06:00 File Created 2024:08:20 14:14:15-06:00