EOEEA-CZM

THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF UNDERWATER ARCHAEOLOGICAL RESOURCES
100 Cambridge Street, Suite 900, Boston, MA 02114

RECONNAISSANCE PERMIT APPLICATION

In accordance with 312 CMR 2.00 et seq, rules and regulations established by the Board of Underwater Archaeological Resources to implement the requirements of MGL C. 91, s. 63, as amended, the undersigned herewith makes application for a permit to conduct reconnaissance activities on underwater archaeological resources located within the inland and coastal waters of the Commonwealth.

Permit Type(Required)

Initial Permit

Permit Renewal

Name(s):(Required)

(If multiple applicants, provide information for all parties and each must sign. For corporate entities [corporations, LLCs, etc.], include a copy of the certificate of incorporation or other comparable documentation with this application.)

Name(s)

Address:(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Telephone Number (Day):(Required)

Telephone Number (Evening):(Required)

Email Address:(Required)

Location of Proposed Activity:

Nearest City or Town:(Required)

Name of water body:(Required)

Depth of water (in feet):(Required)

Latitude at site location:(Required)

Longitude at site location:(Required)

Latitude at area center point:(Required)

Longitude at area center point:(Required)

Description of proposed permit area:(Required)

(Indicate the exact location of site and the extent of the requested permit area on attached USGS topographic map or NOAA nautical chart, specifying marker buoys, longitude and latitude, loran bearings and/or any other identifying features which define the requested permit area. This information will be kept confidential until either you release it or your permit application is approved at a public hearing or meeting of the Board. Use the space provided or attach additional sheets if necessary to complete this section.)

Description of the Underwater Archaeological Resources:(Required)

(Attach or email to david.s.robinson@mass.gov photographs or photocopies and include a detailed map of know resources and/or concentrations. Attachment tool at end of this form.)

Nature of Demonstrable Proof of Age and/or Value:(Required)

Describe What You Have Already Done:(Required)

(include a description and dates of previous permits or research at this location; attach additional sheets as needed at end of this form.)

Project Description, Which Includes the Purpose and Goals:(Required)

(Attach additional sheets as needed at the end of this form.):

Initial and Date to indicate concurrence with 312 CMR 2 et seq.:(Required)

Initials

Date(Required)

Describe in as Much Detail as Possible What You Plan to Do, Including Documentary Research and On-Site Activities:(Required)

(This work plan should include, but not be limited to, a description of: 1. the plans to document activities and finds: 2. the inventory and catalogue, which shall be maintained for all recovered artifacts; and 3. the artifact conservation program and facility location. Attach additional sheets as needed at the end of this form):

What is Your Proposed Work Schedule?:(Required)

(Attach additional sheets as needed at the end of this form.):

Who Will Work on the Project? On a Separate Sheet, Provide a Personnel Chart Indicating the Names, Qualifications, Duties, and Responsibility of Key Personnel:(Required)

Project Director Name:

(Only if not the same as the applicant.)

First Last

Signature:

Type your name

Project Archaeologist Name:(Required)

(Optional, or if required by the Board.)

First Last

Signature(Required)

Type your name

What is the Proposed Budget for this Project? On a Separate Sheet, Provide a Budget Detailing Estimated Expenses for your Proposed Activities. Also, Provide a Statement Describing the Applicant's Current and/or Prospective Financial Ability to Carry Out the Field and Laboratory Activities Described in this Application:(Required)

(Attach additional sheets at the end of this form as needed.):

What are Your Public Benefit Plans, Such as Public Displays, Public Presentations, and/or Publication of the Results of Your Work?:(Required)

(Attach additional sheets at the end of this form as needed.)

You may Include any Other Information You Believe May Assist the Board in Assessing Your Application:(Required)

(Attach additional sheets at the end of this form as needed.)

Attach additional pages, photos, etc., here, if necessary. (Maximum total of all files uploaded to this form must be less than 20 MB.)

Drop files here or

Max. file size: 20 MB.

A $10 (Ten) Non-Refundable Application Fee is Required to Process this Permit:

Permit application fee payments must be by check or money order made payable to the “Commonwealth of Massachusetts.” Under no circumstances may BUAR accept cash payments.

Please mail to:

David Robinson
Director, Massachusetts Board of Underwater Archaeological Resources
100 Cambridge Street, Suite 900
Boston, MA 02114

Also, please email any documents or pictures that exceed 20 MB total to David Robinson at David.S.Robinson@mass.gov.

Signature:(Required)

(Type your name.)

Date:(Required)

(Enter date of signature.)