Permit Number _________________
Non OHS Site 
OHIO HISTORY CONNECTION: ARCHAEOLOGICAL SURVEY/EXCAVATION PERMIT 
	Under the authority of Section 149.54 of the Ohio revised Code   _	 
is hereby granted permission by the Director of Ohio History Connection to engage in archaeological survey and/or excavation at the referenced locations in accordance with the conditions outlined in this document. 
Dates of fieldwork:  _	_ 

Location of Survey: _____________________________________________________ (Maps attached) 

Site to be Excavated:  ___________________________________________________________________

_____________________________________________________________________________________

Applicant's Address: 	__________________________________					
Applicant's Telephone Number: _	_ 
	Institutional Affiliation (if different from above address): 	_	 
Please attach a copy of the principal investigator's resume. 
It is agreed that the archaeological investigation subject to this permit will be performed in accordance with the purposes and methods described in the attached proposal and in accordance with the following conditions: 
1)	The applicant and crew members will exercise due precautions to minimize hazard to the public by backfilling units when excavations are complete and by generally maintaining safe working conditions. 
2)	This agreement will not be construed as creating an employment relationship between 
	Ohio History Connection and __________________________________________ or any other persons 
participating in this project, it being understood that by executing this agreement Ohio History Connection is granting a mere license to enter upon the site for the purposes stated. As consideration for this license, ___________________ releases Ohio History Connection from any claim which may arise for personal injury or property damage by reason of their entry upon the premises and agree to procure a similar release from any person assisting in this project. 	____________________ shall hold Ohio History Connection harmless from any liability, claim, or expense arising out of the activity authorized by this agreement. 
 OHIO HISTORY CONNECTION
State Historic Preservation Office
800 E. 17th Avenue, Columbus, Ohio 43211 ph: 614.298.2000 fx: 614.298.2037 www.ohiohistory.org

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3)	Ohio History Connection has the right to terminate this agreement under the provisions of Section E (3), 149-1-02 Guidelines for Archaeological Investigations on Public Land, Archaeological Preserves, and Sites Listed in the State Registry of Archaeological Landmarks. 
4)	The excavations will be open for site inspections by Ohio History Connection personnel at a mutually agreed upon time at least once during the field phase of the project. (N/A - Phase I Reconnaissance) 
5)	The applicant will notify the Ohio History Connection in writing at the end of the excavation, briefly describing the results of the work. A preliminary written report indicating the results of the investigation, the cultural material recovered, and the specific areas excavated will be filed with Ohio History Connection by _______________________________ within 1 year of the execution of this permit.  A final written report meeting the "Archaeology Guidelines" will be submitted to Ohio History Connection by ____________________________ within 2 years of the execution of this permit. 
6)	All official notes, records, photographs, and maps for work carried out under the terms of this permit are to be curated for further study at the Ohio History Connection and copies of the same will be filed with the Ohio History Connection by ______________________________ within 3 years of the execution of this permit.
7)	Cultural material recovered during investigations under this permit shall remain the property of the State of Ohio. The Director of Ohio History Connection has the authority to determine the final disposition of artifacts and skeletal remains recovered from state lands. Cultural materials are to be processed and catalogued by the applicant in accordance with a system acceptable to Ohio History Connection. They are to be curated at Ohio History Connection within 3 years of the execution of this permit. 
All collections and records made under the provisions of this permit must be made available for scholarly study and public education without charge upon reasonable notice. 
The permittee does not have the right to dispose of collections curated under the provisions of this permit. The permittee must obtain prior written consent from the Director for Ohio History Connection before making loans of said collections to any other institutions or individual. 
In the event that the institution housing collections subject to this permit is dissolved, for whatever reason, the collections and records will revert to the custody of Ohio History Connection. 
8)	Site locations will be disclosed only to persons having legitimate reasons for obtaining such information, such as research projects or environmental impact studies. 

	______________________	______________________
	Name of Applicant	Megan Wood
		Executive Director & CEO, 
		Ohio History Connection
 
	_____________________ 	______________________
	Date	Date

Project Description:

Mapping:

Brief PI Resume: