ST0301C-PT141211ANTIQUITIES PERMIT APPLICATION FORM
ARCHEOLOGY
GENERAL INFORMATION
I. PROPERTY TYPE AND LOCATION
Project Name (and/or Site Trinomial) Bethel and Coppell Road Improvements
County (ies) Dallas
USGS Quadrangle Name and Number Grapevine, TX 7.5'(32096-H8)
UTM Coordinates Zone 14 E 0686654 N 3648023
Location The portions being improved are Bethel Road between Penfolds Lane and Coppell Road, and
Coppell Road between Bethel Road and Cooper Lane.
Federal Involvement ❑ Yes ❑x No
Name of Federal Agency
Agency Representative _
II. OWNER (OR CONTROLLING AGENCY)
Owner City of Connell
Representative Ken Griffin
Address 265 Parkway Blvd
City/State/Zip Coppell, TX 75019
Telephone (include area code) 972-304-3679 Email Address k rie ffin@coppelltx.gov
III. PROJECT SPONSOR (IF DIFFERENT FROM OWNER)
Representative
Address
City/State/Zip
Telephone(include area code) Email Address
PROJECT INFORMATION
I. PRINCIPAL INVESTIGATOR (ARCHEOLOGIST)
Name Molly Hall
Affiliation AR Consultants Inc.
Address 805 Business Parkway
City/State/Zip Richardson TX 75081
Telephone (include area code) 214-368-0478 Email Address arcdigs@aol.com
(OVER)
ANTIQUITIES PERMIT APPLICATION FORM (CONTINUED)
II. PROJECT DESCRIPTION
Proposed Starting Date of Fieldwork December 15, 2014
Requested Permit Duration two Years Months (1 year minimum)
Scope of Work (Provided an Outline of Proposed Work) Intensive archaeological survey including shovel testing Sites
will be mapped using GPS units and artifacts will be recorded in the field and left there.
III. CURATION & REPORT
Temporary Curatorial or Laboratory Facility AR Consultants, Inc.
Permanent Curatorial Facility TARL
IV. LAND OWNER'S CERTIFICATION
I, K,,-,? 1+.'n , as legal representative of the Land Owner, City of Coppell , do certify that I have
reviewed the plans and research design, and that no investigations 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 �,onipleting erms of the permit.
Signature �� Date—[Z 1, )4-
V. SPONSOR'S CERTIFICATION
I, , as legal representative of the Sponsor, , do certify that I have
reviewed the plans and research design, and that no investigations will be performed 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
VI. INVESTIGATOR'S CERTIFICATION
Date
I, Moll, as Principal Investigator employed by AR Consultants. Inc. (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 a research design, a copy of the USGS quadrangle showing project boundaries, and any
additional pertinent information. Curriculum vita must be on file with the Division of Antiquities Protection.
Reviewer
Permit Number
Type of Permit
Texas Historical Commission
Archeology Division
P.O. Box 12276, Austin, TX 78711-2276
Phone 512/463-6096
www.thc.state.tx.us
Mel „13 YW - [W VWW1 N11)ail
Date Permit Issues
Permit Expiration Date
Date Received for Data Entry
TEXAS
HISTORICAL
COMMISSION
The State Ageuey for Hlstorle Preservation