CM-2004-023TEXAS HISTORICAL COMMISSION
ANTIQUITIES PERMIT APPLICATION FORM
ARCHEOLOGY
GENERAL INFORMATION
I. PROPERTY TYPE AND LOCATION
Project Name (and/or Site Trinomial) McNutt Creek Wastewater Interceptor Project - Phase 1
County (ies) Travis
USGS Quadrangle Name and Number Hutto (3097-311)
UTM Coordinates Zone 14 NAD83 E 6330$9 N 3378611
Location Along and parallel to SH 79, roughly 5 miles east of Round Rock, 4 miles west of Hutto
Federal Involvement ❑ Yes ® No
Name of Federal Agency
Agency Representative
II. OWNER (OR CONTROLLING AGENCY)
Owner City of Round Rock
Representative Michael D. Thane
Address 2008 Enterprise Drive
City/State/Zip Round Rock, Texas 78664
Telephone (include area code) (512) 218-3236 Email Address mthane@round-rock.tx.us
III. PROJECT SPONSOR (IF DIFFERENT FROM OWNER)
Sponsor same as owner
Representative
Address
City/State/Zip
Telephone (include area code) Email Address
PROJECT INFORMATION
I. PRINCIPAL INVESTIGATOR (ARCHEOLOGIST)
Name Kevin A. Miller
Affiliation SWCA Environmental Consultants
Address 4407 Monterey Oaks Blvd., Suite 110
City/State/Zip Austin, TX 78749
Telephone (include area code) 512-476-0891 Email Address kmiiler( swca.com
- ooy- 0�.3
(OVER)
ANTIQUITIES PERMIT APPLICATION FORM (CONTINUED)
II. PROJECT DESCRIPTION
Proposed Starting Date of Fieldwork November 2004
Requested Permit Duration 2 Years 0 Months (1 year minimum)
Scope of Work (Provided an Outline of Proposed Work) Intensive archaeological survey of portions of the
proposed 7200 ft wastewater interceptor. Please refer to the attached Scope of Services for the exact
parameters of the project.
III. CIJRATION & REPORT
Temporary Curatorial or Laboratory Facility SWCA Environmental Consultants
Permanent Curatorial Facility
IV. LAND OWNER'S CERTIFICATION
I, James R. N u s e , P.E. , as legal representative of the Land Owner,
City of Round Rock
a s
to the issuance of a permit by the Texas Histori
research design, and that no investigations will be preformed prior
hermore, I understand that the Owner, Sponsor, and Principal Investigator are responsible for
e permit.
Date 12-2-04
Commission. F
completing the t
Signature
V. SPONSOR'S
ave revdo certify that I h sewed the plans and
I, same as owner
IFICATION
, 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
VL INVESTIGATOR'S CERTIFICATION
Date
I, Kevin A. Miller , as Principal Investigator employed by
SWCA Environmental Consultants (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 TJSGS quadrangle showing project boundaries, and any
additional pertinent information. Curriculum vita must be on file with the Division of Antiquities Protection.
Reviewer Date Permit Issues
Permit Number Permit Expiration Date
Type of Permit Date Received for Data Entry
FOR OFFICIAL USE ONLY
Texas Historical Commission
Archeology Division
P.O. Box 12276, Austin, TX 78711-2276
Phone 512/463-6096
www.thc.state.tx.us
TEXAS
HISTORICAL
COMMISSION
The State Agetecy far Historic Preserratiost