State survey forms

U.S. Preservation Planning S.eries
I ,0
of the InteriorB
HeigCsv

and erainSrieSaeS re o m
Diiino tt

As the nation's principal conservation agency, the
Department of the Interior has basic responsibilities to
protect and conserve our land and water, energy and
minerals, fish and wildlife, parks and recreation areas,
and to insure the wise use of all these resources. The
department also has major responsibility for American
Indian reservation communities and for people who live
in island territories under U.S. administration.
The Heritage Conservation and Recreation Service, a
non-land managing agency within the department, is re-
sponsible for assuring the identification, protection, and
beneficial use of our important cultural, natural, and
recreational resources. The service offers grant assis-
tance, technical information, and guidance to those in
the public and private sectors involved in conservation
or recreation projects.

HCRS Publication No. 44

U.S. Department
of the Interior
Heritage Conservation
and Recreation Service
Division of State
Plans and Grants

Preservation Planning Series

State Survey Forms

Table of Contents Utah 464
Alabama 6 Vermont 470
Alaska 14 Virgin Islands 492
Arizona 16 Virginia 496
Arkansas 22 Washington 508
California 36 West Virginia 512
Colorado 42 Wisconsin 516
Commonwealth of the Wyoming 520
Northern Mariana Islands 52
Connecticut 64
Delaware 76
District of Columbia 94
Florida 96
Georgia 128
Guam 132
Hawaii 140
Idaho 146
Illinois 154
Indiana 164
Iowa 174
Kansas 180
Kentucky 184
Louisiana 194
Maine 200
Maryland 206
Massachusetts 218
Michigan 246
Minnesota 258
Mississippi 262
Missouri '268
Montana 274
Nebraska 280
Nevada 288
New Hampshire 300
New Jersey 306
New Mexico 314
New York 318
North Carolina 332
North Dakota 380
Ohio 390
Oklahoma 396
Oregon 400
Pennsylvania 406
Puerto Rico 414
Rhode Island 416
South Carolina 420
South Dakota 430
Tennessee 444
Texas 456

Foreword
The Division of State Plans and Grants prepares techni-
cal assistance publications (the Preservation Planning
Series) pertaining to implementation of the Historic Pres-
ervation Fund. The Fund provides matching grants to
the States for identification, evaluation, and protection
of historic properties. Insofar as survey and preservation
planning are concerned, these activities occur at four
levels of implementation: individual survey and planning
projects; local and State survey and planning program
implementation; and Federal survey and planning pro-
gram oversight. The Preservation Planning Series
addresses important identification, evaluation, and pro-
tection issues at each of these levels.
This publication on survey documentation formats used
by nearly all State Historic Preservation Offices repre-
sents a new venture in Historic Preservation Fund infor-
mation exchange. It is prepared as a reference work for
cultural resource documentation methods. Although this
is not an exhaustive compilation of all survey forms, it
probably does characterize the state of the art in the
United States. In time we may be able to publish other
survey forms from local and institutional preservation
programs, as well as from other countries.
The Preservation Planning Series is prepared under the
supervision of Marilyn P. Cable. We welcome comments
on publications in the Series, invite suggestions for
topics to be addressed in future publications, and will
consider unsolicited manuscripts on preservation plan-
ning subjects for which there is a significant interest.
Lawrence E. Aten
Chief, Division of State Plans and Grants

Acknowledgments
State Historic Preservation Offices were extremely
responsive to the needs of the Preservation Planning
Branch in the preparation of this publication. States sub-
mitted the survey forms quickly, and exhibited a great
deal of patience and willingness to answer questions on
the telephone. In particular, we are grateful for the co-
operation and suggestions of those listed as the contact
person for each State survey form. Lawrence Aten and
John Knoerl of HCRS' Division of State Plans and Grants
assisted in the development of the questions.
Without the dedication of Barbara Fallin and Ken Pribanic
of the Preservation Planning Branch, who made all of
the telephone calls to the States and compiled the State
survey forms and information under tight time schedules,
this publication would not have been possible. Their
contribution to historic preservation planning is much
appreciated.
The Office of Public Affairs graciously supplied editorial
support.
Marilyn P. Cable

Introduction
In furtherance of their responsibility to locate, identify,
and record cultural resources, almost all State Historic
Preservation Offices have either developed or adopted
survey forms. This publication was initiated as a means
of providing the States with information on the survey
forms used in each State. Copies of forms are included,
along with data on how each of these is used. Many
States have found the review of other States' survey
forms helpful in developing, revising, or using their own
forms. Because a number of States have indicated that
they are either revising their forms, developing new
ones, or are considering doing so, this publication was
not delayed to include analysis of the data collected.
This evaluation may be done in the future.
To collect data on the survey forms, a questionnaire was
developed by the Preservation Planning Branch. In most
cases, answers were secured by telephone in May and
June of 1980 and should be considered current as of that
time. Most questions were designed to require only
short, standardized answers to facilitate future analysis
of the data. They were aimed primarily at obtaining in-
formation on length of use (either since the last revision
of an old form or the development of a new form), form
development, form users, specific uses of the forms,
computerization, written instructions, changes needed,
and useful aspects of the survey forms.
With few exceptions, all questions have been answered
fully for each survey form. To avoid unnecessary repeti-
tion, however, question #20a (Would you be interested in
participating in a more in-depth analysis of survey forms,
other survey material, and processes for use in the devel-
opment of a more detailed publication on State survey?)
was deleted when one contact person completed a ques-
tionnaire for more than one survey form. While most re-
spondents answered yes to question #20a, some gave no
specific answer to #20b (If so, on what subjects7, and so
#20b was eliminated for these. Answers to questions
#14b and #15a, b, and c were eliminated if the answers
to #14a (When a survey form is completed, must addi-
tional information be submitted which is not mentioned
on the form?) and #15 (Do separate written instructions
accompany the form?) were "no."
The format used here was chosen primarily for two
reasons. First, placing the material in a loose leaf binder
facilitates ease of use. Since the survey forms and
answers are removable from the binder, they can be re-
viewed and compared more conveniently. By using this
format, repetition of the questionnaire with each survey
form was not necessary. Three copies of the question-
naire have been included for use with the answers.
Second, the format allows for possible future updating
of the publication as States revise their forms or develop
new ones.
The survey forms are arranged alphabetically by State
with the answers pertaining to each either preceding or
following the form. Whenever possible, the survey forms
were duplicated in their actual size. However, since some
(e.g., Florida's archaeological field survey form) exceeded
812 X11", a reduction in size was necessary. In these
cases, the correct size of the actual form has been indi-
cated in #18. Additionally, others were reduced slightly
to allow for margins necessary for publication purposes.

All survey forms from six States are not included here.
Missouri's new historic/architectural form and Nevada's
newly revised archaeological site form were being
printed, so final copies of these forms were not
available. Forms from Kansas, American Samoa, and the
Trust Territory of the Pacific Islands were not received
in time. Puerto Rico has no standard survey forms.
The State Historic Preservation Offices indicated a keen
interest in this publication and pointed to the need for
additional technical assistance on surveys, primarily in
the form of conferences, workshops, and publications on
the survey process. In response to question #20, many
suggested specific topics, such as computerization, sur-
vey methodology, and format of survey forms. These
suggestions will be helpful in determining future HCRS
projects relating to State surveys.

State Survey Form Questionnaire
1. How long has the present form been in use in your State?

2. a) Does this form reflect modifications to an earlier form that your State used
b) Or is this form a completely new one?

3. Was the form developed using input from:

a) professional consultants
b) educational institutions
c) federal agencies
d) local governments
e) individuals
f) avocational organizations
g) your State preservation staff
h) other States' preservation staff and/or their forms

4. Has the form been used in the past or is it presently being used by:

a) professional consultants
b) educational institutions
c) federal agencies
d) local governments
e) individuals
f) avocational organizations

Substantial

Often

Some

Occasionally

5. How much of the information required to complete a National Register form is contained on the survey form?
__ most some little

6. Is the data on the survey form used to plan which historic resources will be nominated to the National Register?
Usually occasionally never

7. Is the data on the survey form used to plan other survey and planning activities?
Usually occasionally never

8. Is the data on the survey form used to plan which properties should be considered for HPF acquisition and
development grants?
Usually occasionally never

9. Is the data on the survey form used as the basis for deciding effect or no adverse effect of projects,
according to 36CFR800?
usually occasionally never

10. Is the data on the survey form used to decide the appropriate preservation technique for an individual property
or group of properties?
Usually occasionally never

11. Is the information on the form computerized?

12. Is the information on the form transferrable to an automated data processing system without an
intermediate step such as completing another form?

13. Are the locations of all properties included on the survey form also recorded:
a) in an ADP system?
If so, are the locations retrievable in map form?
b) on other maps such as USGS maps?

None

Never

14. a) When a survey form is completed, must additional information be submitted which is not
mentioned on the form?
b) What is it and why is it separate?

15. Do separate written instructions accompany the form?
a) If so, are copies available?
b) At what cost?
c) From where?

16. What changes, if any, would you make to the form and why?

17. Is there a particularly useful aspect to your form beyond its basic documentation features that you would recommend
to others?

18. Other comments:

19. Contact person and telephone number:

20. a) Would you be interested in participating in a more in depth analysis of survey forms, other survey
material, and processes for use in the development of a more detailed publication on State survey?
b) If so, on what subjects?

Alabama-The University of Alabama
Archaeological Research Site Survey Form
1. since 1972-1973
2. a) yes
b) no
3. a) substantial
b) substantial
c) none
d) none
e) some
f) some
g) some
h) some
4. a) often
b) often
c) often
d) never; none are involved in archeological surveys.
e) often
f) often
5. most
6. occasionally
7. usually
8. usually; additional information is also used.
9. usually; the site survey form is used in conjunction
with other material
10. occasionally
11. not yet
12. yes
13. a) no
b) yes
14. a) no
15. yes
a) yes
b) none
c) Alabama Historical Commission or the
University of Alabama
16. A more specific form like the IAS form is needed
since such a form tends to require detailed profes-
sional opinions. UTM references and information
pertaining to whether a site is recorded as a result of
a Federal or State project and the nature of the proj-
ect are not included on the present form.
17. no
18. The form is on an 11" X 17" sheet which is folded in
half to form four pages.
19. Mack Brooms (205) 832-6622
20. a) yes
b) Format of survey forms

THE UNIVERSITY OF ALABAMA

ARCHAEOLOGICAL RESEARCH

SITE SURVEY FORM

Note: Site numbers cannot be assigned without the information requested in items
A,B,D and trace map. Other information should be completed in accordance
with the knowledge and experience of the reporter.

A. State

B. County

C. Site Number
(Office Use Only)

Temporary site number or other site designations

D. Township _

Range of of Section

E. Location Index (Office Use Only)

F. Elevation

G. Drainage Basin
00 Alabama River
01 Apalachicola River
02 Black Warrior River
03 Blackwater River
04 Chattahoochee River
05 Choctawhatchee River
06 Conecuh River
07 Coosa River
08 Escambia River
09 Escatawpa River
10 Mobile River
11 Perdido River
12 Tallapoosa River
13 Tennessee River
14 Tombigbee River
15 Yellow River

I. Distance to Water
00 Edge of Water
01 Edge 100'
02 101' 200'
03 201' 300'
04 301' 400'
05 401' 500'
06 501' 600'
07 601' 700'
08 701' +
09 Not Ascertained

H. Water Source
00 Spring
01 Stream
02 River
03 Natural Lake
04 Swamp
05 Confluence of
06 Confluence of
07 Confluence of
08 Confluence of
09 Not AscertainE

Streams
Stream and River
Rivers
Fresh and Salt Water

J. Direction From Site to Water

K. Current Land Use
00 Grassland
01 Secondary Growth
02 Unimproved Forest
03 Improved Forest or Orchard
04 Recreational
05 Intermittent Flooding
06 Flooded
07 Cultivation
08 Urban, Residential, Industrial
09 Other, Specify_

L. Stage of Investigation

Reported Not Verified
Verified, No Collection
Surface Collection
Controlled Surface Collection
Single Small Test
Multiple Small Test
Limited Excavation
Extensive Excavation
Complete Excavation
Excavation in Progress

N. Area of Site

Animal and Root Action
Erosion
Severe Erosion
Underwater
Intermittent Flooding
Cultivation
Construction or Borrow Pit
Immediate Destruction Pending
Destroyed
Other, Specify

0. Depth of Deposit

20' x 20' or Less
50' x 50'
100' x 100'
100' x 200'
200' x 200' (approximately 1 acre)
I 5 acres
6 10 acres
11 20 acres
21 49 acres
50 acres or more

Pottery
00 None

01 Slight

02 Moderate

03 Heavy

Lithic Waste
00 None

01 Slight

02 Moderate

03 Heavy

P. Amount of Material

Chipped
00 None

01 Slight

02 Moderat

03 Heavy

Surface Only
Plowzone Only
0' 1'
1' 2'
2' 3'
3' 4'
4' 5'
5' 6'
6' +
Undetermined

Pecked, Ground,
Stone Polished Stone
00 None

01 Slight

e 02 Moderate

03 Heavy

Q. Characteristics Noted

00 Conical Mound

01 Pyramidal Mound

02 Features

03 Burials

04 Faunal Remains

05 Shell

06 Other

07 Other

R. General Cultural Affiliations

00 Paleo Indian

01 Transitional
Paleo

02 Early Archaic

03 Middle Archaic

05 Early Woodland

06 Middle Woodland

04 Late Archaic 07 Late Woodland

08 Mississippian

09 Historic

10 Other, Specify

M. Destruction of Site

Instructions:

Please include below a tracing or drawing illustrating the exact
location of the site with reference to grid or section lines and
other geographic features such as roads, waterways, etc. Be
sure and include north arrow and scale.

Traced or Drawn From What Map:
(Give Titles, Numbers etc.)

S. Brief Site Description (include soil description):

U. Tenant:

V. Collectors; Names, Addresses:

W. Published References:

X. Remarks:

Y. Reported By:

Date:

(Do Not Write Below This Line)

Z. Recorded By:________

Recommendations:

Date:

T. Property Owner:~

Alabama-Historic Inventory Form
1. since 1977
2. a) yes
b) no
3. a) none
b) some
c) some
d) none
e) some
f) substantial
g) substantial
h) substantial
4. a) often
b) occasionally
c) never
d) often
e) often
f) often
5. some
6. occasionally
7. occasionally
8. usually
9. usually
10. usually
11. no
12. yes
13. a) no
b) yes
14. a) no
15. yes
a) yes
b) none
c) Alabama Historical Commission
16. none
17. no
18. none
19. Mary Lou Price (205) 832-6622
20. a) yes
b) Format of survey forms

ALABAMA HISTORIC INVENTORY

Alabama Historical Commission
725 Monroe Street
Montgomery, Alabama 36130

1. No. 4. Present Name(s) -
Z
2. County
5. Other Name(s)
3. Location of Negatives

6. Specific Location 16. Thematic Category 27. No. of Stories .
28. Basement? Yes O o0
17. Date(s) or Period No OD
29. Foundation Material
7. City or Town If Rural, Township & Vicinity 18. Style or Design
30. Wall Construction
8. Site Plan with North Arrow 19. Architect or Engineer
31. Roof Type & Material
20. Contractor or Builder
32. No. of Bays
21. Original Use, if apparent Front Side M
33. Wall Treatment
22. Present Use _
34. Plan Shape
23. Ownership PublicO 35. Changes Addition EO t
9. Coordinates Private EO (Explain Altered E
24. Owner's Name & Address, in No. 41) Moved E
Lat. Long. if known 36. Condition
U.T.M. Reference Interior

MI II I I 1 1111i _1 I Exterior
Zone Easting Northing 25. Local Contact 37. Preservation Yes O
10. Site OE Structure EO Underway? No O
Building EO Object El 38. Endangered? Yes O
11. On National Yes O 12. On Ala. Yes O __By What? No O
Register? No E Register? No OE 26. Location of Additional Data
13. Part of Estab. Yes O 14. District Yes O 39. Visible from Yes O
Hist. Dist.? No O Potent'l? No OE Public Road? No O
15. Name of Established District 40. Acreage, Lot Size

41. Further Description of Important Features

Photo

42. History and Significance

43. Description of Environment and Outbuildings

45. Prepare By

44. Sources of Information

46. Phone
47. Date

[ 48. Staff Member 49. Revision Date(s)

9)

0.

I i, .^

48. Staff Member

149. Revision Date(s)

Alaska-Alaska Heritage Resources Site
Survey Form (Archaeology)
1. since 1976
2. a) no
b) yes
3. a) substantial
b) substantial
c) substantial
d) none
e) none
f) substantial
g) substantial
h) substantial
4. a) occasionally
b) occasionally
c) occasionally
d) never
e) occasionally
f) occasionally
5. most
6. usually
7. usually
8. occasionally
9. usually
10. usually
11. not yet
12. no
13. a) yes; the locations are not retrievable in map form.
b) yes
14. a) no
15. no
16. Space should be increased for written description of
sites. The back of the form could be used for a
sketch map rather than having the map as a separate
attachment. A grid for the sketch map was uninten-
tionally left off the reverse of the form.
17. The form is a handy reminder to be used in the field
along with field notes. It also provides a beginning
for basic information on a site.
18. The SHPO office has no survey form for recording
historic and architectural resources.
19. Greg Dixon (206) 583-0150
ask for Anchorage 274-4676
20. a) yes
b) Comments on Alaska's form

ALASKA HERITAGE RESOURCES SITE SURVEY FORM ARCHAEOLOGYG)

A. RECORDER:

1. Name (s) 2. Date

3. Address

4. Project

B. SITE REFERENCE/LOCATION:

1. Field Designation 2. (AHRS) Designation

3. Name of Site

4. Map Name Map Scale

5. Latitude Deg. Min. Sec./Longitude Deg. Min. Sec.

6. Legal Description

7. Aerial Photo Reference Photo Scale

8. UTM Grid Reference

9. Bibliographic References(manuscripts, etc.)

C. LAND USE CONDITIONS:

1. Present Land Use

2. Recent Surface Modifications

3. Natural Erosion: Kind

4. Vandalism: No Yes ; Heavy_

5. Past Surface Modifications

6. Future Surface Modifications

7. Property Owner/Manager

D. ENVIRONMENTAL DESCRIPTION:

1. Vegetation at Site

2. Surrounding Vegetation

3. Topography at Site

4. Surrounding Topography

5. Geology (surface/bedrock)

Extent

Medium Light

6. Nearest Water to Site: Distance Direction Type

i

OH&A 4/76 Pa e

ALASKA HERITAGE RESOURCES SITE SURVEY FORM (ARCHAEOLOGY)
(attach continuation sheets as needed.)

E. SOIL MATRIX:

1. Thickness (sod)

OH&A 4/76 Page 2
Site Reference

_ Description

2. Thickness (soil) Description__

3. Samples Taken: No Yes ;Number/Description

F. FIELD NOTES/PHOTOGRAPHS:

1. Field Book(s) Pages_

2. Photographs Taken: B&W Color Slides Color Prints Description of

Subject(s)

G. ARCHAEOLOGICAL OBSERVATIONS/DATA COLLECTED:

1. Estimated Extent of Site (use sketch map)

2. Complexity of Site

3. Stratigraphy: No Yes (attach profile) 4. Number of Cultural Components

5. Number of Test Pits Dug (indicate their relative positions on sketch map)

6. Organic Preservation: No Yes ; Good Moderate Poor

7. Faunal: No Yes ; Description (ID)

8. Human Remains: No Yes ; Description

9. Charcoal: No Yes Collected ; Description/Provenience

10. Other Features

11. Artifacts: No Yes Collected ; Description

12. Repository

H. SKETCH MAP ATTACHED:

Arizona-Previous Arizona State Historic
Property Inventory Form
1. since 1978
2. a) no
b) yes
3. a) substantial
b) none
c) substantial
d) none
e) none
f) none
g) substantial
h) some
4. a) often
b) occasionally
c) occasionally
d) occasionally
e) often
f) occasionally
5. some
6. occasionally
7. occasionally
8. occasionally
9. never
10. never
11. no
12. no
13. a) no
b) yes
14. a) no
15. yes
a) yes
b) none
c) Heritage Conservation Section,
Arizona State Parks Board
16. The following changes are being made to
the present form:
1. Space for a statement of significance will be
increased.
2. Spaces for a bibliography and general comments
will be added.
3. Information such as historic name and historic use
will be added.
4. Significant dates will be broken down into
categories; i.e., construction and alterations.
5. Architect/builder will replace style or cultural
period.
These changes will allow information on the revised
form to be more readily transferred to National
Register nomination forms.
17. no
18. This form has been revised and will be replaced by
the next form. During the transition period, both
forms are being used.
19. Tom Rothweiler (602) 255-4174
20. a) yes
b) Systematic numbering systems
A briefer form for use with windshield surveys.

ARIZONA STATE HISTORIC PROPERTY INVENTORY,

PROPERTY NAME

LOCATION

CITY/TOWN/VICINITY COUNTY

OWNER

OWNER'S ADDRESS

FORM COMPLETED BY

ADDRESS

PHOTO BY DATE

VIEW

PRESENT USE ACREAGE

STYLE OR CULTURAL PERIOD

SIGNIFICANT DATES

CURRENT PHOTOGRAPH

PHYSICAL DESCRIPTION

STATEMENT OF SIGNIFICANCE

VERBAL BOUNDARY DESCRIPTION

COUNTY ASSESSOR'S PARCEL NUMBER

Arizona-Newly Revised Arizona State
Historic Property Inventory Form
1. The form should be in use after July 1.
2. a) yes
b) no
3. a) none
b) none
c) none
d) none
e) none
f) none
g) substantial
h) none
4. never; the form is too new for this.
5. most
6. never; the form is too new for this.
7. never; the form is too new for this.
8. never; the form is too new for this.
9. never; the form is too new for this.
10. never; the form is too new for this.
11. no
12. no
13. a) no
b) yes
14. a) yes
b) Sketch maps are needed for locational purposes.
15. not yet
16. none
17. Bibliographical references
18. The form will not work as well for archaeological
sites as for historical/architectural resources, and a
separate form for these sites may be developed later.
Instructions for the old form will be revised shortly
to reflect additions made to the new form.
19. Tom Rothweiler (602) 255-4174

ARIZONA STATE HISTORIC PROPERTY INVENTORY

HISTORIC PROPERTY NAME COUNTY INVENTORY NO.

COMMON PROPERTY NAME QUAD/COUNTY MAP

PROPERTY LOCATION-STREET & NO. CURRENT BLACK & WHITE PHOTOGRAPH

CITY,TOWN/VICINITY OF ASSESSOR'S PARCEL NO

OWNER OF PROPERTY PHONE

STREET & NO./P.O. BOX

CITY,TOWN STATE ZIP

FORM PREPARED BY DATE

STREET & NO./P.O. BOX PHONE

CITY,TOWN STATE ZIP

PHOTO BY DATE

VIEW

HISTORIC USE

PRESENT USE ACREAGE

ARCHITECT/BUILDER

CONSTRUCTION/MODIFICATION DATES

PHYSICAL DESCRIPTION

STATEMENT OF SIGNIFICANCE/HISTORY

SOURCES OF ABOVE INFORMATION/BIBLIOGRAPHY

GENERAL COMMENTS/FUTURE PLANS FOR PROPERTY

GEOGRAPHICAL DATA/LEGAL DESCRIPTION/VERBAL BOUNDARY DESCRIPTION

Arkansas-Arkansas Archaeological Survey
Site Survey Form
1. since 1979
2. a) yes
b) no
3. a) none
b) none
c) none
d) none
e) none
f) none
g) substantial
h) none
4. a) occasionally
b) never
c) occasionally
d) never
e) occasionally
f) occasionally
5. little
6. usually
7. never
8. occasionally; Ms. Davis is aware of the use of only
one A and D grant for an archaeological site.
9. usually
10. never
11. yes
12. yes
13. a) yes; the locations are retrievable in map form.
b) yes
14. no
15. yes
a) yes
b) none
c) Arkansas Archaeological Survey, P.O. Box 1249,
Fayetteville, Arkansas 72701
16. none
17. no
18. A site revisit form is filled out when little or no in-
formation is new or changed from that on any Site
Survey Form previously completed for the site.
19. Hester Davis (501) 575-3556
20. a) yes
b) The computer application of material.

Page 1

ARKAISAS ARCHEOLOGICAL SURVEY
Site Survey Form

O SUPPLEMENT

State Site No.
Project/Reporter' s Site No.
Date S. S. No. Assigned
Date S. S. No. Reassigned

Site Nanme(s)

County

Site Visited By (name/address)

Dat

Info Provided By (name/address)

Form Filled Out By _

Project Name

Date

Project No.
(otconal for recording in fildl

Instructions for Reaching Site (optional)

USS Quad (name, date, series)

Owner (name/address)

Tenant (name/address)

O Prehistoric Contact Historic O Historic O Unknown
L Single Artifact Bluff Shelter Structure
Artifact Scatter Rock Art ,Archival
O 4 100 Sq X Lithic Quarry/Extraction
0 > 100 Sq M Artifacts Exposed Only in Shovel Test/Test Excavation
OMidden rtifects Uxposed Cnly in Highly Restricted Eroded Are
SMound/lound Group Other _______

Cultural Affiliation(s)

Archeological Phase Assignment(s)

j Section(s) Soc Twnshp Range

- m e m e I - - - -

UTM Zone Easting Northing

--------------- ---
-----i-----------r----

AAS Site Survey Form

- Site Description Narrative (Field Observations)

Page 2

>tate Site No.

Specific Topographic Setting

Soil Characteristics (optional)

Water Sources (types and distances) optionall)

Other Environmental/Physiographic Factors optional)

--

Page 3

AAS Site Survey Form

Site Features
Non- Structural Features

O Midden
Shell Midden
Burials
Visible Stratigraphy
Other Subsurface Features
O

O Pictograph
] Petroglyph
Other Surface Features
O
O

[ Supplement

P/CH H
rio[

O D
D O
O O
O O

D O
O O

knoun Earthen Structures

I~
OL

ehistoric/Contact Historic Structures

H Mounds_ (#)
Truncated _
Othcr (#)
] Other Earthworks
Other Prehistoric Structural Features
OL
am i t | ,

State Site No.
Project/Reporter's Site No.

Historic Structures
O Primary (i)
Standing-Abandoned Standing-In Use #
Fallen (in ruins and abandoned) ____ (#)

SService (#)
Stand~in-Abandoned __ Standing-In Use (#)
Fallen (in ruins and abandoned) (#)

O No Extant Structure
Archival Evidence
Vegetative Evidence
SOther
H Chimney
Well
Other Historic Structural Features

Historic Site Function
Historic Site Function

O Doestic __
o Cmcal___
O ManuracturinL
O Craft
O Industrial
O utlitary
O~ranportation and Communication
Q Other

CO Cemetery
0 Religious
C] nknom

Nature of Deposit

Depth cm

Site Dimensions Total Sq M C Complete O Incomplete O Unknown
Meters X Meters ; How Determined

Site Configuration
P/CH Prehistoric/Contact Historic; H Historic

__

Page 4

AAS Site Survey Form
Site Disturbances
Natural Causes
Scientific Excavation
Non-Scientific Excavation
SExtensively Surface Collected
Construction
R oad/Highway
Drainage Improvement/Channelization
Agriculture
Clear Cut
Land Leveled/Graded
Periodically Inundated
Indefinitely Inundated
Buried Site
Re-Deposited Site
Unknown
Other

Vegetation Cover

O Cultivated
[ Plowed
SHarvested
Pasture
Lawn
Woods
Swamp
Orchard
No Vegetation
Other
Unknown

Degree of Site Destruction

] Relatively Undisturbed
EL Minor
O Moderate O Totally Destroyed
O Major ] Unknow

Estimate of Ground Visibility
[ Poor (0-25%) ]Good (51-75%)
SFair (26-50%) ] Excellent (76-100%)

Factors Affecting Artifact Visibility

Project Strategy
H Transect
Other Controlled Unit
O Other

Sample Unit Designation
(for regional surveys)

Site Material Observations
Lithics
Ceramics
Metal
Human Skeletal Remains
Shell
Faunal Remains
Floral Remains
Other Perishables
Building Materials
Glass
Other Materials
Collection Method
[ Surface Ac
O Select
L Controlled

R 100%

On-Site Subsurface Investigations

H Shovel Test Coring
Test Excavation H Metal Detector
Test Exc for Eligibility [I None
SExtenSive Excavation ] Other
Auger Test

Additional Artifact Descriptions

O No Collection Made
c. # Subsurface
L Select
O Controlled
Lo 100% Ge

Acc. #

Comments (e.g. method, criteria, field collection time):

Material Concentration(s)

- -- --

--

tS ate Site NO.

V VV

i

Page 5

AAS Site Survey Form ] Supplement State Site No.
Project/Reporter's Site No.
Artifacts Retained by NonSurvey Personnel

Previous Collections/Subsurface Investigations

Recommendations

E-4
< Potential National Register Status
Not Eligible [ Eligible D Undetermined
For Office Tse Only:
[ Nominated Date Accepted Date
Not Accepted

Type of Nomination (give Name) and Comments

O Informant
SRecorded Interview

SSurvey Personnel: [ Visit Q NonVisit

For the remaining Site Information Sources, record all sourceschecked for
site information. Check the box only if positive results. If more than one source
indicate which ones were positive, which negative.

SD GLO Date
SArchival Maps

L ii i i i i i ii i i i ___-

\______________

AAS Site Survey Form

State Site No.

Other Maps

Other Archival Sources

0[ Published References

] Limited Distribution Reports (specify which)

O Other Information Sources

Field Notes E Excavation Level Forms [ Burial/Skeleton Records
SFeature Forms L Artifact Analysis Forms ] Catalog Cards/Forms
SField Specimen Inventory Forms E Profile Drarings
E Oversize Site Maps [ Other Drawings (specify)
SSpecialized Analysis Forms/Reports (specify)

1 Other Supplemental Data (specify)

C
0-

B/W Negative Numbers (contact prints)

[ B/W Prints: Nos. Included
Slice lumbcrs

n Other Photos/Slides from NonSurvey Personnel (type,source, numbers)

Accumulated Accession Numbers

Page 6

FE

i-

__

- ---`

AAS Site Survey Form

O Supplement

State Site No.

Date of Visit

Additional Comments on Topography, Water Sources, Site Description, Soils,
Recommendations, etc. (optional)

----

Page 7

I

ARKANSAS ARCHEOLOGICAL SURVEY Site Survey Form SKETCH MAP SUPPLEMENT Page 8

-- ----t 1j re

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- I--t----- I I i- --------- -

_______________________________ *1

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-i L-_i_-_~_

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_.~__i ___.1.__~ ___~_
: __

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---

-- ---------- ----

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77 TKTWY1- 1;.:I.i i:'.1:: c. i J77F7 '77
-7

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f:I._.. T __1_____

7 -__ ----------- _ _ _

-7-
. . . . .

I t -I --- ~-L -i7
~~ -r----

J -

---

i. .. I : .

"--

I

-i

ARKANSAS ARCHEOLOGICAL SURVEt Site Survey Form
Optional (in lieu of topographic xerox)

VICINITY MAP

Page 9

State Survey No.
Date

Map' Drawn By

Remarks

Approximate Scale (Box is 16 cm on a side)
* Map should cover approximately four square miles; indicate roads, rivers,
other malor landmarks and section lines.

Arkansas-Inventory Form for Historic and
Architectural Resources
1. since 1978
2. a) no
b) yes
3. a) some
b) none
c) none
d) none
e) substantial
f) none
g) some
h) substantial
4. a) occasionally
b) often
c) never
d) occasionally
e) often
f) occasionally
5. most
6. usually
7. occasionally
8. occasionally
9. usually
10. occasionally
11. no
12. no
13. a) no
b) yes
14. a) no
15. yes; in draft
a) yes
b) none
c) Arkansas Historic Preservation Program
16. Space for historic significance should be increased
since the present format lends itself to a greater
emphasis on architectural rather than historical
significance.
17. The form is compact and easy to read.
18. none
19. Alice Jones (501) 371-2763
20. a) yes
b) Survey instructions and manuals

ARKANSAS HISTORIC PRESERVATION PROGRAM
Suite 500, Continentat Building
LittLe Rock, Atrkansa 72201
INVENTORY FORM

SURVEY NO:

COUNTY
TOWN
STREET
CATEGORY Bu
COMMON NAME
HISTORIC NAME

ilding Site Object

OWNERSHIP RECORD
Present Owner
Address
Ownership Public Private
Size of Property or Site X,
or Acres
Present Use

HISTORIC DATA
Original Owner
Original Use
Architect or Builder

HISTORIC SIGNIFICANCE
National State Local
Reasons

REFERENCES

(FOR STAFF USE ONLY)
ARCHITECTURAL STYLE

ARCHITECTURAL SIGNIFICANCE
Priority One
Priority Two
Priority Three

Period or Date of Construction

RECORDED BY:
IDENTIFICATION:

DATE NEGATIVE #

PHYSICAL DESCRIPTION IMPORT/
Height in Stories Basement? Great_
Foundation Material INCIDEN
Wall Material Unique_
Roof Form REPRESE
Roof Material
INTEGRITY OF ORIGINAL STRUCTURE
Unaltered Minor Altered IS PRES
CONDITION
Excellent Good Fair Poor THREATS
Significant Outbuildings

ARCHITECTURAL DESCRIPTION
Facade Emphasis: Vertical Horizontal
Symmetrical Asymmetrical

NCE TO NEIGHBORHOOD
Moderate Minor
JCE IN AREA
Rare Frequent
NATION IN OTHER SURVEYS

ERVATION/REHAB. IN PROGRESS?

STO PROPERTY

Combined

Appendages: Porches Towers Cupolas Dormers
Location of Main Entrance: Centered Right Left
Plan Shape
Additional Description

SKETCH SITE PLAN

Is structure occupied
Accessible to Public?
THEME

MAP INFORMATION

COORDINATES
Lat. Long.
UTM Reference

I I I I I I I lW
Zone Easting Northing

California-Department of Parks and
Recreation Archaeological Site Survey Form
1. since 1976
2. a) yes
b) no
3. a) substantial
b) substantial
c) some
d) none
e) substantial
f) substantial
g) some
h) none
4. a) occasionally
b) occasionally
c) occasionally
d) occasionally
e) occasionally
f) occasionally
5. some
6. never
7. never
8. never
9. never
10. never
11. no
12. no
13. a) no
b) no
14. a) yes
b) Geographical reference information on a USGS
map and a sketch map of the site.
15. no
16. Would alter to tap into Federal resource information
listings like the Soil Conservation Service, USGS,
Flora Code, etc.; affix topographical map to form for
easy reference; and insist on accurate sketch maps.
17. no
18. California does not have a statewide archaeological
form. The form used here is recommended for use
when one of the 13 regional offices of the SHPO or
an independent surveyor does not have a survey
form. All forms used in the state survey must meet
the requirements contained in the Criteria for the
Evaluation of Archaeological Site Survey Records
Submitted for Inclusion in the Statewide Survey
available from the SHPO.
19. Bill Seidel FTS 552-1567
20. a) yes
b) adequate funding for survey activity.

State of California The Resources Agency
DEPARTMENT OF PARKS AND RECREATION
ARCHEOLOGICAL SITE SURVEY RECORD

SITE No.

1. Previous Site Designation 2. Temporary Field No.

3. USGS Quad 71/2' 15' Year

4. UTM Coordinates

5. Twp. Range __; of /__ of Sec.

6. Location

7. Contour 8. Owner & Address

9. Prehistoric Ethnographic Historic 10. Site Description

11. Area x meters, _square meters. 12. Depth of Midden

13. Site Vegetation Surrounding Vegetation
14. Location & Proximity of Water

15. Site Soil Surrounding Soil
16. Previous Excavation

17. Site Disturbance

18. Destruction Possibility

19. Features

20. Burials

21. Artifacts

22. Faunal Remains

23. Comments

24. Accession No. 25. Sketch Map by where
26. Date Recorded 27. Recorded By

28. Photo Roll No. Frame No. Film Type(s) Taken By

DPR 422 (Rev. 9/76)

SITE STATUS:

% Destroyed How Test Excavated %, if known.
National Register Status; Listed Potential No Determination Nominated Ineligible
State Historical Landmark (No.) Point of Historical Interest

SPECIAL ATTRIBUTES (Place an X in only those spaces which pertain to the site)
Midden/Habitation Debris Lithic and/or Ceramic Scatter
Bedrock Mortars/Milling Surfaces Petroglyphs/Pictographs Stone Features
Burials, Caches Hearths/Roasting Pits Housepits Structure Remains_
Underwater Open Air_ Rockshelter Cave, Quarry Trails

REMARKS

SKETCH LOCATION MAP (Include permanent reference markers, North Arrow, and Scale)

SKETCH SITE MAP (Same criteria as above)

California-Historic Resources Inventory
1. since April 1979
2. a) yes
b) no
3. a) some
b) none
c) some
d) some
e) substantial
f) substantial
g) substantial
h) none
4. a) often
b) often
c) occasionally
d) often
e) occasionally
f) often
5. most
6. occasionally
7. usually
8. occasionally
9. occasionally
10. usually
11. In the process of computerization
12. no; an encoding sheet accompanies each form.
13. a) Not developed at this time.
b) yes
14. a) usually
b) A Final Report provides information on the his-
torical narrative of the community and region,
reasons for the survey, survey methodology,
results of the survey, analysis of the survey, pres-
ervation activities and programs, maps, photos,
and future recommendations. These reports are re-
quired only on surveys that are contracted out.
Such surveys comprise approximately 90% of
those done in the State. The report is not required
for surveys conducted by communities.
15. yes
a) yes
b) none
c) California Office of Historic Preservation
16. None for the present. Insufficient information has
been received from the users of the present form to
determine problems at this time.
17. The form is designed to fit into three-ring binders.
Spacing on the form allows easy use in typewriters.
18. California has one basic form for historic surveys.
The form is designed primarily for urban structures.
Additional forms are desirable to accommodate engi-
neering features, rural properties, urban design fea-
tures, landscape architecture, etc.
19. Eugene Itagawa or Don Napoli
(916) 445-8006, FTS 552-8594
20. a) yes
b) All of the above

State of California The Resources Agency
DEPARTMENT OF PARKS AND RECREATION

HISTORIC RESOURCES INVENTORY

IDENTIFICATION
1. Common name:

2. Historic name:

3. Street or rural address:

Ser. No.
HABS__ HAER NR__ SHL _Loc
UTM: A. B
C D

, Zip County,

4. Parcel number:

5. Present Owner:

Zip Ownership is: Public

Private

6. Present Use:

Original use:

DESCRIPTION
7a. Architectural style:
7b. Briefly describe the present physical description of the site or structure and describe any major alterations from its
original condition:

Attach Photo(s) Here

8. Construction date:
Estimated_ Factual

9. Architect

10. Builder

11. Approx. property size (in feet)
Frontage Depth
or approx. acreage

12. Date(s) of enclosed photographs)

DPR 523 (Rev. 4/79)

Address:

13. Condition: Excellent Good Fair Deteriorated__ No longer in existence

14. Alterations:

15. Surroundings: (Check more than one if necessary) Open land Scattered buildings_ Densely built-up
Residential Industrial Commercial Other:

16. Threats to site: None known Private development Zoning __ Vandalism
Public Works project Other:

17. Is the structure: On its original site?_ Moved? Unknown?

18. Related features:

SIGNIFICANCE
19. Briefly state historical and/or architectural importance (include dates, events, and persons associated with the site.)

20. Main theme of the historic resource: (If more than one is
checked, number in order of importance.)
Architecture Arts & Leisure
Economic/Industrial Exploration/Settlement
Government Military
Religion Social/Education

21. Sources (List books, documents, surveys, personal interviews
and their dates).

22. Date form prepared
By (name)
Organization

Address:
City
Phone:

Locational sketch map (draw and label site and
surrounding streets, roads, and prominent landmarks):
NORTH

Colorado-Isolated Find Record
(Archaeology)
1. since October 1979
2. a) yes
b) no
3. -a) some
b) none
c) none
d) none
e) none
f) none
g) substantial
h) none
4. a) often
b) often
c) often
d) often
e)-occasionally
f) often
5. most, if the find is within a district.
6. never
7. usually
8. never
9. usually, if the find is within a district.
10. usually
11. partially
12. yes
13. a) yes, but all locations are not retrievable in map
form at this time.
b) yes
14. a) no
15. no
16. To allow for increased recording of data, space be-
tween categories should be widened. Information on
surface disturbance should be included for use in
long range planning.
17. The form provides a good range on environmental
data which is useful for long range planning. The
category for inferred function and description of the
artifact is also recommended.
18. This form is used for recording isolated finds of
artifacts.
19. Judy Halasi (303) 839-3394
20. a) yes
b) 1. Computerization
2. Survey form format
3. Survey methodology

OFFICE OF THE STATE ARCHAEOLOGIST
1300 Broadway
Denver, CO 80203
(303) 839-3391

ISOLATED FIND R

LECORDU

1)OSAC Site No.: (2)Teup, No.: 3)County
I.LOCATION,
4)Legal Location: __ Sec. T R FM
5)USGS Quad: Name Size Date
6)UIM:Zone mE, N.Attach copy of portion of USGS Quad.
II.ARCHAEOLOGICAL DATA:.
7)Artifacts:

8)Inferred function/description:

9) Cultural Affiliation
10)IF Dimensions X
III. ENVIRONMENTAL DATA:
11)Elev. ft. m. 12)Soil
13) Topography 14) Sl
15)Nearest water:name/nature e:
Nearest permanent water e:
16)Veg. on site 17)Surrouni
Additional Conments:

Time Period AO

ape: site surrounding
lev. dist. direction
lev. dist. direction
ding veg.

IV.ADDITIaOAL INFORMATION: (Narrative, drawings, sketch map)

V.REFERENCE DATA:
18)Collection:yes no describe
19)Repository:
21)Report title
23)Affiliation

20)Landowner
22)Recorder
24)Date

Form No. 602

Colorado-Cultural Resource Survey Form
1. since October 1979
2. a) yes
b) no
3. a) some
b) none
c) none
d) some
e) some
f) none
g) substantial
h) some
4. a) often
b) often
c) often
d) often
e) often
f) often
5. most
6. never
7. never; the form will be used for this purpose in the
future.
8. never
9. usually
10. occasionally; the data on the form is a beginning
point but is not the final deciding factor.
11. yes
12. yes
13. a) yes; the locations are not retrievable in map form.
b) yes
14. a) yes
b) A separate evaluative statement which includes
survey methodology and context is required for
all surveys. This statement places the site or prop-
erty in its context and is used for making evalua-
tions of significance.
15. yes
a) yes
b) none
c) Colorado Historical Society
16. none
17. The form is flexible enough to accommodate the
recording of districts, individual properties, and
archaeological sites.
18. Formerly separate forms for archaeological and historic/
architectural surveys were used. Both have been
combined into a 3-part form. The "Inventory Record"
(green) includes locational and management data.
The "Archaeological Component Form" (blue) and
the "Architectural/Historical Component Form"
(pink) are used in conjunction with this cover form.
19. Barbara Handy (303) 839-3394
20. a) yes
b) 1. The basis for judging significance without a
planning model
2. Survey methodology
3. Short forms

COLORADO CULTURAL RESOURCE SURVEY OSAC/DHP; 1300 Broadway, Denver, CO 80203
INVENTORY RECORD NOT FOR FIELD USE
DET. ELIG.
IMPORTANT: COMPLETE THIS SHEET FOR EACH DET. NOT ELIG.
RESOURCE PLUS EITHER AN ARCHAEOLOGICAL OR NOMINATED
HISTORICAL/ARCHITECTURAL COMPONENT FORM. LISTED, DATE

I. IDENTIFICATION: lZResource No. 2)Temp.. No.

3lResource Name 4)Project Name

5)Category: Arch. Site_, Hist./Archit. Structure_, Hist./Archit. District_.

6)(For Arch. site)In a District:yes no ;Name

II. LOCATION: 7)Township ;Range ___ ; of of of of

Section ; P.M. 8)County

9)USGS QUAD ;7.5 15 ;Date Attach photocopy

portion of Quad. Clearly show site. 10)Other maps

ll)Dimensions mX m 12)Area sq.m(+4047=) acres
13)UTM Reference: (One UTM centered on resource may be given for resource under 10 acres.)
A. mE; mN. B. mE; mN.
C. ; mE; mN. D. ; mE; mN.

14)Address Lot Block Addition

III. MANAGEMENT DATA: 15)Field Assessment: Eligible__Not Eligible Need Data

16)Owner/Address

17)Gov't Involvement: County_State_Federal_Private_: Agency

18)Disturbance:none_light_moderate_heavy__total_; Explain

19)Threats to Resource:Water ErosionWind Erosion Animal Activity_Neglect Vandalism

Recreation Construction ;Comments

20)Management Recommendations

V. REFERENCE: 21)State/Fed. Permit Nos.

22)Photo Nos. .on file at

23)Report Title
24)Recorder 25)Recording Date
26)Recorder Affiliation 27)Phone No.

Resource No. Page 2
V. SKETCH MAP: Map all features and show the boundaries of the resources. Show all
major topographic features, permanent modern features, and vegetation zones as appropriate.
Give names of features, streets and addresses if known. Provide scale, key and direction.

scale:

key:

TN
true

mag._

28)Location/Access:

29)Boundary Description:

30)Boundary Justification:

-

- -- -

-

-----------------------

- --

-- -- -

--------------------------------------

-- -- -

- - -------1-

COLORADO CULTURAL RESOURCE SURVEY

OSAC/DHP
1300 Broadway, Denver, CO 80203

ARCHAEOLOGICAL COMPONENT FORM
IMPORTANT: USE IN CONJUNCTION WITH THE GREEN INVENTORY RECORD
FORM FOR RECORDING PREHISTORIC OR HISTORIC ARCHAEOLOGICAL SITES
"t

1) Resource No. 2) Temp. No. 3) Name

I. ARCHAEOLOGICAL DATA: 4) Site Type

5) Description/Features

6) Cultural Material

BC
7) Cultural Affiliation Date AD

8) Dating Criteria

9) Site Depth ; based on cut/bank auger shovel other

10) Activities inferred from site features

11) Research potential/significance

12) Known Collections/Excavations/Publications

13) Informants: Name/Address

RESOURCE NO._ page 2

II. ENVIRONMENTAL DATA: 14) Topography

15) Elev. ft.(x .3048=) m 16) % Grade:site Surrounding___

17) Aspect 18) Soil:color (Munsell)

depth character

19) Nearest water: name ;Int. Perm. Fos. ;elev. m_

dist. m, direc. ; Nearest permanent water

elev. m, dist. m, direc. ;Other

20) Veg. on site

21) Surrounding veg.

III. ADMINISTRATIVE DATA: 22) Completed: record_collect map_test__part. exca.

total excav. stabilized other

23) Protection: nonemarkedfenced_patrolledaccess controlledother

24) Surface Collected: yes no % collected_ ; sampling technique: none_grab

random transect other describe

25) Artifact Storage at

26) Recorder 27)Date(s) / /

IV. ADDITIONAL INFORMATION:

COLORADO CULTURAL RESOURCE SURVEY

OSAC/DHP
1300 Broadway, Denver, CO 80203

ARCHITECTURAL/HISTORICAL COMPONENT FORM

IMPORTANT: USE IN CONJUNCTION WITH THE GREEN INVENTORY RECORD FORM FOR
SFOR RECORDING HISTORIC STRUCTURES AND DISTRICTS. USE SEPARATELY FOR
i RECORDING STRUCTURES LOCATED WITHIN DISTRICT BOUNDARIES.

1) Resource No. 2) Temp No. 3) Name

4) Address 51 District Name

I. INTEGRITY: 61 Condition: Good _Fair Deteriorated

7) Original Use 8 Present Use

91 Original Site Moved _DateCs) of eMvet_

10) Unaltered Altered Explain _

II. DESCRIPTION- 11 Building Materials

121 Construction Date

141 Architectural Style Cs)

15) Special Features/Surroundings:

131 Architect/Builder

161 Archaeological Potential: Yes No Unknown Explain__

III. CULTURAL ACTIVITIES: Key the resource type (ie: house, barn, shed, school, church,etc)
to the cultural activity theme and sub-theme category associated
with it,
17) THEME

18) SUB-THEME

19) TYPES

RESOURCE NO.

(Attach Photographs)

Frame Number
Roll Number
Facade Orientation

IV. SIGNIFICANCE: Assess whether or not the resource has any historical or architectural
merit by checking appropriate categories and justifying below. Include
any relevant historical data.
20) Architectural Significance: 21) Historical Significance:

Represents work of a master
Possesses high artistic values
Represents a type, period, or
method of construction

Associated with significant persons
Associated with significant events or
patterns
Contributes to the significance of an
historic district

22) List Any Associated Cultural Group:
V. REFERENCES:
t

RECORDER

DATE

Commonwealth of the Northern Mariana
Islands-Archaeological Excavation Level
Report Form

1. since April 1980
2. a) no
b) yes
3. a) substantial
b) some
c) some
d) some
e) some
f) some
g) some; Review
h) some
4. a) often
b) occasionally
c) occasionally
d) occasionally
e) often
f) often

5. some
6. never
7. never
8. never
9. never
10. usually
11. no
12. no
13. a) no
b) no
14. a) no
15. yes
a) yes
b) 10c/copy
c) Commonwealth of the Northern Mariana Islands
Historic Preservation Program
16. none
17. no
18. The form, which is printed on two single-sided
812" X 14" sheets, is used during an archaeological
survey in which sub-surface testing has been con-
ducted. The level report does not represent all the in-
formation collected from each level but serves as a
guide only.
19. Mike Fleming, Jesus Pangelinan, or Ramon Capileo
20. a) yes
b) ADP systems

Board-substantial

CNMI HISTORIC
PROPERTY REGISTER

IDENTIFICATION

1. Type: Archaeological Excavation Level Report

2. Site Common Name(s):

3. Site Historic Name(s):

LOCATION

4. Site No.: 5. Excavation Uni

6. Level No.: 7. Maximum Depth

DESCRIPTION

8. Stratigraphic Data:

t No.:

from Datum:

9. Level Excavation Data:

10. Samples Taken:

11. Disposition

12. Artifacts:

Pottery:

Shell:

Bone:

Stone:

13. Features:

of Samples:

Metal:

Glass:

Other:

14. Disposition of Artifacts:

15. Photos Taken?

Yes

16. Disposition of Photos:

17. Date:

18. Recorder:

LEVEL SKETCH MAP

(Indicate Location of Artifacts, Features and Samples)

1 .1

II I
r~I T __
v--LI ~-tr~zj- --'LI

..-. -...... ... . ...... . .
--4-'---- -- 1'---(-- -- --- --- - --

i -- L.
S- --- --- ---- -1-- 1-- -

j
1 6 1

j i i " i .
f-- 1 i

..... I 1 .... .. -
I -. __ Ii

- r ----- 1I ______
_____ I I i- _______ ____ I I i___
- -j ,--.-----.-i..-- Ttr
I ---

-I--. -_____
-i-i**7 II
____~~~.. IIi .i

i I I I i II .- -I ---- -----r: _

IL-- V <1 i- i1 i iIf i
-~ ii -7- -

L .. 7 -'- 1 Ai'-.
I~~ ~ ~ 2 ii 4r (i In (? !C Iu II I1 P* I V f

__

I-- ------
I

1 2 3 4 3

7 8 9 1 0 1 1 1 2 1 3 1 4 1

Commonwealth of the Northern Mariana
Islands-Petroglyph/Petrograph Record
Form
1. since April 1980
2. a) no
b) yes
3. a) substantial
b) some
c) some
d) some
e) some
f) some
g) some; Review Board-substantial
h) some
4. a) often
b) occasionally
c) occasionally
d) occasionally
e) often
f) often
5. some
6. usually
7. usually
8. usually
9. usually
10. usually
11. no
12. no
13. a) no
b) no
14. a) yes and no
b) It depends on whether additional remarks were
made on line 22.
15. yes
a) yes
b) 10c/copy
c) Commonwealth of the Northern Mariana Islands
Historic Preservation Program
16. none
17. no
18. Strictly speaking, petroglyph and petrographs are
generally considered features when they are associ-
ated with archaeological or historical sites, but for
simplicity, and because the information needed on
these properties is usually different than that needed
for other features, a separate form has been provided.
The form is printed on two single-sided 81/2"X14"
sheets.
19. Mike Fleming, Jesus Pangelinan, or Ramon Capileo

CNMI HISTORIC
PROPERTY REGISTER

Property No.

Temporary

Site No.

Temporary

IDENTIFICATION

1. Type: Petroglyph/Petrograph Record

2. Site Common Name(s):

3. Site Historic Name(s):

LOCATION

4. Island:

6. Village Affiliation:

7. Site No.:

9. Aerial Photo Reference:

10. Location Relative to Permanent Feati

5.

8. Mr

ures:

OWNERSHIP

11. Property Owner's Name:

Address:

12. Tenant's Name:

Address:

DESCRIPTION

13. Dimensions of Decorated Area:

14. Type of Rock:

15. Method of Decoration:
Pecked Grooved

16. Color Employed:

17. Design Elements:

Municipality:

ap Reference:

Painted

Other:

18. Condition of Decoration

19. Associated

Features: Objects:

Buildings

Structures:

20. Photos;

Taken

21. Disposition of Photos

22. Additional Remarks:

23. Date:

24. Recorder:

PETROGLYPH/PETROGRAPH SKETCH

- -. .-.-, .- I t -_-

i i: _Lf. t _
. . . I .. I
` I I J "
:_ _. I _ ... .. __...._

S-....

.. ..... -- 1-. .
1 1 I *1*

i I i
.i .

: I j -

I II 1 t l j : 1 7
1. 2 3 4 5 6 7 8 9 10 11 1 13 4 1 1 7 1

Not Taken

_________________1_1___L___

Commonwealth of the Northern Mariana
Islands-Property Register Form for
Historic/Architectural Resources
1. since April 1980
2. a) no
b) yes
3. a) substantial
b) some
c) some
d) some
e) some
f) some
g) some; Review Board-substantial
h) some
4. a) often
b) occasionally
c) occasionally
d) occasionally
e) often
f) often
5. some
6. usually
7. usually
8. usually
9. usually
10. usually
11. no
12. no
13. a) no
b) no
14. a) no
15. yes
a) yes
b) 10c/copy
c) Commonwealth of the Northern Mariana Islands
Historic Preservation Program
16. none
17. no
18. The form is printed on two single-sided 81/2'"14"
sheets.
19. Mike Fleming, Jesus Pangelinan, or Ramon Capileo

ProperLy No.
( _)__ )
Temporary

IDENTIFICATION

1. Type:

CNMI HISTORIC

PROPERTY REGISTER

Feature

Site No.

Temporary

Object

Building

2. Common Name(s):

3. Historic NameCs):

LOCATION

4. Island: 5. MunicJ

6. Village Association:

7. Map Reference:

8. Aerial Photo Reference:

9. Location Relative to Permanent Features:

Structure

ipality:

OWNERSHIP

10. Property Owner's Name:

Address:

11. Property Tenant's Name:

Address:

DESCRIPTION

12'. Property Dimensions:

13. Property Description:

14. Construction Material:

15. Period of Manufacture/Construction:

Pre-Latte
Latte
Spanish

German
Japanese
World War II

Trusteeship

16. Associated Objects, Features,

17. Original Utilization:

18. Present Utilization:

19. Condition of Property:

20. Factors Effecting Condition:

21. National Register Status:

Listed

Not Eligible Building

Candidate
Potential

22. Photos Taken?

No Determination

Structure
Object

Yes

23. Disposition of Photos:

24. Date Recorded:

25. Recorder:

SKETCH MAP

_______________ -- -

___ _____ 1 1zzj

7 _

--~ ~ ~~ I7 i

t. I .

ii

*i i .1 i __

I 4 ' j I | ^ ; ; ~: j T :'; ^ ) ^ **
I. .-..____- -- .. -I-r

i ..
I
-: I ._ | :_ ______

7 1 2 3 4 5 C 7 1 1U 1 1 1 14 15 :6 1 18
. .I I I ... ..... .
1 2v 3 I I ., 7: I 457 1 8
i I iI I i __i -I--1--- !- --

1:1:

12 3 4 5 C 7 8 r 1u 11 12 1S 14 15 16 17 18

Type:

~

i - -

I

Connecticut-Prehistoric Archaeological
Sites Survey Form
1. since September 1977
2. a) yes
b) no
3. a) some
b) some
c) none
d) none
e) some
f) some
g) substantial
h) some
4. a) occasionally
b) often
c) occasionally
d) often
e) occasionally
f) occasionally
5. most
6. never
7. occasionally
8. occasionally
9. occasionally
10. occasionally
11. no
12. yes
13. a) no
b) recent surveys-yes; original surveys-not yet
14. a) no
15. no
16. The form should be redrafted for computerization.
17. The format is easy to work with.
18. none
19. David Poirier (203) 566-3005
20. a) yes
b) 1. Data management
2. Format of survey forms

HISTORIC RESOURCES INVENTORY
PREHISTORIC ARCHAEOLOGICAL SITES
'ST-7 NEW 9/77
STATE OF CONNECTICUT
CONNECTICUT HISTORICAL COMMISSION
59 SOUTH PROSPECT STREET, HARTFORD, CONNECTICUT,06106

FOR OFFICE USE ONLY
Town No.: Site No.:
UTM
QUAD:
NR: OACT OELIG. ONO I .
SR: IO ACT nELIG. [NO INo

S ,TE NA ME STATE SITE NO. CAS

7. TOWN/CITY -VILLAGE COUNTY
z I _
2
p 3. STREET AND NUMBER (and/or location)

. 4. OWNERS)
OPublic l Private
5. ATTITUDE TOWARD EXCAVATION

6. USE (Present) (Historic)

7. PERIOD

SPale. o D Early Archaic O Early Woodland I Contact

O Middle Archaic O Middle Woodland O Unknown

D E-I Other
El Late Archaic OI Late Woodland I(Specily)
z C.-4 Other
S8 D Intuition IO (Spei)
8. DATING
METHOD COMPARATIVE MATERIALS
U
i OTHER (Specify)
SQuarry O Camp LO Rockshelter L_ Oidden L Cemetery OI Village IO
TD. APPROXIMATE SIZE AND BOUNDARIES

1. TRATIGRAPH OTHER (Specify)
Surface O Plowed D "lfld OStratified MD s rbanc. O
USDA SOIL SERIESONTOUR ELEVATION SLOPE %
-7 E 0o-5 D5-15 O 15-25 Oover 25
Z 12. SOIL TEXTURE OTHER (Specify) ACIDITY
I"'I n, i i-i .; les than 4.5- I 5.6- 6.6- I.
S0sand < -lay DSilt [ 4.5 5.5 6.5 0 7.3 8.4
o NEAREST WATER SOURCE SIZE AND SPEED DISTANCEFROMSITE SEASONABLE AVAILABILITY
13. WATER
1 4.PSNT
VEGETATION
1. SITE INTEGRITY
O Undisturbed 1O Good Fairl O Destroyed
16. THREATS TO SITE
O None known OHighways El Vandalism O Developers D Other (Specify)
SO Renewal .] Private IO Deterioration Zoning O Unknown
2 17. SURROUNDING ENVIRONMENT
D[O pen Land O Woodland O Residential O Scattered Buildings visible from site.

J D Commercial l Industrial 0L Rural O High building density

0 Coastal l Isolated
1C. MLE~3IILI I7 S% ~rUCL cl..V ,a Ct.~nsf ---- r n

=-

ig. ACCESSIB:OIITYI TOI PUBIC-I VISIBk rn rg,
O v.. O eo

BB 1

.

i. PREVIOUS EXCAVATIONS
OI Surface Collected

BY WHOM/AFFILIATION

DATE

BY WHOM/AFFILIATION BATE
"Pot hunted"
BY WHOM/AFFILIATION -DATE
STested
BY WHOM/AFFILIATION DATE
[ Excavation
20. PRESENT LOCATION OF MATERIALS

21. PUBLISHED REFERENCES

22. RECOVERED DATA (Identify in DETAIL, ncl. features, burials, faunal material, etc.)

23. ARCHAEOLOGICAL OR HISTORICAL IMPORTANCE

PHOTOGRAPHER-

D DATE
SU Place
SVIEW 35mm contact print
here
z
L NEGATIVE ON FILE

i
OU

-TE NAME ADDRESS
REPORTED
BY1 ORGANIZATION DATE

FOR OFFICE USE ONLY
FIELD EVALUATION

COMMENTS

1U 55- 2

Connecticut-Historic Archaeological Sites
Survey Form
1. since September 1977
2. a) yes
b) no
3. a) some
b) some
c) none
d) none
e) some
f) some
g) substantial
h) some
4. a) occasionally
b) often
c) occasionally
d) often
e) occasionally
f) occasionally
5. most
6. never
7. occasionally
8. occasionally
9. occasionally
10. occasionally
11. no
12. yes
13. a) no
b) recent surveys-yes; original surveys-not yet
14. a) no
15. no
16. The form should be redrafted for computerization.
17. The format is easy to work with.
18. none
19. David Piorier (203) 566-3005

HISTORIC RESOURCES INVENTORY
HISTORIC ARCHAEOLOGICAL SITES
NIST-5 NEW 9/77
STATE OF CONNECTICUT
CONNECTICUT HISTORICAL COMMISSION
59 SOUTH PROSPECT STREET, HARTFORD, CONNECTICUT,06106

FOR OFFICE USE ONLY-
Town No.: Site No.:
11

LTM :I I :L I I

QUAD:

NR:I -ACT

O DITRIC
ELIG. LNO yeT
FELIG. ENO No

I. SITE NAME STATE SITE NO. A NO.

Z. TOWN/CITY VILLAGE COUNTY

p 3. STREET AND NUMBER (and/or location)
U
U. 4. OWNERS)
x D Public Private
I S. ATTITUDE TOWARD EXCAVATION

6. USE (Present) (Historic)

7A. P RIOu
SContact 17th C. O 18th C. O 19th C. 20th C. O Unknown Z f Other
7B.ESTIMATEO OCCUPATION RANGE

8. DATING CUMENTS COMPARATIVE MATERIALS OTHER
METHOD
9. SITE TYPE
S -Contact Commercial O Rural [Other (pecify)

SOAgrarian industrial O Urban I Unknown
U 10. APPROXIMATE SIZE AND BOUNDARIES
W1
mu

1I. STRATIGRAPHY
No Visible C] Standing O Stratified NO otti OOther (Speci/y)
evidence ruins Sat stratified O r c
Sufaceind Cellar Plod Major
SSurface finds. o ho" Powed Disturbance
USbA SOIL sE CONTOUR ELEVATION SLOPE %
SOS 00-5 5-15 15-25 over.25
z 12. SOIL TEXTURE OTHER (Speciy) ACIDITY
a [Osand Oclay Osilt O Lz'"""' than LI:- L 6i. 0 6: O :7.
0 NEAREST WATER SOURCE SIZE AND SPEED DISTANCEFROMSITE SEASONABLE AVAILABILITY
13. WATER
S14. PRESENTST
VEGETATION
15. siTE INT EGRITY
O Undisturbed ] Good Fair O Destroyed
16. THREATS TO SITE
LNone known O Highways L Vandalism L Developers I Other (Specify)

SI Renewal O Private O Deterioration I Zoning O Unknown
2 17. SURROUNDING ENVIRONMENT
s LI Open Land O Woodland I Residential I Scattered Buildings visible from site.

Ou I Commercial lIndustrial I Rural High building density

O Coastal O isolated
18. ACCESSIBILITY TO PUBLIC-VISIBLE FROM PUBLIC ROAD

YeC No
cC I

SR: I ACT

IS. PREVIOUS EXCAVATIONS BY WHOM/AFFILIATION
] Surface Collected

DATE

BY WHOM/AFFILIATION DATE
-jE
4 E "Pot hunted"
z BY WHOM/AFFILIATION DATE
Z
- UTested
O BY WHM/AFFILIATION DATE

" 0 Excavation
I 20. PRESENT LOCATION OF MATERIALS
w
i1 21. PUBLISHED REFERENCES

22. RECOVERED DATA (Identify IN DETAIL, including structures, related outbuildings, landscape features, etc.)

23. ARCHAEOLOGICAL OR HISTORICAL IMPORTANCE

PHOTOGRAPHER

DATE
Place
0 VEW 35mmn contact print
here
O

I
IL NEGATIVE ON FILE

REPORT NAME ADDRESS

REPORTED
BY: ORGANIZATION DATE

FOR OFFICE USE ONLY
FIELD EVALUATION

COMMENTS

CC 2

___ ____._ I____~____~__ ~~_~~_i~________~_ __

"

Connecticut-Building and Structures
Survey Form
1. since 1976
2. a) yes
b) no
3. a) none
b) none
c) none
d) none
e) some
f) none
g) substantial
h) none
4. a) often
b) often
c) often
d) often
e) often
f) often
5. most
6. usually
7. usually
8. usually
9. usually
10. never
11. no
12. yes
13. a) no
b) yes
14. a) no
15. yes
a) yes
b) no
c) Connecticut Historical Commission
16. 1. Increase the space for photographs.
2. Rearrange the system to include a site plan.
3. Devise a way to address streetscapes.
17. The form is comprehensive, providing a lot of
information.
18. none
19. Judith Paine (203) 566-3005
20. a) yes
b) HCRS should take a greater role in supplying the
States with technical assistance on the overall sur-
vey process. Suggested means of doing so include
standardized survey forms and insuring coordina-
tion of the exchange of information among States
on organization of their surveys, computerization,
regional styles and technology, architects and
builders who crossed State lines, and the dissemi-
nation of information gathered on the survey
forms. HCRS could also sponsor training sessions
or professional meetings where case studies of suc-
cessful State surveys could be presented and
where architectural, historical, and archaeological
approaches to survey could be discussed.

HISTORIC RESOURCES INVENTORY
BUILDING AND STRUCTURES
HIST-6 NEW 5 77
STATE OF CONNECTICUT
CONNECTICUT HISTORICAL COMMISSION
59 SOUTH PROSPECT STREET, HARTFORD, CONNECTICUT 06106
(203) 566-3005

FOR OFFICE USE ONLY
Town No.: Site No.:
UT | ;
QUAD:

DISTRICT IF NR, SPECIFY
[Is I NR I I Actul Ilpotil

1. BUILDING NAME (Common) (Historic)

2 TOWN CITY VILLAGE COUNTY
Z
2
F 3. STREET AND NUMBER (and or location)
U
UL 4. OWNERS)
SOOPublic Private
S USE (present) (Historil)

6. EXTERIOR VISIBLE FROM PUBLIC ROAD INTERIOR ACCESSIBLE IF YES. EXPLAIN
ACCESSIBILITY : YsNo Yes NoI
TO PUBLIC: I EN Yes El No 0 UYes UNo Wnwom_ ___NEI

DATE OF O N U

8. MATERIAL(S) (Indicate use or location when appropriate)
O Clapboard O Asbestos Siding O.- Brick (Specify)

O Wood Shingle ] Asphalt Siding O] Fieldstone

SBoard & Batten I Stucco I OCobblestone
O Aluminum Concrete Cut stone
Siding LU Type: _U Type: Ct
9 STRUCTURAL SYSTEM
11 Wood frame OI Post and beam I balloon

E] Load bearing masonry I Structural iron or steel

Other (Specify)
10 ROOF iTvpfl
O Gable [ Flat Mansard O Monitor O sawtooth

Z O Gambrel O Shed O Hip U Round (Specify)
I- IMaterial)
B.
Roll
U L Wood Shingle O Asphalt U Tin L Slate
LU Other
I0 Asphalt shingle [I Built up EI Tile L (Specify)
11 NUMBER OF STORIES APPROXIMATE DIMENSIONS

12 CONDITION (Struc ural, (Exerrior)
O Excellent I Good OI Fair O] Deteriorated O] Excellent LI Good I Fair ] Deteriorated
13 INTEGRITY l."i ltnini WHEN (AltranI IF YES. EXPLAIN
On orinal Moved O Yes No
14 RELATED OUTBUILDINGS OR LANDSCAPE FEATURES
j Barn L Shed IO Garage O Other landscape features or buildings (Specify)

house C g" J Shop Garden
15 SURROUNDING ENVIRONMENT
Open land O lanod Residential O Scattered buildings visible from site

L Commercial trial O Rural '_ High building density
16 INTERRELATIONSHIP OF BUILDING AND SURROUNDINGS

(OVER)
AA 1

|

. s v E OF BUILDING

17 OTHER NOTABLE FEATURES OF BUILDING OR SITE (interior and or exterior)

10 AMn. HIIt 1

BUILDER

19 HISTORICAL OR ARCHITECTURAL IMPORTANCE

PHOTOGRAPHER DATE
0
I- I
VIEW NEGATIVE ON FILE
CL Place

A Photograph

w ORGANIZATION
j Here

E ADDRESS
0
O
U
20 SUBSEQUENT FIELD EVALUATIONS

21 THREATS TO BUILDING OR SITE

O None know, O Highways I Vandalism IO Developers O Other

Renewal OPri va.te O eterloration Zoning OExplanation

HIST-6 NEW 5 77 (BACK,

AA 2

-I -

r _ ___^_ ________

Delaware-Archaeological Site Form
1. since 1978
2. a) yes
b) no
3. a) none
b) some
c) none
d) none
e) some
f) some
g) substantial
h) some
4. a) often
b) often
c) occasionally
d) never
e) occasionally
f) often
5. some
6. usually; the data is used only as a beginning step.
7. occasionally
8. occasionally
9. occasionally
10. occasionally
11. not yet
12. yes
13. a) no
b) yes
14. a) no
15. no
16. Cultural characteristics should be changed from a
written description to categories which can be
checked as appropriate. This would result in the
recording of a greater amount of information as well
as more accurate information.
17. Data from the archaeological survey is integrated
with the statewide mapping system which includes
maps showing locations of all cultural resources
surveyed. The survey data is well cross-referenced
into a statewide collection reference system.
18. The form is used as a key to further research on
archaeological sites.
19. Daniel Griffith (302) 736-5685
20. a) yes
b) 1. Concise format for survey forms
2. Cross-referencing systems

CULTURAL RESOURCE SURVEY
ARCHAEOLOGICAL SITE FORM

BUREAU OF ARCHAEOLOGY AND
HISTORIC PRESERVATION
HALL OF RECORDS
DOVER, DELAWARE 19901
(302) 678-5314
DOCUMENT 20-06/78/01/5

1. Site Designation

2. Location

I

-

Form CRS-4
FOR OFFICE USE ONLY

CRS no.
Arch. Site
SPO Map
Soil Map
Quad
Drainage

Date

3. Owner or Contact

4. Site Description: Soil Type Cultivated Other

5. Description of Field Work

6. Collections at Island Field Museum
Accession No. By Whom

Date Surface Excavation Location

Accession No. By Whom

Date Surface Excavation Location

Accession No. By Whom

Date Surface Excavation Location

Accession No. By Whom

Date Surface Excavation Location

7. Other Collections

8. Cultural Characterization

CRS Arch.Site. No.
9. Artifacts: projectile points

Historic Inventory (

soapstone_ Ceramics: Expe
Wolfe Neck Coulbourn
Townsend
Other
Ground Stone Tools
Chipped Stone Tools: Bifacial
Other
10. Photos: B&W
11. Documents on File

rimental
e

Mockley Hell Island

Battering Tools
Unifacial U.F.

Color

12. Publications/MS on File

13. Other

SKETCH MAP

- - -

-Colo

--------~--

Delaware-Prehistoric Artifact
Inventory Form
1. since 1978
2. a) yes
b) no
3. a) none
b) some
c) none
d) none
e) some
f) some
g) substantial
h) some
4. a) often
b) often
c) occasionally
d) never
e) occasionally
f) often
5. some
6. usually
7. occasionally
8. occasionally
9. occasionally
10. occasionally
11. not yet
12. yes
13. a) no
b) no
14. a) no
15. no
16. Artifact categories could be more of a written de-
scription rather than blanks which can be checked
where appropriate. This would result in the re-
cording of a greater amount of information as well
as more accurate information.
17. Data from the archaeological survey is integrated
with the statewide mapping system which includes
maps showing locations of all cultural resources
surveyed. The survey data is well cross-referenced
into a statewide collection reference system.
18. The forms are used as a key to further research on
archaeological sites.
19. Daniel Griffith (302) 736-5685

CULTURAL RESOURCE SURVEY
ARTIFACT INVENTORY FORM

BUREAU OF ARCHAEOLOGY AND
HISTORIC PRESERVATION
HALL OF RECORDS
DOVER, DELAWARE 19901
(302) 678-5314
DOCUMENT 20-06/78/10/11

.Heat altered rock:N-

. POINTS:N=

Kirk/Palmer:n=_ Bifurcat

Narrow blade/stem contracting:r

Savannah River/Koens Crispin:n=

Meadowood:n=

Shallow side notched:n=

Jack's Reef corner:n=

triangle:n=_ Othe

0

Form CRS-5
FOR OFFICE USE ONLY

CRS #
ARCH SITE
ACCESSION
LOCATION
DATE
SUM N =

Flakes:N=

Fluted:n=

:e:n= Archaic notched:n=

I____ Straight:n=

__Susquehanna:n=

Broad straight stem:n=

Fox Creek:n=

pentagonal:n=

3. CERAMICS:N=

Marcey Creek:n=

Wolfe Neck:n=

Coulbourn:n=

Mockley:n=

Hell Island:n=

Townsend:n=

TH

Potomac Creek:n=

Other:n=

4. BIFACES:N=

straighten=

5. UNIFACES:N=

straighten=

Soapstone

Dames Quarter:n=

net

net

net

fabric

RFI

TCH

Seldon Island:n=

cord

cord

cord

cord

RI

Other

Unidentifiable:n=

convex:n=_

irregular:n=

convex:n=_

irregular:n=

concave:n=

concave:n=

:n=

CRS # ARCH SITE # ACCESSION #

6. GROUND STONE:N- celts/ adzes/ gouges:n-

grooved axe:3/4 n- full n- bits:n- pestle:n-

atlatl weights:n-__ pendants/gorgets:n- mortars:n-

mullers:n- abradingstone/shaft smoother:n- ulu:n-

other:n-

7. BATTERED STONE:N- hammerstone:n-

anvil stone:n- pitted stone:n-

other:n-

8. BONE ARTIFACTS:N- (list)

9.

10.

SHELL ARTIFACTS:N= (list)

OTHER ARTIFACTS:N- (list)

SUMMARY OF CULTURAL PERIODS

EARLY MAN Paleo

comments:

ARCHAIC Bifurcate

comments:

Kirk/Palmer

Notched Piedmont

WOODLAND 1

Broadspear Experimental

Coulbourn Carey

Wolfe Neck

Jebb

comments:

WOODLAND 2

Slaughter Creek Poplar Thicket

Potomac Creek Contact

I comments:

I-

Delaware-Historic Artifact Inventory Form
1. since 1976
2. a) yes
b) no
3. a) none
b) some
c) none
d) none
e) some
f) some
g) substantial
h) some
4. a) often
b) often
c) occasionally
d) never
e) occasionally
f) often
5. some
6. usually
7. occasionally
8. occasionally
9. occasionally
10. occasionally
11. not yet
12. yes
13. a) no
b) no
14. a) no
15. no
16. Artifact categories could be more of a written de-
scription rather than blanks which can be checked
where appropriate. This would result in the re-
cording of a greater amount of information as well
as more accurate information.
17. Data from the archaeological survey is integrated
with the statewide mapping system which includes
maps showing locations of all cultural resources
surveyed. The survey data is well cross-referenced
into a statewide collection reference system.
18. The form is used as a key to further research on
archaeological sites.
19. Daniel Griffith (302) 736-5685

CULTURAL RESOURCE SURVEY Form CRS-2
HISTORIC ARTIFACT INVENTORY FOR OFFICE USE ONLY

CRS no.
DELAWARE HISTORIC Quad
PRESERVATION OFFICE--- Quad
HALL OF RECORDS SPO map no.
DOVER, DELAWARE 19901 Hundred
(302) 678-5314

1. NATURE OF COLLECTION: a. surface collection_ b. excavation

2. IF SURFACE COLLECTION, CONCENTRATIONS WITHIN SITE SHOULD BE COLLECTED AND INVEN-
TORIED SEPARATELY.

a. Assign letter designation to concentration
b. Describe location within site

3. IF EXCAVATED, SIGNIFICANT STRATIGRAPHIC UNITS SHOULD BE INVENTORIED SEPARATELY.

a. Give field or permanent catalogue designation
b. Describe unit

LOCATION OF COLLECTION:

5. CERAMICS (include sherd counts, where possible):
a. Chinese porcelain ( )

b. European porcelain ( )

c.

d.

Ironstone ( )

Whiteware ( )

Pearlware ( )

Creamware ( )

White salt-glazed stoneware ( )

Delft ( )

i. Rhenish stoneware ( )

j. Red-bodied earthenware ( )

k. Red-bodied slipware ( )

1.
m.

6. PIPES:

a. stem-hole diameters:

4/64" ( ); 5/64" ( ); 6/64" ( ); 7/64" ( ); 8/64" ( ); 9/64" ( )

b. describe or sketch marks, decoration, or any other significant feature:

7. DESCRIBE OR SKETCH OTHER TEMPORALLY OR FUNCTIONALLY SIGNIFICANT ARTIFACTS FOUND:

10/76-5C

Delaware-Structural Data Form
1. since 1978
2. a) yes
b) no
3. a) none
b) some
c) none
d) none
e) none
f) none
g) substantial
h) some
4. a) never
b) often
c) never
d) often
e) often
f) often
5. most
6. usually
7. usually
8. usually
9. usually
10. usually
11. no
12. no
13. a) no
b) yes
14. a) yes
b) Photographic material is needed separately since a
separate cataloging system for photographs keyed
to the survey number is used.
15. no
16. none
17. 1. The inclusion of a sketch map.
2. Subjective comments on context, associated tradi-
tions or stories, noteworthy features, and compari-
son with others in the area require some thought
from the surveyor.
3. Only black ink is used, making the forms easier to
microfiche.
18. Successfully completed forms and photographic ma-
terials are sufficient for deciding historic or architec-
tural significance. The forms provide a quick overview
of what's there and what needs greater attention.
19. Dean Nelson (302) 736-5685
20. a) yes
b) Architectural research on vernacular building forms

CULTURAL RESOURCE SURVEY
STRUCTURAL DATA FORM

DELAWARE BUREAU OF
ARCHAEOLOGY AND HISTORIC
PRESERVATION
HALL OF RECORDS
DOVER, DELAWARE 19901
(302) 678-5314

S

Form CRS-1
FOR OFFICE USE ONLY

CRS #
Quad
SPO map #
Hundred
DOCUMENT

1. ADDRESS OF STRUCTURE :

2. DESCRIBE THE STRUCTURE AS COMPLETELY AS POSSIBLE:

a) Overall shape
stories
bays
wings

b) Structural system

c) Foundation
materials
basement

d) Exterior walls
materials
colors)

e) Roof
shape; materials
cornice
dormers
chimney locations)

f) Windows
spacing
type
trim
shutters

g) Door
spacing
type
trim

h) Porches
locations)
materials
supports
trim

i) Interior detaift (if accessible)

I o o
I * *
I *
I *
I *
I *

SKETCH

20-06/78/08/14

* I
* *
* <
* *
* I
* I
* I
* I
* I
* *
* *
PLAN

USE BLACK INK ONLY

3. CONDITION:

remarks:

4. INTEGRITY: a

original site b) moved

if moved, when and from where

list major alterations and dates (if known)

DATE OF INITIAL CONSTRUCTION:

ARCHITECT/BUILDER:

7. RELATED OUTBUILDINGS:

a) barn __ b)

e) shed __ f)

i) icehouse _

describe:

carriage house c) garage d) privy

greenhouse __ g) shop h) gardens

j) springhouse___ k) other

8. BRIEFLY DISCUSS THE ORIGINAL AND SUBSEQUENT USES OF THE STRUCTURE. NOTE ANY
ASSOCIATIONS WITH HISTORIC EVENTS OR PERSONS:

9. Primary References: (include location of reference).

10. Surveyor:

Date of Form:

USE BLACK INK ONLY

good

deteriorated

CULTURAL RESOURCE SURVEY
LOCUS IDENTIFICATION FORM

DELAWARE BUREAU OF
ARCHAEOLOGY AND HISTORIC
PRESERVATION
HALL OF RECORDS
DOVER, DELAWARE 19901
(302) 678-5314

0

FOR OFFICE

CRS #
Quad
SPO map #
Hundred
DOCUMENT

FORM CRS-3

USE ONLY

20-06/78/04/7

1. NAME OF LOCUS:

2. STREET LOCATION:

3. OWNER'S NAME:

ADDRESS:

4. TYPE OF LOCUS: a) structure

d) other

5. SURROUND

a)

d)

6. THREATS

a)

e)

TEL. #

b) district c) archaeological site

)INGS OF LOCUS: (check more than one if necessary)

fallow field b) cultivated field c) woodland

scattered buildings e) densely built up f) other

TO LOCUS: (check more than one if necessary)

none known ___ b) zoning c) roads d) developers

deterioration __ f) other

7. REPRESENTATION ON OTHER SURVEYS:

TITLE:

TITLE:

TITLE:

8. YOUR NAME:

YOUR ADDRESS:

ORGANIZATION (if any)

USE BLACK INK ONLY

TEL. #

DATE:

8. SKETCH MAP

Please indicate position of locus in relation
to geographical landmarks such as streams and
roads.

9. COMMENTS:

Consider the following:

a) relationship to setting
b) associated traditions or stories
c) noteworthy features
d) comparison with others in area

INDICATE NORTH ON SKETCH USE BLACK iNK ONLY

T USE BLACK INK ONLY I

INDICATE NORTH ON SKETCH

District of Columbia
The D.C. State Historic Preservation office is currently
developing its first survey form. The form, which will
probably be ready in the fall of 1980, will be used for
surveys of historic/architectural resources as well as of
archaeological sites. Input into the development of the
form will be substantial from the SHPO staff. A federal
agency (the National Capital Planning Commission),
local government agencies, avocational organizations,
and other States' forms will provide some input.
Contact: Lucy Franklin (202) 724-8790.

Florida-Field Survey Form for
Archaeological Sites
1. since 1978
2. a) no
b) yes
3. a) substantial
b) none
c) none
d) none
e) none
f) none
g) substantial
h) none
4. a) often
b) occasionally
c) occasionally
d) never
e) never
f) occasionally
5. some
6. occasionally
7. never
8. occasionally
9. occasionally
10. never
11. Yes, after it is transferred to the Florida Master Site
File form.
12. yes
13. a) yes; the locations are retrievable in map form.
b) yes
14. a) yes
b) This form is used only as a field form and does
not contain sufficient data to complete the more
detailed Master Site File form.
15. yes
a) yes
b) none
c) Division of Archives, History and Records
Management
16. Less space is needed for the graph, because it is used
less than anticipated.
17. The form is on an 11 X 17 sheet of heavy paper
which is folded in half. This format is more conve-
nient for use in the field.
18. The form was designed to used only in the field, and
data must be transferred from this form to the
Florida Master Site File form.
19. Kathy Jones (904) 487-2333
20. a) yes

Survey Date:

FMSF Site No.

Site Name:
Location of Site:
Topographic Quadrangle Map:

FLORIDA MASTER SITE FILE
FIELD SURVEY FORM

Project Name

820= = Field Site No.

1009= =

Township Range Section /4 Sec. 1/4 1 Sec. 1/4 A Sec.

UTM Coordinates: Zone 891= =

Site Location Directions:

I I

Easting 892= =

II 812==

Northing 893= =

813= =

838= =

926= =

Site Type:

Description of Site:

Topographical Setting:

Local Vegetation

Soil Description

Site Description:

Site Dimensions

Depth of Deposit

Elevation of Site
Max. in Meters
Min. in Meters

Collection Strategy:

Subsurface Investigation:

824= = Max. in Feet
825= = Min. in Feet

980= =

906= =

830= =

809= =

935= =

833 =

837= =

924 = =
925= =

907= =

908= =

~

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S-H I-H-ti-it -1 +1-Ht--i

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I I I I

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4+,---

Artifacts Collected or Observed:

875= =

Cultural Classification: 840= =

Condition of Site:
863 =

Site Disturbances:
963 =

Source from which site is known: (922 = =)

-O Archival

O Map

O Informant

D Aerial Photo

D- Field Search

EI Other

Photographic Record Number: 860= =

Deposition of Artifacts:

Remarks or Recommendations:

835= =

National Register Eligibility:

Previous Research: (enter activity/title)

Degree of Site Destruction: (962 = =)

IO Relatively Undisturbed

L-I Minor

O Moderate

Form Completed By:

Recording Station:

lI Major

OI Totally Destroyed

804= =

Florida-Florida Master Site File Form for
Archaeological Sites
1. since November 1978
2. a) yes
b) no
3. a) none
b) some
c) substantial
d) none
e) none
f) none
g) substantial
h) substantial
4. a) often
b) often
c) often
d) often
e) often
f) often
5. most
6. usually
7. usually
8. usually
9. usually
10. usually
11. yes
12. yes
13. a) This is in the process of being done. Locations are
retrievable in map form.
b) yes
14. a) yes
b) A copy of the quad with the sites plotted is needed
since no space is allowed for a map on the form.
Photographs are also required because they are
often difficult to obtain for archaeological sites.
15. yes
a) yes
b) none
c) Division of Archives, History and Records
Management
16. A checklist format would facilitate computerization
of the data.
17. By providing information on physiographic zones,
soil, drainage, vegetation, environmental data,
sources of information, type of testing done, and
whether or not the site has been disturbed, the form
is a good research and planning tool.
18. This form may be used as the initial survey form.
All data recorded on the Field Survey Form must be
transferred to this form.
19. Kathy Jones (904) 487-2333

STA E OF FLORIDA
DEPARTMcNI OF STATE
Division of Archives. History
and Recoids Management
DS-HSP.-A Rev. 11.78

Site No.

Site Name

Other Name(s) for Site

Other Nos. for Site

Other Master Site File Nos. for Site

NR Classification Category

Address of Site

Instructions for locating site

FLORIDA MASTER
SITE FILE

1009= = County

0

813= =

Vicinity of
Location: 868 =
subdivision name block no. lot no.
Owner of Site:
Name
Address _902= =
Occupant, Tenant, or Manager:
Name
Address 904= =

Reporter (or local contact):
Name
Address 816= =
Recorder:
Name
Address 818= =

Survey Date 820= = Type Ownership 848= =

Name of Project (under which site was recorded)
980= =
Classification of Project: Check One
L] Federal 982= = LU State 982= = EL Local 982= = 3 County 982= =
Inventory Status 914= =

Previous Survey(s), Excavation(s) or Collection(s): (enter activityltitle of project or surveylnameldatelrepository)

839= =
Recording Station 804= =
Date of Visit to Site 828= = Recording Date 832= =

Photographic Record Numbers
860= =

FDAHRM

802= =

808= =

830= =

930= =

906= =

899= =

916= =

905= =

~~

Location of Site (Specific):
Map Reference (incl. scale & date)

809= =

Township Range Section 1/4 Sec. I 1/4 % Sec. /4 /4 /4 Sec.

812= =

LATITUDE AND LONGITUDE COORDINATES DEFINING A POLYGON LOCATING THE PROPERTY
LATITUDE LONGITUDE

Point Degrees Minutes Seconds
0 t 11

Degrees Minutes Seconds
o

LATITUDE AND LONGITUDE COORDINATES DEFINING THE CENTER OF A PROPERTY OF
LESS THAN TEN ACRES

800= =
Zone Easting Northing
UTM Perimeter:

890= =

UTM Coordinates: 891 = = 892= = 893= =
zone eating nothing

Condition of Site: Integrity of Site:
Check One Check One or More
O Excellent 863= = Deteriorated863 = = l Altered 858= = C Restored( XDate: X )858= =
E Good 863= = D Ruins 863= = F Unaltered 858= = Moved( (Date: ) )858= =
O Fair 863= = Unexposed 863= = O Destroyed 858= = 0 Original Site 858= =
l Redeposited863= =

Condition of Site (Remarks): ( )(

)( )863==

Threats to Site:
Check One or More
E Zoning( )( )( 878 = = Transportation( ) X )878= =
O Development( X) )(878== ] Fill( )( X )878= =
l Deterioration( ) )( )878== = Dredge( )( X )878==
0 Borrowing( ) )( )878= =
E Other(See Remarks Below): 878= =
Threats to Site (Remarks):

879= =

STATE OF FLORIDA
DEPARTMENT OF STATE
Division of Archives. History
and Records Management
DS-HSP.3C Rev. 9.78

Site No._

Site Name.

ARCHAEOLOGICAL SITE DATA SUPPLEMENT

Description of Site (cont.)

Landform or Physiographic Zone
814= =

Topographical Setting
926= =

Elevation:

Max. in meters: 824= = Min. in meters: 825= =
Max. in feet: 924= = Min. in feet: 925= =

Depth of Deposit: 837= =

Site Size (approx. acreage of property) 833= =

Site Size (est. in sq. meters) 934= =

Soil Association 836 =

Soil Series 948 =

Drainage

810= =

Water Source 831 =

Vegetation

834 =

Degree of Site Destruction:
O relatively undisturbed
E minor
O moderate

[] major 962 = =
L totally destroyed 962= =

962= =

Site Disturbances:
E tree disturbance
O wind erosion
[i pipeline
E other

963= = E borrow pit 963= =
963== = boat dock 963= =
963== E parking lot 963= =
963= =

L sand mining 963 =
r[ agricultural _963 =
] residential development 963= =

~---~-

--

838= =

Present Use (check one or more as appropriate)
O Agricultural 850= = E Government 850= = ED Park 850= = D Transportation 850= =
El Commercial 850 = = R Industrial 850= = D Private Residence 850= = Other (specify):
0 Educational 850= = l Military 850 = = O Religious 850= = 850= =
O Entertainment 850= = 0 Museum 850= = O Scientific 850= = 0 850= =

Visible Site Features

876==

Artifacts Collected or Observed

875= =

Specimens (Inventory Numbers) 870= =
Specimens (Present Repository of Materials)
880= =

Cultural Classification:

Culture/Phase 840= =

Developmental Stage 842= =

Probable Dates: Beginning 844= = Ending 846= =

Collection Strategy:
0 general 907= = ] controlled 907= = other 907 =
] selective 907= = unknown 907= =

Subsurface Investigation:
D shovel test 908 = = E test excavation 908 == = coring 908 =
O extensive excavation 908= = O augertest 908== = unknown 908= =
E other 908 = = none 908= =

Remarks and Recommendations

835= =

Accessible:

L yes: restricted

D yes: unrestricted

Status: l occupied

0 no

Original Use(s) of Site

El unoccupied

El work in progress

STATE OF FLORIDA
DEPARTMENT OF STATE
Division of Archives. History
and Records Management
DS-HSP-3CC Rev. 11-78

Site No.

Site Name

ARCHAEOLOGICAL SITE DATA SUPPLEMENT
Page 2
Major Bibliographic References

920 = =

Source from which site is known:

O Archival 922 = = O Aerial Photo 922 = =

O Map 922= = O Field Search 922= =

O Informant 922= = L Other 922= =

Period (check one or more as appropriate)
O Pre-Columbian 845= = O 16th Century 845= = E 18th Century 845= = El 20th Century 845= =
] 15th Century 845= = EO 17thCentury 845= = EO 19thCentury 845= =

Areas of Significance (check one or more as appropriate)
E Aboriginal 910= = E Community Planning 910= = l Landscape 0 Sculpture 910= =
El Archaeology O Conservation 910= = Architecture 910= = E SociallHumanitarian 910= =
Prehistoric 910= = Economics 910= = l Law 910= = ] Theater 910= =
E Archaeology Historic 910= = O Education 910= = E Literature 910== = Transportation 910= =
l Agriculture 910= = l Engineering 910= = E Military 910== Other (specify)
O Architecture 910 = = Exploration & E Music 910 = E= 910= =
E Art 910= = Settlement 910= = Philosophy 910= = O 910= =
E Commerce 910== O= Industry 910= = O PoliticslGovt. 910= = O 910= =
E Communications 910= = O Invention 910= = O Religion 910 = = 910= =
O Science 910== = 910= =

Description (Evidence):

862= =
Present & Original Physical Appearance (use continuation sheet if necessary)

935= =

Statement of Significance:

911 ==

Site No.
Site Name

STATE OF FLORIDA
DEPARTMENT OF STATE
Division of Archives, History
and Records Management
DS.HSP-3E 9-4

CONTINUATION SHEET

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