NEW HAMPSHIRE ARCHAEOLOGICAL INVENTORY FORM Site …



I identificationA. Site # 27 - FORMTEXT ????? - FORMTEXT ????? B. Site Name FORMTEXT ?????C. NHAS Site # NH - FORMTEXT ??? - FORMTEXT ???? D. Temp. Site # FORMTEXT ?????E. Version of form FORMCHECKBOX New FORMCHECKBOX Revised FORMCHECKBOX TranscribedF. Type of form FORMCHECKBOX Minimal Documentation FORMCHECKBOX Intensive DocumentationIILOCATION A. County FORMDROPDOWN B. City/Town FORMTEXT ????? C. USGS Quadrangle FORMTEXT ????? D. Quad Date FORMTEXT ???? E. USGS Map Series FORMCHECKBOX 7.5’ FORMCHECKBOX 15’ FORMCHECKBOX 1/25,000 FORMCHECKBOX OtherF. UTM Zone FORMDROPDOWN G. Easting FORMTEXT ????? H. Northing FORMTEXT ????? NH State Plane, feet Easting FORMTEXT ????? Northing FORMTEXT ????? I. USGS Datum FORMCHECKBOX WGS 84 (preferred) FORMCHECKBOX NAD 27 FORMCHECKBOX NAD 83IIIownershipA. Status (Select as many as appropriate) FORMCHECKBOX Private (Single) FORMCHECKBOX Private (Multiple) FORMCHECKBOX Local Government FORMCHECKBOX State Government FORMCHECKBOX Federal Government FORMCHECKBOX Non-Profit FORMCHECKBOX Unknown FORMCHECKBOX Other (Specify): FORMTEXT ?????B. Name of Owner(s) FORMTEXT ????? Street Address FORMTEXT ????? City/Town, State, Zip FORMTEXT ?????IVREPORTING INFORMATIONA. Name of Form Preparer(s) FORMTEXT ?????B. Institutional Affiliation/Employer FORMTEXT ?????C. Sponsor FORMTEXT ?????D. Date Surveyed FORMTEXT ?????E. Date Form Prepared FORMTEXT ?????F. Investigative Type (Select One) FORMCHECKBOX CRM contract FORMCHECKBOX Sponsored research FORMCHECKBOX Private research FORMCHECKBOX Volunteered data FORMCHECKBOX Other (Specify) FORMTEXT ?????G. Investigative Techniques (Select as many as appropriate) FORMCHECKBOX Oral history FORMCHECKBOX Documentary FORMCHECKBOX Collection analysis FORMCHECKBOX Non-recovery survey FORMCHECKBOX Aerial photography FORMCHECKBOX Map interpretation FORMCHECKBOX Mapping FORMCHECKBOX Arbitrary surface col. FORMCHECKBOX Controlled surface collection FORMCHECKBOX Auger / Soil core FORMCHECKBOX Shovel test FORMCHECKBOX Test pit excavation FORMCHECKBOX heavy equipment FORMCHECKBOX Block excavation FORMCHECKBOX Remote sensing FORMCHECKBOX Other (Specify) FORMTEXT ?????H. Bibliographic Citation FORMTEXT ?????V CULTURAL TEMPORAL AFFILIATIONSA.Eras Represented FORMCHECKBOX Pre-Contact FORMCHECKBOX Post-ContactB.Cultures Represented FORMCHECKBOX Native American Indian FORMCHECKBOX Euro-American FORMCHECKBOX UnknownVIPRE-CONTACT ERA SITE DATAA. Pre-Contact Periods (Select as many as appropriate) FORMCHECKBOX Paleoindian FORMCHECKBOX Indeterminate Archaic FORMCHECKBOX Early Archaic FORMCHECKBOX Middle Archaic FORMCHECKBOX Late Archaic FORMCHECKBOX Indeterminate Woodland FORMCHECKBOX Early Woodland FORMCHECKBOX Middle Woodland FORMCHECKBOX Late Woodland FORMCHECKBOX Late Pre-Contact FORMCHECKBOX Unknown Pre-Contact B. Basis for Assignment of Pre-Contact Periods (Select as many as appropriate) FORMCHECKBOX Diagnostic artifacts FORMCHECKBOX Diagnostic features FORMCHECKBOX C14 dating FORMCHECKBOX Other radiometric FORMCHECKBOX Other (Specify): FORMTEXT ?????C. Pre-Contact Site Type(s) (Select as many as appropriate) FORMCHECKBOX Open habitation (Undiff) FORMCHECKBOX Habitation / Village FORMCHECKBOX Habitation / Campsite FORMCHECKBOX Rockshelter / Cave FORMCHECKBOX Quarry FORMCHECKBOX Workshop FORMCHECKBOX Fishing station FORMCHECKBOX Ceremonial (Undiff) FORMCHECKBOX Cemetery FORMCHECKBOX Rock art FORMCHECKBOX Unknown FORMCHECKBOX Other (Specify): FORMTEXT ?????D. Pre-Contact Material Present at Site FORMCHECKBOX Continued on continuation sheet FORMCHECKBOX Collected FORMCHECKBOX Observed on site FORMCHECKBOX Observed in prior collectionArtifact category / Artifact type / Quantity: FORMTEXT ????? VIIPOST-CONTACT ERA SITE DATAA. Post-Contact Period of Occupation FORMCHECKBOX IndeterminateB. Beginning date FORMTEXT ????? FORMCHECKBOX Exact FORMCHECKBOX Estimated Ending date FORMTEXT ????? FORMCHECKBOX Exact FORMCHECKBOX Estimated C. Basis for Assignment of Post-Contact Dates FORMCHECKBOX Diagnostic artifacts FORMCHECKBOX Diagnostic features FORMCHECKBOX Architectural FORMCHECKBOX Oral tradition FORMCHECKBOX Map interpretation FORMCHECKBOX Documentary FORMCHECKBOX Other (Specify): FORMTEXT ?????D. Post-Contact Site Type (select as many as appropriate) FORMCHECKBOX Residential FORMCHECKBOX Agricultural FORMCHECKBOX Commercial FORMCHECKBOX Crafts production FORMCHECKBOX Industrial FORMCHECKBOX Cemetery FORMCHECKBOX Education FORMCHECKBOX Governmental FORMCHECKBOX Religious FORMCHECKBOX Transportation FORMCHECKBOX Recreational FORMCHECKBOX Military FORMCHECKBOX Social FORMCHECKBOX Health care FORMCHECKBOX Shipwreck FORMCHECKBOX Other (Specify): FORMTEXT ?????E. Post-Contact Material Present at Site FORMCHECKBOX Continued on continuation sheet FORMCHECKBOX Collected FORMCHECKBOX Observed on site FORMCHECKBOX Observed in prior collectionArtifact category / Artifact type / Quantity: FORMTEXT ????? VIIIPHYSICAL DESCRIPTIONA. Current Conditions (Select as many as appropriate) FORMCHECKBOX Exposed bedrock FORMCHECKBOX Agricultural field FORMCHECKBOX Other open area FORMCHECKBOX Scrub vegetation FORMCHECKBOX Forested FORMCHECKBOX Urbanized FORMCHECKBOX Suburbanized FORMCHECKBOX Industrial / commercial FORMCHECKBOX Submerged FORMCHECKBOX Unknown / unrecorded FORMCHECKBOX Other (Specify): FORMTEXT ?????B. Vegetation at time of survey (type and % ground cover) FORMTEXT ????? C. Predominant Aspects of Disturbance (Select as many as appropriate) FORMCHECKBOX None apparent FORMCHECKBOX Agricultural field FORMCHECKBOX Construction FORMCHECKBOX Transportation FORMCHECKBOX Mining / quarrying FORMCHECKBOX Erosion FORMCHECKBOX Vandalism FORMCHECKBOX Archaeological excavation FORMCHECKBOX Timbering FORMCHECKBOX Unknown / unrecorded FORMCHECKBOX Other (Specify): FORMTEXT ?????D.Site Size (Square meters) FORMTEXT ?????E.Site Elevation (Feet AMSL at center point) FORMTEXT ?????F. Major Drainage System FORMCHECKBOX Connecticut FORMCHECKBOX Merrimack FORMCHECKBOX Androscoggin FORMCHECKBOX Coastal FORMCHECKBOX SacoG. Minor Drainage System (Principal tributary to Major Drainage, if appropriate) FORMTEXT ?????H.Closest Source of Fresh Water (Select only one) FORMCHECKBOX Permanent stream FORMCHECKBOX Ephemeral stream FORMCHECKBOX Spring FORMCHECKBOX Swamp bog FORMCHECKBOX Lake / pond FORMCHECKBOX Slough / oxbow lake FORMCHECKBOX Artificial pond FORMCHECKBOX Artificial ditch / canal FORMCHECKBOX Unknown / unrecorded FORMCHECKBOX Other (Specify): FORMTEXT ?????I. Vertical Distance above Closest Water (meters) FORMTEXT ?????J. Horizontal Distance from Closest Water (meters) FORMTEXT ?????K.Down Slope Direction (Select only one) FORMCHECKBOX N FORMCHECKBOX NE FORMCHECKBOX E FORMCHECKBOX SE FORMCHECKBOX S FORMCHECKBOX SW FORMCHECKBOX W FORMCHECKBOX NW FORMCHECKBOX All FORMCHECKBOX Flat FORMCHECKBOX Unknown / unrecordedL. Soil Association FORMTEXT ?????M. Soil Series / Phase & Complex FORMTEXT ?????N. Soils Reference FORMTEXT ?????IXSPECIAL STATUS LAND USEA.Special Use Categories (Select as many as appropriate) FORMCHECKBOX None FORMCHECKBOX Wilderness Area FORMCHECKBOX Wildlife Preserve FORMCHECKBOX Nature Preserve FORMCHECKBOX Public Park FORMCHECKBOX Scenic River FORMCHECKBOX Military Land FORMCHECKBOX Archaeological Preserve FORMCHECKBOX State Forest FORMCHECKBOX Federal Forest FORMCHECKBOX Historic District FORMCHECKBOX Current Use (Historic) FORMCHECKBOX Current Use (Other) FORMCHECKBOX Other (Specify): FORMTEXT ?????XAPPLICABLE HISTORIC CONTEXT(S)A. Principal Context FORMTEXT ?????B. Secondary Context FORMTEXT ?????C. Secondary Context FORMTEXT ?????D. Secondary Context FORMTEXT ?????XIMAPS & PHOTOGRAPHSA.Attach a USGS topographic map (or non photo-reduced copy) of the site area with the site location clearly marked.B.Attach sketch map or copy of project map (include north arrow, scale, site boundaries and total area surveyed.C. Attach photographs of site (if available). Digital Photographs are acceptable. All photographs must be clear, crisp and focused.XIISITE DESCRIPTIONA.Narrative description of site setting, nature of finds, distribution of the archaeological materials, with reference to other sites in the vicinity, and directions on how to get to the site (use continuation sheet if necessary). FORMTEXT ?????XIIIRESEARCH POTENTIAL, OTHER VALUES & RECOMMENDATIONS (Complete for minimal documentation forms)Narrative description of the research which may be proposed for the site, any additional aspects of the site which may make it important such as presence of unusual ecological factors, and recommendations for additional research, especially if the site is endangered (use continuation sheet if necessary). FORMTEXT ?????XIVASSESSMENT OF SIGNIFICANCE(complete for intensive level forms)A.Narrative discussion of the significance of the site and its research potential (use continuation sheet if necessary). FORMTEXT ?????XVSURVEYOR’S EVALUATIONNR listed: FORMCHECKBOX individualNR Criteria: FORMCHECKBOX ANR eligible: FORMCHECKBOX within a district FORMCHECKBOX B FORMCHECKBOX individually FORMCHECKBOX C FORMCHECKBOX within districtIntegrity: FORMCHECKBOX yes FORMCHECKBOX D FORMCHECKBOX not eligible FORMCHECKBOX no FORMCHECKBOX more information needed36 CFR 61 SURVEYOR FORMTEXT ????? DATE FORMTEXT ?????OTHER SURVEYOR FORMTEXT ????? DATE FORMTEXT ????? SHPO USE ONLY:Reviewed for Determination of Eligibility (date) ____ / ____ / ____Entered in database ____ / ____ / ____ Plotted _____/_____/_____ By _________________ ................
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