NRCS, Utah - USDA



NRCS, Utah

Cultural Resource Site Form Worksheet

(Complete 1 form for each site found)

1. Site Type:

(If other describe)      

2. Site Number:      

3. Legal Description: (ie: SW1/4 of NE1/4 of Sec #)

Section       Township       Range      

4. UTM:       Meters East       Meters North

5. Elevation:      

6. Class:

7. Location and Access:      

8. Site Description:      

9. Condition of Site: Pristine Impacted

If impacted check appropriate agents(s)

Grazed Eroded Mechanical disturbance Vandalized

Other (describe)      

10. Distance to Permanent Water:       ft

Type of Water Source: Spring/Seep Stream/River Lake/Pond Other

Name of Water Source:      

11. Description of Soil:      

12. List of Vegetation:      

CULTURAL RESOURCES NOTED:

13. Artifact Density: 0 l0s 100s 1,000s 10,000s

14. Prehistoric Artifacts

Chipped Stone Artifacts Ground Stone Artifacts

Ceramic Artifacts Other (list types)      

15. Prehistoric Ceramic Types (check all that apply)

Black on White Black on Red Polychrome

Corruqated Plain Gray Plain Brown

Other (list types)      

16. Historic Artifacts (check all that apply)

Purple Glass Solder Seal Cans Square Nails

Other metal Historic Ceramics Other glass

Other (list types)      

17. Prehistoric Features (check all that apply, give number)

Surface structures (roomblocks, rubble mounds, foundations, etc)

Sub-surface structures (pithouse depressions)

Thermal features (stained soils, hearths, fire cracked rock, etc)

Rock art (petroglyphs, pictographs)

Burials (HUMAN skeletal remains)

Middens/trash mounds (very DENSE artifact concentrations)

Other (describe)      

18. Historic Features (check all that apply; give number)

Habitation structures (houses, foundations, dugouts, etc)

Other structures (barns, corrals, outbuildings, etc)

Cemetery/graves (marked or unmarked)

Dump (DENSE historic artifact concentration)

Mine related features (shafts, ore transport/processing, tailings, etc)

Transportation related (roads, trails, railroad related, stage coach, etc)

Water distribution/control (acequias, check dams, tanks, terraces, etc)

Other (describe)      

19. Estimated Depth of Fill: Surface Unknown Depth =      

20. Site Size (Length x Width)       x       (Units: ie, ft, meters, etc.)

21. Additional Remarks:      

* ATTACH A SKETCH MAP OF THE SITE, WITH NORTH ARROW, SCALE, AND DATE

* ATTACH A COPY OF 7.5’ USGS QUAD MAP WITH ACTUAL SURVEYED AREA AND SITE BOUNDARIES PLOTTED. SITES MUST BE CLEARLY LABELLED WITH SITE NUMBER. ALSO INCLUDE NORTH ARROW, MAP NAME, AND DATE.

* ATTACH AT LEAST 2 PHOTOS OF THE SITE. ONE OF THE PHOTOS SHOULD BE AN OVERVIEW SHOT OF THE SITE.

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