SITE NAME__________________________________________________________SITE NUMBER_________________

CULTURAL PERIOD(S)______________________________________________________________________________

TYPE OF SITE_____________________________PUBLISHED REFERENCES__________________________________

_________________________________________________________________________________________________

COUNTY__________________________TWP.____________________NEAREST TOWN_________________________

OWNER________________________________________ADDRESS___________________________________________

TENANT_______________________________________ADDRESS___________________________________________

MAP REFERENCE: MEASURE IN CENTIMETERS FROM THE BOTTOM PRINTED EDGE UPWARD, AND THE RIGHT PRINTED EDGE ACROSS

7.5 QUAD NAME__________________________________EDITION____________UP____________ACROSS_________

U.T.M.COORDINATES: ZONE___________NORTHING______________________EASTING_______________________

PHYSIOGRAPHIC PROVINCE________________________________________MAP ELEVATION___________________

TOPOGRAPHIC SETTING______________________________________________________________________________

___________________________________________________________________________________________________

SLOPE DIRECTION AND DEGREE____________________________________CULTIVATION_____________________

SOIL TYPE___________________________________________________________________________________________

BEDROCK___________________________________________________________________________________________

IMMEDIATE VEGETATION___________________________PRIMARY DRAINAGE______________________________

NEAREST WATER_____________________________________________________________________________________

2ND NEAREST WATER_________________________________________________________________________________

TESTED (X)___________EXCAVATED___________BY______________________________________________________

STRATIFIED (X) YES________NO________UNKNOWN________DEPTH OF STRATA____________________________

FEATURES___________________________________________________________________________________________

COLLECTION LOCATIONS____________________________________________________________________________

INFORMANTS________________________________________________________________________________________

CRITERIA FOR NATIONAL REGISTER INCLUSION________________________________________________________

POSSIBILITY OF DESTRUCTION________________________________________________________________________

SUBMITTED BY______________________________________ADDRESS_______________________________________

CITY________________________________________________STATE____________________DATE_________________

S.P.A. CHAPTER AFFILIATION_________________________________________________________________________

P.A.S.S. REMARKS




SKETCH MAP OF SITE (WITH SOME POINT OF REFERENCE: HOUSE, ROAD, ETC., WHICK CAN BE RELATED TO
THE 7.5 MIN, U.S.G.S. MAP, INCLUDING A SCALE AND APPROXIMATE ACREAGE).

NUMBER OF SQUARE FEET__________________________________________________________________________

LIST SPECIFIC CULTUAL COMPONENTS AND THEIR PRIMARY IDENTIFYING ARTIFACTS.

SKETCHES (WITH SCALE) OF MAJOR OR REPRESENTATIVE PROJECTILE POINT SHAPES.

LITHIC MATERIAL BY PERCENTAGE.