PENNSYLVANIA ARCHAEOLOGICAL SITE SURVEY
PENNSYLVANIA HISTORICAL AND MUSEUM COMMISSION

SITE NAME_____________________________________SITE NUMBER________________

CULTURALPERIOD(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.