FS Site No:
District:
ARCHAEOLOGICAL SURVEY OF MISSOURI
Missouri Archaeological Society -- University of Missouri-Columbia
1. County:
2. ASM Site Number:
3. Local Name/Number:
4. 1/4 Secs:
5. Sec.:
6. T:
7. R:
8. 1/4 Secs:
9. Sec.:
10. T:
11. R:
12. USGS:
13. County Map:
14. Other Map:
15. Cultural Affiliation:
16. UTM Zone:
17. Northing:
18. Easting:
19. NRHP: Not Evaluated
20. Size of Site:
22. Owners Name/Address: US Forest Service, Mark Twain National Forest
23. Tenants Name/Address: Not Applicable
24. Information Current As Of:
25. Site Description:
26. Information Supplied By:
Date:
27. Affiliation of Reporter: 4, Non-educational Institution
ASM File Search Number:
21. Site Area:
FS No.
ASM No.
28. Condition of Site:
29. Site Nature--General:
1-Prehistoric
___2-Historic
___3-Protohistoric
___4-Prehistoric/Protohistoric
___5- Historic/Protohistoric
___6-Prehistoric/Proto/Historic
___7-Historic/Architectural
___8-Other:
30. Site Nature--Specific:
___1-Habitation/Prehistoric
___2-Mounds
___3-Burial Area
___4-Petroglyph/Pictograph
___5-Quarry
___6-Cave/Shelter
___7-Cairn
8-Trail/Trace/Road
___9-Other:
___10-Residence/Farmstead
___11-Industrial
12-Military
___13-Residence/Farm Outbuilding
___14-Political/Governmental
___15-Church
16-School
31. Water Source:
___1-Spring
___2-Intermittent Stream
___3-Perennial Stream
___4-River
___5-Confluence of Water Courses
6-Natural Lake
___7-Swamp/Bog
___8-Other:
32. Topographical Location:
___1-Flood Plain (T-0)
___2-Stream Terrace (T-1)
___3-Stream Terrace (T-2)
___4-Slope
___9-Prehistoric/Historic
___17-Lithic Debris Scatter
18-Lithic Tool/Debris Scatter
19-Cultural Material Scatter
___5-Bluff
___6-Hilltop/Ridgetop
___7-Other:
33. Material Reported:
___1-Prehistoric
___2- Historic
34. Is there a collection:
35. Repository (1):
36. Repository (2):
___Yes
___3-Both
___4-
___No
37. How was the site discovered:
38. Contour Elevation:
39. Nearest Water - Name:
40. Distance:
42. Spring Nearby - Name:
43. Distance:
ft/MSL
41. Right or Left Bank (looking downstream):
FS. No.
A SM No.
44. Remote Sensing/Sampling Techniques:
45. Geomorphology/Land Forms/Soils:
46. Land Status:
___1- Cultivated
___2-Pasturage
___3-Wooded
___4-Flooded
47. Land Use Comments:
48. Site Significance/NRHP Eligibility: Not Evaluated
49. Literature Sources (Include CRM reports that pertain to this site):
50. Description of Cultural Features:
51. Faunal/Floral Remains:
52. Drawings/Photos/Descriptions of Artifacts:
53. Sketch Map: Sketch map is attached.
54. Topographic Map: Topographic map is attached.
___5-Developed
___6-Other: