MPMS: _________
County: ___________
SR:_______
Sect: _______
Section 106 under FEMA
Field Assessments and
Recommendations for Emergency
Projects
MPMS:
ER# :
County:
SR:
Municipality:
Name of Project:
USGS Quad:
Field View Date:
Combined Early Notification/Finding?
Yes
No
Funding Source/Lead Agency: FEMA
Section:
Attached:
Yes
No
I.
Project Description (describe project activities or note attachment): Attached:
II.
Area of Potential Effect (describe dimensions of APE, land use, and type and % of disturbance,
if present): See Individual Archaeology Attachment A or Above-Ground Attachment B
III.
PennDOT Effect Recommendation
Yes
No
Project Effects (include Attachments A and B)
Archaeological Effects – Partial (include Attachment A)
Above-ground Resources Effects – Partial (include Attachment B)
Archaeology:
No Archaeological Properties
Affected
No Adverse Effect
Adverse Effect
IV.
Above Ground:
No Historic Properties Affected
No Adverse Effect
Project Effects:
No Historic Properties
Affected
No Adverse Effect
Signatures:
District Archaeologist:
Date:
District Architectural Historian:
Date:
MPMS: ________
County: ______________
SR: _____
Section: ______
Archaeology Attachment - A
II.
Area of Potential Effect (describe dimensions of APE, land use, and type and % of disturbance,
if present):
A.
Background Research Sources Checked:
 CRGIS/PASS Files (list Known Archaeological Sites below)
 Historic Maps (list):
 USGS County Soils Map(s) (list soils in APE)
 Stream Order (if stream present):
 Other (list):
Known Archaeological Sites:
(list PASS number and National Register determination (if known). Do not release site locations to the public)
1.
2.
3.
4.
B.
Consultation with Federally Recognized Tribes & Nations, Consulting Parties and the Public (list
Tribes/Nations contacted, if applicable. Explain efforts to identify consulting parties and involve the
public, commensurate with the nature and effect of project activities):
C.
Archaeological potential (explain probability and likely location(s) for sites based on the
background research, field view, and consultation):
A) Historic:
B) Pre-Contact:
D.
National Register Eligibility Determination (if site(s) identified in APE):
Site Name(s) & Number(s):
Not eligible
Eligible
Undetermined
PHMC Concurrence
Field Assessment and Finding – Emergency Projects under FEMA- Archaeology Attachment A
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E.
Archaeology Recommendation:
No Archaeological Properties Affected
No Archaeological Properties Present
Archaeological Properties Present but Not Affected
No Adverse Effect
Site protected with geotextile and fill during construction
Site protected with fencing or other barrier during construction
Explain:
F.
Attachments:
PHMC Negative Survey Form
PHMC Record of Disturbance Form
Geomorphology Report
Archaeology Sensitivity Report (Phase IA)
Archaeology Identification (Phase I) Report
Archaeology Identification and Evaluation (Phase I & II) Report
Other (List):

G.
Additional Information:
(Include information such as consultation with PHMC [when applicable], efforts to identify consulting parties,
& efforts to involve the public to date and anticipated activities, efforts to avoid/minimize effects)
Field Assessment and Finding – Emergency Projects under FEMA- Archaeology Attachment A
Page 3
MPMS: ________
County: ______________
SR: _____
Section: _____
Above-Ground Resources Attachment - B
II.
Area of Potential Effect (describe dimensions of APE, land use, and type and % of disturbance,
if present):
A.
Background Research Sources Checked:
 CRGIS/PHRS/National Register Files (list previously evaluated properties below
noting eligibility determination or date of NR listing)
 Historic Maps (list):
 Local Historic Society or Library (name):
 State Archives
 Historic Bridge Inventory
 Other (list):
Previously Recorded and Evaluated Resources:
(Name and address (or location) of resource, PHMC Key No. and determination)
1.
2.
3.
(If additional space is required, please use the Other Comments section at the end of this form.)
B.
Historic Resource Survey Forms Completed (if applicable) -
1. Property Name & Address (or Location):
PHMC Concurrence
Not Eligible
Eligible
2. Property Name & Address (or Location):
PHMC Concurrence
Not Eligible
Eligible
3. Property Name & Address (or Location):
PHMC Concurrence
Not Eligible
Eligible
Field Assessment and Finding – Emergency Projects under FEMA - Above-Ground Resources Attachment - B
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MPMS: ________
C.
County: ______________
SR: _____
Section: _____
Above Ground Recommendation:
No Historic Properties Affected
No Historic Properties Present
Historic Properties Present but Not Affected
No Adverse Effect
Adverse Effect
Basis for Recommendation:
D.
Attachments:
Historic Resource Survey Form(s) (full or short forms) 
Identification and Evaluation Report
Feasibility Analysis/Preliminary Case Study (typically for bridges)
Determination of Effect Tables
Determination of Effect Report
Other (list)

E.
Additional Information:
(Include information such as consultation with PHMC [when applicable], efforts to identify consulting parties,
& efforts to involve the public to date and anticipated activities, efforts to avoid/minimize effects)
Field Assessment and Finding – Emergency Projects under FEMA - Above-Ground Resources Attachment - B
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