ARKANSAS ARCHEOLOGICAL SURVEY SITE SURVEY FORM [ ]Supplement Date S.S. No. Assigned: Date S.S. No. Reassigned: State Site No.: Project/Reporter's Site No.: Site Name(s): County: Site Visited By (name/address): Date: Info Provided By (name/address): Form Filled Out By: Date: Project Name: Project No.: LOCATION Section(s) Sec NAD _______________ Twnshp Range UTM Zone Easting Northing Instructions for Reaching Site (optional): USGS Quad (name, date, series): Owner (name/address): Tenant (name/address): ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Prehistoric Contact Historic Historic Unknown ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Single Artifact Bluff Shelter Structure Artifact Scatter Rock Art Archival 100 sq m Lithic Quarry/Extraction Midden > 100 sq m Artifacts Exposed only in Shovel Test/Test Excavation > 1000 sq m Artifacts Exposed in Highly Restricted Eroded Area Mound/Mound Group Other: Cultural Affiliation(s): Archeological Phase Assignment(s): 5/93 Update 10/2014 1 AAS SITE SURVEY FORM State Site No.: Project/Reporter's Site No.: Site Description Narrative (Field Observations): Specific Topographic Setting: Soil Characteristics: Water Sources (types and distances): Site Dimensions: Complete ____ Total Sq M Incomplete __ ___ Meters X __ ___ Meters Unknown How Determined: 2 AAS SITE SURVEY FORM [ ] Supplement State Site No.: Project/Reporter's Site No.: SITE DISTURBANCES HISTORIC STRUCTURES Natural Causes Primary (#) Scientific Excavation Standing - Abandoned (#) Nonscientific Excavation Standing - In Use (#) Extensively Surface Collected Fallen - Foundation Only Construction Road/Highway Drainage Improvement/Channelization Agriculture Service (#) Clear Cut Standing - Abandoned (#) Land Leveled/Graded Standing - In Use (#) Periodically Inundated Fallen - Foundation Only Indefinitely Inundated Buried Site Redeposited Site (type of structure) Unknown Other: Chimney Well Other Historic Structural Features DEGREE OF SITE DESTRUCTION Relatively Undisturbed Minor Moderate No Extant Structure Major Archival Totally Destroyed Vegatative Unknown Artifactual/Other VEGETATION COVER HISTORIC SITE FUNCTION Cultivated Domestic Plowed Commercial Harvested Manufacturing Pasture Craft Lawn Commercial Lawn Industrial m Wooded Military Swamp Transportation Orchard Cemetery No Vegetation Religious Other Other Unknown Unknown ESTIMATE OF GROUND VISIBILITY Poor (0-25%) Good (51-75%) Fair (26-50%) Excellent (76-100%) FACTORS AFFECTING ARTIFACT VISIBILITY: COMMENTS (e g method, field collection time, nature of deposit, depth): 3 State Site No.: Project/Reporter's Site No.: SITE MATERIAL OBSERVATIONS P/CH ADDITIONAL ARTIFACT DESCRIPTIONS H Lithics Ceramics Metal Human Skeletal Remains Shell Faunal Remains Floral Remains Other Perishables Building Materials Glass Other Materials COLLECTION METHOD . . . . NO COLLECTION MADE SURFACE ACCESSION # SUBSURFACE ACCESSION # Select Select Controlled Controlled General (100%) General (100%) ON SITE SUBSURFACE INVESTIGATIONS RECORDS Shovel Test Coring Excavation Level Forms Test Excavation Metal Detector Feature Forms Test Excavation for NR Eligibility None Catalog Forms/Records Extensive Excavation Other Field Notes Auger Test Burial/Skeletal Records Oversize Site Maps Profile Drawings B/W Negative Numbers: Slide Numbers: Limited Distribution Reports: Published References: Archival Sources Indicating Site Information [ ] General Land Office Maps/Records [ ] Archival Maps: Date: Date(s): [ ] Other Archival Sources: Date(s): Additional Comments on Artifacts, Site Description, and Recommendations (use additional page if necessary): 4