COLORADO CULTURAL RESOURCE SURVEY OAHP1401 Prehistoric Archaeological Component Form Rev. 11/10 Use this form in conjunction with the Management Data Form. One of these forms should be completed for each cultural resource with a prehistoric component. 1. Resource Number: 2. Temporary Resource Number: 3. Site Type: 4. General Component Description: 5. Non-Architectural Prehistoric Features (note dimensions in centimeters or meters) Map Reference Description Construction Material Dimensions 6. Architectural Prehistoric Features (note dimensions in centimeters or meters) Map Reference Description Construction Material Dimensions 7. Artifact classes (flake, uniface, mano, scraper, etc.) Page 1 of 2 Prehistoric Archaeological Component Form Resource Number: Temporary Resource Number: Description Material Quantity The above artifact quantities reflect (check one) total quantity of artifacts observed at the site only those artifacts that were collected extrapolated quantities based on a sample of the remains other, specify: 8. Chronology (List all prehistoric components present. Attach continuation sheet if necessary) A. Cultural Affiliation: Date: Dating Criteria: B. Cultural Affiliation: Date: Dating Criteria: 9. Depth of Cultural Deposits: Based on: cutbank auger shovel/trowel test road cut Other, explain: 10. Activities inferred from the remains: 11. Is this site likely to yield information important in prehistory? Yes No Unknown If yes or unknown, describe below. Identify research domains and supporting data. Potential Within Describe a. Subsurface deposits within a feature b. Subsurface deposits outside a feature c. Midden d. Other 12. Recorder(s): Date: History Colorado - Archaeology & Historic Preservation 1200 Broadway, Denver, CO 80203 303-866-3395 Page 2 of 2