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COLORADO CULTURAL RESOURCE SURVEY OAHP1400 Management Data Form Rev. 11/10 A Management Data Form should be completed for each cultural resource recorded during an archaeological survey. Isolated finds and revisits are the exception and they do not require a Management Data Form. Please attach the appropriate component forms and use continuation pages if necessary. Fields can be expanded or compressed as necessary. 1. Resource Number: 5RT3256 3. Attachments (check as many as apply) S Prehistoric Archaeological Component ❑ Historic Archaeological Component ❑ Historic Architectural Component Form ❑ Linear Component Sketch/instrument Map (required) U.S.G.S. Map Photocopy (required) Photograph(s) (required) ❑ Other, specify: 1. IDENTIFICATION 5. Resource Name: N/A 2. Temporary Resource Number: MM7300 4. Official determination (OAHP use only) ❑ Determined Eligible NR\SR ❑ Determined Not Eligible NR\SR ❑ Nominated ❑ Need Data NR\SR ❑ Contributing to NR Dist.\SR Dist. ❑ Not Contributing to NR Dist.\SR Dist. ❑ Supports overall linear eligibility NR\SR ❑ Does not support overall linear eligibility NR\SR 6. Project Name/Number: Twentymile Coal Company: Class III Cultural Resource Inventory of Two Water Monitoring Wells, Routt County, Colorado 7. Government Involvement: ❑ Local ❑ State ❑Federal Agency: Office of Archaeology and Historic Preservation (OAHP) and Division of Reclamation, Mining, and Safety (DRMS) 8. Site Categories (check as many as apply): Prehistoric: ED archaeological site ❑ paleontological site ❑ In existing National Register District National Register District name: Historic: ❑ archaeology site ❑ building(s) ❑structure(s) ❑ object(s) ❑ in existing National Register District National Register District name: 9. Owner(s) Name and Address: State of Colorado 10. Boundary Description and Justification: Site boundary determined by extent of artifact distribution 11. Site/Property Dimensions Length: 160m SW NE Width: 130m Area: 16320 M2 Acres (m2/4047): 4 SE-NW Area was calculated as: ❑ Length x Width (rectangle/square) Length x Width x 0.785 (Ellipse) Z GIS 11. LOCATION 12. Legal Location PM 6th Township 5N Range 86W Section 7 SE NW If section is irregular, explain alignment method: NW corner west line 13. USGS Quad: Milner, CO (1973) 14. County: Routt 15. UTM Coordinates: Datum used ❑ NAD 27 0 NAD 83 ❑ WGS 84 Other: A. Zone 13; 323480 mE 4474827 mN at site datum 16. UTM Source: ED Corrected GPS/rectified survey (<5m error) ❑ Uncorrected GPS ❑ Map template Other (explain): 17. Site elevation (feet): 6860 ft a.s.l. (Page 1 of 10)