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(Page 1 of 5) <br />COLORADO CULTURAL RESOURCE SURVEY OAHP1400 <br />Management Data Form Rev. 11/10 <br />A Management Data Form should be completed for each cultural resource recorded during an archaeological survey. <br />Isolated finds and revisits are the exception and they do not require a Management Data Form. Please attach the <br />appropriate component forms and use continuation pages if necessary. Fields can be expanded or compressed as <br />necessary. <br />1.Resource Number:2.Temporary Resource Number:MK-1-082317 <br />3.Attachments (check as many as apply)4.Official determination (OAHP use only) <br />Prehistoric Archaeological Component Determined Eligible NR\SR <br />Historic Archaeological Component Determined Not Eligible NR\SR <br />Linear Component Nominated <br />Sketch/Instrument Map (required)Need Data NR\SR <br />U.S.G.S. Map Photocopy (required)Contributing to NR Dist.\SR Dist. <br />Photograph(s) (required)Not Contributing to NR Dist.\SR Dist. <br />Other, specify:Supports overall linear eligibility NR\SR <br />Does not support overall linear eligibility NR\SR <br />I. IDENTIFICATION <br />5.Resource Name:None <br />6.Project Name/Number:Collom Expansion Cultural Resource Monitoring <br />7.Government Involvement:Local State Federal <br />Agency: Colorado Department of Mining and Reclamation; Office of Surface Mining, Reclamation and Enforcement <br />8.Site Categories (check as many as apply): <br />Prehistoric:archaeological site paleontological site In existing National Register District <br />National Register District name: None <br />Historic:archaeology site building(s)structure(s)object(s)In existing National Register <br />District <br />National Register District name:None <br />9.Owner(s) Name and Address:Colowyo Coal Company L.P. <br />10.Boundary Description and Justification: Site dimensions are based on the observed extent of the surface artifact <br />scatter during recordation. <br />11.Site/Property Dimensions Length:m Width: m Area:m2 Acres (m2/4047): <br />Area was calculated as:Length x Width (rectangle/square)Length x Width x 0.785 (Ellipse)GIS <br />II. LOCATION <br />12.Legal Location <br />PM 6th Township 4N Range 93W Section 21 NW ¼NW ¼ <br />PM Township Range Section ¼¼ <br />PM Township Range Section ¼¼ <br />PM Township Range Section ¼¼ <br />If section is irregular, explain alignment method: <br />13.USGS Quad:Axial, CO 14.County:Moffat