2018-07-11_PERMIT FILE - C1981019 ‎(2)‎

• Permit No: C1981019
• IBM Index Class Name: Permit File
• Doc Date: 7/11/2018
• Doc Name: Cultural Resource Discovery Report and Historic Properties Treatment Plan Site BK-2-062518
• Section_Exhibit Name: Volume 16 Exhibit 5 Item 10
• Media Type: D
• Archive: No

COLORADO CULTURAL RESOURCE SURVEY
Management Data Form
OAHP1400
Rev. 11/10
A Management Data Form should be completed for each cultural resource recorded during an archaeological survey.
solated 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:
3. Attachments (check as many as apply)
® Prehistoric Archaeological Component
❑ Historic Archaeological Component
❑ Linear Component
® Sketch/Instrument Map (required)
® U.S.G.S. Map Photocopy (required)
® Photograph(s) (required)
❑ Other, specify:
I. IDENTIFICATION
5. Resource Name: None
2. Temporary Resource Number: BK -2-062518
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: Collom Expansion Cultural Resource Monitoring
7. Government Involvement: ❑ Local ® State ❑Federal
Agency: Colorado Department of Mining and Reclamation; Office of Archaeology and Historic Preservation
8. Site Categories (check as many as apply):
Prehistoric: ® archaeological site ❑ paleontological site ❑ In existing National Register District
National Register District name: None
iistoric: ❑ archaeology site ❑ building(s) ❑structure(s) ❑ object(s) ❑ In existing National Register District
National Register District name: None
9. Owner(s) Name and Address: Colowyo Mining Company
10. Boundary Description and Justification: Site dimensions are based on the observed extent of the one cultural
featue identified at the locality.
11. Site/Property Dimensions Length: 0.25m Width: 0.30m Area: 0.06m2 Acres (m2/4047): 0.00
Area was calculated as: ❑ Length x Width (rectangle/square) ® Length x Width x 0.785 (Ellipse) ® GIS
II. LOCATION
12. Legal Location
PM 6th Township 4N Range 93W
PM Township Range
PM Township Range
PM Township Range
If section is irregular, explain alignment method:
13. USGS Quad: Axial, CO
Section 21 NE %. NE %.
Section %.
Section
Section
14. County: Moffat
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