PERMFILE53376

• Permit No: C1981019
• IBM Index Class Name: Permit File
• Doc Date: 12/11/2001
• Doc Name: Sections 4 cont & Section 5
• Section_Exhibit Name: EXHIBIT 05 Archaelogical Part 3
• Media Type: D
• Archive: No

` T1as infer-~..ntion to be filled in by site recorders
• Sr:F
i ~ site ;lo. `1o;i 2) project nave Ccle,.;~o F•'+o,lra~r 3) BL`t district C ~~~o
,.
4) rescurce area L~ttie ~-,n!1e RA 5) planning unit i~iil~GmS Fc^1~
. 6) surface r::naoer..ent quad_~1-_„h~;t Nu?-~'
. _ ,
7) heritzSe value (does the site have special significance For ethnic grow?s in the
`• area?) yes no~ ~ ~ '.
`: ..
" ' This inforr:ation to be filled in by district archaeolosist:
.~
8) case file or contract ::o. (~-?~~"7~+
9) surfzce owr.cr: BL`i other Federal State private ~_
_ 10)
11)
s~
13)
,4)
lb)
•~ - 18)
20)
subsurfa ce oc,-ier sl:ip (does BL`S have responsibility) yes K no C,oo,l onl
_ y
grazing unit `I C: 1', _ I2)F?iP unit !.li^n~r u -n, ca.: ~~-1
segregation (type)
minin3 slain recordation: yes` no 15) nineral agency
mineral o:~er Fi~M - 17) mineral part o:.:per r,v
mineral lease 1 - ~ 19) mineral lease 2
future potential S1 S2 S3_ S4 '. 50 ?~
zecrcatiori
forestry
' 1u1tG'+ `;
22) mitigation: avoid nap ~C collect test X oarti.ally excavote_ e~cavate_
•
_.3)' District Archacologist~s signature
~ ~