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This information to be filled in by site recordcr~ <br />' ~ 5riF <br />.. '. <br />_; site No. 4p1 2) project name Cclou~,•o Ro~lc-cnc, 3) BL*t distri.ct ~ ~o~o~ <br />.. ~ J <br />4) tes oc rce area Lit{le .Snc'C P_ RA 5) planning u:.it ~L.~illinms l-.-r~? <br />. E) sc__,._e ra z;a°.,nt nand /'1n.,`~~ll n)~~ _\ _~ __ <br />~ - <br />7) heritage value (does the site have special significance for ethnic groupa in the <br />,~ area?) Yes_ no K <br />r- -- .. <br />i ) <br />- 9) <br />• 10) <br />11) <br />~I <br />.~ 13) <br />~~ <br />f 16) <br />18) <br />2p) <br />i <br />wildlife <br />watershed <br />minerals <br />range <br />recreatiibn ' <br /> <br />This information to be filled in by district archaeologist: <br />8 case file or contract No. ('-.~~1,~3 <br />surfzce owner: BL*i other Federal State _ private <br />subsurface oc.:zersh_p (does BLM have responsibility) yes~_ no <br />grazing unit y~l~ - 12)HP~ unit Unorr v-K,eo~ R~ <br />' ~.1 <br />segregation (tYPe) <br />miring.claim recordation: yes no 15) m'_neral agency <br />mineral o:~ner 13LM 17) mineral part oc,:ler Pr, ,;; <br />mineral lease 1 x'19) mineral lease 2 <br />future potential <br />.: _.. .. <br />..... . <br />S1 S2 S3 54 <br />21) conflicts: <br />22) <br />r <br />LJ) <br />forestry <br />lands • y( <br />-r- <br />miti~atior.: avoid ~<map Y collect~C test X oarti.al].y e:~cavate e~:cavate <br />_'" ~" - <br />Dis[rict Archaeologist's signature "' '•' <br /> <br />Oily Ca5 on~ <br />`1 Coal' onl <br /> <br /> <br />