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<br />1. State Site Nu <br />3. Resource Name <br />4. Historic Name <br />5. Life of Mine <br />6. Idle Years <br />2. Temporary Site Numbe <br />7. Mining District or Coal Field <br />8. Company Name(s)/Dates <br />9. First Corporation Date of Incorporation <br />Type: Domestic Foreign <br />10. Other Mines within the vicinity operated by same firm <br />11. Type of Mine: Coal Uranium Metals <br />Industrial Materials (specify type) <br />12. Mineral(s) mine <br />13. Type and Number of Features (indicate number next to type): <br />-Open Pit -Spoil Pile -Machinery -Shaft -Tracks <br />-Prospect -Refuse _Adit -Road -Structure <br />-Other (specify) <br />14. Number of Standing Structures & Type <br />15. Excavated Dimension Eroded Dimension <br />Size of Underground Workings <br />16. Characteristics of Deposit <br />17. Associated Artifacts: -Bottle Glass -Window Glass -Tin Cans <br />-Cartridges -Nails -Ceramics -Leather -Rubber <br />-Personal Items <br />Miscel. Metal (summarize) <br />Other (specify) <br />COLORADO CULTURAL RESOURCE SURVEY <br />MINING FEATURE FORM <br />(To be used with Management Data Form) <br />-Quarry <br />Other <br />18. Location/Nature of Miner's Dwellings <br />