PERMFILE113513

• Permit No: C1981038
• IBM Index Class Name: Permit File
• Doc Date: 12/11/2001
• Section_Exhibit Name: Volume 9B ARCHAEOLOGY APPENDIX PART 4 of 4
• Media Type: D
• Archive: No

1) site No. 5DT632 2) project nom- Colo. Llestmoreland j) BL11 district Montrc.•
4) resource area Uncompahgre ~) planning unit_
• 6) surface management quad tlW'27 '. .
7) heritage value (does the site have special significance for ethnic groups i
area 7) yes x no

This information to be filled in by district archaeologist:
8) case file or contract No. ~- -
9) surface o:vner: BLIi other Federal- State- private
70) subsurface ownership (does. 8tH have responsibility) yes no
11) grazing unit' 12)NHP. unit.:
13)',segregat.ion (type)'-'
14) mining claim recordation: yes no 1$) mineral agency
16) mineral o.+ner 17) mineral part o+vner
18) mirieral lease 1 19) mineral lease 2
20) future .potential 51- S2_ S3_ 54--:
21) conf3 icts:- -. --- -- -
wildlife: -
watershed - - -
minerals ,.
_ range
recreation - '
• forestry
lands
22) mitigation: avoid___cap__collr_ct_ _test~~artially excavate_ excavate
• 2j) District Rrchaeologist's signature _ _
~;