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• Colorado Cultural Resource Survey <br />Management Data Form <br />(page 1 of 5) <br />Complete this form for each resource in addition to other <br />appropriate forms--see Manual for information <br />1. State Site Number: 5RT865 2. Temporary Site Number: MM-2559 <br />3. Attachments (check as many as apply): 4. Official determination (OAHP use only): <br />X Prehistoric Archaeological Component Determined Eligible <br />Historical Archaeological Component _Determined Not Eligible <br />_Historical Architectural Record/ Nominated <br />Building Form Listed <br />C~Sketch/Instrument Map (required) Need Data <br />X U.S.G.S. Map Photocopy (required) -Contributing to NR Dist. <br />X Photograph(s) -Nat Contributing to NR Dist. <br />-Other, specify: <br />I. IDENTIFICATION <br />5. Resource Name: <br />6. Project Name/Number: Peabody Yoast Mine <br />7. Government involvement: Local State Federal( <br />Agency: Bureau of Land Management, little Snake Resource Area <br />• 8. Site Categories (Check as many as apply): <br />Prehistoric: archaeological site X paleontological site- <br />-in an existing National Register District? yes- no X Name: <br />Historic: archaeology site- building(s)- structure(s),- object(s)- <br />-in an existing National Register District? yes- no_ Name: <br />9. Owner/Owner's Address: private / federal minerals <br />10. Boundary Description and Justification: Surface areal extent of artifacts <br />11. Site Dimensions: 45 NS m X 75 EW m Area 2649 m' (=4047) Acres .6 <br />Area was calculated as Length x Width- OR (length X width) X .785 X <br />rectangle/square ellipse <br />lI. LOCATION <br />12. Legal Location: <br />PM 6 T 5N R 81W SE/SE/NW/SE Section 16 <br />PM T R / / / Section <br />If irregular, explain alignment method: <br />13. USGS Quad: Mount Harris 7.5' X 15'_ Date(s): 1971 <br />• 14. County: Routt 15. Other Maps: <br />