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1. State Site Number: 5RT1368 <br />Colorado Cultural Resource Survey <br />Management Data Form <br />(page 1 of 5) <br />3. Attachments (check as many as apply): <br />X Prehistoric Archaeological Component <br />_Historical Archaeological Component <br />_Historical Architectural Record/ <br />Building Form <br />• Sketch/Instrument Map (required) <br />• U.S.G.S. Map Photocopy (required) <br />• Photograph(s) <br />_Other, specify: <br />2. Temporary Site Number: MM -4862 <br />4. Official determination (OAHP use only): <br />_Determined Eligible <br />_Determined Not Eligible <br />_Nominated <br />_Listed <br />_Need Data <br />_Contributing to NR Dist. <br />_Not Contributing to NR Dist. <br />I. IDENTIFICATION <br />5. Resource Name: <br />6. Project Name/Number: Cyprus Twentymile Coal Company Seismic Lines and Core Holes <br />7. Government Involvement: Local_ State_ Federal X <br />Agency: BLM, Craig Field Office <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, Cross Mountain Ranch, a Limited Partnership <br />10. Boundary Description and Justification: Artifact distribution <br />11. Site Dimensions: 79 X 28 Area 1736 ( -4047) Acres 0.4 <br />Area was calculated as Length x Width_ OR (length X width) .X .785 X <br />rectangle/square ellipse <br />II. LOCATION <br />12. Legal Location: <br />PM 6' T 5N R 87W Section 23 SW /SW /SE/NW <br />If irregular, explain alignment method: <br />13. USGS Quad: Milner, Colorado <br />7.5'X 15'_ Date(s): 1971 <br />14. County: Routt 15. Other Maps: <br />