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. C "I <br />OAHP 1402 <br />Rev. 9/98 <br />Colorado Cultural Resource Survey <br />Management Data Form <br />(Page 1 of 4) <br />The Management Data Form should be completed for each cultural resource recorded during an archaeological survey. <br />Exceptions to this are isolated finds and re-evaluations, neither of which require a Management Data Form. Please attach <br />the appropriate component forms and use continuation pages if necessary. <br />1. Resource Number: 5PE4192 2. Temporary Resource Number: RG-1 <br />3. Attachments (check as many as apply) 4. Official. Determination (OAHP use only) <br />Prehistoric Archaeological Component Determined <br />X Historic Archaeological Component Determined Not Eligible <br />Historic Architectural Component Form Nominated <br />X Sketch/Instrument Map (required) Need Data <br />X U.S.G.S. Map Photocopy (required) Contributing to NR Dist. <br />X Photograph(s) Not Contributing to NR Dist. <br />Other, specify: <br />1. IDENTIFICATION <br />5. Resource Name: Montoya Homestead <br />6. Project Name/Number: Rio Grande Cement Proposed Site South of Pueblo <br />7. Government Involvement: Local State X Federal <br />Agency: State Land Board <br />8. Site Categories: Check as many as apply <br />Prehistoric: Archaeological site Paleontological site <br />in existing National Register District? Yes No X Name <br />Historic: Archaeology site Building(s) Structure(s) X Object(s) X <br />in existing National Register District? Yes No X Name <br />9. Owner(s)'s Name and Address: State of Colorado <br />10. Boundary Description and Justification: As mapped, based on extent of material observed. <br />11. Site/Property Dimensions: 50 m x 70 m Area: 3500 m2 (-.4047) .86 acres <br />Area was calculated as: Length x Width X OR (length x width) X.785 <br />rectangle/square ellipse <br />11. LOCATION <br />12. Legal Location <br />PM 61h Township 22S Range 65W Section 12 <br />PM Township Range Section <br />if section is irregular, explain alignment method: <br />NW Y+ of SW Y+ of SW % of NE '/+ <br />'/+ of '/+ of '/. of '/+