01_REQUIREMENTS PACKAGE - OSF SOW Exhibit B Site-Survey-Form.pdf

ARKANSAS ARCHEOLOGICAL SURVEY

SITE SURVEY FORM

Supplement State Site No.:

Date S. S. No. Assigned: Project/Reporter’s Site No.:

Date S. S. No. Reassigned:

Site Name(s): County:

Site Visited By (name/address): Date:

Information Provided By (name/address): Date:

Form Filled Out By: Date:

Project Name: Project No.:

LOCATION NAD _________

Section(s) Section Twnshp Range UTM Zone Easting Northing

Land Grant #’s: __________________________

Instructions for Reaching Site (optional):

USGS Quad (name, date, series):

Owner (name/address):

Tenant (name/address):

Prehistoric Contact Historic Historic Unknown

Single Artifact Bluff Shelter Structure Artifact Scatter Rock Art Archival ≤ 100 sq m Lithic Quarry/Extraction Midden > 100 sq m Artifacts exposed only in shovel test/test excavation > 1000 sq m Artifacts exposed in highly restricted eroded area Mound/mound group Other _____________________________________

Cultural Affiliation(s):

Archeological Phase Assignment(s):

5/93 Update 03/2015

AAS SITE SURVEY FORM State Site No.:

Project/Reporter’s Site No:

Site Description Narrative (field observations):

Specific Topographic Setting:

Mean Elevation:______

Soil Characteristics:

Water Sources (types and distances):

Site Dimensions: __________Total Sq M __________ Meters (X) __________Meters

Complete Incomplete Unknown N/A

How Determined:

5/93 Update 03/2015 P a g e | 2

SITE DISTURBANCES HISTORIC STRUCTURES

Natural Causes Primary (#) Scientific Excavation Standing – Abandoned (#) Nonscientific Excavation Standing – In Use (#) Extensively Surface Collected Fallen – Foundation Only Construction Road/Highway Drainage Improvement/Channelization Agriculture Service (#) Clear Cut Standing – Abandoned (#) Land Leveled/Graded Standing – In Use (#) Periodically Inundated Fallen – Foundation Only Indefinitely Inundated Buried Site Redeposited Site Chimney Unknown Well Other: Other Historic Structural Features

DEGREE OF SITE DESTRUCTION No Extant Structure Relatively Undisturbed Archival Minor Vegetative Moderate Artifactual/Other Major Totally Destroyed Unknown

VEGETATION COVER HISTORIC SITE FUNCTION

Cultivated Domestic Plowed Commercial Harvested Manufacturing Pasture Craft Lawn Commercial Wooded Industrial Swamp Military Orchard Transportation No Vegetation Cemetery Other Religious Unknown Other Unknown

ESTIMATE OF GROUND VISIBILITY:

Poor (0-25%) Fair (26-50%) Good (51-75%) Excellent (76-100%)

FACTORS AFFECTING ARTIFACT VISIBILITY:

COMMENTS (e.g. method, field collection time, nature of deposit, depth):

5/93 Update 03/2015 P a g e | 3

SITE MATERIAL OBSERVATION ADDITIONAL ARTIFACT DESCRIPTIONS

P H Lithics ______________________________________________________ Ceramics ______________________________________________________ Metal ______________________________________________________ Human Skeletal Remains ______________________________________________________ Shell ______________________________________________________ Faunal Remains ______________________________________________________ Floral Remains ______________________________________________________ Other Perishables ______________________________________________________ Building Materials ______________________________________________________ Glass ______________________________________________________ Other Materials ______________________________________________________

COLLECTION METHOD NO COLLECTION MADE

SURFACE ACCESSION # SUBSURFACE ACCESSION #

Select _________________________ Select ________________________ Controlled _________________________ Controlled ________________________ General (100%) _________________________ General (100%) ________________________

ON SITE SUBSURFACE INVESTIGATIONS RECORDS

Shovel Test Remote Sensing Excavation Level Forms Test Excavation Type: __________ Feature Forms Test Excavation for NR Eligibility Metal Detector Catalog Forms/Records Extensive Excavation None Field Notes Auger Test Other _________________ Burial/Skeletal Records Coring Oversize Site Maps

Profile Drawings

B/W Negative numbers:

Slide Numbers:

Digital Photo Numbers:

Limited Distribution Reports:

Published References:

ARCHIVAL SOURCES INDICATING SITE INFORMATION

General Land Office Maps/Records Date(s):

Archival Maps: Date(s):

Other Archival Sources: Date(s):

Additional Comments on Artifacts, Site Description, and Recommendations (use additional page if necessary):

5/93 Update 03/2015 P a g e | 4