17_ExhibitIaMoS106SurveyMemo.pdf

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IDIQ FORESTWIDE HERITAGE RESOURCE SURVEYS
Solicitation number
AG-3434-S-13-0017
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Exhibit Ia

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16) HPP - CULTURAL RESOURCE INVENTORY 17) ARCHAEOLOGICAL SURVEY OF MISSOURI 18) GIS DATABASE

19) HISTORIC PLATS/ATLASES/SOURCES

20) PREVIOUSLY REPORTED SITES

21) PREVIOUS SURVEYS

22) REGIONAL SOURCES UTILIZED

23) MASTER PLAN RECOMMENDATION

24) INVESTIGATION TECHNIQUES

25) TIME EXPENDED

PERSON HOURS

26) HISTORIC PROPERTIES LOCATED

27) CULTURAL MATERIALS

28) CURATED AT

29) COLLECTION TECHNIQUES

30) AREA SURVEYED (ACRES & SQUARE METERS)

MISSOURI DEPARTMENT OF NATURAL RESOURCES

HISTORIC PRESERVATION PROGRAM

P.O. BOX 176, JEFFERSON CITY, MISSOURI 65102

(573) 751-7858

SECTION 106 SURVEY MEMOM D C C C X X

LEX ESTO

POPU L I S U P R E MA

S A LU S

UNIT

ED

W E

ST

AND DIVIDED

W

E

FALL

MO 780-1718 (6-00) (OVER)

SHPO USE ONLY

REVIEWER

DATE SHPO LOG #

ACCEPTED REJECTED

1) HPP 106 PROJECT #

LOCATION INFORMATION AND SURVEY CONDITIONS

HISTORICAL BACKGROUND INFORMATION

2) COUNTY(S)

3) QUADRANGLE 4) PROJECT TYPE/TITLE

5) FUNDING/PERMITTING FEDERAL AGENCY(S)

6) SECTION 7) TOWNSHIP 8) RANGE

9) U.T.M.

10) PROJECT DESCRIPTION

11) TOPOGRAPHY

12) SOILS

13) DRAINAGE

14) LAND USE/GROUND COVER (INCLUDING % VISIBILITY)

15) SURVEY LIMITATIONS

MO 780-1718 (6-00)

31) RESULTS OF INVESTIGATION AND RECOMMENDATIONS:

a) No Historic Properties Located.

b) No National Register Eligible Historic Properties Located.

c) National Register Eligible Historic Properties Located.

d) Historic Properties May Meet Requirements For National Register Eligibility; Phase II Testing Is Recommended:

e) Comments:

CULTURAL RESOURCE MANAGEMENT CONTRACTOR INFORMATION

32) ARCHAEOLOGICAL CONSULTANT

33) ADDRESS/PHONE

34) SURVEYOR(S) 35) SURVEY DATE(S)

36) REPORT COMPILED BY 37) DATE

38) SUBMITTED BY (SIGNATURE AND TITLE)

39) ATTACHMENT CHECK LIST: (REQUIRED)

____ 1) Relevant Portion of USGS 7.5' Topographic Quadrangle Map(s) Showing Project Location and Any Recorded Sites;

____ 2) Project Map(s) Depicting Survey Limits and, when applicable, Approximate Site Limits, and Concentrations of Cultural Materials;

____ 3) Site Form(s): One Copy of Each Form;

____ 4) All Relevant Project Correspondence;

____ 5) Additional Information Sheets as Necessary.

40) ADDRESS OF OWNER/AGENT/AGENCY TO WHOM SHPO COMMENT SHOULD BE MAILED

41) CONTACT PERSON 42) PHONE NUMBER

REVIEWER COMMENTS

reviewer:
date:
shpo_log#:
accepted: Off
rejected: Off
hpp_106project#:
county(s):
quadrangle:
project_type/title:
funding/permitting_federal_agency(s):
section:
township:
range:
u:
t:
m:
project_description:
topography:
soils:
drainage:
land_use/ground_cover:
16): Off
hpp_cultural_resource_inventory:
17): Off
18): Off
archaeological_survey_missouri:
gis_database:
survey_limitations:
historic_plats/atlases/sources:
previously_reported_sites:
previous_surveys:
regional_sources_utilized:
master_plan_recommendation:
investigation_techniques1:
investigation_techniques2:
time_expended:
cultural_materials2:
cultural_materials1:
curated_at:
historic_properties_located:
collection_techniques:
area_surveyed:
31)a: Off
31)b: Off
31)c: Off
31)d: Off
comments:
archaeological_consultant:
address/phone:
surveyors(s):
survey_date(s):
37) date:
report_compiled_by:
submitted_by:
39)1: Off
39)2: Off
39)3: Off
39)4: Off
39)5: Off
address-of_owner:
contact_person:
phone_number:
reviewer_comments:

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