Exhibit C_3 Illinois Archaeological Site Recording Submission Form Feb 2023.pdf

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Attached to
The Midewin National Tallgrass Prairie Phase I Cultural Resource Survey
Solicitation number
12441923Q0086
Issued by

About this file

This document is an Illinois Archaeological Site Recording Submission Form template. The form collects a range of required and optional information to record archaeological sites in Illinois, including county, site name, location coordinates, ownership, environmental context, survey details, materials observed, temporal affiliation, condition, and curation information. A related federal contract opportunity is solicited by the Department of Agriculture Forest Service for a Phase I Cultural Resource Survey of the Midewin National Tallgrass Prairie. No further details are provided on products or services required, response dates, pricing terms, set asides, incumbents or other salient contracting information.

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Illinois Archaeological Site Recording Submission Form

Range

County

Township

Longitude

ENVIRONMENT

Topography

Nearest Water Supply

Description

SURVEY

Project Type

Surface Visibility %

Project Name

Ground Cover

Survey Methods

Site Type Standing Structure

SITE CONDITION

Extent of Damage Main Cause of Damage

Number of Historic Artifacts (count or estimate)

MATERIALS OBSERVED

Survey Sampling Strategy

Number of Prehistoric Artifacts (count or estimate) Prehistoric Diagnostic Artifacts

Prehistoric Surface Features

Prehistoric Buried Features Ave. Depth (cm)

Description

TEMPORAL AFFILIATION

Prehistoric Unknown

Paleoindian

Archaic

Early Archaic

Middle Archaic

Late Archaic

Woodland

Early Woodland

Middle Woodland

Late Woodland

Mississippian

Upper Mississippian

Protohistoric

Historic Native American

Historic (generic)

Colonial (1673-1780)

Pioneer (1781-1840)

Frontier (generic; 1841-1870)

Frontier Antebellum (1841-April 11, 1861)

Civil War (April 12, 1861-April 9, 1865)

Frontier Post-Civil War (April 10, 1865-1870)

Early Industrial (1871-1900)

Urban Industrial (1901-1945)

Post-War (1946-present)

Description

Institution Survey Date

Report Date

Surveyor

Form By

Curation Facility

Historic Diagnostic Artifacts

Historic Surface Features

Historic Buried Features Ave. Depth (cm)

Site Name

7.5' Quadrangle

Section

Field No.

Ownership

WGS84 Latitude

Known Alternate Names

Elevation (meters AMSL)

Revisit

County Site No.

NRHP Listing

HSRPA

Updated 2023.02.27

Institution

Red fields are REQUIRED. Black fields are optional. Blue fields are required in certain cases. Please see submission guidelines for more information and map requirements. Please do not return flattened or printed and scanned forms. Do not include unrecorded forms in reports. Do not use the return carriage in this form. If you are having issues filling out the form please contact the site files office. Submit forms and map data to DNR.Archaeology.Sitefiles@Illinois.gov.

NOT R

ECORDED

W

ITH IS

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COUNTY: [ ]
NAME:
REVISIT: [ ]
FIELDNO:
QUAD:
CTY_ID: 0
OWNERSHIP: [ ]
TWPNUM: [ ]
TWPDIR: [ ]
RNGNUM: [ ]
RNGDIR: [ ]
SECTION: [ ]
ALT_NAMES:
TOPOGRAPHY: [ ]
STREAM:
ELEVATION: 0
TOPODESCRI:
PROJECT:
PROJECT_TYPE: [ ]
GRDCOVER1: [ ]
GRDCOVER2: [ ]
GRDCOVER3: [ ]
VISIBILITY: 0
SURMETH1: [ ]
SURMETH2: [ ]
SURMETH3: [ ]
SITETYPE1: [ ]
SITETYPE2: [ ]
STANDSTRU: [ ]
SITECOND: [ ]
DAMAGE: [ ]
SAMPLING: [ ]
PREARTS: 0
PREDIAG: [ ]
PRESURF: [ ]
PREBURF: [ ]
DEPTHBPF: 0
HISARTS: 0
HISDIAG: [ ]
HISSURF: [ ]
HISBURF: [ ]
DEPTHBHF: 0
MATERIAL:
PREHIST: [ ]
WOOD: [ ]
PROTOHIST: [ ]
FRONTIER_ANTEB: [ ]
PALEO: [ ]
EWOOD: [ ]
HNA: [ ]
CIVIL_WAR: [ ]
ARCH: [ ]
MWOOD: [ ]
HISTORIC: [ ]
FRONTIER_PCW: [ ]
EARCH: [ ]
LWOOD: [ ]
COLONIAL: [ ]
EARLYINDUS: [ ]
MARCH: [ ]
MISS: [ ]
PIONEER: [ ]
URBANINDUS: [ ]
LARCH: [ ]
UPPMISS: [ ]
FRONTIER: [ ]
POSTWAR: [ ]
CULTURE:
SURVEYOR:
INSTITUTE1:
SURDATE:
CURATION:
SURREPORT:
INSTITUTE2:
REPORTDATE:
NRHP: [ ]
HSRPA: [ ]

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