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1 OKLAHOMA ARCHAEOLOGICAL SITE SURVEY FORM Site#: County: COMPLETE ALL SECTIONS 1.SITE NUMBER AND NAME: Site Name: Project No.: (derived from owner's (Temporary number or name assigned name, etc.) during project.) 2.LOCATIONAL INFORMATION: U.T.M. Reference Zone: 14 Northing: Easting: Legal Description 1/4 of 1/4 of 1/4 of Section Township Range U.S.G.S. Quad Name: Quad Date (revised): Other Locational References (i.e., benchmarks, road intersections, bridges, etc., please give distance and bearing to site): 3.OWNER(S) OF PROPERTY: Name: Street and Number: City/Town, State: Zip: 4.SITE SURVEYED BY: Name: Date Recorded: Name: Reported by (if different): Date Reported: Time spent at site and time of day: 1
2 5.CULTURAL AFFILIATION - Cultural Periods (underline one): Unassigned prehistoric Woodland: Paleoindian: Eastern may be eastern? Early Plains Middle Late Village Farming/Mississippi Archaic: Plains Village Early Protohistoric/Historic Ind. Middle Historic non-indian Late Archaeological Cultures, Phases, etc. represented: How was cultural affiliation determined (diagnostic artifacts, radiocarbon dates, etc.): 6.HISTORIC PHASE IDENTIFICATION (ETHNIC): Underline appropriate group. 1. Choctaw 16. Osage 2. Cherokee 17. Cheyenne 3. Saux-Fox 18. Caddo 4. Pottawatomie 19. Shawnee 5. Seminole 20. Delaware 6. Comanche 21. Creek 7. Apache 22. Dakotas 8. Kiowa 23. Chickasaw 9. Kiowa-Apache & Kickapoo 25. Missouri-Otos 11. Pawnee 26. Iowa 12. Arapaho 27. Anglo-American 13. Ottawas 28. French 14. Wichita 29. Spanish 15. Quapaw 20. Other: How was historic identification determined?: 7.HISTORIC SITE RANGE (underline one): 0. Missing data; unknown pre present present 2
3 8.INFERRED SITE TYPE Please underline those that apply (can be more than one category) Open habitation w/o mounds Petroglyph/pictograph Open habitation with mounds Isolated burials (<2) Earth mound (not midden mound) Cemetery (>2) Mound complex Specialized activity sites Stone mounds/rock piles Rock alignments (tepee rings, etc.) Burned rock concentrations Historic farmstead Non-mound earthworks Historic mill/industrial Rock shelter Historic fort Cave Dugout Quarry/workshop Historic trash dump 9.MIDDEN AT SITE (underline): Don't know Present, earth Absent Present, shell Present, rock 10.MATERIALS COLLECTED: Type Ceramics Projectile points/base frags. Hafted scrapers Drills Bifaces/biface fragments Unifaces Perforators/gravers Spokeshaves Scrapers (unhafted) Debitage (flakes, cores, chunks) Ground/pecked/battered stone Worked bone/shell Human bone Faunal remains Floral remains Other prehistoric Historic (describe) Number Total Items: Briefly describe diagnostic artifacts including type names. Attach outline drawings: Materials observed but not collected: 3
4 Name and address of owner of other collections from site: 11.ARTIFACT REPOSITORY Name of institution where artifacts are to be stored: Photos: Number of black and white photos: Number of color photos: Name and address of institution where photos are filed: 12.EVIDENCE OF RECENT VANDALISM OBSERVED? (Yes or No): 13.SITE CONDITION (underline one): 1. apparently undisturbed % disturbed 2. <25% disturbed 6. totally destroyed % disturbed 7. disturbed, % unknown % disturbed 14.MAJOR LAND USE (underline those that apply): Cultivated field Pasture Woods, forest Road/trail Ditch/dike/borrow pit Landfill Modern cemetery Mining Inundated Industrial Residential Recreation Commercial Military Logging/fire break Scrub/secondary growth/oil field Modern dump Other: 4
5 15.AMOUNT OF GROUND SURFACE VISIBLE (underline one): 1. <10% % % % % % Survey Conditions (wet, dry, sunny, ground coverage, etc.): 16.PHYSIOGRAPHIC DIVISION (underline one): 1. High Plains 6. Sandstone Hills 2. Gypsum Hills 7. Prairie Plains 3. Wichita Mountains 8. Ozark Plateau 4. Red Bed Plains 9. Ouachita Mountains 5. Arbuckle Mountains 10. Red River Plains 17.LANDFORM TYPE (underline one): 1. Floodplain 4. Dissected Uplands 2. Terrace 5. Undissected Uplands 3. Hillside - Valley wall 18.LOCALITY TYPE - SPECIFIC SITE SETTING (underline one): 1. Level 5. Mesa 2. Knoll - low land 6. Slope 3. Blowout 7. Bluff crest 4. Ridge upland 8. Bluff base 19.SOILS (if known): Association: Series: Type: 20.ELEVATION/SLOPE: Elevation amsl: Slope (degrees): Slope facing direction: 21.NATURAL VEGETATION (underline one): 1. Short grasses 6. Mesquite 2. Mixed grasses 7. Juniper-pinon 3. Tall grasses 8. Oak-hickory forest 4. Cross Timber 9. Oak-pine 5. Shin-oak 10. Loblolly pine forest 22.SITE AREA (Square Meters): Basis for area estimate (underline one): 1. Taped 2. Paced 3. Guessed 4. Range-finder 5. Alidade/transit 5
6 Confident of site boundaries? (Yes or No): 23.DESCRIPTION OF SITE: Give physical description of site and its setting, including dimensions, features, nature of materials and artifact concentrations. Include copy of U.S.G.S. topographic map with site location and boundaries marked (and sketch map if appropriate). 6
7 24.DRAINAGE (underline one): 1. Arkansas 10. Muddy Boggy 2. Beaver - N. Canadian 11. Neosho 3. Canadian 12. North Fork Red 4. Caney 13. Poteau 5. Cimarron 14. Red 6. Deep Fork 15. Salt Fork Arkansas 7. Illinois 16. Salt Fork Red 8. Kiamichi 17. Verdigris 9. Little R. (McCurtain County) 18. Washita 25.NEAREST NATURAL SOURCE OF WATER (underline one): 1. Permanent stream/creek 6. River 2. Intermittent stream 7. Slough or oxbow lake 3. Permanent stream 8. Relic stream channel 4. Intermittent spring/seep/bog 9. Also consider wells if site 5. Natural lake is historic 26.DISTANCE TO WATER (in 10's of meters): 27.INVESTIGATION TYPE (underline one): 1. Reconnaissance (survey) 3. Excavated 2. Intensive (survey & testing) 4. Volunteered report 28.SIGNIFICANCE STATUS (underline one): National Register Property Eligible for National Register Nominated to National Register by S.H.P.O. Considered eligible but not nominated by S.H.P.O. Inventory site National Register status not assessed 29.DISCUSS THE POTENTIAL SIGNIFICANCE OF THE SITE: 30.PUBLISHED OR FORTHCOMING REPORTS ON THE SITE: 7
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