Archaeological Site Report

FL SSC-1

(rev. 12/95)

ARCHAEOLOGICAL SITE REPORT

Site Name(s): Site #:

Ownership: __ private-profit __ private-nonprofit __ private-individual

__ private-unspecified __ city __ county __ state __ federal

USGS Map Name: City:

County: TWP: Range: Section:

Address/Vicinity Of/Route To:

Required: PHOTOCOPY OF USGS MAP WITH SITE LOCATION MARKED

Environment: Nearest Fresh Water Distance (miles)

Local Vegetation

Present Land Use

Soil Series

Soil Association

Site Condition: Type and apparent degree of disturbances/threats

Repository: Field Notes, Artifacts, Photographs, etc.:

Reporter(s): Name: Date of Form:

Affiliation/Address/Phone Number

Contact Person: Name: Date of Form:

Affiliation/Address/Phone Number

Narrative Description: Attach information on site discovery, history, current integrity, apparent threats, environment and your interpretations.

Action Recommended:

Natural Resource Conservation Service Information:

Opunit Name:

Opunit ID:

Tract No.:

Date Reported:

SEND FORM TO: USDA, NRCS

P.O. Box 141510

Gainesville, FL 32614-1510

Attn: Florida Cultural Resources Coordinator

Section II - Cultural Resource Information 1 07/15/02