cultural resource review report

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CULTURAL RESOURCE REVIEW REPORT Wisconsin Department of Transportation DT1320 8/2012 (Transfer of Surplus Lands) Complete Section A, PRINT ON BLUE PAPER, and send to: Wisconsin Department of Transportation BTS – Environmental Process and Documents Hill Farms Room 451 Madison, WI 53707-7965 SECTION A Project Information Contact Information Project ID 7605-08-21 Name Ann Giese Parcel Number(s) 3 Region SW Region--LaCrosse Date 4/8/20 Email [email protected] Location Information County Monroe Highway STH 21 Project Termini Town of La Grange Town & Range Lines T 18 N R 1 W Section Number 21 ¼ Section, ¼ Section SE/SW Number of Acres Less than an acre Additional Location Information Preferred Attachments: Project location map, sketch map of area, right of way plat SECTION B – For Cultural Resource Reviewer Only Sites Within Requested Area Total # Sites Archaeology Prehistoric Archaeology Historic Cemeteries/ Burials Historic Bldgs/ Structures Code # 47 Type Affiliation Code # 47 Type Affiliation Code # 47 Type Affiliation AHI # No known cultural resources Additional research recommended Lit. Search conducted by Date Reviewed by Date Comments WisDOT Cultural Resource Comments Ok to Transfer Ok to Transfer with Covenant Additional Coordination Required X (WisDOT Cultural Resources Signature) (Date) 0 0 0 0 Simon Arno 5-18-2020 05/21/2020

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Page 1: CULTURAL RESOURCE REVIEW REPORT

CULTURAL RESOURCE REVIEW REPORT Wisconsin Department of Transportation DT1320 8/2012 (Transfer of Surplus Lands)

Complete Section A, PRINT ON BLUE PAPER, and send to: Wisconsin Department of TransportationBTS – Environmental Process and Documents Hill Farms Room 451 Madison, WI 53707-7965

SECTION A

Project Information Contact Information Project ID 7605-08-21 Name Ann Giese

Parcel Number(s) 3 Region SW Region--LaCrosse Date 4/8/20 Email [email protected]

Location Information County Monroe

Highway STH 21 Project Termini Town of La Grange

Town & Range Lines T 18 N R 1 W Section Number 21

¼ Section, ¼ Section SE/SW Number of Acres Less than an acre

Additional Location Information

Preferred Attachments: Project location map, sketch map of area, right of way plat

SECTION B – For Cultural Resource Reviewer Only Sites Within Requested Area

Total # Sites

Archaeology Prehistoric

Archaeology Historic

Cemeteries/ Burials

Historic Bldgs/ Structures

Code # 47 Type Affiliation Code # 47 Type Affiliation Code # 47 Type Affiliation

AHI #

No known cultural resources Additional research recommended

Lit. Search conducted by Date Reviewed by Date

Comments

WisDOT Cultural Resource Comments

Ok to Transfer Ok to Transfer with Covenant Additional Coordination Required

X (WisDOT Cultural Resources Signature) (Date)

0 0 0 0

Simon Arno 5-18-2020

05/21/2020

neala
Typewritten Text
0
neala
Typewritten Text
Neal Moebius
neala
Typewritten Text
5/21/2020
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RELOCATION ORDER DA TE: <1-28-03

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HWY: S. T .H. 21 STATE R/W PROJECT NUMBER 7605-08-21 PLAT SHEET NO: 4. 5

COUNTY: MONROE CONSTRUCTION PROJECT NUMBER PS&E SHEET NO: E PLOT NAME : ORG DA TE : Ori gi no tor : Di st PLOT SCALE: 50.000000:1.000000

WISDOT /CADDS SHEET 75

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