Report #

State Historic Preservation Office Report Cover Page

Title:

Project Acres: Survey Acres:

Accession Number:

UOMNCH: LCIS:

REPO

RT

Archaeological Permit Number(s):

Reports submitted to: Tribes:

List tribes:

PA/

MO

A

CONSULTATION

TE

STIN

G LOCATION

Report is associated with: PA MOA

Year:

County(ies):

Township: Range: Section(s): Township: Range: Section(s):

Curation:

Author(s):

Agency/Client:

District/Contractor:Agency/Client Report#:

Report Addresses Testing:

List any other groups contacted or consulted:

Have tribes been contacted or consulted?

REPORTS WITHOUT A COMPLETE AND ACCURATE COVER PAGE AND APPROPRIATE ADDITIONAL PAGES MAY BE RETURNED. CHECK THE SHPO WEBSITE TO MAKE SURE YOU HAVE THE MOST CURRENT VERSION.

10/24/2017

State Historic Preservation OfficeReport Location Continuation Sheet

County(ies):

Township: Range: Section(s):

Report #

10/24/2017

Report # State Historic Preservation Office

Report Summary of Resources and NRHP Eligibility

RESOURCES

Oregon On-Line Form #:

Built Environment: HPRCSIT: Other:

NRH

P EL

IGIB

ILIT

Y

Criterion A:

Count:

Archaeological: Site: Isolate:

Criterion B: Criterion C: Criterion D: Temp# or Name:

TCP:

Trinomial:

EVALUATE PROPERTIES UNDER ALL FOUR CRITERIA. BE SURE TO INCLUDE JUSTIFICATION IN THE REPORT

*Please be sure all archaeological forms have been submitted on-line

10/24/2017