Cemetery Recording Form

ARKANSAS ARCHEOLOGICAL SURVEY

Cemetery Recording Form SITE SURVEY FORM [ ]Supplement Date S.S. No. Assigned: State Site No.: ______Date S.S. No. Reassigned: Project/Reporter's Site No.: ______

Site Name(s):______County: ______

Site Visited By (name/address): NO FIELD VISIT

Date: ______Info Provided By (name/address): ______

Form Filled Out By: ______Date: ______

Project Name: ______Project No.______

LOCATION NAD______

3 Section(s) Sec Twnshp Range UTM Zone Easting Northing

Instructions for Reaching Site (optional):

USGS Quad (name, date, series): ______

Owner (name/address): ______

Tenant (name/address): ______

------Prehistoric Contact Historic Historic Unknown ------Single Artifact Bluff Shelter Structure Artifact Scatter Rock Art Archival  100 sq m Lithic Quarry/Extraction Midden > 100 sq m Artifacts Exposed only in Shovel Test/Test Excavation > 1000 sq m Artifacts Exposed in Highly Restricted Eroded Area Mound/Mound Group Other:

Cultural Affiliation(s): ______

Archeological Phase Assignment(s): ______

5/97 Update 10/2014 1 AAS SITE SURVEY State Site No.: ______Project/Reporter's Site No.: ______

Site Description Narrative (Archival Observations):

______

Specific Topographic Setting:______

Soil Characteristics: ______

Water Sources (types and distances): ______

Site Dimensions: Total Sq M Meters X Meters

Complete Incomplete Unknown

How Determined:

Archival Sources Indicating Site Information [ ] General Land Office Maps/Records Date: [ ] Archival Maps: Date(s): [ ] Other Archival Sources: Date(s):

HISTORIC SITE FUNCTION Domestic Commercial Manufacturing Craft Commercial Industrial m Military Transportation Cemetery Religious Other Unknown

THIS IS THE COMPLETE FORM (PAGE 1 & 2) FOR THE INITIAL ARCHEOLOGICAL INVENTORY OF THIS SITE. INFORMATION GATHERED TO DATE IS PRIMARILY FROM ARCHIVAL SOURCE MATERIAL. 2