US Department of Agriculture WY-ECS-41 Part 2

US Department of Agriculture WY-ECS-41 Part 2 NATURAL RESOURCES CONSERVATION SERVICE Revised 5/2004

ENVIRONMENTAL EVALUATION DATA SHEET CULTURAL RESOURCES SECTION 106 DOCUMENTATION

**A COPY OF THIS FORM (PART 2) MUST BE SENT TO THE NRCS STATE CULTURAL RESOURCE COORDINATOR AFTER COMPLETION

Landowner / Cooperator: Farm Bill Program (WHIP, EQIP, etc)

NRCS Office: County:

Person Completing Form Date of Inspection:

Type of Ground Disturbing Activity: Practice Code:

Location: T R S

Results of Pre-Field Check (SHPO Database): SHPO File Search Date

No Cultural Resource Present Resources present but not within 1/4 mile of APE Resources present within 1/4 Mile of APE – Cultural Resource Specialist NOTIFIED on (date)

APE (Area of Potential Effect) in acres: (linear miles x 12.1212=acres)

Results of Field Check: Inspection Method: (check one): 100% pedestrian (30m transect or less) 100% pedestrian by other agency (explain)

Select one of the following: Nothing Found (negative findings) ATTACH TOPOG MAP SHOWING AREA INSPECTED Stop here-you are done with this form.

Site(s) Found and Avoided by: more than 1/4 mile less than 1/4 mile, Cultural Resource Specialist notified on (date)

ATTACH TOPOG MAP SHOWING AREA INSPECTED and LOCATION OF SITES and COMPLETE REMAINDER OF FORM

Site Found and cannot be avoided Cultural Resource Specialist Notified on (date)

Condition of Archaeological Site (circle best description(s)]:

Intact Grazed Eroded Mechanical Disturbance Vandalized Other (describe)

1 US Department of Agriculture WY-ECS-41 Part 2 NATURAL RESOURCES CONSERVATION SERVICE Revised 5/2004

CULTURAL RESOURCES NOTED

Artifacts: Total estimated observed: Size of Artifact Area (meters, LxW, measured or est)

Prehistoric Artifacts: Flakes (chipped stone) Ground Stone Artifacts Other (list)

Historic Artifacts (Describe)

Prehistoric Features: (check all that apply) Stone structures (tipi rings, cairns, rock alignment) Sub-surface structures (pithouses, depressions) Thermal features (stained soils, hearths, fire-cracked rock) Rock art Other (describe)

Historic Features: (check all that apply) Habitation structures (houses, foundations, dugouts) Other structures (barns, cairns, outbuildings) Cemetery/graves (marked or unmarked) Dumps (dense historic artifact concentration) Mine related features (shafts, or transport/processing, tailings) Transportation related (roads, trails, railroad related, stage coach roads) Water distribution/control (flumes, diversions) Other (describe)

Has site been inspected by a Cultural Resource Specialist No Yes Date

Remarks:

ATTACH COPY OF TOPOG MAP HERE (Hi-lite area of potential effect)