<p> ARKANSAS ARCHEOLOGICAL SURVEY</p><p>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.: ______</p><p>Site Name(s):______County: ______</p><p>Site Visited By (name/address): NO FIELD VISIT</p><p>Date: ______Info Provided By (name/address): ______</p><p>Form Filled Out By: ______Date: ______</p><p>Project Name: ______Project No.______</p><p>LOCATION NAD______</p><p>3 Section(s) Sec Twnshp Range UTM Zone Easting Northing</p><p>Instructions for Reaching Site (optional): </p><p>USGS Quad (name, date, series): ______</p><p>Owner (name/address): ______</p><p>Tenant (name/address): ______</p><p>------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: </p><p>Cultural Affiliation(s): ______</p><p>Archeological Phase Assignment(s): ______</p><p>5/97 Update 10/2014 1 AAS SITE SURVEY State Site No.: ______Project/Reporter's Site No.: ______</p><p>Site Description Narrative (Archival Observations): </p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>Specific Topographic Setting:______</p><p>Soil Characteristics: ______</p><p>Water Sources (types and distances): ______</p><p>Site Dimensions: Total Sq M Meters X Meters</p><p>Complete Incomplete Unknown</p><p>How Determined: </p><p>Archival Sources Indicating Site Information [ ] General Land Office Maps/Records Date: [ ] Archival Maps: Date(s): [ ] Other Archival Sources: Date(s):</p><p>HISTORIC SITE FUNCTION Domestic Commercial Manufacturing Craft Commercial Industrial m Military Transportation Cemetery Religious Other Unknown </p><p>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</p>