WISCONSIN ARCHEOLOGICAL SITE INVENTORY FORM (PAPER-27 NOV 2001-FINAL PO 10 JAN 2002) CODE # 47- COUNTY FIELD # Name (limit 25 characters) Other Name LOCATIONAL INFORMATION (See Appendix B) Civil Town(s) Town# N, Range# E or W, Section# Quarter-sections (minimum 3) Quarter-section Grid Alignment (edge and corner) USGS Quad (7.5) Other Legal Descriptions ❒ French Lot ❒ Gov. Lot ADDITIONAL TRS DATA (IF APPROPRIATE) Civil Town Town# N, Range# E or W, Section# Quarter-sections (minimum 3) Quarter-section Grid Alignment (edge and corner) USGS Quad (7.5) Other Legal Descriptions: ❒ French Lot ❒ Gov. Lot UTM Coordinates: ❒ Zone ❒ Easting ❒ Northing Method: ❒ Interpolated from USGS Quad ❒ GPS Field GEOGRAPHIC LOCATION & RELATIONSHIP TO LANDSCAPE FEATURES SITE DESCRIPTION INFORMATION SITE/FEATURE DESCRIPTION SITE TYPE(S) (Check all that apply. See Appendix D for definitions .) ❒ Cabin/homestead ❒ Cache/pit/hearth ❒ Campsite/village ❒ Cave/rockshelter ❒ CCC/WPA site ❒ Cemetery/burials ❒ Church ❒ Corn hills/garden beds ❒ Cultural Site ❒ Dam/historic earthwork ❒ Dock/pier/crib ❒ Enclosure/earthworks ❒ Experimental ❒ Farmstead ❒ Fish weir/trap ❒ Foundation/depressions ❒ HCM concentration ❒ Ice House ❒ Isolated find ❒ Kill site/bone bed ❒ Kiln ❒ Lithic scatter ❒ Logging camps ❒ Military site ❒ Mill/sawmill ❒ Mound(s)-conical ❒ Mound(s)-effigy ❒ Mound(s)- linear ❒ Mound(s)-other ❒ Paleontological ❒ Quarry/mine ❒ Redeposited artifacts ❒ Rock art ❒ Rock feature/petroform ❒ School ❒ Shell midden ❒ Shipwreck ❒ Sugarbush ❒ Tower ❒ Trading/fur post ❒ Traditional Cultural Property ❒ Transportation site ❒ Workshop site ❒ Unknown ❒ Other: FOR WHS OFFICE USE: ❒ CHK’D ❒ GIS ❒ GIS CHK’D ❒ ENTER ❒ ENTRY CHK’D ❒ ASI# HP-06-02P (rev. 09/2002) CULTURAL AFFILIATION (Check all that apply. Using certainty of affiliation: 1= definite, 2= probable, 3= possible. See Appendix E for definitions.) ❒ Early Paleo-Indian ❒ Late Paleo-Indian ❒ Paleo-Indian ❒ Early Archaic ❒ Middle Archaic ❒ Late Archaic ❒ Archaic ❒ Initial Woodland ❒ Early Woodland ❒ Middle Woodland ❒ Late Woodland ❒ Terminal Woodland ❒ Woodland ❒ Upper Mississippi/Oneota ❒ Middle Mississippi ❒ Late Pre-contact ❒ Post-Contact American Indian ❒ Euro-American ❒ Unknown/Indeterminate ❒ Unkown post-contact ❒ Unknown pre-contact ❒ Other: INVESTIGATION TYPE(S) COMPLETED (Check all that apply.) ❒ Avocational Survey ❒ Chance Encounter ❒ Controlled Sur.Coll. ❒ Faunal Analysis ❒ Floral Analysis ❒ Geomorphology ❒ Historical Research ❒ Interview/informant ❒ Land Use History ❒ Major excavation ❒ Mechanical Stripping ❒ Monitoring ❒ Osteological analysis ❒ Phase I ❒ Phase II ❒ Phase II-corridor only ❒ Phase III ❒ Phase III-corridor only ❒ Records/Background ❒ Records/Background (pred. model) ❒ Remote Sensing ❒ Shovel Testing/Probing (Inten) ❒ Soil core ❒ Surface Survey(Inten) ❒ Test excavation ❒ Traditional Knowledge ❒ Vandalism ❒ Walk Over (Reconn) ❒ Unknown ❒ Other: PHASE/TRIBE/ETHNIC GROUP(S) (Enter all that apply. Please check Appendix F.) TRACKING INFORMATION REASON FOR REPORTING (Enter all that apply. Refer to Appendix F.): SHSW/WHS# Agency Project# BAR# ❒ Burial Sites Program ❒ Compliance ❒ Survey & Planning ❒ THPO ❒ Avocational ❒ State, non-compliance ❒ State Regional Program Region: Year: ❒ ISTEA/TEA21 ❒ Smart Growth Project Name: ❒ Other: ENVIRONMENTAL INFORMATION DRAINAGE SYSTEM: (Check one. See Appendix G.) ❒ Black River ❒ Chippewa River ❒ Fox River (North) ❒ Fox River (South) ❒ Green Bay ❒ Illinois River ❒ Lake Michigan ❒ Lake Superior ❒ Mississippi River ❒ Rock River ❒ St. Croix River ❒ Wisconsin River DRAINAGE-TRIBUTARY OR SMALL LAKE NEAREST WATER SOURCE NAME NEAREST WATER TYPE(S) ❒ Artificial ❒ Floodplain ❒ Intermittent Stream ❒ Lake/Oxbow ❒ Lake/Pond ❒ Marsh ❒ Perennial Stream/River ❒ Relict/Extinct ❒ Spring SOIL(S) ELEVATIONS(Feet above sea level): ADDITIONAL ENVIRONMENTAL DATA SITE DIMENSIONS: x feet OR meters (circle one) SITE AREA: acres OR hectares (circle one) SITE DIMENSION/AREA ❒ Not Determined/Not Known SITE CHARACTERISTICS MODERN LAND USE: (Check the two most appropriate at last update.) ❒ Cultivation ❒ Energy Corridor Name: ❒ Forest ❒ Impoundment, Name: ❒ Industrial/Commercial ❒ Marked Cemetery ❒ Pasture/Grassland ❒ Recreational ❒ Residential ❒ Submerged ❒ Transportation Corridor, Name/Number: ❒ Unknown DEGREE OF DISTURBANCE: ❒ Minimal (0-25%) ❒ Moderate(25-50%) ❒ Heavy(50-75%) ❒ Completely destroyed ❒ Unknown THREATS TO SITE: (Prioritize 1, 2, 3, etc...) Development: ❒ Residential, urban ❒ Residential, rural ❒ Commercial/Industrial, urban ❒ Commercial/Industial, rural ❒ Transportation Corridor, Name/Number: ❒ Energy Corridor, Name: ❒ Impoundment, Name: ❒ Other, Name: Resource Use: ❒ Agricultural ❒ Logging ❒ Mining ❒ Quarrying ❒ Recreational Vandalism: ❒ Collecting ❒ Defacing ❒ Looting ❒ Other: Natural: ❒ Erosion ❒ Bioturbation ❒ Other: ARTIFACT/ARCHIVAL INFORMATION ARTIFACT/RECORDS REPOSITORY: MATERIAL CLASS(ES) (Check all that apply.) ❒ Aboriginal ceramics ❒ Chipped stone artifacts ❒ Debitage ❒ Euro-American ceramics ❒ Faunal remains ❒ Features ❒ Fire-altered rock ❒ Floral remains ❒ Glass ❒ Ground/pecked stone ❒ Historic building material ❒ Houses/Structures ❒ Human bone ❒ Metal ❒ Projectile points ❒ Standing structures ❒ Other, describe MATERIAL ARTIFACT TYPE(S): DATE(S): DATING METHOD(S) ❒ Artifact style/cross-dating ❒ Historic Records ❒ Informant/Oral History ❒ Site type ❒ Traditional Knowledge ❒ Thermoluminescence ❒ Radiocarbon ❒ Other: INVESTIGATOR/REPORTER INFORMATION INVESTIGATOR(S) NAME AFFILIATION (APPENDIX H) INVESTIGATION DATES SITE REPORTER NAME AFFILIATION (APPENDIX H) REPORTING DATES BIBLIOGRAPHIC REFERENCES INVESTIGATOR’S RECOMMENDATION (Check all that apply.) ❒ Additional background search ❒ Catalog ❒ Complete NRHP Nomination ❒ Covenant ❒ Faunal Analysis ❒ Floral Analysis ❒ Geomorphology ❒ Historical research ❒ Monitor ❒ No additional investigation ❒ No recommendation ❒ Oral History/Informant ❒ Osteological analysis ❒ Phase I/Field Verify ❒ Phase II ❒ Phase II-corridor only ❒ Phase III ❒ Phase III-corridor only ❒ Preserve in place ❒ Protect during construction ❒ Redesign-avoid ❒ Remote Sensing ❒ Shovel Test ❒ Traditional Knowledge ❒ Unknown ❒ Other COMMENTS OWNERSHIP INFORMATION OWNERSHIP TYPE: (Check all that apply.) ❒ Public-Federal ❒ Public-State ❒ Public-Local ❒ Private ❒ Indian Lands-Trust ❒ Indian Lands-Allotted ❒ Unkown Owner’s Name(s) Owner’s Address Year Ownership Determined NATIONAL REGISTRATION(NHRP) & STATE REGISTRATION(SRHP) STATUS: ❒ Not Evaluated ❒ Determined Not Eligible, Date: ❒ Boundary Change Increase/Decrease, Date: ❒ Determined Eligible-DOE process, Date: ❒ Determined Eligible-nomination process, Date: ❒ Listed in NRHP, Date: ❒ Listing/District Name: ❒ Multiple Property, Name: Date: ❒ Traditional Cultural Property, Name: Date: WISCONSIN ASI CONTINUATION SHEET Please use this space for other sections of the form, or for any additional notes or comments. For sketches, be sure to include a north arrow, scale, key to your symbols, and description (site sketch, projectile point, etc.) as approriate. For continuation sheets, be sure to provide the appropriate headings ([420] Site Description, etc.) Site# 47- County Field # Site Name (limit 25 characters) Date.