IMACS SITE FORM Part A - Administrative Data INTERMOUNTAIN ANTIQUITIES COMPUTER SYSTEM Form approved for use by BLM - Utah, idaho, Wyoming, Nevada Division of State History - Utah, Wyoming State No. USFS - Intermountain Region ‘Agency No. NPS. Utah, Wyoming 3. Temp. No. 4. State County 5. Project *8, Report No. 7. Site Name / Property Name 8 Class © Prehistoric 1 Historic 1 Paleontologic Ethnographic 9. Ste Type 20) cies ee “11. UTMGHid Zone ae ees mE a mN “2 of of of Section T. R. "13. Meridian “14. Map Reterence 15. Aerial Photo 16. Location and Access “17. Land Owner "18. Federal Administrative Units "19. Location of Curated Materials 20. Site Description "21. Site Condition 1) Excellont (A) 1D Good (8) 1 Fair (cy 1D Poor (0) "22. Impact Agent(s) +23, National Register Status Signifcant(C)' —_ Non-Signiicant (0) _-«(O)_Unevaluated (2) Justify 24. Photos 25. Recorded by "26, Survey Organization 27. . Assisting Crew Members "28. Survey Date Ustof Attachments: Pat B DTopo Map Photos ‘Continuation Sheets oPatc Ste Sketch CArtifactFeature Sketch Other. OPate Bu s1004 FSi