Feed Management 592 by gbo14531

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									                LIMITED-RESULTS CULTURAL RESOURCE SURVEY FORM                                                          CO-SSC-1
            -Use in conjunction with the Environmental Evaluation Worksheet CPA-52-                                  Revised 1/08

This form is for small scale limited results projects - block survey less than 160 acres with linear surveys under four miles.
Additionally, there should be no sites and a maximum of four Isolated Finds. This form must be typed.


  I.      IDENTIFICATION
        Report Title:                          Limited-Results Cultural Resources Survey Report on Private Lands
        Date of Field Work:                                                       County:
        Form Completed By:                                                           Date:
        Survey Organization / Agency:          USDA - Natural Resources Conservation Service (NRCS)
        Address:                                   655 Parfet Street, Rm E200, Lakewood, CO 80215
        Principal Investigator:                                              Other Crew:
        Principal Investigator's Signature:

        Lead Agency:                 USDA - NRCS                             Landowner:
        Contact:                                                              F.O. Name:
                                                                                  County:
        Client:                                                             Permit Type:
        Report / Contract No:                                            Permit Number:
        Comments:




  II.     DESCRIPTION OF UNDERTAKING / PROJECT
        Type of Undertaking: Program -
        Practice 1:
        Practice 2:
        Practice 3:
        Size of Undertaking:                                              Size of Project:
        Nature of the Anticipated Disturbance:



        Comments:




 III.     PROJECT LOCATION
        Please attach a photocopy of USGS Quad clearly showing the project location. The Quad should be clearly labeled
        with the Principal Meridian, Township, Range, Section(s), Quad map name, size, and date. Please do not reduce or
        enlarge the photocopy.
        Description:
        Legal Location:
                        Quad Map Name:                                                           Date:
                        Principal Meridian:
                        Township:                Range:                       Section(s):                 1/4s:
                        Township:                Range:                       Section(s):                 1/4s:
                        Township:                Range:                       Section(s):                 1/4s:
        Total Number of Acres Surveyed:
        Comments:




                                                                   Page 1 of 8
 IV.      ENVIRONMENT
        General Topographic Setting:
        Current Land Use(s):
        Flora Present:


        Soils / Geology:                                                         Ground Visibility:
        Comments:




  V.      LITERATURE REVIEW (to be completed by Cultural Resources Specialist )
        Location of File Search:                                                                              Date:
        Previous Survey Activity - In the project area:



                                    - In the general region:



        Known Cultural Resources            - In project area:



                                         - In general region:



        Expected Results:




 VI.      STATEMENT OF OBJECTIVES
          Objectives are to consider cultural resources in the planning stages of a practice that uses Federal funding.



VII.      FIELD METHODS
        Definitions:           Site -   Five or more artifacts or items that provide a specific locus of human activity.



                                 IF -   Four or fewer artifacts or items that do not show a specific locus of human acitivity.

        Describe Survey Method:




VIII.     RESULTS (to be completed by SHPO or Cultural Resources Specialist )
        List IFs if applicable. Indicate IF locations on the map completed for Part III.
                  A. Smithsonian Number                                  Description:
                  B. Smithsonian Number                                  Description:
                  C. Smithsonian Number                                  Description:
                  D. Smithsonian Number                                  Description:

        Using your professional knowledge of the region, why are there none or very limited cultural remains in the
        project area? Is there subsurface potential?




                                                                            Page 2 of 8
PRACTICE LIFESPAN
                                                                     LIFESPAN
PRACTICE NAME                                                          (Years)
Access Road - 560                                                        10
Agrichemical Handling Facility - 702                                     20
Alley Cropping - 311                                                     15
Amendments for Treatment of Agricultural Waste - 591                      1
Anaerobic Digester, Ambient Temperature - 365                            25
Anaerobic Digester, Controlled Temperature - 366                         25
Animal Mortality Facility - 316                                          15
Animal Trails and Walkways - 575                                         10
Anionic Polyacrylamide (PAM) Erosion Control - 450                        1
Aquaculture Ponds - 397                                                  15
Atmospheric Resources Quality Management - 370                            1
Brush Management - 314                                                   10
Channel Stabilization - 584                                              10
Clearing and Snagging - 326                                               5
Closure of Waste Impoundments - 360                                      15
Composting Facility - 317                                                15
Conservation Cover - 327                                                  3
Conservation Crop Rotation - 328                                          1
Conservation Power Plant - 716                                           10
Constructed Wetland - 656                                                15
Contour Buffer Strips - 332                                              10
Contour Farming - 330                                                     1
Cover Crop - 340                                                          1
Critical Area Planting - 342                                             10
Cross Wind Ridges - 589A                                                  5
Cross Wind Trap Strips - 589C                                             5
Dam, Diversion - 348                                                     15
Dam- 402                                                                 15
Deep Tillage - 324                                                        3
Dike - 356                                                               20
Diversion - 362                                                          10
Drainage Water Management - 554                                          10
Dry Hydrant - 432                                                        15
Early Successional Habitat Dev / Mgmt - 647                              15
Feed Management - 592                                                     1
Fence - 382                                                              20
Field Border - 386                                                       10
Filter Strip - 393                                                       10
Firebreak - 394                                                          10
Fish Passage - 396                                                       15
Fishpond Management - 399                                                 1
Fish Raceway or Tank - 398                                               10
Forage Harvest Management - 511                                           5
Forest Site Preparation - 490                                             1
Forest Stand Improvement - 666                                           10
Forest Trails and Landings - 655                                          5
Fuel Break - 383                                                          1
Grade Stabilization Structure - 410                                      15
Grassed Waterway - 412                                                   10
Grazing Land Mechanical Treatment - 548                                   5
Heavy Use Area Protection - 561                                          10
Hedgerow Planting - 422                                                  15


                                                       Page 3 of 8
Herbaceous Wind Barriers - 603                                                              5
Irrigation Canal or Lateral - 320                                                           15
Irrigation Field Ditch - 388                                                                15
Irrigation Land Leveling - 464                                                              15
Irrigation Regulating Reservoir - 552                                                       15
Irrigation Storage Reservoir - 436                                                          15
Irrigation System, Micro Irrigation - 441                                                   10
Irrigation System, Sprinkler - 442                                                          15
Irrigation System, Surface and Subsurface - 443                                             15
Irrigation System, Tailwater Recovery - 447                                                 20

Irrigation Water Conveyance, Anionic Polyacrylamide (PAM) Ditch and Canal Treatment - 754   1
Irrigation Water Conveyance, Aluminum Tubing Pipeline - 430AA                               20
Irrigation Water Conveyance, Corrugated Metal Pipeline - 430II                              20

Irrigation Water Conveyance, Corrugated Ribbed or Profile Wall Thermoplastic Pipe - 430JJ   20
Irrigation Water Conveyance, Ditch & Canal Lining, Plain Concrete - 428A                    20
Irrigation Water Conveyance, Ditch & Canal Lining, Flexible Membrane - 428B                 15
Irrigation Water Conveyance, Ditch & Canal Lining, Galvanized Steel - 428C                  20
Irrigation Water Conveyance, High-Pressure Underground Plastic Pipeline - 430DD             25
Irrigation Water Conveyance, Low Pressure, Underground, Plastic Pipeline - 430EE            25
Irrigation Water Conveyance, Non-reinforced Concrete Pipeline - 430CC                       25
Irrigation Water Conveyance, Reinforced Plastic Mortar Pipeline - 430GG                     25
Irrigation Water Conveyance, Rigid Gated Pipeline - 430HH                                   15
Irrigation Water Conveyance, Steel Pipeline - 430FF                                         25
Irrigation Water Management - 449                                                           1
Land Clearing - 460                                                                         10
Land Reclamation, Abandoned Mined Land - 543                                                15
Land Reclamation, Currently Mined Land - 544                                                15
Land Smoothing - 466                                                                        10
Lined Waterway or Outlet - 468                                                              15
Manure Transfer - 634                                                                       1
Monitoring Well - 353                                                                       15
Mulching - 484                                                                              1
Multi-Story Cropping - 379                                                                  10
Nutrient Management - 590                                                                   1
Obstruction Removal - 500                                                                   10
Open Channel - 582                                                                          15
Pasture and Hay Planting - 512                                                              10
Pest Management - 595                                                                       1
Pipeline - 516                                                                              20
Pond - 378                                                                                  20
Pond Sealing or Lining, Bentonite Treatment - 521C                                          15
Pond Sealing or Lining, Compacted Clay Treatment - 521D                                     15
Pond Sealing or Lining, Flexible Membrane - 521A                                            20
Pond Sealing or Lining, Soil Dispersant Treatment - 521B                                    20
Prescribed Burning - 338                                                                    5
Prescribed Grazing - 528                                                                    5
Pumping Plant - 533                                                                         15
Range Planting - 550                                                                        10
Recreation Land Grading and Shaping - 566                                                   15
Recreation Trail and Walkway - 568                                                          15
Residue and Tillage Management, Mulch Till - 345                                            1
Residue and Tillage Management, No Till/Strip Till/Direct Seed - 329                        1
Residue and Tillage Management, Ridge Till - 346                                            1
Residue Management, Seasonal - 344                                                          1


                                                      Page 4 of 8
Restoration and Management of Rare or Declining Habitats - 643     15
Riparian Forest Buffer - 391                                       15
Riparian Herbaceous Cover - 390                                    10
Roof Runoff Structure - 558                                        15
Salinity and Sodic Soil Management - 610                           3
Sediment Basin - 350                                               20
Shallow Water Development and Management for Wildlife - 646        10
Solid/Liquid Waste Separation Facility - 632                       15
Spoil Spreading - 572                                              1
Spring Development - 574                                           10
Stream Crossing - 578                                              10
Stream Habitat Improvement and Management - 395                    10
Streambank and Shoreline Protection - 580                          20
Stripcropping - 587                                                5
Structure for Water Control - 587                                  20
Subsurface Drain - 606                                             20
Surface Drainage, Field Ditch - 607                                15
Surface Drainage. Main or Lateral - 608                            15
Surface Roughening - 609                                           1
Terrace - 600                                                      10
Tree/Shrub Establishment - 612                                     15
Tree/Shrub Pruning - 660                                           10
Underground Outlet - 620                                           20
Upland Wildlife Habitat Management - 645                           1
Use Exclusion - 472                                                10
Vegetative Barrier - 601                                           5
Vertical Drain - 630                                               10
Waste Facility Cover - 367                                         25
Waste Storage Facility - 313                                       15
Waste Treatment - 629                                              1
Waste Treatment Lagoon - 359                                       15
Waste Utilization - 633                                            1
Wastewater Treatment Strip - 635                                   10
Water and Sediment Control Basin - 638                             10
Water Well - 642                                                   20
Watering Facility - 614                                            10
Waterspreading - 640                                               15
Well Decommissioning - 351                                         20
Well Water Testing - 355                                           1
Wetland Creation - 658                                             15
Wetland Enhancement - 659                                          15
Wetland Restoration - 657                                          15
Wetland Wildlife Habitat Management - 644                          1
Windbreak/Shelterbelt Establishment - 380                          15
Windbreak/Shelterbelt Renovation - 650                             15




                                                     Page 5 of 8
   UNIT
    Ft.
    No.
    Ac.
    Au.
    No.
    No.
    No.
    Ft.
    Ac.
    Ac.
    Ac.
    Ac.
    Ft.
    Ft.
    No.
    No.
    Ac.
    Ac.
    No.
    No.
    Ac.
    Ac.
    Ac.
    Ac.
    Ac.
    Ac.
    No.
No. & Ac.Ft.
    Ac.
    Ft.
    Ft.
    Ac.
    No.
    Ac.
 No. & Au.
    Ft.
    Ft.
    Ac.
    Ft.
    No.
    No.
    Ft.
    Ac.
    Ac.
    Ac.
    Ac.
    Ac.
    No.
    Ac.
    Ac.
    Ac.
    Ft.


               Page 6 of 8
    Ft.
    Ft.
    Ft.
    Ac.
    No.
No. & Ac.Ft.
 No. & Ac.
 No. & Ac.
 No. & Ac.
    No.

    No.
    Ft.
    Ft.

    Ft.
    Ft.
    Ft.
    Ft.
    Ft.
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    Ft.
    Ft.
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    Ft.
    Ac.
    Ac.
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    No.
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    Ac.
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    Ft.
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    Ft.
    No.
    No.
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    No.
    No.
    Ac.
    Ac.
    No.
    Ac.
    Ac.
    Ft.
    Ac.
    Ac.
    Ac.
    Ac.


               Page 7 of 8
Ac.
Ac.
Ac.
No.
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No.
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No.
Ac.
No.
No.
Ft.
Ft.
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No.
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Ft.
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Ft.
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No.
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No.
No.
No.
No.
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Ac.
No.
No.
No.
Ac.
No.
No.
Ac.
Ac.
Ac.
Ac.
Ft.
Ac.




      Page 8 of 8

								
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