U.S. Department of Agriculture ID-420-005
Natural Resources Conservation Service 03/2006
NRCS Project Request for Cultural Resource Assistance
Project Name: / Quad Name: / Date of Request:Legal Description
¼ Sec. Sec. # Township Range
NRCS Unit: County:
Program: / NRCS Contact Person & Phone #:
Project Description:
Previous or Current Land Use:
Acres of undertaking:
Is the project within the external boundaries of an Indian Reservation and/or on tribally owned lands? [ ] No [ ] Yes (which?)
[ ] / Duck Valley (Shoshone-Piaute) / [ ] / Nez Perce / [ ] / Kootenai
[ ] / Ft. Hall (Shoshone-Bannock) / [ ] / Coeur d'Alene / [ ] / Other:______
CULTURAL RESOURCE SPECIALIST PRELIMINARY REVIEW
Date Received: / Project Number:NRCS
Sources of information checked:
Are there known sites in the Project Area? ( ) Yes ( ) No If Yes, list site number, name and
relationship to project: (key to map)
Is the NRCS Project Area sensitive? ( ) Yes ( ) No If Yes, provide a brief description of where Cultural Resources are expected with respect to cultural themes, landforms, water, slope, etc.
Is an archaeological field review recommended? ( ) Yes ( ) No
Additional comments\recommendations:
Cultural Resource Specialist______Date:______
Attachments: ( ) Maps ( ) Site Forms ( ) Other Attachments (List)
INSTRUCTIONS: 02/27/06
Project Name: List landowner and type of project e.g.
John Smith Irrigation Pipeline
Quad Name: List 7.5¢ topographic map name.
Date of Request: List date that the request was mailed to the Cultural Resources Specialist.
Legal Description: List Township, Range, Section to ¼ section.
NRCS Unit: List the office that is providing technical assistance for the project.
County: List the Idaho County where the project will be applied.
Program: List any program that is associated with the project (EQIP, CRP, RCRDP etc.)
NRCS Contact Person and Phone #: Specify who to contact about the project.
Project Description: Provide a brief but complete description of the project and history for the land involved. For example: in pipeline projects - the extent of the excavation involved; length, width and depth of the trench, or other activities associated with the project that may affect cultural resources. Include total acres of the undertaking.
Describe the previous and current land use. For example: if cropland - how long has it been cultivated?
Enclose a high quality copy of the project area shown on a 7.5¢ topographic map at a 1:24,0000 scale. Indicate the project area boundary clearly on the map.
The map should be labeled in the lower right corner with the following information:
Project Name
7.5¢ Topographic Map Name
North Arrow
Forward this form and map to: Darin Vrem
NRCS Archaeologist
9173 West Barnes Drive, Suite C
Boise, ID 83709-1574
Phone: 208-685-6995
Send a copy of the form and map to your Division Cultural Resource Coordinator .
Requests may also be sent via email: Attach the request as a word document (.doc) and the map as a [ .pdf]. Title each file the same in this format: “field office” “one word project name.” Example – the John Dough Pipeline project from the Emmett F.O. would be labeled “Emmett Dough.doc” for the request and “Emmett Dough.pdf” for the map. Mail to and Div. Coordinator