Form MO780-1718 "Section 106 Survey Memo" - Missouri

What Is Form MO780-1718?

This is a legal form that was released by the Missouri Department of Natural Resources - a government authority operating within Missouri. Check the official instructions before completing and submitting the form.

Form Details:

  • Released on June 1, 2000;
  • The latest edition provided by the Missouri Department of Natural Resources;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form MO780-1718 by clicking the link below or browse more documents and templates provided by the Missouri Department of Natural Resources.

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MISSOURI DEPARTMENT OF NATURAL RESOURCES
SHPO USE ONLY
HISTORIC PRESERVATION PROGRAM
REVIEWER
P.O. BOX 176, JEFFERSON CITY, MISSOURI 65102
(573) 751-7858
S
DATE
SHPO LOG #
SECTION 106 SURVEY MEMO
1) HPP 106 PROJECT #
ACCEPTED
REJECTED
LOCATION INFORMATION AND SURVEY CONDITIONS
2) COUNTY(S)
3) QUADRANGLE
4) PROJECT TYPE/TITLE
5) FUNDING/PERMITTING FEDERAL AGENCY(S)
6) SECTION
7) TOWNSHIP
8) RANGE
9) U.T.M.
10) PROJECT DESCRIPTION
11) TOPOGRAPHY
12) SOILS
13) DRAINAGE
14) LAND USE/GROUND COVER (INCLUDING % VISIBILITY)
15) SURVEY LIMITATIONS
HISTORICAL BACKGROUND INFORMATION
16) HPP - CULTURAL RESOURCE INVENTORY
17) ARCHAEOLOGICAL SURVEY OF MISSOURI
18) GIS DATABASE
19) HISTORIC PLATS/ATLASES/SOURCES
20) PREVIOUSLY REPORTED SITES
21) PREVIOUS SURVEYS
22) REGIONAL SOURCES UTILIZED
23) MASTER PLAN RECOMMENDATION
24) INVESTIGATION TECHNIQUES
25) TIME EXPENDED
PERSON HOURS
26) HISTORIC PROPERTIES LOCATED
27) CULTURAL MATERIALS
28) CURATED AT
29) COLLECTION TECHNIQUES
30) AREA SURVEYED (ACRES & SQUARE METERS)
MO 780-1718 (6-00)
(OVER)
MISSOURI DEPARTMENT OF NATURAL RESOURCES
SHPO USE ONLY
HISTORIC PRESERVATION PROGRAM
REVIEWER
P.O. BOX 176, JEFFERSON CITY, MISSOURI 65102
(573) 751-7858
S
DATE
SHPO LOG #
SECTION 106 SURVEY MEMO
1) HPP 106 PROJECT #
ACCEPTED
REJECTED
LOCATION INFORMATION AND SURVEY CONDITIONS
2) COUNTY(S)
3) QUADRANGLE
4) PROJECT TYPE/TITLE
5) FUNDING/PERMITTING FEDERAL AGENCY(S)
6) SECTION
7) TOWNSHIP
8) RANGE
9) U.T.M.
10) PROJECT DESCRIPTION
11) TOPOGRAPHY
12) SOILS
13) DRAINAGE
14) LAND USE/GROUND COVER (INCLUDING % VISIBILITY)
15) SURVEY LIMITATIONS
HISTORICAL BACKGROUND INFORMATION
16) HPP - CULTURAL RESOURCE INVENTORY
17) ARCHAEOLOGICAL SURVEY OF MISSOURI
18) GIS DATABASE
19) HISTORIC PLATS/ATLASES/SOURCES
20) PREVIOUSLY REPORTED SITES
21) PREVIOUS SURVEYS
22) REGIONAL SOURCES UTILIZED
23) MASTER PLAN RECOMMENDATION
24) INVESTIGATION TECHNIQUES
25) TIME EXPENDED
PERSON HOURS
26) HISTORIC PROPERTIES LOCATED
27) CULTURAL MATERIALS
28) CURATED AT
29) COLLECTION TECHNIQUES
30) AREA SURVEYED (ACRES & SQUARE METERS)
MO 780-1718 (6-00)
(OVER)
PAGE 2
31) RESULTS OF INVESTIGATION AND RECOMMENDATIONS:
a) No Historic Properties Located.
b) No National Register Eligible Historic Properties Located.
c) National Register Eligible Historic Properties Located.
d) Historic Properties May Meet Requirements For National Register Eligibility; Phase II Testing Is Recommended:
e) Comments:
CULTURAL RESOURCE MANAGEMENT CONTRACTOR INFORMATION
32) ARCHAEOLOGICAL CONSULTANT
33) ADDRESS/PHONE
34) SURVEYOR(S)
35) SURVEY DATE(S)
36) REPORT COMPILED BY
37) DATE
38) SUBMITTED BY (SIGNATURE AND TITLE)
39) ATTACHMENT CHECK LIST:
(REQUIRED)
____ 1) Relevant Portion of USGS 7.5' Topographic Quadrangle Map(s) Showing Project Location and Any Recorded Sites;
____ 2) Project Map(s) Depicting Survey Limits and, when applicable, Approximate Site Limits, and Concentrations of Cultural Materials;
____ 3) Site Form(s): One Copy of Each Form;
____ 4) All Relevant Project Correspondence;
____ 5) Additional Information Sheets as Necessary.
40) ADDRESS OF OWNER/AGENT/AGENCY TO WHOM SHPO COMMENT SHOULD BE MAILED
41) CONTACT PERSON
42) PHONE NUMBER
REVIEWER COMMENTS
MO 780-1718 (6-00)
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