IlI. GROUND DISTURBING ACTIVITY (INCLUDING EXCAVATION, GRADING, TREE REMOVALS, UTILITY INSTALLATION, CONSTRUCTION, ETC.) DOES THIS PROJECT INVOLVE GROUND-DISTURBING ACTIVITY? YES NO (If no, proceed to section IV.) a. Description of width, length and depth of proposed ground disturbing activity (please include all Click here to enter text. associated disturbances (access roads, laydown areas, etc): Click here to enter text. b. Previous land use and disturbances: Click here to enter text. c. Current land use and conditions: d. Does the landowner know of any archaeological resources on the property? Click here to enter text. Please describe: IV. IDENTIFICATION OF HISTORIC PROPERTIES List and date all resources (buildings, structures, objects, archaeological 50 years of age or Click here to enter text. older located in the APE: List all resources currently listed in the National Register of Historic Places (NRHP) or currently designated under a local preservation ordinance. (If the resource is located within a Click here to enter or local historic district it is only necessary to identify the district): text. List all resources previously determined eligible for NRHP listing (see for “Instructions Click here to enter text Application for Section 106 Review” on the SHPO website): Is the APE for the undertaking within the jurisdiction of a Certified Local Government? Yes please include evidence of consultation with the Historic Resources Review Board – or appropriate staff representative. No no further documentation necessary. – Identify whether or not any previously unevaluated resources in the APE are eligible for NRHP listing. The identification process included seeking information, as appropriate, from Indian tribes, local governments, the general public, and any individuals or organizations that may have an interest in, or knowledge of, the historic properties in the area (attach documentation). The identification and evaluation of historic resources was performed by a Secretary of the Interior-qualified professional (attach qualifications). Describe the steps taken to identify whether or not the APE contains previously unevaluated NRHP-eligible resources: Click here to enter text. Based on the information contained in please choose one: “b”, Historic Properties Present in the APE No Historic Properties Present in the APE g. Describe the condition, previous disturbance to, and history of any historic properties located in here to enter text. the APE: V. PHOTOGRAPHS Note: All photographs should be keyed to a map.
IlI. GROUND DISTURBING ACTIVITY (INCLUDING EXCAVATION, GRADING, TREE REMOVALS, UTILITY INSTALLATION, CONSTRUCTION, ETC.) DOES THIS PROJECT INVOLVE GROUND-DISTURBING ACTIVITY? YES NO (If no, proceed to section IV.) a. Description of width, length and depth of proposed ground disturbing activity (please include all associated disturbances (access roads, laydown areas, etc): Click here to enter text. b. Previous land use and disturbances: Click here to enter text. c. Current land use and conditions: Click here to enter text. d. Does the landowner know of any archaeological resources on the property? Please describe: Click here to enter text. IV. IDENTIFICATION OF HISTORIC PROPERTIES List and date all resources (buildings, structures, objects, archaeological 50 years of age or older located in the APE: Click here to enter text. List all resources currently listed in the National Register of Historic Places (NRHP) or currently designated under a local preservation ordinance. (If the resource is located within a or local historic district it is only necessary to identify the district): Click here to enter text. List all resources previously determined eligible for NRHP listing (see “Instructions for Application for Section 106 Review” on the SHPO website): Click here to enter text Is the APE for the undertaking within the jurisdiction of a Certified Local Government? Yes – please include evidence of consultation with the Historic Resources Review Board or appropriate staff representative. No – no further documentation necessary. Identify whether or not any previously unevaluated resources in the APE are eligible for NRHP listing. The identification process included seeking information, as appropriate, from Indian tribes, local governments, the general public, and any individuals or organizations that may have an interest in, or knowledge of, the historic properties in the area (attach documentation). The identification and evaluation of historic resources was performed by a Secretary of the Interior-qualified professional (attach qualifications). Describe the steps taken to identify whether or not the APE contains previously unevaluated NRHP-eligible resources: Click here to enter text. Based on the information contained in “b”, please choose one: Historic Properties Present in the APE No Historic Properties Present in the APE g. Describe the condition, previous disturbance to, and history of any historic properties located in the APE: here to enter text. V. PHOTOGRAPHS Note: All photographs should be keyed to a map.
NVSHPO106App-Checklist_1_6_17.docx