HISTORIC SITES SURVEY STRUCTURE FORM MASTER LIST

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SOUTH DAKOTA STATE HISTORIC PRESERVATION OFFICEHISTORIC SITES SURVEYSTRUCTURE FORM MASTER LISTHISTORIC SIGNIFICANCEOWNER CODEF Federal governmentS State governmentL Local governmentP PrivateDOEFuture EligibleNot EligibleNR EligibleSR EligibleTabledUnevaluatedREASON INELIGIBLELack of IntegrityLess than 50 years oldOtherOutside Period of SignificanceNOMINATION STATUSBoard RejectDemolishedDOENR ListedOwner ObjectRemovedSR ctureSTRUCTURE DETAILSFUNCTION (CURRENT EDUCATIONRELIGIONFUNERARYRECREATION AND EXTRACTIONHEALTH CAREDEFENSELANDSCAPETRANSPORTATIONWORK IN PROGRESSUNKNOWNVACANT/NOT IN USEDEMOLISHEDOTHERSUB-FUNCTION (CURRENT ANDHISTORIC)DOMESTIC1. single dwelling2. multiple dwelling3. secondary structure4. hotel5. institutional housing6. camp7. village siteCOMMERCE/TRADE1. business2. professional3. organizational4. financial institution5. specialty store6. department store7. restaurant8. warehouse9. trade (archeology)SOCIAL1. meeting hall2. clubhouse3. civicGOVERNMENT1. capitol2. city hall3. correctional facility4. fire station5. government office6. diplomatic building7. custom house8. post office9. public works10. courthouseEDUCATION1. schools2. college3. library4. research facility5. education-relatedRELIGION1. religious facility2. ceremonial site3. church school4. church-related residenceFUNERARY1. cemetery2. graves/burials3. mortuaryRECREATION AND CULTURE1. theater2. auditorium3. museum4. music facility5. outdoor recreation6. fair7. monument/marker8. work of artAGRICULTURE/SUBSISTENCE1. processing2. storage3. agricultural field4. animal facility5. fishing facility or site6. horticultural facility7. agricultural outbuilding8. irrigation facilityINDUSTRY/PROCESSING/EXTRACTION1. manufacturing facility2. extractive facility3. waterworks4. energy facility5. communications facility6. processing site7. industrial storageHEALTH CARE1. hospital2. clinic3. sanitarium4. medical business/office5. resortDEFENSE1. arms storage2. fortification3. military facility4. battle site5. coast guard facility6. naval facility7. air facilityLANDSCAPE1. parking lot2. park3. plaza4. garden5. forest6. unoccupied land7. underwater8. natural feature9. street furniture/object10. conservation areaTRANSPORTATION1. rail-related2. air-related3. water-related4. road-related (vehicular)5. pedestrian-relatedWORK IN PROGRESSUNKNOWNVACANT/NOT IN StoneTile BlockUnknown/Not VisibleWood1

SOUTH DAKOTA STATE HISTORIC PRESERVATION OFFICEHISTORIC SITES SURVEYSTRUCTURE FORM MASTER LISTSTRUCTURE DETAILS (cont.)ROOF lN/AOtherPlasticRubber MembraneSlateSodStoneTarTileUnknown/Not VisibleWoodROOF SHAPEArchConicalCross GableDomeFlatGableGambrelHipHipped dalRoundSaltboxShedTruncated HipSTRUCTURAL toneTile BlockWood FrameSTYLEArched BarnArt DecoBeau ArtsColonial RevivalCommercialContemporaryCraftsmanCzech BarnDutch BarnEgyptian RevivalFinnish BarnFolk VictorianGeodesic DomeGothic RevivalInternationalItalianateItalian RenaissanceLustronMansardMidwest/Transverse FrameMinimal TraditionalMissionMixedModerneMountain Horse BarnNeoclassical RevivalNeoclassical/Classical udorNeo-VictorianNo StyleOtherPole BarnPost-ModernPrairieQueen AnneRanchRenaissance RevivalRomanesque RevivalRound/Polygonal BarnSecond EmpireShedShingleSplit LevelStick/EastlakeSwedish BarnTudor RevivalWisconsin Dairy BarnTYPEA-FrameBank BarnBarnBasement HouseBungalowChicken CoopCisternCombinationCommercialCorn CribCross GableDepotDuplexElectric PoleFalsefrontFeederFoursquareGable and WingGable FrontGarageGrain BinsGrain ElevatorGranaryHog HouseIrrigation SystemL ShapeMobile HomeOtherPrefab HousePrivyPyramidalQuonsetRaised BarnRectangularRoot/Storm CellarRoundShedSide GableSiloSiloSod HouseT ShapeWater TowerWellWell ateStoneStuccoTerra CottaTile BlockVinylWood2

SOUTH DAKOTA STATE HISTORIC PRESERVATION OFFICEHISTORIC SITES SURVEY STRUCTURE FORMSITE INFORMATION*SURVEY DATE:*SURVEYOR:*ADDRESS:*COUNTY:*CITY:LOCATION DESCRIPTION:LEGAL DESCRIPTION:*QUARTER 1:*QUARTER 2:*TOWNSHIP:*RANGE:*SECTION:ACRES:OWNER CODE 1:OWNER CODE 2:OWNER CODE 3:OWNER NAME:OWNER ADDRESS:OWNER CITY:OWNER STATE:OWNER ZIP:QUAD NAME:FFFSSSLLLPPPHISTORIC SIGNIFICANCE*DOE:*DOE DATE:REASON INELIGIBLE:NOMINATION STATUS:DATE LISTED:REFERENCE NUMBER:HISTORIC DISTRICT RATING:PERIOD:REGISTER NAME:MULTIPLE PROPERTY NAME:CATEGORY:SIGNIFICANCE LEVEL 1:SIGNIFICANCE LEVEL 2:C or NCCRITERIA 1:CRITERIA 2:CRITERIA 3:CRITERIA 4:AAAABBBBCCCCNNSSLLDDDDSIGNIFICANCE NOTES:* REQUIRED FIELD1

SOUTH DAKOTA STATE HISTORIC PRESERVATION OFFICEHISTORIC SITES SURVEY STRUCTURE FORMSTRUCTURE DETAILSSHPO ID:*PROPERTY NAME:OTHER NAME:CURRENT FUNCTION:CURRENT SUBFUNCTION:HISTORIC FUNCTION:HISTORIC SUBFUNCTION:OCCUPIED:ACCESSIBLE:STORIES:*DATE OF CONSTRUCTION:YES or NOYES or NOFOUNDATION:ROOF MATERIAL:ROOF SHAPE:STRUCTURAL SYSTEM:STYLE:TYPE:WALLS:SIGNIFICANT PERSON:CULTURAL AFFILIATION:ALTERED/MOVED NOTES:INTERIOR NOTES:OTHER NOTES:*PHYSICAL NOTES:*UTM ZONE:*UTM EASTING:*UTM NORTHING:* REQUIRED FIELD*RESTRICTED:Y or N2

SOUTH DAKOTA STATE HISTORIC PRESERVATION OFFICEHISTORIC SITES SURVEY STRUCTURE FORMSKETCH MAPPHOTOGRAPHSPHOTOGRAPHER:DATE OF PHOTO:* REQUIRED FIELDROLL NUMBER:PHOTO NUMBER:CAMERA DIRECTION:3

SOUTH DAKOTA STATE HISTORIC PRESERVATION OFFICEHISTORIC SITES SURVEYBRIDGE AND CEMETERY FORMS MASTER LISTHISTORIC SIGNIFICANCEBRIDGE DETAILSCEMETERY DETAILSOWNER CODESTRUCTURAL SYSTEMHISTORIC FUNCTIONF Federal governmentS State governmentL Local governmentP BurialsDOEFuture EligibleNot EligibleNR EligibleSR EligibleTabledUnevaluatedREASON INELIGIBLELack of IntegrityLess than 50 years oldOtherOutside Period of SignificanceNOMINATION STATUSBoard RejectDemolishedDOENR ListedOwner ObjectRemovedSR ctureTYPECURRENT FUNCTIONArchedChannel BeamCulvertDeckGirderOtherPony TrussSlabStringerT-BeamThrough ONRELIGIONFUNERARYRECREATION AND EXTRACTIONHEALTH CAREDEFENSELANDSCAPETRANSPORTATIONWORK IN PROGRESSUNKNOWNVACANT/NOT IN USEDEMOLISHEDOTHERSTYLEBedsteadKing PostLatticeNo StyleOtherParkerPrattPratt Half-HipQueen eelStoneTimberCURRENT SUB-FUNCTIONDOMESTIC1. single dwelling2. multiple dwelling3. secondary structure4. hotel5. institutional housing6. camp7. village siteCOMMERCE/TRADE1. business2. professional3. organizational4. financial institution5. specialty store6. department store7. restaurant8. warehouse9. trade (archeology)SOCIAL1. meeting hall2. clubhouse3. civicGOVERNMENT1. capitol2. city hall3. correctional facility4. fire station5. government office6. diplomatic building7. custom house8. post office9. public works10. courthouseEDUCATION1. schools2. college3. library4. research facility5. education-relatedRELIGION1. religious facility2. ceremonial site3. church school4. church-relatedresidenceFUNERARY1. cemetery2. graves/burials3. mortuaryRECREATION AND CULTURE1. theater2. auditorium3. museum4. music facility5. outdoor recreation6. fair7. monument/marker8. work of artAGRICULTURE/SUBSISTENCE1. processing2. storage3. agricultural field4. animal facility5. fishing facility or site6. horticultural facility7. agricultural outbuilding8. irrigation facilityINDUSTRY/PROCESSING/EXTRACTION1. manufacturing facility2. extractive facility3. waterworks4. energy facility5. communications facility6. processing site7. industrial storageHEALTH CARE1. hospital2. clinic3. sanitarium4. medical business/office5. resortDEFENSE1. arms storage2. fortification3. military facility4. battle site5. coast guard facility6. naval facility7. air facilityLANDSCAPE1. parking lot2. park3. plaza4. garden5. forest6. unoccupied land7. underwater8. natural feature9. street furniture/object10. conservation areaTRANSPORTATION1. rail-related2. air-related3. water-related4. road-related (vehicular)5. pedestrian-relatedWORK IN PROGRESSUNKNOWNVACANT/NOT IN USEDEMOLISHEDOTHER

SOUTH DAKOTA STATE HISTORIC PRESERVATION OFFICEHISTORIC SITES SURVEY BRIDGE FORMSITE INFORMATION*SURVEY DATE:*SURVEYOR:*ADDRESS:*COUNTY:*CITY:LOCATION DESCRIPTION:LEGAL DESCRIPTION:*QUARTER 1:*QUARTER 2:*TOWNSHIP:*RANGE:*SECTION:ACRES:OWNER CODE 1:OWNER CODE 2:OWNER CODE 3:OWNER NAME:OWNER ADDRESS:OWNER CITY:OWNER STATE:OWNER ZIP:QUAD NAME:FFFSSSLLLPPPHISTORIC SIGNIFICANCE*DOE:*DOE DATE:REASON INELIGIBLE:NOMINATION STATUS:DATE LISTED:REFERENCE NUMBER:HISTORIC DISTRICT RATING:PERIOD:REGISTER NAME:MULTIPLE PROPERTY NAME:CATEGORY:SIGNIFICANCE LEVEL 1:SIGNIFICANCE LEVEL 2:C or NCCRITERIA 1:CRITERIA 2:CRITERIA 3:CRITERIA 4:AAAABBBBCCCCNNSSLLDDDDSIGNIFICANCE NOTES:* REQUIRED FIELD1

SOUTH DAKOTA STATE HISTORIC PRESERVATION OFFICEHISTORIC SITES SURVEY BRIDGE FORMBRIDGE DETAILSSHPO ID:*DATE BUILT:STRUCTURAL SYSTEM:TYPE:STYLE:MATERIALS:IN USE:ACCESSIBLE:SIGNIFICANT PERSON:*BRIDGE NAME:OTHER NAME:LENGTH:NUMBER OF SPANS:APPROACH SPAN TYPE:YES or NOYES or NOALTERED/MOVED NOTES:*PHYSICAL NOTES:*UTM ZONE:*UTM EASTING:*UTM NORTHING:* REQUIRED FIELD*RESTRICTED:Y or N2

SOUTH DAKOTA STATE HISTORIC PRESERVATION OFFICEHISTORIC SITES SURVEY BRIDGE FORMSKETCH MAPPHOTOGRAPHSPHOTOGRAPHER:DATE OF PHOTO:* REQUIRED FIELDROLL NUMBER:PHOTO NUMBER:CAMERA DIRECTION:3

SOUTH DAKOTA STATE HISTORIC PRESERVATION OFFICEHISTORIC SITES SURVEY CEMETERY FORMSITE INFORMATION*SURVEY DATE:*SURVEYOR:*ADDRESS:*COUNTY:*CITY:LOCATION DESCRIPTION:LEGAL DESCRIPTION:*QUARTER 1:*QUARTER 2:*TOWNSHIP:*RANGE:*SECTION:ACRES:OWNER CODE 1:OWNER CODE 2:OWNER CODE 3:OWNER NAME:OWNER ADDRESS:OWNER CITY:OWNER STATE:OWNER ZIP:QUAD NAME:FFFSSSLLLPPPHISTORIC SIGNIFICANCE*DOE:*DOE DATE:REASON INELIGIBLE:NOMINATION STATUS:DATE LISTED:REFERENCE NUMBER:HISTORIC DISTRICT RATING:PERIOD:REGISTER NAME:MULTIPLE PROPERTY NAME:CATEGORY:SIGNIFICANCE LEVEL 1:SIGNIFICANCE LEVEL 2:C or NCCRITERIA 1:CRITERIA 2:CRITERIA 3:CRITERIA 4:AAAABBBBCCCCNNSSLLDDDDSIGNIFICANCE NOTES:* REQUIRED FIELD1

SOUTH DAKOTA STATE HISTORIC PRESERVATION OFFICEHISTORIC SITES SURVEY CEMETERY FORMSTRUCTURE DETAILSSHPO ID:CULTURAL AFFILIATION:*YRS FROM TOMBSTONES:*DATE STARTED:IN USE:HISTORIC FUNCTION:CURRENT FUNCTION:CURRENT SUBFUNCTION:Y or NCEMETERYACCESSIBLE:orY or NGRAVES/BURIALS*CEMETRY NAME:OTHER NAME:STARTED BY:*NOTES:*UTM ZONE:*RESTRICTED:Y or N*UTM EASTING:*UTM NORTHING:* REQUIRED FIELD2

SOUTH DAKOTA STATE HISTORIC PRESERVATION OFFICEHISTORIC SITES SURVEY CEMETERY FORMSKETCH MAPPHOTOGRAPHSPHOTOGRAPHER:DATE OF PHOTO:* REQUIRED FIELDROLL NUMBER:PHOTO NUMBER:CAMERA DIRECTION:3

SOUTH DAKOTA STATE HISTORIC PRESERVATION OFFICEHISTORIC SITES SURVEY INELIGIBLE FORMINELIGIBLE FORM*SURVEY DATE:*SURVEYOR:*QUARTER 1:*QUARTER 2:*TOWNSHIP:*RANGE:*SECTION:*PROPERTY ADDRESS:*COUNTY:*CITY:*DOE:*DOE DATE:*REASON INELIGIBLE:NOT ELIGIBLE*PROPERTY NAME:*DATE OF CONSTRUCTION:*PHYSICAL NOTES:*UTM ZONE:*RESTRICTED:Y or N*UTM EASTING:*UTM NORTHING:FOR CEMETERIES:*DATE STARTED:*YEARS FROM TOMBSTONES:* REQUIRED FIELD1

SOUTH DAKOTA STATE HISTORIC PRESERVATION OFFICEHISTORIC SITES SURVEY INTENSIVE FORMSITE INFORMATION*SURVEY DATE:*SURVEYOR:*QUARTER 1:*QUARTER 2:*TOWNSHIP:*RANGE:*SECTION:ACRES:QUAD NAME:*PROPERTY ADDRESS:*COUNTY:*CITY:LEGAL DESCRIPTION:LOCATION DESCRIPTION:OWNER CODE 1:OWNER CODE 2:OWNER CODE 3:FFFSSSLLLPPPOWNER NAME:OWNER ADDRESS:OWNER CITY:OWNER STATE:OWNER ZIP:HISTORIC SIGNIFICANCE*DOE:*DOE DATE:REASON INELIGIBLE:REGISTER NAME:MULTIPLE PROPERTY NAME:SIGNIFICANCE LEVEL 1:SIGNIFICANCE LEVEL 2:NOMINATION STATUS:DATE LISTED:REFERENCE NUMBER:PERIOD:CATEGORY:HISTORIC DISTRICT RATING:CRITERIA 1:CRITERIA 2:CRITERIA 3:CRITERIA 4:AAAABBBBCCCCNNSSLLDDDDC or NCSIGNIFICANCE NOTES:* REQUIRED FIELD1

SOUTH DAKOTA STATE HISTORIC PRESERVATION OFFICEHISTORIC SITES SURVEY INTENSIVE FORMSTRUCTURE DETAILSSHPO ID:*PROPERTY NAME:OTHER NAME:CURRENT FUNCTION:CURRENT SUBFUNCTION:HISTORIC FUNCTION:HISTORIC SUBFUNCTION:OCCUPIED:ACCESSIBLE:STORIES:*DATE OF CONSTRUCTION:YES or NOYES or NOFOUNDATION:ROOF MATERIAL:ROOF SHAPE:STRUCTURAL SYSTEM:STYLE:TYPE:WALLS:SIGNIFICANT PERSON:CULTURAL AFFILIATION:ALTERED/MOVED NOTES:INTERIOR NOTES:OTHER NOTES:*PHYSICAL NOTES:*UTM ZONE:*UTM EASTING:*UTM NORTHING:* REQUIRED FIELD*RESTRICTED:Y or N2

SOUTH DAKOTA STATE HISTORIC PRESERVATION OFFICEHISTORIC SITES SURVEY INTENSIVE FORMARCHITECTURAL EVALUATIONPORCH TYPE:PORCH LOCATION:PORCH HEIGHT (ft.):PORCH ROOF:BAYS/TOWERS TYPE:BAYS/TOWERS LOCATION:WINDOW TYPE:WINDOW LOCATIONS:CHIMNEY TYPE:CHIMNEY LOCATION:DORMERS TYPE:DORMERS LOCATION:DOOR TYPE:DOOR LOCATIONS:INTERIOR:ARCHITECTURAL DETAILS:E EXCELLENT; F FAIR; G GOOD; P POOROVERALL CONDITION: E F G PFOUNDATION CONDITION E F G PWALL CONDITION: E F G PWINDOW CONDITION: E F G P* REQUIRED FIELDROOF CONDITION:PORCH CONDITION:INTERIOR CONDITION:EEEFFFGGGPPP3

SOUTH DAKOTA STATE HISTORIC PRESERVATION OFFICEHISTORIC SITES SURVEY INTENSIVE FORMHISTORY AND CONTEXTDATE OF AREA SETTLEMENT:DATE TOWN OR ADDITION PLATTED:ORIGINAL OWNER:OWNER ORIGINS:OWNER INFO:OTHER OWNERS:SIGNIFICANT PERSON:CULTURAL AFFILIATION:BUILDER:STATE CONTEXT TOPIC:HISTORY NOTES:PLANNINGPUBLIC SUPPORT:VANDALISM:THREAT:SITE PROTECTED:YYYYororororNNNNHIGH RESEARCH :YYYYYorororororNNNNNENVIRONMENTAL EFFECTS (weather, erosion, etc.):* REQUIRED FIELD4

SOUTH DAKOTA STATE HISTORIC PRESERVATION OFFICEHISTORIC SITES SURVEY INTENSIVE FORMSKETCH MAPPHOTOGRAPHSPHOTOGRAPHER:DATE OF PHOTO:* REQUIRED FIELDROLL NUMBER:PHOTO NUMBER:CAMERA DIRECTION:5

SOUTH DAKOTA STATE HISTORIC PRESERVATION OFFICE HISTORIC SITES SURVEY STRUCTURE FORM MASTER LIST 1 HISTORIC SIGNIFICANCE OWNER CODE F Federal government S State government L Local government P Private DOE Future Eligible Not Eligible NR Eligible SR Eligible Tabled Unevaluated R

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