Download department of parks and recreation

DEPARTMENT OF PARKS AND RECREATION
GUAM HISTORIC RESOURCES DIVISION (GHRD)
(STATE HISTORIC PRESERVATION OFFICE)
GUAM HISTORIC PROPERTIES INVENTORY (GHPI)
DATA FORM
A.
IDENTIFICATION: Items 1, 2, 3a, 3b.
1.
Data Form Date: ____________________________________
2.
Guam Historic Properties Inventory Number:
This number is assigned by GHRD Survey and Inventory staff
66 - ________ - _______________
(Quad number) (Greater than 1300)
3a.
Name of Property:______________________________________________________________
3b.
Other Property Name: __________________________________________________________
B.
LOCATION: Items 4, 5, 6, 7, 8; Use USGS Topographic map (1:24:000 series) to complete 4, 5, 6.
4a.
Place an X below in the appropriate USGS Topographic Map on which property is located.
____ Hagåtña (1) ____ Agat (2) ____ Apra Harbor (3) ____ Dededo (4) ____ Inarajan (5)
____ Merizo (6) ____ Pati Point (7) ____ Ritidian (8) ____ Talofofo (9)
4b.
ATTACH MAP: Indicate/locate on USGS Topographic Map where property is located.
5.
Local and/or traditional place name of property or area: ______________________________
6.
Municipality. Place and X below on which the Property is located in the Municipality of:
____ Agana Heights; ____ Agat; ____ Asan-Maina; ____ Barrigada; ____ Chalan Pago –
Ordot; _____ Dededo; ____ Hagåtña; ____ Inarajan; ____ Mangilao; ____ Merizo;
____Mongmong-Toto-Maite; ____ Piti; ____ Santa Rita; ____ Talofofo; ____ Tamuning;
____ Umatac; ____ Sinajana; ____ Yigo; ____ Yona; ___ Other, specify:____________
7.
Lot Number(s): _______________________________________________________
8.
Size of Property. Indicate total acres and hectares on which historic property is situated on:
Acres: ______________
Hectares: ________________
C. PROPERTY OWNER(S)
9.
PLACE an X if Property is: ___Private Property; ___Govt. of Guam; ___Federal Property
10a.
Indicate Property Owner Name(s)_________________________________________________
10b.
Contact Numbers, Include Fax No.:________________________________________________
10c.
Mailing Address: ______________________________________________________________
11.
Name of Leaseholder, if applicable: _______________________________________________
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Revised Form: Feb 2011
D. U.T.M COORDINATES, APPROXIMATE CENTER POINT: Zone 55
12.
EASTING / NORTHING. Locate center point for property if one acre or less:
Easting ______________________ Northing _______________________
13.
Locate at least three points if property is greater than one acre:
1. E ______________________ N ____________________________
2. E ______________________ N ____________________________
3. E ______________________ N ____________________________
4. E ______________________ N ____________________________
E. CONDITION OF PROPERTY / CURRENT USE
14.
PLACE an X if condition of property is:
_____ Excellent / Undisturbed; _____ Good;
_____ Poor / Deteriorated; _____ Destroyed
15.
Briefly describe condition to properly evaluate future preservation efforts: _________________
____________________________________________________________________________________
____________________________________________________________________________________
16.
Current Use of Property: ____ Government Office; ____ Hospital / Clinic; ____ School;
____Communications Facility; ____ Habitation; ____ Toolmaking; ____ Social/ Meeting Hall;
____Warehouse; ____Storage; ____ Other-specify____________________________
F. HISTORIC CONTEXT
17.
The Historic Context of this Property is best classified as (check one or more):
____ 1687 B.C. Early Latte Period
____ 6 A.D. – 800 A.D. Mid-Pre Latte Period
____ 800 – 1300 A.D. Latte Period
____ 1300 A.D. Mid-Latte Period
____ 1500 – 1700 Late Latte / Early Historic Period
____ 1668 – 1699 Spanish Missionization Period / Chamorro Spanish Wars
____ 1700 – 1898 Spanish Colonial Period
____ 1898 – 1941 First American Colonial Period
____ 1941 – 1944 World War II / Japanese Military Occupation
____ 1944 – 1950 Post World War II /Second American Colonial Period
____ 1950 – 1969 Political Economic Development Period
____ 1970 – Present; Quasi Self-Governing Period
G. CULTURAL RESOURCE CLASSIFICATION
The term “cultural resources” is broadly defined to include cultural uses of the natural environment, religious and
sacred sites, places of traditional cultural importance, historic and archaeological resources, historic objects and
documents, and that has some cultural value to a group of people.
18.
The Use of this Property can be described best as a place that contains or is valued as a:
___ Natural Resources; ____ Historical Resources; ___Archaeological Resources
___ Religious Site; ____ Sacred Site; ___Spiritual Place of Traditional Cultural Importance
___ Valued by the Community ____ Other:_____________________________________
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Revised Form: Feb 2011
H. PROPERTY CLASSIFICATION
19. This property or site can be best classified as (check one box).
____ Site
A site can be the location of a significant event, a prehistoric occupation or activity, or a building or
structure, whether standing, ruined, or vanished, where the location itself possesses historic, cultural, or
archaeological value regardless of the value of any existing structure.
____District
A district possesses a significant concentration, linkage, or continuity of sites, buildings, structures, or
objects united historically or aesthetically by plan or physical development.
____ Building
A building such as a house, church, hotel created principally to shelter any form of human activity. A
“building” may also be used to refer to a historically and functionally related unit, such as a courthouse or
jail.
____ Structure
The term “structure” is used to distinguish from buildings – its function was principally to shelter any form
of human activity. Structures can be pillboxes, bookshelves, shrines or monuments.
____ Object
The term “object” is used to distinguish from buildings and structures. Objects are primarily artistic in
nature or are relatively small in scale and simply created, although it may be by nature or design, movable,
an object is associated with a specific setting or environment.
I. DOCUMENTS REQUIRED
20.
ATTACH / INCLUDE ALL ITEMS BELOW WITH THIS DATA FORM:
_X_USGS Topography Map (Section. B.4b. above)
Use 1:24,000 series. Photocopy the vicinity of where the property is located on an 8.5 x 11 sheet of paper.
Clearly identify the location of this property on this map.
_X_ Drawing or Sketch
Provice a measured drawing or sketch of this property, preferably on an 8.5 x 11 sheet of paper.
_X_ Photographs
Digital photos in JPEG, 600dpi. Clearly identify each photo immediately below it. Number each photo
page.
_X_ Guam and or National Register Registration Forms if Property is Potentially Eligible
Refer to National Register documentation requirements.
_X__ Digital / electronic copy of documentation
___ Other Documents may include newspaper clippings, articles, sections from a book or
magazine. Maps, survey report descriptions, letters, etc.
J. DESCRIPTION, STATEMENT OF SIGNIFICANCE, DISPOSITION RECOMMENDATION
21. Provide a description of the property. State: if the property is potentially eligible for listing on the
Guam Register and/or National Register; if the property is currently listed; what appropriate action to take
if there is a potential danger that the property be vandalized, looted, damaged, destroyed, etc.
_____________________________________________________________________________________
_____________________________________________________________________________________
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Revised Form: Feb 2011
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K. FORM PREPARED BY
Name and Title of Individual Completing this Data Form:
__________________________________________________________________________________
Company Representing: _______________________________________________________________
Contact Numbers:____________________________________________________________________
Company Address: ___________________________________________________________________
Email Address: ________________________________________________
L. FOR GHRD OFFICE USE
Date reviewed: ____________________
Reviewed by: Name and Title of GHRD Staff: ______________________________________________
Date Entered in Inventory ________________________________
Documentation adequate? _______________________________
General Comments: ____________________________________________________________________
STAFF SIGNATURE: ________________________________________
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Revised Form: Feb 2011