HTC Request for Designation – Page 3
2020
LANDSCAPING
Identify cultural (planted deliberately) plants and naturally occurring plants, if known. Include names of
identifiable trees, shrubs, and ground cover.
Cultural plants: _______________________________________________________________________
Natural plants: _______________________________________________________________________
PERIMETER (attach a site plan/sketch map that illustrates these dimensions and perimeter features)
Measured dimensions of cemetery: _____ x _____ feet Irregular shape Acreage: _____ acres
Do the on-the-ground measurements given above match those given in the deed description? Yes No
Explain: ____________________________________________________________________________
Is the cemetery enclosed by a fence? Fully fenced Partially fenced No fence
If known, approximate year (decade) in which fence was installed: ____________________________________
Perimeter fence materials (check all that apply): No fence Chain link Cast/wrought iron
Barbed wire Woven wire Brick Stone Wood Other: _____________________
If not fully fenced, is the perimeter of the cemetery property defined by any of the following:
Cultivated fields Trimmed grass Roads Tree/brush line Body of water
Hedgerow (deliberately planted) Vacant land Other: _____________________________________
AGE AND CONTEXT
Date of oldest burial: ________ Date of most recent burial: ________ Cemetery still active? Yes No
Approximate number of graves: ________
Unmarked graves Marked graves, no dates Marked, dated graves
Original associated cultural context (such as community, church, family homestead, etc.): ______________
Subsequent community established around cemetery site? Explain: _________________________________
Original geographic context removed (cemetery now in road right-of-way, parking lot, etc.)? Explain: _____
Cemetery relocated from original site? Explain, include source of info: ______________________________
Burial Records Exist Gravestones have been inventoried Location of inventory: ______________
CEMETERY CONDITION (check all that apply)
Evidence of cemetery above ground Graves not readily visible Grave depressions
Maintained Overgrown No obvious evidence of maintenance Select sections maintained
Trash/dumping ground Vandalized
Leaning stones Fallen stones Missing features Evidence of gravestone repairs
GRAVESTONE MATERIALS (check all that apply)
Cast iron Ceramic photographs Concrete Fieldstone Funeral company marker
Granite Limestone Marble Sandstone Resin/plastic Steel Structural glass
Tile Wood Zinc Other: ____________
