Illinois Speleological Survey, Inc.
Basic Feature Data Submission Form
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County:

Date:

Feature type:     [cave]  [spring]  [karst_feature]    
(mark ALL that              
 apply)           [pit]   [mine]    [other]

Feature name:                 

Accession number:

Report by:
                                               
Address:                                                  
                                                          
phone:               

email:

Others involved:                                          
                                                          
Quadrangle:

Quad Size (e.g., 7.5'):

North American Datum:  [1927]  [1983]  [unknown]
(mark ONE)              

Karst Region:  [Sinkhole_Plain] [Driftless_Area]
(mark ONE)     [Shawnee_Hills]  [Lincoln_Hills] [other]

UTM Coordinates (meters):

UTM Northing:

UTM Easting:

UTM Zone: [15] [16] [unsure]
(mark ONE)

UTM source: [map] [GPS]  [GIS]      

Attached photocopy           
of map with feature
marked?               [yes] [no] 
(mark ONE)

Quad indication: [marked] [sink] [spring] [other]
(mark ALL that
 apply)

Field indication: [sink] [spring] [obvious]
(mark ALL that
 apply)

Entrance dimensions (mark ONE:  [feet] [meters] ):                                      

high:
by
wide:

*OR*

long:
by
wide:

Feature mapped?       [yes] [no]
(mark ONE)

Length:                        
(mark ONE:  [feet] [meters] [miles])
(mark ONE:  [surveyed] [estimated] )

Depth:                        
(mark ONE:  [feet] [meters] )
(mark ONE:  [surveyed] [estimated] )

Map submitted to ISS?:       [yes] [no] [unsure]                             
(mark ONE)

Landowner
---------
Name:

Address:

Phone:

Email:

Landowner notes:


                    

Feature notes:                                           
                                                          
                                                          
                                                          
                                                          
Directions (driving, hiking, etc.)
to locate feature:





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Email this form to: colburn@museum.state.il.us                                     
                                                          

Or Mail form to:

Mona Colburn
c/o Illinois State Museum
Research and Collections Center
1011 E. Ash Street
Springfield, IL 62703
RE: ISS Data Submission

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Page created 12 April 2000, last modified 2 November 2005
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