MAPPING OF SIGNIFICANT TANGIBLE IMMOVABLE

CATEGORY: SITES

NAME OF IMMOVABLE HERITAGE:

PHOTO:

1. BACKGROUND INFORMATION
A.TYPE [ ] PLAZA [ ] PARK
[ ] ARCHAEOLOGICAL SITE [ ] HERITAGE LANDSCAPE
[ ] CEMETERY [ ] BURIAL SITE
[ ] SPORTS COMPLEX [ ] PILGRIMAGE SITE
B.OWNERSHIP [ ] PUBLIC [ ] PRIVATE

C.ADDRESS/LOCATION/COORDINATES (LONGITUDE & LATITUDE) :

D.AREA

E.YEAR CONSTRUCTED/ESTIMATED AGE:

F.OWNERSHIP/JURISDICTION:

G. DECLARATION/LEGISLATION:

II. DESCRIPTION

A. PHYSICAL DESCRIPTION (DESCRIBE THE PHYSICAL FEATURES OF THE SITE AND ITS
SURROUNDING AREA)
B. HISTORY OF THE SITE (WRITE THE HISTORY OF CONSTRUCTION, USE OF THE SITE OVER THE
YEARS, HISTORY OF INTERVENTION)

III. STORIES ASSOCIATED WITH THE SITE

IV. SIGNIFICANCE

V. CONSERVATION

A. STATUS/CONDITION OF THE SITE: (DESCRIBE THE PHYSICAL CONDITION OF THE SITE)

[ ] IN GOOD CONDITION

[ ] DETERIORATED

[ ] RUINS
REMARKS:

B. INTEGRITY OF THE SITE: [ ] ALTERED [ ] UNALTERED

REMARKS:

C. CONSTRAINTS/THREATS/ISSUE:

D. CONSERVATION MEASURES: (DESCRIBE THE CONSERVATION MEASURES TAKEN AT THE LEVEL OF

THE COMMUNITY, PROVINCIAL AND/OR NATIONAL)

VI.LIST OF SIGNIFICANT FLORA, FAUNA AND HERITAGE STRUCTURES (WITHIN THE SITE)

NO. NAME OF BUILT STRUCTURE PHOTO YEAR CONSTRUCTED DIMENSION

OR SIGNIFICANT FLORA OR ESTIMATED AGE

FAUNA

VII. REFERENCES

KEY INFORMANT/S:

REFERENCE/S:

NAME OF PROFILER/MAPPER:

DATE PROFILED: