Promoting awareness is the first step to preservation
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Cemetery Information
Cemetery Name Please give us the current or most common name of the cemetery that you are reporting on. If the name unknown, the most common surname found in the cemetery can be used as a name. You may also use a road or community name if applicable. Please, if at all possible DO NOT submit the name as "Unknown" or "Unsure". Other Names Please give us any other known current or previous names of the cemetery that you are reporting on. Please DO NOT submit the name as "Abandoned", "Unknown" or "Unsure" in this category. Is the cemetery marked by a identifying sign or marker? Yes No Street Address If the cemetery resides on private property, such as a farm or business, please give us that address. In the event that there is not a street address assigned to the property that the cemetery is located on, please give us the name of the nearest street or road, or the route number. City or Town In the event that the cemetery is not located within the borders of a town or city, please list the nearest one, and approximately how far away it is from that location. Township County / Parish Province/State Nation Zip or Postal Code GPS Coordinates Latitude (N/S HDDD MM.MM)* (WGS84 datum) N S Longitude (W/E HDDD MM.MM)* (WGS84 datum) W E Current cemetery status could be best described as: Active Inactive Abandoned An “abandoned cemetery” is defined as “a cemetery that has not had burials within the past 25 years and which shows signs of neglect including, without limitation, the unchecked growth of vegetation, repeated and unchecked acts of vandalism, or the disintegration of grave markers or boundaries and for which no person can be found who is legally responsible and financially capable of the upkeep of such cemetery.” Approximate overall physical size of cemetery: Small Medium Large Directions from nearest Community Please indicate County Road Numbers, key landmarks, signage, distance from nearest road, etc. The road that is nearest to the cemetery is: A public road A private road
Cemetery Name Please give us the current or most common name of the cemetery that you are reporting on. If the name unknown, the most common surname found in the cemetery can be used as a name. You may also use a road or community name if applicable. Please, if at all possible DO NOT submit the name as "Unknown" or "Unsure".
Other Names Please give us any other known current or previous names of the cemetery that you are reporting on. Please DO NOT submit the name as "Abandoned", "Unknown" or "Unsure" in this category.
Is the cemetery marked by a identifying sign or marker? Yes No
Street Address If the cemetery resides on private property, such as a farm or business, please give us that address. In the event that there is not a street address assigned to the property that the cemetery is located on, please give us the name of the nearest street or road, or the route number.
City or Town In the event that the cemetery is not located within the borders of a town or city, please list the nearest one, and approximately how far away it is from that location.
Township
County / Parish
Province/State
Nation
Zip or Postal Code
GPS Coordinates
Current cemetery status could be best described as: Active Inactive Abandoned An “abandoned cemetery” is defined as “a cemetery that has not had burials within the past 25 years and which shows signs of neglect including, without limitation, the unchecked growth of vegetation, repeated and unchecked acts of vandalism, or the disintegration of grave markers or boundaries and for which no person can be found who is legally responsible and financially capable of the upkeep of such cemetery.”
Approximate overall physical size of cemetery: Small Medium Large
Directions from nearest Community Please indicate County Road Numbers, key landmarks, signage, distance from nearest road, etc.
The road that is nearest to the cemetery is: A public road A private road
Cemetery Description Location, Access, Security
Location
The area surrounding the cemetery is best described as: Urban Suburban Rural The terrain that the cemetery is located on would best be described as: Level Hillside Does the cemetery either border or contain within it's boundaries a water source? Such as a stream, river, lake or pond. Yes No Other natural features within cemetery: Such as landscaping - trees, etc.
The area surrounding the cemetery is best described as: Urban Suburban Rural
The terrain that the cemetery is located on would best be described as: Level Hillside
Does the cemetery either border or contain within it's boundaries a water source? Such as a stream, river, lake or pond. Yes No
Other natural features within cemetery: Such as landscaping - trees, etc.
Access
This cemetery is located on what type of land? Private Public Access to the cemetery is: Open to all Open with permission only Inaccessible
This cemetery is located on what type of land? Private Public
Access to the cemetery is: Open to all Open with permission only Inaccessible
Security
The cemetery is surrounded by: A continuous masonry or other type wall A broken masonry or other type wall A continuous fence A broken fence No wall or fence A hedge or row of trees or bushes The cemetery has: A gate that locks A gate that does not lock No gate
History of Cemetery
Date Cemetery Established Please give us the date that the cemetery was first established. This may not necessarily be the date of the first recorded burial. Approximate number of gravestones in cemetery: Please include all known burials, both marked and unmarked in this cemetery. Date of first internment: From stone or records, enter the date of the FIRST known burial in this cemetery. Date of last internment: From stone or records, enter the date of the MOST RECENT known burial in this cemetery. Have gravestones been removed from the cemetery? Yes No Unknown Are this cemetery ever been relocated? Yes No Unsure Are there indications of previous repair / restoration efforts? Yes No Unsure If yes, what repair methods were used? Adhesives Coatings Iron pins / bolts Metal supports Other Are there planned or ongoing previous repair / restoration efforts? Yes No Unsure Is there a currently existing cemetery association for this cemetery? Yes No Unsure Do cemetery or association burial records exist? Yes No Unsure Has this cemetery been inventoried by a Federal, state, county, or local historical group? Yes No Unsure If yes to either of the above two questions, please list (if known) the title, author, publishing date, location and availability of records or inventory. Due to the ever changing nature of the Internet please DO NOT list online inventories.
Date Cemetery Established Please give us the date that the cemetery was first established. This may not necessarily be the date of the first recorded burial.
Approximate number of gravestones in cemetery: Please include all known burials, both marked and unmarked in this cemetery.
Date of first internment: From stone or records, enter the date of the FIRST known burial in this cemetery.
Date of last internment: From stone or records, enter the date of the MOST RECENT known burial in this cemetery.
Have gravestones been removed from the cemetery? Yes No Unknown
Are this cemetery ever been relocated? Yes No Unsure
Are there indications of previous repair / restoration efforts? Yes No Unsure
If yes, what repair methods were used? Adhesives Coatings Iron pins / bolts Metal supports Other
Are there planned or ongoing previous repair / restoration efforts? Yes No Unsure
Is there a currently existing cemetery association for this cemetery? Yes No Unsure
Do cemetery or association burial records exist? Yes No Unsure
Has this cemetery been inventoried by a Federal, state, county, or local historical group? Yes No Unsure
If yes to either of the above two questions, please list (if known) the title, author, publishing date, location and availability of records or inventory. Due to the ever changing nature of the Internet please DO NOT list online inventories.
Design Characteristics of Cemetery
Landscaping
Does this cemetery contain any of the following: Traditional Landscaping Yes No Unsure Natural paths Yes No Unsure Exceptional trees Yes No Unsure
Does this cemetery contain any of the following:
Structures
Does this cemetery contain any of the following architectural features: Crypts or mausoleums Yes No Unsure Ornamental fencing Yes No Unsure Brickwork Yes No Unsure Decorative ironwork Yes No Unsure Sculpture Yes No Unsure Fountains Yes No Unsure Roads Yes No Unsure Buildings Yes No Unsure
Does this cemetery contain any of the following architectural features:
Markers
Materials of which markers are made from: Cement Yes No Unsure Stone - Granite Yes No Unsure Stone - Marble Yes No Unsure Stone - Native Yes No Unsure Stone - Slate Yes No Unsure Stone - Other Yes No Unsure Wood Yes No Unsure Other Materials Yes No Unsure Decorative carvings and Scriptural forms found on markers : Architectural forms Yes No Unsure Angels Yes No Unsure Draperies Yes No Unsure Fraternal Symbols Yes No Unsure Hands Yes No Unsure Lambs Yes No Unsure Monograms Yes No Unsure Plant or flower symbols Yes No Unsure Photographic Images Yes No Unsure Religious symbol Yes No Unsure Scrollwork Yes No Unsure Urns Yes No Unsure Other Carvings Yes No Unsure
Materials of which markers are made from:
Decorative carvings and Scriptural forms found on markers :
General Condition of the Cemetery Please describe the conditions in this cemetery that you have observed:
Overall Status Please choose only the one that best describes the overall conditions currently found within this cemetery. A cemetery SHOULD NOT be listed as "Destroyed" unless there is little or no physical evidence remaining that a cemetery existed at one time in this location. Cemetery poorly maintained Cemetery neglected Cemetery vandalized Cemetery in danger of destruction Cemetery destroyed Is there the appearance of unmarked graves? Yes No Unsure Are there broken gravestones within the cemetery? Yes No Are there toppled gravestones within the cemetery? Yes No Are there disintegrating gravestones within the cemetery? Yes No Are there indications of buried gravestones? Yes No Unsure Is weather erosion a problem in this cemetery? Yes No Unknown Is their evidence that pollution is a problem in this cemetery? Yes No Unknown Has this cemetery has been vandalized: (stones overturned, broken or stolen; graffiti painted on walls or stones, etc.; graves desecrated) Yes No ******************* If you answered "No" to the above question, please skip the next two questions If yes, was a Police report filed? Yes No Please indicate the problems fond in this cemetery as a result: Overturned Gravestones Broken Gravestones Stolen Gravestones Graffiti Graves Desecrated ********************
Overall Status Please choose only the one that best describes the overall conditions currently found within this cemetery. A cemetery SHOULD NOT be listed as "Destroyed" unless there is little or no physical evidence remaining that a cemetery existed at one time in this location.
Cemetery poorly maintained Cemetery neglected Cemetery vandalized Cemetery in danger of destruction Cemetery destroyed
Is there the appearance of unmarked graves? Yes No Unsure
Are there broken gravestones within the cemetery? Yes No
Are there toppled gravestones within the cemetery? Yes No
Are there disintegrating gravestones within the cemetery? Yes No Are there indications of buried gravestones? Yes No Unsure
Is weather erosion a problem in this cemetery? Yes No Unknown Is their evidence that pollution is a problem in this cemetery? Yes No Unknown
Has this cemetery has been vandalized: (stones overturned, broken or stolen; graffiti painted on walls or stones, etc.; graves desecrated) Yes No
*******************
If you answered "No" to the above question, please skip the next two questions
If yes, was a Police report filed? Yes No Please indicate the problems fond in this cemetery as a result: Overturned Gravestones Broken Gravestones Stolen Gravestones Graffiti Graves Desecrated
If yes, was a Police report filed? Yes No
Please indicate the problems fond in this cemetery as a result: Overturned Gravestones Broken Gravestones Stolen Gravestones Graffiti Graves Desecrated
********************
Vegetation Overgrowth
Vegetation overgrowth in the cemetery is: Not a problem A seasonal problem, preventing access A constant problem, disturbing graves A constant problem, disturbing stones A constant problem, damaging stones Please indicate the types of vegetation overgrowth problems found in the cemetery: Trees Ground cover Moss Vines
Vegetation overgrowth in the cemetery is: Not a problem A seasonal problem, preventing access A constant problem, disturbing graves A constant problem, disturbing stones A constant problem, damaging stones
Please indicate the types of vegetation overgrowth problems found in the cemetery: Trees Ground cover Moss Vines
Water Drainage
Water drainage at the cemetery is: Good all year round (not a problem) A seasonal problem A constant problem
Other General Problem's Please choose all that apply
Encroachment without set back Civil authority apathy to the situation
Current use of Cemetery site Please describe how this cemetery is currently used that you have observed:
The present owner of the cemetery property is: Association City, town or village Township County Regional government (State, Province, etc) Federal or national government Religious (Church, Synagogue, etc) Lodge or Fraternal Order Family Private individual (s) Business or corporation Unknown The cemetery property is currently used for: Cemetery Agricultural use (crops or animal grazing) Recreational use (park, playground, sports field) Industrial use Commercial use Storage Waste dumping Residential use Parking lot Properties adjacent to cemetery are: Recreational Commercial Industrial Woods Agricultural Residential Transportation (Highway, Railroad, Airport, etc) Educational Religious Compared to 1960, the cemetery boundaries enclose: The same area A larger area A smaller area Unknown If the boundaries are smaller, they have been reduced as a result of: New roads or highways Housing development Commercial development Industrial development Agriculture Educational development Religious development Parking The cemetery is visited: Frequently Occasionally Rarely Unknown Has archeology been conducted at this cemetery? Yes No Unknown Does this cemetery provide a habitat for native birds and other wildlife? Yes No Unknown
The present owner of the cemetery property is: Association City, town or village Township County Regional government (State, Province, etc) Federal or national government Religious (Church, Synagogue, etc) Lodge or Fraternal Order Family Private individual (s) Business or corporation Unknown The cemetery property is currently used for: Cemetery Agricultural use (crops or animal grazing) Recreational use (park, playground, sports field) Industrial use Commercial use Storage Waste dumping Residential use Parking lot Properties adjacent to cemetery are: Recreational Commercial Industrial Woods Agricultural Residential Transportation (Highway, Railroad, Airport, etc) Educational Religious Compared to 1960, the cemetery boundaries enclose: The same area A larger area A smaller area Unknown If the boundaries are smaller, they have been reduced as a result of: New roads or highways Housing development Commercial development Industrial development Agriculture Educational development Religious development Parking The cemetery is visited: Frequently Occasionally Rarely Unknown
Has archeology been conducted at this cemetery? Yes No Unknown
Does this cemetery provide a habitat for native birds and other wildlife? Yes No Unknown
Surnames Please list in alphabetical order all known surnames found in this cemetery.
Other Information or Comments Is there anything else that you would like us to know about the condition of this cemetery? Please use this space to add any other pertinent information concerning this cemetery, including unique features not covered above, or unique gravestone types or carvings.
Contacts
Previous Contacts: Who have you previously contacted regarding this situation? Please do not include this report. Support Contacts: Please indicate to others who they might contact to add their support to the cause. For example, the Chairman of the Board of Supervisors or the County Planning Director. Where possible please give the persons full name along with their position. Please be sure to provide contact information. If you do not have email addresses for these contacts, please be sure to include a full mailing address.
Previous Contacts: Who have you previously contacted regarding this situation? Please do not include this report.
Support Contacts: Please indicate to others who they might contact to add their support to the cause. For example, the Chairman of the Board of Supervisors or the County Planning Director. Where possible please give the persons full name along with their position. Please be sure to provide contact information. If you do not have email addresses for these contacts, please be sure to include a full mailing address.
Submitted By In order for the report to be processed you MUST have your name and email address. This information is used for others to contact you concerning the situation that you are reporting and is required. Failure to include this information will result in the rejection of the report.
Your Name - Required Please give both FIRST and LAST name. Your Email Address - Required You MUST include a valid email address. Date of Submission
Your Name - Required Please give both FIRST and LAST name.
Your Email Address - Required You MUST include a valid email address.
Date of Submission
Photographs
If you have photographs of this cemetery and would like to submit them for use with this report please visit the Cemetery Photos page.
