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Survey Name

010-10

 

South Carolina Historic
Landscape Initiative
Survey Form

 

 

1.         Name of garden/historic site

 

2. Location

            Street & Number

 

            City or Town

           

      Zip Code                            County                                       Garden Club District

 

 

3.       Geographical Data

          Size (acres)

 

            USGS Quadrangle (mark in pencil)

 

            UTM References (optional)

            Zone                                                                                          Northing                                                                                                Easting

 

4.       Owner                             Administrator            (mark with X)

 

            Name

                       

            Address

 

            Telephone                                                                                                                                                       Email

 

            Contact Name/Title

                          Telephone                                                                      Email

 

            Mark one

            _____  Private

            _____  Public- local

            _____  Public- state

            _____  Public- federal

 

 


5.       Landscape Type

            Setting            (mark with X, each that applies)

            _____  Urban

            _____  Small city/town

            _____  Rural

            _____  Suburban

 

 

Significant characteristics of the garden/historic site that warrant preservation

 

 

 

 

 

 

 

 

 

 

 

 

 

Type of Garden/Historic Site       (mark with X, each that applies)

_____  naturalistic/informal garden

_____  colonial revival garden

_____  formal garden

_____  rose garden

_____  woodland garden

_____  kitchen garden

_____  water garden

_____  parterre garden

_____  perennial garden

_____  cemetery

_____  park

_____  battlefield

_____  square/commons

_____  public buildings

_____  farm

_____  monument grounds

_____  fort/other military site

_____  other    (describe)

 

 


General description of garden

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Garden elements and features (mark with X, each that applies)

_____  residence

            _____  historic building

            _____  new building (constructed within the last 50 years)

_____  containers/raised beds

_____  paving

_____  garden paths

_____  benches/seats

_____  statuary

_____  fences

_____  gazebo

_____  arbors/pergolas/trellises

_____  tool shed

_____  potting shed

_____  greenhouses

_____  pit garden

_____  pool house

_____  water features

_____  parterre

_____  herbaceous plants

_____  trees

_____  shrubs

_____  walls

_____  roadways/carriageways/drives

_____  vistas

_____  other outbuildings (list)

                       

 

 

 

 

6.       Landscape Status

 

Indicate the overall condition of the garden/historic site:

_____  Excellent: new or recently restored/fully functional

_____  Good: basically sound and functional

_____  Fair: deterioration evident, not fully functional

_____  Poor: advanced deterioration evident, compromised function, loss of major elements

 

Is the garden/historic site threatened in any of the following ways?

Threats

_____  adjacent development (including roads)

_____  compromised view-shed

_____  insects and diseases

_____  deer or other animals

_____  over-visitation

_____  neglect

_____  vandalism

_____  other (give details)

 

Access

_____  unrestricted

_____  restricted

_____  no access

_____  by appointment           _____ Freedom to wander       _____Guided tours

 

7.       Design History

 

Approximate date of design or installment

 

 

Original landscape architect, architect or designer

 

 

Gardener/s & horticulturist/s

                        Name/s

                       

Description of work in garden

 

 

 

 

Development chronology of garden/historic site

 


8.       Significance of garden/historic site:  (Mark with X and provide answers)

 

Association with prominent person/property

 

Association with important designer

 

Exemplary design type or style

 

Unique regional expression

 

Important artistic statement

 

Significant plants or collections

 

Exceptional features

 

Exceptional scenic or environmental values

 

Other qualities 

 

 

 

 

Statement of historic landscape significance: (brief description)

 

 

 

 

 

 

 

 

_____Listed in the National Register of Historic Places (mark with X)

(list registered name and date of listing)

 

 

Statement of integrity:  (Describe current extent & integrity of significant features)

 

 

 

 

 

 


9.  Sources of Information & Supporting Materials

 

Published material (list publication information)

 

 

                                                                                                                                                                                                                                                                                                                                                             

 

                                                                                                                                                                                                                                                                                                                                                             

 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   

 

 

 

 

 

Unpublished material (list publication information)

 

 

 

 

  

 

 

 

Availability and location of landscape plans/historic photographs 

 

 

Nurseries that supplied plant material

 

 

 

 

10.  Survey Team                      

     

     Team Leader

           

         Name

 

            Garden club/organization

 

            Street Address

 

            City/State/Zip

 

            Email

 

            Phone

 

            Date

                       

 

     Photographers (use separate sheet(s) to list multiple photographers)

    

Name

 

Garden club/organization 

                       

Street Address

 

City/State/Zip

 

                        Email   

 

Date

 

Survey Team Members

                        List names and information

 

 

 

 

 

 

11.     Additional Information & Attachments

 

Photographs

Hard copies

Label & number each photograph with name of photographer, garden name, date, location and subject

                        CDs, label with name of photographer, date, garden name and location

Plans

Attach copies of plans, including historic & existing, if available.  In the absence of an existing plan, attach a rough sketch of garden or site layout.

Other material

List material (e.g. taped oral interviews or transcriptions; hard copy media documents)

 

 

 

 

 

12.       Comments (use additional sheets, if necessary)

 

 

 

 

 

 

 

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