BJ'S GENEALOGY SITE

TOMBSTONE WORKSHEET

Created by: John Grimes

This Page Created: 9/1/1999

---

Laws Pertaining to NC Cemeteries
How to Conduct a Cemetery Survey
Tombstone Worksheet

---

North Carolina Cemetery Survey

1.  Locations:

    a) Name or Names of Cemetery ___________________________ 

    b) County ______________________________________________ 

    c) City, town, community, or township 

       _____________________________________________________ 

    d) Specific Location: __________________________________ 

       _____________________________________________________ 

       _____________________________________________________ 

       _____________________________________________________ 


    e) Property owned by ___________________________________ 

    f) U.S.G.S. Topographic Map: Quadrangle ________________ 

       1) Cemetery Coordinates:  Latitude ____°___'____"
 
                                 Longitude ____°___'____"_ 

       2) Cemetery number on map ___________________________ 


2.  Classification:
    a) Public: _____ Municipal _____; County _____; State _____;

       Federal _____ 

    b) Private: __ Family (name_____________);

                __ Church (denomination ____________________)

                __ Other, explain __________________________ 

    c) Status: __ Abandoned; __ Maintained, but not used; 

               __ Currently used

    d) Size:  Approximate number of graves ____

              Approximate size of cemetery _____

    e) Type: ___ American Indian; ___ Black; ___ Slave; ___ White; 
 
             ___ Other, Explain _____________________________ 


3.  Accessibility to Public:

    a) __ Unrestricted

    b) __ Restricted, explain _______________________________ 


4.  Condition:

    a) ___ Well maintained and preserved

    b) ___ Poorly maintained

    c) ___ Overgrown, easily identified

    d) ___ Overgrown, not easily identifiable

    e) ___ Not identifiable as a burial site, but known to exist

       through tradition or other means.  Explain: _________ 

       _____________________________________________________ 

       _____________________________________________________ 

       _____________________________________________________ 


5.  Cemetery Enclosure:
    a) Is the cemetery enclosed by a wall, fence, hedge, etc.?
       If yes, specify how it is enclosed: 
       _____________________________________________________ 

    b) State condition of wall, fence, hedge, etc.
       _____________________________________________________ 


6.  Tombstones or Makers

    a) Are stones or markers present? ____; 

    b) If yes, are they inscribed? _______  

    c) Number of readable stones/markers _____;

    d) Date of last known burial: ______________ 

    e) Date of earliest known burial ___________;

    f) Are there unusual stones? _____ Describe them.
       _____________________________________________________ 

       _____________________________________________________ 

    g) Have markers been damaged? _____; 

       If yes, by farm animals _____ ;  Vandalism ____;
             Farming operations _____; Industrial operations _____;
        Custodial Care _____ Explain: 
        _____________________________________________________ 

       _____________________________________________________ 


7.  Note any hazards imperiling the cemetery's existence

    ________________________________________________________ 

    ________________________________________________________ 



8.  Has this cemetery been listed in an existing published or
    unpublished cemetery survey? _____.  If yes, explain: 

    _________________________________________________________ 


9.  Historical or other special significance of cemetery, 
    if any: ________________________________________________ 

    ________________________________________________________ 

    ________________________________________________________ 

    ________________________________________________________ 


10. Any other information:

    ________________________________________________________ 

    ________________________________________________________ 

    ________________________________________________________ 


Canvasser:__________________________________________________ 

Date: ______________

Organization:________________________________________________

Address/telephone/e-mail: 
 ____________________________________________________________ 

____________________________________________________________ 

____________________________________________________________ 

____________________________________________________________ 

This form has been prepared for use of the Committee for the Study of Abandoned Cemeteries, a group created in 1978 by the North Carolina General Assembly to study the number, nature and condition of North Carolina's cemeteries. Inquiries concerning the study whould be addressed to Cemetery Survey, North Carolina Division of Archives and History, 109 East Jones Street Raleigh, North Carolina 27611.

Tombstone Worksheet

How to Conduct a Cemetery Survey