Portal – Land Monitoring – Report Form

* Required

First Name *

Last Name *

Email Address *

Property name and number *

Location (street of access, town) *

Monitoring Visit Date <span class="req">*</span></label><br />
        <input type="text" name="CAT_Custom_1728104" id="CAT_Custom_1728104" class="cat_textbox" readonly style="background-color:#F0F0F0;" onfocus="displayDatePicker('CAT_Custom_1728104');return false;" /></td>
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<td><label for="CAT_Custom_1162748">Current landowner(s) <span class="req">*</span></label><br />
        <input type="text" maxlength="4000" name="CAT_Custom_1162748" id="CAT_Custom_1162748" class="cat_textbox" /></td>
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<td><label for="CAT_Custom_1162750">Landowner’s telephone # <span class="req">*</span></label><br />
        <input type="text" maxlength="4000" name="CAT_Custom_1162750" id="CAT_Custom_1162750" class="cat_textbox" /></td>
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<td><label for="CAT_Custom_1162751">Landowner’s email <span class="req">*</span></label><br />
        <input type="text" maxlength="4000" name="CAT_Custom_1162751" id="CAT_Custom_1162751" class="cat_textbox" /></td>
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<td><label for="CAT_Custom_1162749">Current landowner mailing and street address(es), if changed</label><br />
        <textarea name="CAT_Custom_1162749" id="CAT_Custom_1162749" cols="10" rows="4" class="cat_listbox" onkeydown="if(this.value.length>=4000)this.value=this.value.substring(0,3999);”>

All persons attending the monitoring visit *

Briefly describe your interaction with the landowner(s) or their representative. *

Please describe the current land use(s). *

If recent logging has occured: (1) Does the property have a Forest Stewardship Plan? (2) Did the landowner have a forest cutting certificate posted on-site?

Describe any boundaries or areas that are not clear.

Briefly describe your route of travel, observations, interactions with landowner and/or pertinent individuals, and any other information relative to the terms of the restriction. *

How long did it take you to monitor the property (total person hours, including travel)? *

Time it took to prepare and report

Signature and Date

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