Portal – Land Monitoring – Report Form * RequiredFirst Name * Last Name * Email Address * Property name and number * Location (street of access, town) *Monitoring Visit Date * Current landowner(s) * Landowner’s telephone # * Landowner’s email * Current landowner mailing and street address(es), if changedAll persons attending the monitoring visit *How was the landowner contacted prior to the monitoring visit? *Briefly describe your interaction with the landowner(s) or their representative. *Was there evidence suggesting concern regarding the ‘Prohibited Act and Uses” section of the restriction? *Please describe the current land use(s). *Please indicate any man-made alterations observed. *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?Please describe any natural alterations observed. *Describe any boundaries or areas that are not clear.Attach File (250Mb Limit *) Please use this space to number and describe each photograph that has been attached. *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. *Please enter any additional comments here.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