Portal – Land Monitoring – Report Form * RequiredFirst 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></tr><tr><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></tr><tr><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></tr><tr><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></tr><tr><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 *How was the landowner contacted prior to the monitoring visit? <span class="req">*</span></label><br /><textarea name="CAT_Custom_1162754" id="CAT_Custom_1162754" cols="10" rows="4" class="cat_listbox" onkeydown="if(this.value.length>=4000)this.value=this.value.substring(0,3999);”>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? <span class="req">*</span></label><br /><textarea name="CAT_Custom_1162758" id="CAT_Custom_1162758" cols="10" rows="4" class="cat_listbox" onkeydown="if(this.value.length>=4000)this.value=this.value.substring(0,3999);”>Please describe the current land use(s). *Please indicate any man-made alterations observed. <span class="req">*</span></label><br /><textarea name="CAT_Custom_1162760" id="CAT_Custom_1162760" cols="10" rows="4" class="cat_listbox" onkeydown="if(this.value.length>=4000)this.value=this.value.substring(0,3999);”>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. <span class="req">*</span></label><br /><textarea name="CAT_Custom_1162761" id="CAT_Custom_1162761" cols="10" rows="4" class="cat_listbox" onkeydown="if(this.value.length>=4000)this.value=this.value.substring(0,3999);”>Describe any boundaries or areas that are not clear.Attach File (250Mb Limit <span class="req">*</span>)</label><br /> <input type="file" name="FileAttachment" id="FileAttachment" class="cat_textbox" /></td></tr><tr><td><label for="CAT_Custom_1162766">Please use this space to number and describe each photograph that has been attached. <span class="req">*</span></label><br /><textarea name="CAT_Custom_1162766" id="CAT_Custom_1162766" cols="10" rows="4" class="cat_listbox" onkeydown="if(this.value.length>=4000)this.value=this.value.substring(0,3999);”>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.</label><br /><textarea name="CAT_Custom_1165780" id="CAT_Custom_1165780" cols="10" rows="4" class="cat_listbox" onkeydown="if(this.value.length>=4000)this.value=this.value.substring(0,3999);”>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
