Site Survey Summary Form (Page 3 of 3) in pdf

Site Survey Summary Form Page 3

Project: ____ __

Surrounding land use - Describe structures and land use practices in the surrounding area (e.g. abandoned chicken coop, tree house, forestry,

agriculture, recreation, residential, etc.):

Managed area(s) - (name of agency, agency addresses, name of contact person, phone number of contact person):

Site Map: It is very important to include a map indicating the site that was visited. Please follow these instructions

carefully when attaching your site map.

1. Attach a photocopy of the appropriate part of a USGS topographic map (1:24,000 scale if available) and write the map scale on the map.

Please do NOT enlarge or reduce the map.

2. Draw a solid boundary line outlining the entire site.

3. Draw a dashed line to indicate the route of travel throughout the site.

4. Identify each feature according observation points or according to the codes noted on page 1.

Please Attach Special Plant Forms, Natural Community Forms, and Maps to Site Survey Summary as appropriate.

Please send completed forms to:

Information Manager, Maine Natural Areas Program, State House Station #93, Augusta, ME 04333.

Maine Natural Areas Program, Maine Department of Agriculture, Conservation and Forestry, 2013

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Site Survey Summary Form Page 3