Protected Area Steward Monitoring Form
Administrative Information
Name of Steward:
First Name
Last Name
Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number:
Please enter a valid phone number.
Email:
example@example.com
Name of Protected Area:
Location:
identify general location within the protected area you investigate or route taken
Date/Time Investigated:
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Mode of Transportation:
Participants:
Weather Conditions:
Parks Natural Areas Contact (if any):
Provide a brief overview of the condition of the protected area:
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Observations of Natural History
Note any vegetation - particularly uncommon or imperilled flora:
Indicate any species not encountered in the original inventory and any significant changes in the flora, particularly with respect to imperilled species
Note observations and/or signs of wildlife (e.g. game trails, nest, tracks, scat, etc.) and prominent wildlife habitat features (e.g. snag trees, seasonal wet areas, etc.):
Note any new species encountered or evidence to support the possibility of such a new species:
Report any rare/threatened/endangered species that was observed during the investigation:
Be specific and include location of sighting or evidence
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Infractions/Disturbances/Violations Observed
Describe any threats/disturbances due to natural causes (note the location and nature of changes). Use photos and/or illustrations to describe these conditions:
Possible natural disturbances include: Beaver dams, Fire, Flooding, Heavy Browsing, Drought, Insect infestation/damage, Erosion, Invasive Species, Siltation, Stream bank erosion, Tree windfalls, etc
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Note any hazards on the site:
Examples include bears, large standing dead trees, slip hazard, cliff faces, garbage, etc
Describe any human-made alterations, disturbances or violations of the management plan or associated regulation. Note the location (on a map), extent, and purpose of these changes and identify potential perpetrators. Attach photos/illustrations if possible:
Possible sources of disturbance/threats/stresses include: agricultural conversion, bark stripping, camping, commercial activity, construction, disease/pest infestation, displacement by exotic species, ditching/dredging, domestic pets, dumping, eutrophication, excavation-peat, rock, feeding wildlife, gravel pit, grazing, habitat loss/fragmentation, harvesting/collecting wildlife, herbicides/pesticides, horseback riding, hunting, industrial activity, fences, litter, logging, mineral collection, mining, motorized vehicles, mountain biking, off-road vehicles, over-use, poaching, power lines, rerouting streams, residential dwelling, road widening/construction, run-off, soil erosion, timber harvest, trails, trapping, trespassing, utility corridors, vandalism, etc
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Describe any new infractions/disturbances that have been exercised since the previous monitoring inspection:
Describe any encroachment from adjacent properties:
Note current activities:
Examples include: Angling, Berry picking, Birdwatching, Boating, Bus tours, Camping, Cross-country skiing, Cycling, Dog walking, Educational program, Grazing, Hiking, Horse riding, Hunting, Interpretative program, Logging (state method), Motorized vehicle use, Nature appreciation, Photography, Picnicking, Rock climbing, Skating, Snowmobiling, Snowshoeing, Swimming, Trapping
Note any changes in the protected area since previous visit:
Note any other interesting observations or comments:
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Status of Boundary Signage
Are there boundary signs posted?
Yes
No
Unsure
If the boundary had signage, is it still erect?
State the condition of the sign (e.g. sign weathered, readable/not readable, vandalized)
Recommendation(s):
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Personal Comments
This section allows the author to record any personal comments they would like kept on file.
Recommendations and Summary Comments:
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Additional Information
Method of Inspection:
(by foot, by boat, fly-over, etc.
Other photos, maps, illustrations, etc that you would like to include:
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List of Photos and maps accompanying the inspection report (Aerial photo, illustrations, map, etc):
Date of previous inspection:
-
Month
-
Day
Year
Date
Submit
Should be Empty: