Forest Legacy Tract Information Worksheet
Congressional
District(s)
Public Access
Full None Restricted
Public Access Type Definitions: Full: The property is open to the general public, this right will be guaranteed with
language in the conservation easement. Restricted: Access to the property by the general public is limited to a specific
area of the tract and is specified in the conservation easement language or recreation management plan. None: There is
no guaranteed access by the public in the conservation easement language. **"Public Access by Landowner Permission
Only" is not considered public access by the Forest Legacy Program as no rights to access are being acquired.
Public Access
Description
Is land within the boundary of a Federally designated area? Check all that apply:
National Forest National Park National Wildlife Refuge Other
Appraisal
Appraisal Review
Title
Survey
Baseline Information
CR / DEED Drafting
Negotiations
Legal
Stewardship Plan
Closing Costs
Title Insurance
ESA
TOTAL
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Acquisition Activity
related to this grant
Shapefile: The Shapefile must be included as a .zip file in the sbumission email or on a cd with the
project proposal submitted to the DCR Clinton Office (See FLIS 2.1 User's Guide).
Budget
Tract Due Diligence Costs
Readiness
Enter the date each item below was completed, or write n/a.
Pre-Appraisal Market Analysis: _________________
Easement Conditions: _________________________
Purchase Agreement: __________________________
Title Search: ________________________________
Mineral Determination: ________________________
Stewardship Plan: _____________________________
Non Federal Cost Share
($ Amount)
Forest Legacy Grant
Request ($ Amount)
Name: ______________
Name: _________________
Name: _______________________
Name: __________
