Massachusetts Forest Legacy Program
Conservation Restriction
Monitoring Form
CR Name: _________________________________ Date(s) Monitored: _________________ Time spent: _____________
Monitor(s) name and affiliation: ___________________________________________________________________________
Name of landowner: ________________________________________ Was the property transferred / sold?
Yes No
Preferred contact Letter: _________________________________________________________________________
Phone: _________________
Email: _____________________________________________________________
Was landowner contacte
d prior to visit?
Yes No* Was landowner present for monitoring visit? Yes
No
Did the landowner relay any information about past management or planned improvements?
Yes* No
*
Please describe:
What are the present uses of the CR property? (check all that apply)
Recreation
Wildlife / Habitat Management
Industrial / Commercial / Residential
Other
Forest Management
Non-Forest Uses
Water Supply Protection
Research / Education
Please describe how the property is being used. Are these uses active? What actions support these uses?
Did you observe any human caused alterations to the CR property? (check all that apply)
Dumping / Storage Clearing
Improvements / Maintenance New Structure
Vegetation Management
Construction of Roads / Paths
Please describe, include extent, location description and GPS points if possible:
Did you discuss any of these changes with the landowner?
Yes* No
*
Please describe:
Follow-up visit needed?
Yes No Date: _______
Excavation / Filling Other
Did the landowner have any
questions regarding the FSP or CR?
Yes* No
Address: _________________________________________________________________________________________
Phone: ____________________________ Email: ________________________________________________________
Forest Legacy Program Use Only
Did you observe any natural alterations to the CR property? (check all that apply)
Storm Damage Other
Fire Flooding Erosion Vegetation Invasive Species
Please describe, include extent, location description and GPS points if possible:
Did you contact the DCR Service Forester to discuss the FSP? Yes No Forester did not respond
Did the Service Forester indicate that any amendments to the FSP, cutting plans, or cost share practices were filed for
this property within the last year?
Are cutting / forest management activities in compliance with the FSP recommendations? Yes No
Please describe:
Yes* No
Yes*
No
Final Observations:
Did you observe anything that should be reassessed during the next monitoring visit?
Did you observe any alterations that need to be reviewed to determine compliance with the CR?
*Please describe below
Comments (use additional page if necessary):
Attachments Included: aerial photo ground photos maps illustrations additional pages other
Signature: _________________________________________________________________________ Date: ______________________
When walking the boundary, did you observe any area where adjacent property usage abuts the property line?
Yes* No
*
Please describe:
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signature
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Massachusetts Forest Legacy Program
Conservation Restriction
Photo Log
Photo
#
Date
Cardinal
Direction
Waypoint # /
Coordinates
Location Description Description of Photo