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