Midwest Region Refuge System

Phone: 608-221-1206 Ext. 14Address:
4511 Helgesen Drive
Madison, WI 53718-6747

Appendix D: Monitoring Form

Landowner Last Name, First Name, M I Phone Address
Legal Description (to 1/4,1/4 section) S.________ T._______ R. _______
County Township Name	Agreement Period	Agency

Monitoring	Restoration (m/yr)	What year are you monitoring? (0 = restoration year)
		Circle year: 1 2 3 4 5 6 7 8 9 10 11

PROJECT ID:	water level	normal/ low/ dry
Cover Type	Hydrology (% of area)

Total Acres	C	Ac	C	Ac	C	Ac	H₂O Depth	%
							H₂O >12" subsurface
							H₂O 0-12" subsurface
							0 - 6" inundated
							6"-2 ft inundated
							2ft - 6 ft inundated

Community (C)

1 Open H₂0	Fresh Meadow	Bog	Wooded Swamp	Non-wetland
	4 sedge	8 open	12 hardwood	16 crop/idle herbs	23 shrub/conif
	5 fresh (wet)	9 coniferous	13 coniferous	17 cultivated crop	24 tree/decid.
Marsh	6 wet to wet- mesic			18 herb native	25 tree/conifer
2 deep	7 calcareous fens	Shrub Swamp	14 Floodplain forest	19 herb introduced	26 con/dec mix
3 shallow		10Shrub/carr		20 herb pasture	27 savanna
		11 alder thicket	15 Seasonally flooded basin	21 grass/shrub	28 other
				22 shrub/deciduous

Vegetation - List dominant Genus Species (>20% Coverage) for each cover type (% total can be >100%)

            Comm.                                    %Cov                                   Comm.                                %Cov





            Comm.                                    %Cov                                   Comm.                                %Cov





            Comm.                   %Cov                 Other species: including invasive exotics, endangered/threatened:

Adjacent Land Cover

	Landuse		Acres
	<100 ft.	>100 ft.	<100 ft.	>100 ft.
N
S
E

Open	Forest	Mixed	Man-made
1 cropland	6 tree/deciduous	11 herb/shrub	16 housing
2 crop/idle herbs	7 tree/conifer	12 herb/shrub-upl	17 ditch
3 herb/native	8 shrub/deciduous	13 wetland-herb	18 roads
4 herb/introduced	9 shrub/conifer	14 open water	19 rightofway
5 herb/pasture	10 tree/conifer	15 savana	20other

Photo Record

Pic #	Azimuth	Description

COMMENT SECTION

Practices applied:_________________________________________________________________________

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Maintenance/Repair needs: ________________________________________________________________

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Wildlife observed: ________________________________________________________________________

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Reptile/Amphibian use: ____________________________________________________________________

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Mineral soils, organic soils or composite? ____________________________________________________

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Lat/Long or UTM coordinates: _______________________________________________________________

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Additional Notes: __________________________________________________________________________

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Observer:
DATE: