Property Information
Easement Name
Lot Number
Monitor's Name (s)
Accompanied by:
Date of visit
-
Month
-
Day
Year
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Time of visit
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Monitoring Location
Property Address
Street Address
Street Address Line 2
City
Please Select
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District of Columbia
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Louisiana
Maine
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Michigan
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New Hampshire
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North Carolina
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Ohio
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Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Current property owner(s)
Owner's phone
Owner's e-mail
Other contact (if different from owner)
Was the property owner contacted?
Yes, by phone
Yes, by letter
Yes, by e-mail
No
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Property Conditions
Are the easement boundaries accessible?
Yes
Mostly
Partially
No
Was the entire perimeter surveyed?
Yes
No
Description of the property/current land use:
Is there evidence of the following? (check ALL that apply)
a residence or other dwelling within the easement
property or part of the property being leased or sold
property being subdivided or lot line changing
construction of new structures, ponds, trails, or other improvements
active logging
alterations to buildings/dwellings
reserved rights being activated
land owner concerns that need to be addressed
Other
Please provide details
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Additional photo
Monitoring Track URL
To include a track of your monitoring route
Other Links
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