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Date Observed (M/D/Y)   _____/_____/_____ Feature Described _____________________________
Observed__________________________ Geological/Water Report
Wilton NH Conservation Commission   Data File Natural Resources Inventory
Return to: Town Hall, Main Street, PO Box 83, Wilton, NH 03086 - 603.654.9451                        Part I

Location: Map # ____ Lot # ____ Transect _______________________________ Page ____

Observer: Name _________________________ Land Owner ________________________________

Mailing Address ____________________________ Mailing Address _____________________________

City _____________________________________ City______________________________________

Phone ___________________________________ Phone _____________________________________

A form is available for living inventory items. If possible please use that form for living specimens.
Item: (Circle Only If Applies) This form is for geological/water observation and not for wildlife.

Characteristics: Geological: soils, and structural formations, surface waters, ground water

Other: ___________________________________________________________________

How Observed historic data, maps, sound, visual, site review

Maps: Site specific, Area Date of Publication:___________________

Source / Compiled by:___________________________________________________________________

Documents & Reports: Publication Date:____________________________________

Source / Compiled by:___________________________________________________________________

Natural Resources Rocks / Minerals Historic Ruins Cultural/ Social Building / Structures

Appropriate items will be refereed to the Wilton Heritage Commission There is a different form for animals and wildlife reporting.

See Part II of This Form For More Details. Circle if Part II was used

Evidence Attached Map Photo Drawing Reports Other ________________

Reminder: Please do not destroy a natural setting or disturb live animals. Do not collect any feathers, scat, or any other animal sample without using gloves and bag for bacterial & other health protection.

Summary Narrative Report: ( See reverse side for more space for details)

Directions to Location: ___ Circle if map is attached

Data File Check List Part II Item Observed _________________________________
Geological/Water Report
Wilton, NH Conservation Commission Please complete Part I of this form. Page_______

Site Description -- Please circle if applies.

Animal Corridor Beaver Pond Canopied Forest Dense Wooded Dirt Road/Trail Field/Open Land

Forest edge In-town Near Buildings Swamp/Bog Pond/Stream Water Edge Vernal Pool Wetland

Specify Other ______________________________

Physical Features & Slope

Cliff Flat Hill Top Moderate Outcrop Ridgeline Saddle Talus Valley/Draw Snow Mud Sand Riparian Areas

Specify Other __________________________________________________

Vegetation / Trees

Grove: Mixed Single Specie New Growth Old Growth Hardwoods

Ground Cover: Grassland Leaves / Needles Brush/Thicket Shrubs Moss Road/Pavement

Beach Blueberries Cherry Fir Hemlock Maple Spruce White Pine

Specify Other________________________________________________

General Habitat Description: Plants / Animal if observed should be reported on Living NRI form

Plants & Animal Species Comments: (Please report detail findings on Living NRI form.)

Beaver Bear (KT) Bobcat (KT) Chipmunk Cottontail Rabbit Coyote White Tail Deer Fisher(KT)

Fox - Gray Fox - Red Mink(KT) Mole Moose(KT) Deer Mouse Opossum Otto (KT) Porcupine

Raccoon Ruffed Grouse Skunk Snowshoe Hare Squirrel Turkey Vole

Specify Other _____________________________________________________
Notes: