PO Box 675 • Exeter, New Hampshire 03833
603-778-6088 • fax 603-778-0007
Volunteer Conservation Easement
Ground Monitoring Field Form
Contact & Site Visit Information
Conservation Easement: ENTER FILE NAME
Property Location: Road Name, Town Name
Landowner/manager: Landowner Name
Landowner/manager Mailing Address: Mailing Address
Landowner/manager Phone: (xxx) xxx-xxxx
Volunteer Monitor: Click here to enter text.
Monitor’s address: Click here to enter text.
Date of Site Visit: Click here to enter a date.
Weather and ground conditions at time of visit: Click here to enter text.
Reviewed conservation easement deed before visit
 Yes  No
Contacted landowner/manager before visit
 Yes  No
Met with landowner/manager during visit
 Yes  No
Landowner/manager participated in site walk
 Yes  No
Others present during site walk: Click here to enter text.
Walked boundaries:
 All
 Some
 None  N/A
Walked trails/woods roads:
 All
 Some
 None  N/A
Walked road frontage:
 All
 Some
 None  N/A
Walked interior:
 All
 Some
 None  N/A
% walked:
xx
Boundary Clarity, Issues & Posting
Lines: Choose an item. Corners: Choose an item. Land Trust Signs: Choose an item.
Describe the boundary condition including status of flagging/blazing, presence of conservation easement
signs, posting against uses and any other issues found:
Click here to enter text.
Observations & Questions
Detailed narrative of your visit (include description of specific areas or route inspected & summary of
communication with the landowner/land manager):
Click here to enter text.
Did you observe evidence of any major natural alterations (flooding, fire, blowdowns, other)?  Yes  No
Describe:
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Volunteer Conservation Easement Monitoring Field Form
Click here to enter text.
Did you observe evidence of any human-caused alterations (new structures, trails, dredged ponds,
agricultural use, timber harvest, trash dumping, soil erosion, signs other)?
 Yes  No
Describe:
Click here to enter text.
Did any existing structures appear to be used for a new purpose (namely anything different from
purposes as described in the easement)? If so, describe.
 Yes  No  N/A
Click here to enter text.
 Yes  No  N/A
Did you observe activities related to easement’s Reserved Rights?
Describe:
Click here to enter text.
Did you observe or learn of any third-party activities or plans (such as abutters, town, public users) that
affect or have potential to affect the property? If so, describe.
 Yes  No
Click here to enter text.
Is there anything staff should double-check or consider further, in the event that it might apply to the
conservation easement?
 Yes  No
Click here to enter text.
Any additional observations (such as significant ecological features, recommendations for next visit)?
Click here to enter text.
Does the landowner have any questions or concerns? List questions and your responses.
 Yes  No
Click here to enter text.
Monitoring Field Map: Note route walked, boundaries found/not found, natural and manmade
changes, photos taken (photo number & orientation 1 ). Provide key for any symbols. Be sure
notations are legible and reproducible by photocopier. Sign and date map.
Photos:
# taken (Number, sign, date & note subject on back of photo.)
I have completed this Monitoring Field Form based on my personal site visit observations.
Signed ________________________________________
Date ____________________
Thank you very much for your work! Please estimate the support you have donated for this visit.
Field Time: hours Total Time: hours Mileage (round trip): miles Other (film, etc.): enter text or N/A
Reviewed by ____________________________________
Date ____________________
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Volunteer Conservation Easement Monitoring Field Form