This box to be completed by CNHP Office Project name: _________________________________________________ New or Update Principal or Sub EONUM: _________ Sourcecode: _________________COUS COLORADO NATURAL HERITAGE PROGRAM PLANT ELEMENT OCCURRENCE FIELD FORM COLORADO STATE UNIVERSITY-WARNER COLLEGE OF NATURAL RESOURCES Mailing Address: CNHP, 8002 Campus Delivery, Fort Collins, CO 80523-8002 Physical Address: 254 General Services Bldg., Fort Collins, CO 80523 Attn: Jill Handwerk (970) 491-5857 Element Common Name(s): Element Scientific Name: (For a list of elements tracked by CNHP, refer to http://www.cnhp.colostate.edu/list.html) Survey Date: (yr-m-d) Observer(s) Name & Affiliation: Observer(s) Address & Phone Number: Data Sensitivity Data Sensitive Element Occurrence: Y N If yes, list reason (i.e., landowner requests confidentiality): Ownership Owner Type: Private USFS BLM State Military Owner Name (or National Forest, BLM District, etc.): Owner Comments (special requests, permissions, circumstances): Indian BuRec NPS: Other: Locational Information (REQUIRED; please complete as many fields as possible) (Provide a photocopy of map with location of the occurrence marked or outlined) USGS Quadrangle Name: Quadcode (if known): Surveysite Name (from 7.5’ quad): County: Elevation (range if applicable): feet meters Legal Description: Township Range: Section: ¼ Sec: Additional T/R/S, Sections or ¼ Secs: Coordinates: UTM Zone: 12 13 Northing: _ Easting: Datum: NAD27 NAD83 WGS84 Other: Addtl. Coords.: UTM Zone: 12 13 Northing: Easting: Label/Comment: UTM Zone: 12 13 Northing: Easting: Label/Comment: UTM Zone: 12 13 Northing: Easting: Label/Comment: UTM Zone: 12 13 Northing: Easting: Label/Comment: GPS Type: autonomous (uncorrected) differentially corrected Other: Directions (REQUIRED) Driving and hiking directions and prominent topographical features: Mapping Data OBSERVED FEATURE: Small Area (<12.5 m (41 ft.) in length and width) If not using a GPS, your point(s) drawn on map or approximated UTM coordinates are accurate to within meters feet miles of the actual location. Rev. June 2006 1 Linear Area (> 12.5 meters long and < 12.5 meters wide) Draw line or mark endpoints on linear feature (stream, road, etc.) on map. Estimated dimensions of observed feature: Length: (m) Width: (m) Large Area (>12.5 m (41 ft.) in diameter) Polygon drawn on map should delineate the smallest area within which you are confident the observed feature is contained. Estimated size of observed feature: sq. meters sq. miles acres Element Occurrence Details (REQUIRED) SIZE/POPULATION BIOLOGY (area of occupancy, population abundance, density, fluctuation): Estimated Number of Individuals (or exact count, if feasible; if plants are spreading vegetatively, indicate number of aerial stems): Estimated Population Size: Number of Subpopulations (if applicable): Size of Area Covered by Population: none (point) Comments: acres CONDITION (productivity, vigor/health, evidence of reproduction, health of population, degree of anthropogenic disturbance, naturalness of hydrology, and other ecological processes): Phenology: Vegetative: % Flower: % Fruit: % Reproductive Success: (evidence of seed dispersal and establishment): Age Classes Present: Symbiotic or Parasitic Relationships (e.g. pollinators): Evidence of Disease, Predation or Injury: Comments: LANDSCAPE CONTEXT (biological structure, species composition, degree of fragmentation and connectivity, condition, and extent of surrounding landscape; abiotic physical/chemical factors): Comments: General Habitat Comments (describe the general landscape surrounding the EO): Dominant Plant Community (list dominant species currently present, include age structure if known): Additional Associated Plant Species: Topographic Position (refer to data dictionary): Aspect: (refer to data dictionary): % Slope: (refer to data dictionary): Slope Shape: Concave Convex Straight Other Light Exposure: Open Shaded Partial shade Other Moisture: Dry Moist Saturated Inundated Seasonal seepage Other Soil Texture: Geomorphic Land Form (e.g., glaciated mountain slopes and ridges, alpine glacial valley, rolling uplands, breaklands, alluvialcolluvial-lacsutrine, rockslides, etc.): Management Comments Evidence of Threats and Disturbance (e.g. effects on population viability due to mining, recreation, grazing, exotic species; past/present/future recommendations; comments on any management needed to ensure continued existence of the EO, as well as the chances and means of fulfilling those needs): Predominant Land Uses: Exotic Species: Protection Comments (Are there any protection plans or strategies in place?; comments on any legal protection to ensure continued existence of the EO, and the chances and means of fulfilling those needs): Rev. June 2006 2 Documentation Photographs Taken: Photo Number(s): Y N Repository: Specimens Taken: Collection Number(s): If yes, indicate: Photographer: Y N If yes, indicate: Collector: Repository: _____________________________________________________________________________________________ ********BELOW THIS LINE TO BE COMPLETED BY CNHP OFFICE******** _____________________________________________________________________________________________ Size Comments: A B C Condition Comments: A B C Landscape Context Comments: A D D B C D Eorank Summary Comments: Eorank: A B EO Rank Specs Applied: C Y D E N F H X Subrank: EO Rank Specs Version Date: i r (yr-m-d) Bestsource: Rev. June 2006 3