This box to be completed by CNHP Office
Project name: _________________________________________________
New or Update
Principal or Sub
EONUM: _________
Sourcecode: _________________COUS
COLORADO NATURAL HERITAGE PROGRAM
ANIMAL 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: Jeremy Siemers (970) 491-3342
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)
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
Driving and hiking directions and prominent topographical features (please provide a photocopy of map with location of
the occurrence marked or outlined):
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.
Linear Area (> 12.5 meters long and < 12.5 meters wide)
Rev. June 2006
1
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 (area of occupancy, population abundance, density, fluctuation):
Number of Individuals:
Ages(s) and Sex(es) (if known):
Comments:
CONDITION (productivity, vigor of individuals):
Reproductive Evidence:
Evidence of Disease, Predation or Injury:
Comments:
LANDSCAPE CONTEXT (structure, condition and extent of surrounding landscape; abiotic physical/chemical factors):
Comments:
General Habitat Description
Dominant Plant Community:
Associated Animal Taxa:
General Habitat Comments (describe the general landscape surrounding the EO):
Management Comments
Evidence of Threats and Disturbance (e.g. effects on population viability due to mining, recreation, grazing, exotic species;
past/present/future recommendations):
Predominant Land Uses:
Exotic Species:
Protection Comments (Are there any protection plans or strategies in place?):
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:
General Comments
_____________________________________________________________________________________________
********BELOW THIS LINE TO BE COMPLETED BY CNHP OFFICE********
_____________________________________________________________________________________________
Size
Comments:
A
B
C
D
Condition
Comments:
A
B
C
D
Landscape Context
Comments:
Rev. June 2006
A
B
C
D
2
Eorank Summary Comments:
Eorank:
A
B
EO Rank Specs Applied:
C
D
Y
E
N
F
H
X
Subrank:
i
r
EO Rank Specs Version Date:
(yr-m-d)
Bestsource:
Rev. June 2006
3