Land Steward Input Form

Date of Survey (MM-DD-YYYY) (required)

Name of Steward (required)

Your email, if you'd like a copy of the form

DCT Property # (required)

Street Address and Village (required):

Is there a DCT property sign at the site? (required)
YesNo

Any sign repair or visibility pruning needed? (required)
YesNo

If Yes, describe repair or pruning needed

Is there parking along the road or on the property? (required)
YesNo

If Y, number of spaces and condition:

Is the property: (required)
InlandCoastal (within sight of the ocean)

Are there any ponds, streams, or wet depressions located on the site? (required)
YesNo

If Yes, describe their location, size and condition:

Habitat Types (check all that apply):

Uplands

Oak/HardwoodsConifers (Evergreens)Open FieldShrubsDisturbed

Coastal Wetlands

Salt MarshBeachCoastal DuneTidal FlatBay/Estuary

Inland Wetlands

Kettle Pond (no inlet or outlet)Shrubs stream/river/creekFresh Water Marsh (e.g. cattails)Shrub SwampRed Maple SwampCedar SwampAbandoned Cranberry BogWet Meadow (e.g. grasses)Potential Vernal Pool

Wildlife Observed (list species or common names if possible):

Birds:
Mammals:
Insects:
Amphibians:
Reptiles:
Rare Plant Species:
Rare Animal Species:
Invasive Plants:

Is there a trail at the site? (required)
YesNo

Describe any trail maintenance needed:

Were you able to walk all property boundaries? (required)
YesNo

Did you notice any of the following activities? If so, please explain after the selection.

Tree Removal

Describe:

Cutting of Vegetation

Describe:

Dumping

Describe:

Fence, Shed or Other Structural Installation/Encroachment

Describe:

Vandalism

Describe:

ATV/Dirt bike/Other Motorized Vehicle Use

Describe:

Other

Describe:

Did you remove any litter during your site visit? (required)
YesNo

Is there additional trash or debris removal necessary? (required)
YesNo

If Yes, please explain:

Did you meet any neighbors? (required)
YesNo

If Yes, what were their names and addresses:

Is follow-up required with the people you met?
YesNo

Are there any notes you would like to add (other maintenance needs)?

Photographs taken? (required)
YesNo

How many?

Amount of time to conduct the site visit (required):

Amount of time to type in your data (required):

Are you a SeniorCorps volunteer? (required)
YesNo

If Yes, do not forget to submit your hours to ESCCI!