CONSERVATION EASEMENT DOCUMENTATION

1. Block and lot number:

2. Property address:

3. Current landowner:

Address:

Phone:

4. Type of conservation easement:

Transition Area____ Wetland____ Stream____ Steep Slope____ Roadscape____

5. Date easement granted:

6. Easement restrictions, if different from standard:

7. Directions to reach easement (if necessary):

8. Physical description of easement:

9. Easement markers:

Are they required for this property?

If so, are they installed?

10. Easement condition - man-made alterations:

Buildings or structures

Removal of vegetation

Excavation

Dumping. Describe material.

Stream encroachment

Natural hazards

11. Photographs taken :

12. Comments and recommendations for corrective action :

13. Inspected by:

14. Date of inspection:

15. Signature of monitor:

16. Others present at inspection:

Record of phone conversations between property owner and Commission members or monitor: