New Jersey Conservation

F O U N D A TIO N
Baseline Documentation

1. NJCF easement name and number:

2. Type of Easement:

Conservation______ Agricultural_______ Historical______ Woodland Mgmt._______ Other______ 3. Current Landowner:

Address:

Phone:

4. Location of Property:

Municipality:

County

Lot and Block:

Partial or full lot coverage:

Acres:

Residential areas:

%Coverage limitation:

5. Date data collected:

6. List buildings or structures on the property, including houses, sheds, barns, etc. Describe purpose and show location on map.

7. Describe the property condition, including land use and management; unusual ecological, historical, archaeological, geological, or other features; condition of any specific property areas or features that may change when the landowner exercises reserved rights.

8. Existing conditions to be noted (i.e., oil tanks):

9. Adjacent land uses:

10. Purpose of Easement (Why the property was protected):

11. Restrictions (Briefly note restrictions unique to this property). Refer to specific paragraph numbers for reference.

12. Landowner reserved rights or special conditions (Note when reserved rights are exercised). Refer to specific paragraph numbers for reference.

13. Plant and animal species observed..

Data collected by:

Date:

Attachments: Copy of recorded easement

Survey

Map of property showing physical features/habitats

Photographs

USGS topographical map showing boundary of property

Directions to property

Baseline Documentation Signature Page

In compliance with federal tax regulations, I acknowledge that the within baseline documentation form dated is an accurate representation, to the best of my knowledge, of Block, ____Lot____, in Township of _______________, County of __________, NJ at the time of the conservation easement donation.

____________________________________ ___________________________________