A06_Attchmt6_SpecialStatus_site_form.pdf

BUREAU OF LAND MANAGEMENT - MEDFORD DISTRICT

SPECIAL STATUS PLANT SITE FORM

SITE REVISIT

DATABASE ID #: OR110-6846-1 (06/12/2012)

GENERAL INFORMATION

Scientific name :

Reporter’s name :

Family name : Subpop. #

Address :

NRCS Code :

Status: TE SEN STR S/M ___ MW

Date of Sighting (M/D/YY) : New Site? YES NO

Project name :

Phone :

Photographs taken : specimen habitat

Photo id:___________________________________________

Were specimens collected? YES NO Collection #_____________________

Repository :____________________Verified by:________________________________

Identifying Characteristics(s)________________________________________________

LOCATION DATA

Legal Description : T ___________ S R___________ W / E Sec___________ _________ 1/4 of the __________1/4

Legal Description : T ___________ S R___________ W / E Sec___________ _________ 1/4 of the __________1/4

Additional Comments:

County:

GPS Type:______________________________________Datum:__________________

UTM (X):_____________________E_____ UTM (Y):______________________N____

Accuracy (in ft.):

Plant Site Sign Verbage (species, date, distance & azimuth to plants):

Directions to site:

Property owned by (check one) : ____ BLM ____ USFS ____ other federal ____ State ____ County ____ Private

BLM Resource Area (check one) : ____ Ashland ____ Butte Falls ____ Glendale ____ Grants Pass

Physiographic region (check one) : ____ Oregon Coast Range (OCR) ____ Western Oregon Interior Valleys (WOIV) ____ Siskiyou Mountains (SISK) ____ Western Slopes, Oregon Cascades (WSOC)

HABITAT DATA

Light :

___ open

___ filtered

___ shaded

Moisture regime:

___ standing water

___ wet

___ moist

___ dry

Elevation range (if applicable) :

to ft.

Slope (%)_____________________

Aspect _______________________°

Canopy Cover (%)_______________

(avg of 4 cardinal directions)

Parent material

___ basalt

___metamorphic

___serpentine other:_____________

General soil type (check one) :

___ rock outcrop ___ sand ___ cobble ___ clay ___ gravel ___ organic duff ___ loam other:______________________________

Landform (check one) :

___ bench ___ ridge ___ drainage ___ hill slope ___ valley ___ draw ___ plateau other:______________

Macrotopography (check one):

___ crest ___ upper slope ___ mid-slope ___ bottom ___ lower slope ___ plain

Microtopography (check one) :

___ concave ___ convex ___ planar ___ undulating

Plant association(s) : _____________________________________________________________________Soil name : ____________________________________

Habitat description (stand structure, successional stage, composition):

ADDITIONAL NON-VASCULAR HABITAT DATA

Substrate (Circle): Abundance (Circle):

Mineral soil: gravel sand loam silt clay Other:____________________ Organic: litter and duff humus moss Other:_________________________ Abundant – Encountered continually/numerous individuals Rock: granitic metamorphic volcanic serpentine Other:_______________ Common – Encountered often/moderate number of individuals Tree or shrub: Species:_____________________________ DBH:_____________ Uncommon – Not encountered often/relatively low # of individuals Location: base trunk branch root stump snag bark wood recently Unknown – Abundance unspecified fallen log rotten log (decay class if known _________) tree root-wad litterfall Very Uncommon – Less common than uncommon

POPULATION DATA

Phenology :

___ vegetative ___ bud ___ flower ___ fruit ___ dormant ___ w/ sporophyte ___ w/o sporophyte

Other:________

Age classes :

% seedlings

% immature

% resprout

% mature

% senescent

_________% unknown

Number of plants _______

___ exact # ___ estimated#

What was counted?

___ genets

___ ramets

___ N/A (nonvasc) ___ unknown

Area occupied {in square feet, meters or hectares (1 ha=2.5 acres)}:

__________________ ft __ m__ ha__

Population boundary:

___ increasing ___ static ___ decreasing ___ indeterminable

Population vigor :

___ excellent

___ good

___ fair

___ poor

Current condition of local landscape - biotic and abiotic processes:

Threats to population and immediate habitat. Include level and imminency of threat if known:

Other comments:

ASSOCIATED SPECIES

Trees (Scientific Name) Code % Herbs/Forbs (Scientific Name) Code %

Shrubs (Scientific Name) Code %