NebraskaNoxiousWeedFieldSheets.pdf

NEBRASKA NOXIOUS WEED FORM

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(Page 1 – Complete for both surveys and treatments)

NOXIOUS WEED INVENTORY SITE_ID __ __ __ __ __ __ __ __ __ __ __ __ __

DISTRICT YEAR SURVEYOR Opt Char

CODE INITIALS

LOCATION: District: BRD BN SRM PRRD ONG FRRD WRD FPNG Agency: PVT STATE USFS

INVENTORY DATE ___________________ (Ex. 04/21/2005)

PROJECT NAME_______________________________________________

SITE DESCRIPTION Riparian Roadside Upland Other

GIS Polygon Type -Check one: Survey______ Treatment ______ (There is one and only one polygon; treatment or survey created corresponding to this form)

SURVEYOR or APPLICATOR 1 (License #) _______________________________ ( ) SURVEYOR or APPLICATOR 2 (License #) _______________________________ ( )

SubActivity -Check one: Monitoring __ (Yes) __ (No) For Monitoring = Yes: Parent Polygon SITE ID __ __ __ __ __ __ __ __ __ __

Select One: POINT____POLYGON_____LINE _____

RADIUS/WIDTH in Feet for Point or Line__________ (For lines, enter the width inventoried/treated on ONLY ONE SIDE of a line or road, even though both sides are inventoried/treated. Points and Lines will be converted to polygons for the final database, and the RADIUS/WIDTH field will be used to buffer the points and lines).

Canopy Cover: Trace < 1% Low 1 – 5% Moderate 5 – 25% High 25 – 100%

PLANT CODE: __________ (Enter the Species code for the primary target invasive species)

ASSOCIATED SPECIES 1 ____________ ASSOCIATED SPECIES 2 ___________

TREND: Decreasing ______ Stable _______ Increasing _____ SOURCE SCALE (Ex. 24000): _____________ only needed if using paper map and drawing site

MAPSOURCE: Aerial Photos___Topo map_____Travel Maps___GPS___Other_______

INFESTATION CAUSES: 1 for primary, 2 for secondary – only include 2 causes./ ___Slash Pile ___Timber Plantation ___Road/Trail ___Dispersed Rec Site ___Reservoir ___Stock Trail ___Developed Rec Site ___Timber Sale ___Corral ___Range Improvement ___Wildlife ___Utility Corridor ___Livestock ___ Fire ___Wind Other__________________

COMMENTS (Additional information specific to the particular survey or treatment)

NEBRASKA NOXIOUS WEED FORM

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(Page 2 – Complete this page in addition to page 1 for treatments only)

TREATMENT [Check One]

HERBICIDE

BIO CONTROLS

MECHANICAL

TREATMENT DATE & TIME ___________________ (Ex. 04/21/2005 1145

TREATMENT CATEGORY (Check One) ___Weed Crew ___Fire Crew ___Dawes County ___Contractor ___Recreation Crew ___Landowner ___Sioux County ___Fall River County ___Grazing Association ___Mid Dakota Veg ___ ___Custer County ___ Other_____________________________________________________

Complete the Information for herbicide, biological or chemical treatment below depending on which box was checked above

CHEMICAL TREATMENT

% Solution Per gallon CHECK ONE Herbicide 1 (prod1appl) Rate Pints Ounces Pounds

Herbicide 2 (prod2appl) Rate Pints Ounces Pounds

Herbicide 3 (prod3appl) Rate Pints Ounces Pounds

Temperature ____ Wind Direction ____ Wind speed ____

Application Rate (calibrated volume per acre) _________________

Total Application Amount Applied for the Feature_______ (Use .1 minimum)

Units for Application Rate & Amount (Gallons or Pounds) – circle one

BIOLOGICAL TREATMENT

Insect Release 1 Total Released Insect Release 2 Total Released

MECHANICAL TREATMENT (Check on) ___Prescribed Burning ___Grubbing ___Shading ___Seed Head Removal ___Mowing ___Fertilization ___Seeding ___Tilling ___Mulching ___Clipping ___Hand Pulling ___ Other_____________________________________________________