COVER SHEET 

 INSTODCnONS 



* 1) I.D. (serial #) is assigned. 

 2) Give MDFVJP Region #. 



* 3) Toc3ay's date, 



* 4) Your last names. 



5) Circle appropriate River Mile Index in which you are working 

 {CF=Clark Fork; t4I=Missouri; Yl>Yellowstone) . 



* 6) Hydrologic Unit Code: see map or number in your R.M. Index. 



7) Hydrologic Unit Ifame: Name of major stream/river upon which unit is 

 based. 



8) Give the Name of the river/stream into which the above stream flows 

 (e.g. Yellowstone). 



9) Water Code for above (leave blank) 



*10) Rivers/streams/segments included in the evaluation. List Names of 

 streams or basins included in the assessment. For tributaries to a 

 stream, list stream name first regardless of whether the stream itself 

 is being evaluated. Then follow it with tribuatry names. If the majro 

 stream is not being evaluated, check "None". Use other columns to 

 describe any "portions" by River Mile and/or by a physical location 

 described in "Comments" (e.g. from FS boundary to headwaters). If all 

 tributaries upstream of a stream or tributary name are included (as 

 well as the stream itself), you need not name them individually, just 

 check "all". You can leave first 2 "Code" columns blank. 



11) , 12) , Final Habitat/species and Recreational Values (leave blank) . 



* Please complete these parts. 



