1 Project Name: 



MDT Montana Wetland Assessment Form (revised 5/25/1999) 



2 Project #: Control #:_ 



3. Evaluation Date: Mo. 



. Day ^Yr.. 



4. Evaluator(s):_ 



5 . Wetlands/Sito #<s)_ 



6 Wetland Location(s): i. Legal: T N or S; R E or W; S . 



ii. Approx. Stationing or Mileposts: 



;T NorS;R EorW:S. 



ill. Watershed: 



Other Location Information: 



GPS Reference No. (if applies): 



7. a. Evaluating Agency: 



b Purpose of Evaluation: 



1 . Wetlands potentially affected by MDT project 



2. Mitigation w^ands; pre-constaictlon 



3. Mitigation w^lands, post-construction 



4 Other 



8. Wetland size: (total acres) 



. (visually estimated) 



. (measured, e.g. by GPS [if applies]) 



9 Assessment area: (AA, tot., ac., 

 see instructions on d^ennining AA) 



_ (visually estimated) 



. (measured, e.g by GPS [if applies]) 



(AbbrGViatlonS: system Paiusuine(P)/ SuBsysi none/ Classes^ Rock Bottom (RB ), Unconsoiidatet! twnofn (UB ). Aquanc Bea (AB). UnconsolioatM Snore (US 1 Moss-iictien Weaand (ML). 

 Emergent Wetland (EM). ScruB-ShajD Wetland (SS), Forested Wetland (FO)' System: Lacustnne (U' Subsyst: Umnesc [2)1 Classes: RB, UB, AB/ Subsystem: UKorai nv Classes: RB UB AB 

 us, EM/ System: Rivenne (RJ/Sutayst: Lower Perennial (2)/ Classes; RB, UB, AB. US, EM/ Subsystem: Upper Perennial (3)/ Classes RB, UB, AB, US/ Water Regimes: Pertnanentiy Flooded (H), 

 WenTiittenOy Exposed (G), Semipetmanently Flooded (R, Seasonally Rooded (C), Saturated (B), Temporaniy Flooded (A), mtermittenOy Flooded (J) Modifiers: Excavated (E), Impounded (I), Diked 

 (D) Partly Drained (PD), Farmed (F) Artificial (AJ HGM Classes: Rivenne Depressional, Slope Mineral Soil Flats Organic Soil Fiats, Lacustnne Fnnge 



11. Estimated relative abundance: (of similarly classified sites within the same Maja Montana Watershed Basin, see definitions) 



(Circle one) UnknoArn Rare Common Abundant 



Comments: 



Comments: (types of disturbance, intensity season, etc.): 



ii. Prominent weedy, alien, & introduced species (including those not domesticated, feral): (list) 



iii. Provide brief descriptive summary of AA and surrounding land use/habrtat: 



Comments: 



