Appendix 3. Survey form for state plant speices of special concern 



PLANT SPECIES OF SPECIAL CONCERN SURVEY FORM 



MONTANA NATURAL HERITAGE PROGRAM 



1515 E. 6TH AVE., HELENA, MT 59620 



DATE OF SURVEY: / / 



CBSERVER(S): 



WORK LOCATION/POSITIOIJ TITLE (Forest/District, District/Resource Area of observer(s) ) : 



TAXONOMY : 



FAMILY: SCIENTIFIC NAME: 



LOCATION: (Attach a copy of pertinent 7.5' or 15' topographic map section with locations of populat ions/subpopulat ions 

 outlined, one map for each sensitive species described) 



uses QUADRANGLE: 



ADDITIONAL T/R/S, SECTIONS or 1/4 SECs.: 



ELEVATION (at population center (and range of populati 



NATIONAL FOREST/BLM DISTRICT: F.S. DISTRICT/ BLM RESOURCE AREA: 



LAND OWNERSHIP/MANAGEMENT (If not USFS/BLH): 



rOREST STAND OR ALLOTMENT NUMBER: 



DIRECTIONS TO SITE (refer to roads, trails, geographic features, etc.): 



HABITAT: 



"C^ETATION STRUCTURE WITHIN POPULATION AREA: 



TOTAL TREE COVER (%) TOTAL SHRUB COVER (%) 



TOTAL FORB COVER (%) TOTAL GRAMINOID COVER (%) 



TOTAL MOSS/LICHEN COVER (%) TOTAL BARE GROUND COVER (%) 



ASSOCIATED PLANT COMMUNITY: ( I ist dominant species currently present, include age structure if known): 



HABITAT TYPE: 



^ ADDITIONAL ASSOCIATED PLANT SPECIES: 



