PI amt qppp.ifs OF SPECIAL CONCERN SURVEY FORM 



MONTANA NATURAL HERITAGE PROGRAM 



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



DATE OF SURVEY: 2j___f^ u ^ tjjjz. 



lES\CA 



OBSERVER(S): 



WORK LOCATION/POSITION TITLE (Forest/District, District/Resource Area of observer(s»: 



TAXONOMY 

 FAMI 



HOMY : Air J 



a ' SCIENTIFIC name- / HCalrt-S jecuMcJci. 

 LY: Ixa-siicaeg^-st. sciehtimc N«it. _j . 1 



« „ t ;™nr 7 5' or 15' topographic map section with locations of populations/subpopulations 

 LOCATION : (Attach a copy of pertinent 7.5 or 15 topograpnu. F 

 outlined, one map for each sensitive species described) 



COUNTY: SlhlSL &^ USGS QUADRANGLE: ~W<^- CwK- _ 



TOUNSHIP: 



Ihl RANGE: SW SECTION: _3I 1/4 SEC: A^, , ^ 



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



ELEVATION (at population center (and range of population if known)): £>£OQ. ^50 _ 



.„„,„ Puitte. FS DISTRICT/ BLH RESOURCE AREA: . P'ffO^ • 



NATIONAL FOREST/BLH DISTRICT: _, QlL£±S= f,s ' 



LAND OWNERSHIP/MANAGEMENT (If not USFS/BLM): . . ■ 



FOREST STAND OR ALLOTMENT NUMBER: . • 



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



-fc.M ftiviJfv take $W^«j ncS E patt ^S m.', ^ f ^ f " tf ^ X ~ /3 



HABITAT : 



VEGETATION STRUCTURE WITHIN POPULATION AREA: 



TOTAL TREE COVER (X) 30 TOTAL SHRUB COVER ff| $£L 



TOTAL FORB COVER (X) ^ Q T0TAL GRAMIN ° ,D C ° VER (X) 5 



TOTAL MOSS/LICHEN COVER (X) _^ TOTAL BARE GROJND COVER (X) 2B. 



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



/rgfo-MA 



HABITAT TYPE: , — 



/ ' ' .J. 



ADD 



■ TIONAL ASSOCIATED PLANT SPECIES: ffy /of *«>(»»* ^0X^11 ^E^ii <W<^uS 



