PLANT SPECIES OF SPECIAL CONCERN SURVEY FORM 



MONTANA NATURAL HERITAGE PROGRAM 



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

 DATE OF SURVEY: 21 / JUH / ^Z. 



OBSERVER(S): 



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



TAXONOMY: 



FAMILY: 



DfqSSlCO-CgOJL SCIENTIFIC NAME: ACqDlS T^C (VA^cV(X> 



LOCATION : (Attach a copy of pertinent 7.5' or 15' topographic map section with locations of populations/subpopulatic 

 outlined, one map for each sensitive species described) 



COUNTY: $±!Ve_C 3ouJ> USGS QUADRANGLE: TitC \<S P C ("(56 K 



TOWNSHIP: /5> RANGE: 9w SECTION: _/ 1/4 SEC: ' A/W 



ADDITIONAL T/R/S, SECTIONS or 1/4 SECs.: ~T I M R 7 10 5 3 L, S U) 7 H 



ELEVATION (at population center (and range of population if known)): (c L> <oO ~ 4 R-5 6 



? 



^k NATIONAL FCREST/BLM DISTRICT: PH-H^ F.S. DISTRICT/ BLM RESOURCE AREA: DiHoaJ 



LAND OWNERSHIP/MANAGEMENT (If not USFS/BLM): A I SO SigtZ, o? M QV' faAA^ 



FOREST STAND OR ALLOTMENT NUMBER: 



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



/v?<5in D/vio'e iokz f/i outage QrrtsD hmK S tw^- bo gggf umcI&X) IrlS j-o 



Sir \> * n 6 I*) 



HABITAT : 



VEGETATION STRUCTURE WITHIN POPULATION AREA: 



TOTAL TREE COVER (X) T~ TOTAL SHRUB COVER (X) j-Z. 



TOTAL FORS COVER (X) ^ZO T0TAL GRAMINOID COVER (X) ID 



TOTAL MOSS/LICHEN COVER (X) -5 TOTAL BARE GROUND COVER (X) -3^0 



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



HABITAT TYPE: 



ADDITIONAL ASSOCIATED PLANT SPECIES: Oflj?'CP^i Y\ M/M £M &1 ^£ f , C M/VH D CLm<> J /-» 1) U/JK 6'lvi' 



