CONSERVATION EASEMENT STEWARDSHIP MONITORING SUMMARY

CWMTF Project Number_________________

Property Name_____________________________Date of visit___________

Parcel 
number___________________________________County_______________

Monitor(s) name and 
affiliation______________________________________________

Were owners or representative present?_________

Owners' or representatives' contact 
information_______________________________________________________


Are there any changes in the property? (examples: construction, dredging or 
filling, newtrails, timber harvest, evidence of trespass, trash, any observed 
natural alterationsincluding, but not limited to, flooding, fire, insect infestation, 
etc).



Are these changes consistent with the terms and conditions of the easement?
If any reserved rights have been exercised, please describe and attach photos.



BOUNDARIES
Are boundaries clearly marked?


OBSERVATIONS AND COMMENTS (Attach map with sites marked and photos)
Include change in neighboring land use or concerns expressed by landowner.







RECOMMENDED ACTIONS OR ACTIONS TAKEN DURING VISIT







To the best of your knowledge and observation, is the land owner complying with 
the conservation easement?

Signature of monitor(s) 
__________________________________________________
Signature of monitor verifies that the information on this form is accurate and that a copy of the 
report has been provided to the landowner.
 
Signature of landowner or representative
__________________________________________________
Signature of landowner or representative is optional.
Signature of landowner certifies that the landowner is aware of the monitoring report, but does not 
necessarily agree with the content.