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Conservation Agreement

Monitoring Report

1. Did the property owner or other representative accompany the Upstate Forever representative(s) (please check þ)? þYes ☐ No

If “Yes,” identify the representative and his/her relationship to the property:

Jim Smith, landowner.

If “No,” identify who gave permission to monitor the property and how that permission was given:

2. Has the property changed ownership since the last monitoring visit (please check)? ☐Yes þ No

If “Yes,” list new owners below and note appropriate follow up action (confirm understanding of easement terms, update records, etc).

3. Method of monitoring (check all that apply and add any clarifying notes):

☐Car þ Foot ☐Aerial þ Other__ATV__

4. Was a GPS Tracklog recorded during this visit (please check)? þYes ☐ No

5. Description of current land uses:

(For example: agriculture, forestry, recreation, hunting, residential)

Agriculture, forestry, residential.

6. Have any reserved rights been exercised since the last monitoring visit (please check)?

þYes ☐ No

If “Yes,” describe.

A new road and barn were constructed. The landowner submitted plans to Upstate Forever in advance (5/22/08), in accordance with the terms of the conservation agreement. Upstate Forever approved the plans as documented in the letter dated 5/26/08.

7. List any other manmade alterations or improvements since last monitoring report:

(For example: construction, dredging, filling, new roads or trials, timber harvest or clearing of fields. Note location and describe.)

n/a

8. List any natural alterations since the last monitoring report:

(For example: fire, flooding. Note location and nature of changes)

Some significant mature hardwoods near the main residence lost due to winter storms.

9. Describe any possible violations in detail:

n/a

10. Adjacent land-use:

Residential, agricultural, forestry.

11. Are there any problems associated with the agreement property (encroachment, trespassing, etc) from adjacent properties (please check)? ☐Yes þ No

If “Yes,” explain.

12. Notes on conversation with landowner (if applicable):

Landowner plans to build a small ancillary structure near the barn within the next year. The conservation agreement does not require our prior written approval of a plan for this activity. The landowner is aware of the size restrictions and plans to build a structure much smaller than the maximum allowable size.

13. Follow up action required (please check)? ☐Yes þ No

If “Yes,” describe and list who will follow up and a timeframe.

14. Was every photo point revisited? þYes ☐ No

If “No,” why not?

Photographs taken:

Signature of Monitor: ____________________________________ Date: ____/____/____