Plant Survey Form

Submitted by ichoyle on Thu, 08/06/2020 - 12:38

Fill out this form to submit your rare plant survey. If you would prefer to print out, email, or fax your plant survey, you may download the form as a Word document. Email that form to natural.heritage@ncdcr.gov or mail to: N.C. Natural Heritage Program; MSC 1651; Raleigh, NC 27699-1651.

We can no longer accept sketches/maps of areas online due to security concerns. Please follow the directions sent to you via email to submit your sketch/map in addition to completing this form.

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Fields marked with an asterisk (*) are required.

Indicates required field

Person Making this Report (Name) First Name

Last Name

Agency/Affiliation

Email address

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Phone Number

Observers

Scientific Name

Common Name

Survey Date

EO Number

(if updating existing EO)

County

Coordinates (if known):

If coordinates given, indicate coordinate system and datum (State Plane 1927 or 1983, UTM, etc.)

Elevation

Site Name

(If this is within previously identified site:)

Site Location and Directions

Number of Individuals

Define Individual

(stem, clump, etc.)

Size of Area in Which Population Occurs

Estimate whether the entire population was surveyed, or only a portion

Population Viability Comments

If failed to find, indicate the thoroughness of the survey.

Phenology

(include % or # in each stage: vegetative, bud, flower)

Evidence of Reproduction

Fruit

Seedlings

Clonal/Vegetative

Reproduction Comments

Habitat

(N.C. N.H.P. natural community name and description, if known; include quality, soils, geology, etc.)

Associated Species

Invasive species noted & degree of threat from invasive species or other threats

If the population is within a Right-of-Way, does suitable habitat exist outside Right-of-Way?

Topographic Position

(examples: crest, mid slope, alluvial, etc)

Moisture Regime

(examples: inundated, dry, seasonally wet, etc)

Light

(examples: open, woodland, closed canopy, etc)

Other Information

Specimens Collected?

(permits are required for federal or state listed species)

Collection #

Repository

Phone