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" 1;. <br />Preble's Meadow Jumping Mouse, Zapus hudsonius preblei <br />2004 Survey Field Data Compilation Form <br />? TRAPPING SURVEY k EVALUATED, NOT TRAPPED <br />Fill out both sections I and 2 if trapping survey, fill out section 1 only if habitat evaluation (ie. not <br />trapped). Compilation forms needed for updated habitat evaluations and site disqualification requests. <br />SECTION I <br />Surveyor: a?5 uq <br />Date of Site/Habitat Assessment r . I , <br />Full Name(s) <br />Location: La-fz e_ W,-sA,Tr? 35"Ak (l?'Af- cX(.??S?C)r1 <br />Project Name (if applicable) _ <br />Project Description (nearby road intersection, type of impact, etc.) ?E o- ? 614 macA- <br />gcrt'- VQY?V? - t?(b oSfO- Ar C cavR-Q IAl <br />VW e?o? L+ ? ? `? a ?} <br />U.S.G.S. Quad Name 13?c.,c?,?e11 County Elevation <br />W Section(s) 3?{ <br />Township(s) n N Range(s) - Cet9 <br />141// Section(s) N? 0c N V-- <br />UTM: Coordinates, Zone 13 Northing y y Iqu gc) Eastin9 S a o? $ <br />UTM Coordinate Datum NAD27 ? NAD83 ® a <br />Directions to Location as µwy all ?c&+ -h? Sq"" ?v-e ??oc? °uPP?X 4 <br />Land Ownership r wade lcsrcA Uw rrF c - 3 N?? <br /> <br />;tns <br />Habitat: -Q'r}t4Ac-t-k, <br />r <br />General Habitat Description 1?ckx?? R`y? -e°C''"c'^S ?"; ?'m't?'?d ??P? <br />Dominant Overstory Plant Community . <br />Dominant Understory Plant Community <br />Current Land Use v 2?e tree'{bon prtq'-?r i'e ckcy? c <br />Drainage Name: C a.cbtt La Vwam <br />Ephemeral. Stream Pond/Lake Ditch <br />1,eu is Low <br />Type: Perennial Stream <br />Other <br />SECTION 2: N I V?- <br />Z h. preblei found ? Yes ? No ? Dates of Sulvey <br />Trapping Information: <br />T, e of Tra s Type of Bait <br />% Available (unsprung) Number of Nights Trapped _ <br />Total Trapnights _ <br />Weather conditions prior to and during survey <br />Associated Animal Species (especially urban predators, rats, house mice) <br />X. <br />Page 18 of 20