ALBERTA LOTIC WETLAND HEALTH ASSESSMENT FOR STREAMS AND SMALL RIVERS (Survey)

ADMINISTRATIVE DATA A1. Field Data Collected by (Organization): A2. Funding Agency/Organization: A3. Date Field Data Collected: A6a. Is this site representative?: A6c. How was this site chosen?: A7a. Park(s)? (Yes; No): A7c. Name? A8a. Protected Areas? (Yes; No): A8c. Name(s)/: A9. Watershed Group Affiliation: A11. Is This Private Land? (Yes; No): A12a. Is This Rented Private Land? (Yes; No): A12c. Renter s Home Legal Land Description: A13a. Is this Public Land? (Yes; No): A13c. Land Manager s Name: LOCATION DATA B1. Province: B3a. Indian Reserve: B4a. Rural or Specialized Municipality: B5a. City/Town/Village: B6a. Waterbody Name: B7. Legal Land Location: B8a. Natural Region: B11a. Map Title(s): ALBERTA LOTIC WETLAND HEALTH ASSESSMENT FOR STREAMS AND SMALL RIVERS (Survey) A15a. Has this polygon been inventoried before? (Yes; No): A15b. years sampled: A15c. Does this polygon coincide exactly with a previously inventoried polygon? (Yes; No): A15d. ID No.(s) of other inventories of this exact polygon:,,, A16a. Does this polygon share common area with other inventoried polygon(s), but is not exact? (Yes; No): A16b. ID No.(s) of other records sharing area with this polygon:,,, B2. Municipality or Reserve Type: B9a. Major Watershed (e.g. North Saskatchewan River): B10c. UTM coordinates of any other point of interest in the polygon: East: B10d. GPS Unit #: B10e. Comments: 1/4 1/4 Sec: 1/4 Sec: B9b. Minor Watershed (e.g. Battle River): B9c. Sub-basin (e.g. Iron Creek): B10a. UTM coordinates of polygon Upper end: : B10b. UTM coordinates of polygon Lower end: : B11b. Map Scale: A4. Year: A5. Observers: If Yes, A6b. choose category: A14a. Is this part of a grazing lease or grazing reserve? (Yes; No): A14c. Agricultural disposition No.: GRL: A17a. Has a change in management occurred? (Yes; No, Unknown): A17c. Type of management change applied: B6b. Side of Waterbody: Section: Township (NS): Range (EW): 1 Polygon No: ; North: WPt Upper: WPt Lower: WPt : B11c. Map Year: A11b. Owner s Name: A12b. Renter s Name: B3b. Military Reserve: B4b. Hamlet: B5b. SubdivPlan #: B5c. Block #: B8b. Sub-Region: ; Northing: ; Northing: B12. Aerial Photo Info: Scale: Date: Job#: Line#: GRP: A14d. Agricultural disposition Name (e.g., Community Pasture): A18. Primary Contact (Include agency name): A7b. Please Check all that apply: A8b. Please check all that apply: Ecological Environmental Municipal A10. Project Name: A13b. Type (Federal,Prov., Municipal): A13d. Land Manager s Title, Office/Dept: FGL: AS#: Photo#: Info: National Provincial A12d. County, if different than polygon: A14b. Lessee Name: Urban or Rural Muncipalities If Yes, A17b. Year changed occurred: Conservation Easement : Meridian: B5d. Lot #: GPS Projection: Check www.cowsandfish.org for latest Form,

SELECTED SUMMARY DATA C1. Water body type: C2. Polygon size (acres): ; (hect): C3a. Is the entire polygon an upland? (Yes; No): types? (Yes; No): C3c. Functional wetland (acres): C4. Does the polygon contain a defined streambank or channel? (Yes; No; NC): If No, C3b. Does the polygon consist entirely of functional wetland ; (hect): C5. Polygon length (river miles, usually the same as channel length) (mi): ; (km): C6. Number of river miles the polygon represents: ; (km): C7a. Average polygon width (usually same as width of the riparian zone) (ft): C7b. Riparian zone width range (ft): to ; (m): to ; (m): C3d. Percent of total polygon: C8. Habitat Types and Community Types Classification Type Name Phase Percent of Polygon Successional Stage or Comments/Guides Used OPTIONAL SITE CHARACTERISTICS D1a. Does the polygon has potential for tall woody type(s)? (Yes, No): D1b. Does the polygon has tall woody type(s) present? (Yes, No): D2a. Tree AND shrub removal by other than browse: None (0-5%); Light (6-25%); Moderate (26-50%); Heavy (>50%); NA; NC: D2b. Basis of Call: D3. Waterbody number (FMIS/Hydro code): D4a. Is water quality data available on this waterbody? (Yes, No, Unknown, NA): If Yes, D4b. Describe the reference for that data (name, year, etc.): D5. Detailed description of upper and lower ends and width (lateral boundaries) of the polygon: 2 Check www.cowsandfish.org for latest Form

PHOTOGRAPH DATA E1. Identification of photos (taken at the most upstream end of polygon): Photographer: Photo #: Upstream views/out of polygon (Describe Views) Camera Number: WPt Upper: Northing Zone Downstream views/into the polygon (Describe Views) E2. Identification of photos (taken at the most downstream end of polygon): Photographer: Photo #: Downstream views/out of polygon (Describe Views) Camera Number: WPt Lower: Northing Zone Upstream views/into the polygon (Describe Views) E3. photos of the polygon): WPt: Northing Zone Photo # Describe Views Photographer: Camera Number: E3a. Additional LOTIC photo page entered? (Yes; No): E4a. Is there an adjacent polygon upstream? (Yes; No): E5a. Is there an adjacent polygon downstream? (Yes; No): E6. Film and Camera Specs: Camera Type: Lens dia. (mm): Lens foc. len. (mm): E4b. Adjacent Poly Name Upstream: E5b. Adjacent Poly Name Downstream: Film Speed(ASA)/Image Quality (dpi): Filter used (polarizer or none): 3 Check www.cowsandfish.org for latest Form

1. Vegetative Cover of Floodplain and Streambanks 2a. Total Canopy Cover of Invasive Plant Species 2b. Density Distribution of Invasive Plant Species LOTIC WETLAND HEALTH ASSESSMENT SCORE SHEET Actual Score Possible Score Comment Data Record ID: List Invasive Plant Species present, including Percent Canopy Cover and Density Distribution Class: Can.Cov.Dens.Dist. Can.Cov. Dens.Dist. Can.Cov.Dens.Dist. blueweed: field bindweed: spotted knapweed: Canada thistle: leafy spurge: tall buttercup: caragana: nodding thistle: tamarisk/salt cedar: cleavers: ox-eye daisy: white cockle: common burdock: perennial sow-thistle: yellow toadflax: common hound s-tongue: purple loosestrife: common tansy: Russian knapweed: Dalmatian Toadflax: Russian olive: diffuse knapweed: scentless chamomile: s: downy chess: smooth perennial s: sow-thistle: European buckthorn: 2c. Are there elevated status species for this county? (Yes; No; NC): Elevated Sps 1: Elevated Sps 2: Elevated Sps 3: 3. Disturbance-Increaser Undesirable Herbaceous Species 4. Preferred Tree and Shrub Establishment and Regeneration 5a. Browse Util. of Preferred Trees and Shrubs 5b. Woody Veg. Removal other than Browsing 6. Standing Decadent and Dead Woody Material 7. Streambank Root Mass Protection 8. Human-Caused Bare Ground 9. Streambank Structurally Altered 10. Human Physical Alteration to the Rest of the Polygon 11. Stream Channel Incisement Vegetation Subtotal: Soil/Hydrology Subtotal: Overall Polygon Total: RATING CALCULATION Vegetation Rating: Soil / Hydrology: OVERALL: (Actual Score/Possible Score) X 100 = Rating Percent Descriptive Category Rating Percent Range Descriptive Category 80-100 Proper Functioning Condition (Healthy) 60-79 Functional At Risk (Healthy, but with Problems) <60 Nonfunctional (Unhealthy) 4 Check www.cowsandfish.org for latest Form

ADDITIONAL MANAGEMENT CONCERNS Data Record ID: The following items do not contribute to a site s score. Rather they help to quantify inherent physical site characteristics or assess the direction of change on a site. These data can be useful for planning future site management. 12a. Polygon trend (Is the polygon: Improving, Degrading, Static, or Status Unknown?): (If status unknown answer NA to the sub-questions 12b and 12c) 12b. Has management influenced trend? (Yes; No; Unknown; NC; NA): 12c. Describe how health parameters have changed and justify your call. 13a. Streambank rock volume: 13b. Streambank rock size: 14. Vegetation use by animals: 15. Susceptibility of parent material to erosion: 16. Percent of streambank accessible to large animals: 17. Primary Land Use Sector: Agriculture Commercial Energy (Oil, Gas, Coal) Industrial (excl. other types listed) Forestry Recreation (excl. other types listed) Parks/Protected Areas Residential (excl. other types) Rural Residential (excl. other types listed) Acreage (excl. other types listed) Lakefront/Waterfront (excl. other types listed) Transportation Utility Institutional Military Open/Vacant 18a and b: Break down the polygon and the area adjacent to the polygon into the land uses listed (must total to approx. 100%): a) Polygon b) Adjacent No land use apparent: Turf grass (lawn): Tame pasture (grazing): Native pasture (grazing): Recreation (ATV paths, campsites, etc.): Development (buildings, corrals, paved lots, etc.): Tilled Cropping: Perennial forage (e.g., alfalfa hayland): Roads: Logging: Mining: Railroads: : Description of Usage Noted: 19. Comments and Observations: 5 Check www.cowsandfish.org for latest Form