SECTION 1 – Tract and Landowner Information
Tract #:	Farm #:	Field #:
Landowner/Farm Name:	Date Assessed:
Tract Location:
Original Planting Date:	Contract Expiration Date: Zip:
CREP Acreage:	Original Planting Density (TPA):
SECTION 2 – Initial Observations
Exceeds NRCS Density Standards	Visibly Below NRCS Standards	Inconclusive
Comments:
Describe any maintenance activities observed during the site visit:
*Take photos of the site for reference, submit photos and tract map with form.
SECTION 3 – Plot Data Results
Assessment Method: Circular Plots (Select One):
1/100th acre, 11.8 ft. radius	1/50th acre, 16.6 ft. radius	1/20th acre, 26.3 ft. radius
Fill in the information below using plot data collected on the Stand Assessment Tool (SAT).
Number of Plots Taken:	Average Tract Density (TPA):	Percent of Original Planting Density:
Are there any distinct sections of low survival present?	Yes	No 1/20th acre, 26.3’ radius
Estimated Acreage of Distinct Sections:
Reason(s) for Low Survival:
Notes:
SECTION 4 – Invasive Species Coverage
Check the box below that best describes the percent of invasive species coverage throughout the tract:
0-20%	20-50%	50%+
Invasive Species Present:
Comments on Impact, Extent and Treatment of Invasive Species:
SECTION 5 – Summary
Check the applicable boxes based on the site assessment:
Percent of Original Planting Density: (TPA)	Percent of Invasive Species Coverage:
≥ 70%	≤ 20% Invasive Species Coverage
< 70% but > 50%	>20% but < 50% Invasive Species Coverage
< 50%	> 50% Invasive Species Coverage
Site Summary:
Meets NRCS Standards
Does Not Meet NRCS Standards
Acreage Adjustment: Circumstances Beyond Producers Control (if checked, fill information below)
Acreage Not Meeting Standards Due to Circumstances Beyond Producer’s Control:
Describe Circumstance(s):
Remaining Acreage that Currently Meets NRCS Standards:
Site Details/Management Prescriptions:
SECTION 6 – DOF Signatures
Forester Name (Print)	Forester Signature	Date