Wetland Identification Record

CO-ECS-14

WETLAND IDENTIFICATION RECORD Legal Description

Client Name: Date:

Location: Township - , Range - , Section - , Tract - Field Office:

Field Number Quarter Number Wetland Number Hydric Soils NE: Map1/ USGS Quads 1/ B&W Photos 1/ Infrared Photos 1/ 5 Years FSA Slides 1/ Climatological Data 1/ Manipulation On-site Visit Hydrophytic Vegetation Other

FSA COLOR SLIDES Year - Fall Summer

Year - Fall Summer

Preliminary Determination: 1/ Mapping convention: + supports wetland criteria; - does not support wetland criteria.

Date Sent to FWS: Date Returned by FWS: (NOTE: Record must be returned to Field Office within 30 days)

FWS Concurrence: Date: District Conservationist: Date:

FOTG, Section IV NRCS, CO Tools, Other Forms January 2007