Name
_________________________________
Alternate Name _______________________________________
County_______________________ Quadrangle __________________________
Location_______________________
(Quarter Section, Township, Range)
N.
Latitude_____________________ W.
Longitude ___________________________
GPS
Coords__________________________________
UTM ____________________________________________
Owner’s
Name and Address____________________________________________________________________________
Geologic Formation or Rock
Type at Pool Level _____________________________________________________
Flow Data:
(measured/estimated) ___________ Cubic Feet/sec ___________Gal /min _________
Cubic meters/sec
Other (describe estimate
method)_________________________________________ Measurement Date________
Entrance Geometry (pick one)
_____cave ______rise pool ______seep
_____waterfall ______artificially altered
Water flowing from: bedrock / alluvium (sand, gravel, clay
etc.) Is the flow gravity fed or artesian?___________
Pool Dimensions ___________ by _____________ Depth of stream or pool _____________________________
Spring Indicated on
Quad? Y/N Field Indication:
Bluff Hillside Valley Floor Sink Other________________
Enterable
by people? Y/N Recent Local Rainfall ? Y/N If Yes, how much, over what
time?_______________
Recharge
Area if known:
________________________________________________________________________
Unusual Characteristics,
Biota Seen, or History______________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Area
Sketch with north arrow:
Report By___________________________________________________ Date _____________________________
Address________________________________________________________________________________________