MiCorp Benthic Macroinvertebrate Form

Exit this survey

 

1. Please Answer the Following Contact Information:

Please Answer the Following Contact Information:   Name:
School:
Address:
City/Town:
State:	-- select state --AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming
ZIP:
Email Address:

2. Please fill out the following monitoring site location, date and time information:

Please fill out the following monitoring site location, date and time information:   Stream Name:
Location:
Date (mm/dd/year):
Collection Start Time (Please include AM or PM):
Latitude:
Longitude:

3. Monitoring Team:

Monitoring Team:   Name of Person Completing Datasheet:
Collector:
Other Team Members:

4. Stream Conditions:

Stream Conditions:   Average Water Depth (in feet):
Is the substrate covered with excessive silt (Yes or No):
If Yes, Please Describe:
Substrate Embeddedness in Riffles:
Did you observe any fish or wildlife?
If Yes, Please Describe:

5. Please check the habitats that were sampled. Include as many as possible.

Please check the habitats that were sampled. Include as many as possible.   Riffles Cobbles Aquatic Plants Runs Stream Margins Leaf Packs Pools Undercut Banks/Overhanging Vegetation Submerged Wood

Other (please specify)

6. Did you see, but not collect,any live crayfish?

Did you see, but not collect,any live crayfish?   Yes No

7. Did you see, but not collect, any live large clams?

Did you see, but not collect, any live large clams?   Yes No

8. Collection Finish Time (Please include AM/PM):

Collection Finish Time (Please include AM/PM):