+-----------+-----------------------------------------+----------------+
| ![](m     | **1-D-1 Open Space Agricultural         | **     **      |
| edia/imag | Valuation**                             |                |
| e1.png){w |                                         |                |
| idth="0.6 | **Wildlife Management Plan for the      |                |
| 555555555 | Year(s)**                               |                |
| 555556in" |                                         |                |
| hei       |                                         |                |
| ght="0.65 |                                         |                |
| 555555555 |                                         |                |
| 55556in"} |                                         |                |
+-----------+-----------------------------------------+----------------+

***Submit this plan to your County Chief Appraiser, not to Texas Parks
and Wildlife Department***

  -----------------------------------------------------------------------
       

  -----------------------------------------------------------------------

# Part I. Owner Information   Account Number: 

  -- ------------ ------- ------- --------- ------- ------------- ------------------ --
     Owner's                                                                         
     Name:                                                                           

     Current                                                                         
     mailing                                                                         
     address:                                                                        

     City, town,                                                                     
     post office,                                                                    
     state and                                                                       
     zip code:                                                                       

     Phone                                                                           
     number:                                                                         

     Tract Name:                                    Majority                         
                                                    County:                          

     Additional                                                                      
     Counties (if                                                                    
     any):                                                                           

                                                                                     
  -- ------------ ------- ------- --------- ------- ------------- ------------------ --

## Part II. Property Description  

  -- -------------- ------------- ------- ------- ------- ---- --------------------- ----- --------------- ------- ------- ------------- ------- ---------- --
     Legal                                                                                                                                                  
     Description of                                                                                                                                         
     Property:                                                                                                                                              

     Location of                                                                                                                                            
     Property                                                                                                                                               
     (distance and                                                                                                                                          
     direction from                                                                                                                                         
     nearest town;                                                                                                                                          
     specify                                                                                                                                                
     highway/road                                                                                                                                           
     numbers):                                                                                                                                              

                                                                                                                                                            

     Is Acreage                                                                                                                                             
     under high                                                                                                                                             
     fence:    Yes                                                                                                                                          
        No                                                                                                                                                  
     Partial:                                                                                                                                               
     (Describe)                                                                                                                                             

     Total Acreage:                                                                        Ecoregion                                                        

                                                                                           *(refer to                                                       
                                                                                           Comprehensive                                                    
                                                                                           Wildlife                                                         
                                                                                           Management                                                       
                                                                                           Planning                                                         
                                                                                           Guidelines)  *                                                   

     Habitat Types                                                                                                                                          
     and Amounts of                                                                                                                                         
     Acres:                                                                                                                                                 

                    Cropland                                   Bottomland/Riparian                                            wetlands                      

                    Non-native                                 Native                                                                                       
                    Pasture                                    Pasture/Grassland                                           timberlands                      

                    Native                                     Other (describe)                                                                             
                    Range/Brush                                                                                                                             

                                                                                                                                                            
  -- -------------- ------------- ------- ------- ------- ---- --------------------- ----- --------------- ------- ------- ------------- ------- ---------- --

### III. Species targeted for management. (List all that apply. Attach additional page(s) if needed)  

  -- ------------- ------- ------- ------- ------- ------- ------------ ------- ------------------ --
        Deer                                                                                       
     turkey                                                                                        
     quail                                                                                         
     songbirds                                                                                     
     waterfowl                                                                                     
     doves    bats                                                                                 

                                                                                                   
     Neotropical                                                                                   
     songbirds                                                                                     
     (List)                                                                                        

        Reptiles                                                                                   
     (list)                                                Amphibians                              
                                                           (list)                                  

        Small                                                 Insects                              
     mammals                                               (list)                                  
     (list)                                                                                        

        Identified                                                                                 
     species of                                                                                    
     concern                                                                                       
     (List)                                                                                        

        Other                                                                                      
     (List)                                                                                        

                                                                                                   
  -- ------------- ------- ------- ------- ------- ------- ------------ ------- ------------------ --

## Part IV. Management Plan Goals and Objectives  

  -- ------------------------------------------------------------------- --
     Describe the wildlife management ***[goals]{.underline}*** (*what   
     you want the property to look like, or want to be able to do with   
     it*) and ***[objectives]{.underline}*** (*how you intend to achieve 
     these goals)* for this piece of property. You may use an additional 
     page if needed. (Note: This space will expand as you type.)         

                                                                         

                                                                         
  -- ------------------------------------------------------------------- --

## Part V. Qualifying Wildlife Management Activities  

  -- ------------------------------------------------------------------- --
     Check the wildlife management practices to be implemented on the    
     property during the coming year that will support and achieve your  
     management goals. A minimum of three practices is required.         

        Habitat control    Provide supplemental supplies of water        

        Erosion control    Provide supplemental supplies of food         

        Predator control    Provide shelters                             

        Making census counts to determine population.                    

                                                                         
  -- ------------------------------------------------------------------- --

Part VI. White tail Deer and Mule Deer Population Management

  -- --------------- --------------- ---------- --- -------- ------------ --- ------- ------- ------------- --
     Is hunting to                                                                                          
     be a part of                                                                                           
     this wildlife                                                                                          
     management                                                                                             
     plan?    Yes                                                                                           
     No                                                                                                     

     If YES, type of                                                                                        
     hunting:                                                                                               
     Lease hunting                                                                                          
                                                                                                            
     Family/guests                                                                                          
     only    Both                                                                                           

     List deer                                                                                              
     harvest for                                                                                            
     past three                                                                                             
     seasons:                                                                                               

                     Year:                          Bucks:                            Does:                 

                     Year:                          Bucks:                            Does:                 

                     Year:                          Bucks:                            Does:                 

     Population                                                                                             
     Management                                                                                             
     Goals:                                                                                                 

                     Target Density                                                                         
                     for Pre-season                                                                         
                     Deer Population                                                                        
                     (fall density)                                                                         

                     Target Sex                                                                             
                     Ratio                                                                                  
                     (does/buck):                                                                           

                     Target                                                                                 
                     Production                                                                             
                     (fawns/doe):                                                                           

                     Other (may be                                                                          
                     age, weight,                                                                           
                     antler                                                                                 
                     measurements,                                                                          
                     browse                                                                                 
                     conditions,                                                                            
                     etc.                                                                                   

                                                                                                            

     Deer Harvest                                                                                           
     Strategy                                                                                               
     (numbers, types                                                                                        
     of deer to be                                                                                          
     harvested to                                                                                           
     achieve goals):                                                                                        

                                                                                                            

                                                                                                            
  -- --------------- --------------- ---------- --- -------- ------------ --- ------- ------- ------------- --

**Part VII. Wildlife Management Association Membership  **

+---+-------------------------------------------+-----------------------+---+
|   | # Are you a member of a wildlife man      |                       |   |
|   | agement association (co-op)?    Yes    No |                       |   |
+---+-------------------------------------------+-----------------------+---+
|   | Are you a member of a wildlife property   |                       |   |
|   | association?    Yes    No                 |                       |   |
+---+-------------------------------------------+-----------------------+---+
|   | Name of wildlife property                 |                       |   |
|   | co-op/association, if YES is checked.     |                       |   |
+---+-------------------------------------------+-----------------------+---+
|   |                                           |                       |   |
+---+-------------------------------------------+-----------------------+---+

# Part VIII. Wildlife Management Activities  

Check the activities you intend to implement during the year to support
each of the wildlife management activities listed in Part V.  

<table style="width:100%;">
<colgroup>
<col style="width: 2%" />
<col style="width: 7%" />
<col style="width: 5%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 4%" />
<col style="width: 0%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 5%" />
<col style="width: 1%" />
<col style="width: 5%" />
<col style="width: 6%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 3%" />
<col style="width: 3%" />
<col style="width: 1%" />
<col style="width: 3%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 1%" />
<col style="width: 7%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 15%" />
<col style="width: 2%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="40"><strong>1. 1. HABITAT CONTROL  </strong></td>
</tr>
<tr class="even">
<td></td>
<td colspan="38">   <em>Grazing management</em>. Check grazing system
being utilized.</td>
<td></td>
</tr>
<tr class="odd">
<td rowspan="2"></td>
<td rowspan="2"></td>
<td colspan="37">   1 herd/3pasture   1 herd/4 pasture    1
herd/multiple pasture</td>
<td rowspan="2"></td>
</tr>
<tr class="even">
<td colspan="37">   High intensity/low frequency (HILF)    Short
duration system</td>
</tr>
<tr class="odd">
<td rowspan="2"></td>
<td rowspan="2"></td>
<td colspan="22">   Other type of grazing system (describe)</td>
<td colspan="15"></td>
<td rowspan="2"></td>
</tr>
<tr class="even">
<td colspan="37"><strong>     </strong></td>
</tr>
<tr class="odd">
<td rowspan="2"></td>
<td colspan="11"><em>Additional Information:</em></td>
<td colspan="27">     </td>
<td rowspan="2"></td>
</tr>
<tr class="even">
<td colspan="11"></td>
<td colspan="27"></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="38">   <em>Prescribed Burning</em></td>
<td rowspan="4"></td>
</tr>
<tr class="even">
<td></td>
<td></td>
<td colspan="11">Acres to be burned:</td>
<td colspan="5">     </td>
<td colspan="3"></td>
<td colspan="10">Planned burn date:</td>
<td colspan="8">     </td>
</tr>
<tr class="odd">
<td rowspan="2"></td>
<td colspan="10"><em>Additional Information:</em></td>
<td colspan="28">     </td>
</tr>
<tr class="even">
<td colspan="38"></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="38">   <em>Range Enhancement (Range Reseeding)</em></td>
<td rowspan="6"></td>
</tr>
<tr class="even">
<td rowspan="5"></td>
<td rowspan="5"></td>
<td colspan="11">Acres to be seeded:</td>
<td colspan="6">     </td>
<td colspan="4"></td>
<td colspan="9">Date to be seeded:</td>
<td colspan="7">     </td>
</tr>
<tr class="odd">
<td colspan="37">Seeding Method:    Broadcast    Drilled    Native
Hay</td>
</tr>
<tr class="even">
<td colspan="13">Seeding mixture to be used:</td>
<td colspan="24">     </td>
</tr>
<tr class="odd">
<td colspan="37">Fertilized:    Yes    No</td>
</tr>
<tr class="even">
<td colspan="37">Weed control needed for establishment?    Yes   
No</td>
</tr>
<tr class="odd">
<td rowspan="2"></td>
<td colspan="7"><em>Additional Information:</em></td>
<td colspan="31">     </td>
<td rowspan="2"></td>
</tr>
<tr class="even">
<td></td>
<td colspan="37"></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="15">   <em>Brush Management</em>. Acres to be treated:</td>
<td colspan="10">     </td>
<td colspan="13"><blockquote>
<p>Check method of brush management:  </p>
</blockquote></td>
<td rowspan="10"></td>
</tr>
<tr class="even">
<td rowspan="9"></td>
<td rowspan="7"></td>
<td colspan="37">   Mechanical</td>
</tr>
<tr class="odd">
<td></td>
<td colspan="36">   grubber    chain    roller chopper/aerator    rhome
disc</td>
</tr>
<tr class="even">
<td></td>
<td colspan="36">   brush hog (shredder)    dozer    hand-cutting
(chainsaw)</td>
</tr>
<tr class="odd">
<td></td>
<td colspan="27">   hydraulic shears    other (describe):</td>
<td colspan="9">     </td>
</tr>
<tr class="even">
<td colspan="7">   Chemical</td>
<td colspan="5">Kind:</td>
<td colspan="11">     </td>
<td colspan="2"></td>
<td colspan="3">Rate:</td>
<td colspan="9">     </td>
</tr>
<tr class="odd">
<td colspan="37">   Brush management design:</td>
</tr>
<tr class="even">
<td></td>
<td colspan="25">   block    mosaic    strips: width:</td>
<td colspan="5">     </td>
<td colspan="3">Length:</td>
<td colspan="3">     </td>
</tr>
<tr class="odd">
<td colspan="10"><em>Additional Information:</em></td>
<td colspan="28">     </td>
</tr>
<tr class="even">
<td></td>
<td colspan="37"></td>
</tr>
<tr class="odd">
<td rowspan="8"></td>
<td colspan="38">   <em>Fence Modification</em></td>
<td rowspan="8"></td>
</tr>
<tr class="even">
<td></td>
<td colspan="37">Target species:    pronghorn antelope    bighorn
sheep</td>
</tr>
<tr class="odd">
<td></td>
<td colspan="32">Technique:    fold up bottom of net-wire Gap
width:</td>
<td colspan="5">     </td>
</tr>
<tr class="even">
<td></td>
<td colspan="4"></td>
<td colspan="29">   replace sections of net-wire with barbed wire. Gap
width:</td>
<td colspan="4">     </td>
</tr>
<tr class="odd">
<td rowspan="2"></td>
<td colspan="4"></td>
<td colspan="5"></td>
<td colspan="18"><blockquote>
<p>Miles of fencing that will be modified:</p>
</blockquote></td>
<td colspan="6">     </td>
<td colspan="4"></td>
</tr>
<tr class="even">
<td colspan="4"></td>
<td colspan="32">   replace entire net-wire fence with barbed wire.
Miles replaced:</td>
<td>     </td>
</tr>
<tr class="odd">
<td colspan="7"><em>Additional Information:</em></td>
<td colspan="31">     </td>
</tr>
<tr class="even">
<td></td>
<td colspan="37"></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="38">   <em>Riparian management and enhancement</em></td>
<td rowspan="11"></td>
</tr>
<tr class="even">
<td></td>
<td></td>
<td colspan="37">   Fencing of riparian area</td>
</tr>
<tr class="odd">
<td></td>
<td></td>
<td colspan="2"></td>
<td colspan="35">   Complete fencing    Partial fencing</td>
</tr>
<tr class="even">
<td></td>
<td></td>
<td colspan="37">   Deferment from livestock grazing</td>
</tr>
<tr class="odd">
<td></td>
<td></td>
<td colspan="2"></td>
<td colspan="33">   Complete deferment    partial deferment Season
deferred :</td>
<td colspan="2">     </td>
</tr>
<tr class="even">
<td></td>
<td></td>
<td colspan="37">   Establish vegetation</td>
</tr>
<tr class="odd">
<td rowspan="2"></td>
<td></td>
<td colspan="2"></td>
<td colspan="16">   Trees (list species)</td>
<td colspan="19">     </td>
</tr>
<tr class="even">
<td></td>
<td colspan="2"></td>
<td colspan="16">   Shrubs (list species)</td>
<td colspan="19">     </td>
</tr>
<tr class="odd">
<td></td>
<td></td>
<td colspan="2"></td>
<td colspan="16">   Herbaceous species (list)</td>
<td colspan="19">     </td>
</tr>
<tr class="even">
<td rowspan="2"></td>
<td colspan="10"><em>Additional Information:</em></td>
<td colspan="28">     </td>
</tr>
<tr class="odd">
<td></td>
<td colspan="9"></td>
<td colspan="28"></td>
</tr>
<tr class="even">
<td></td>
<td colspan="38">   <em>Wetland enhancement</em></td>
<td></td>
</tr>
<tr class="odd">
<td rowspan="4"></td>
<td></td>
<td colspan="37">   Provide seasonal water    Provide permanent water   
Moist soil management</td>
<td rowspan="4"></td>
</tr>
<tr class="even">
<td></td>
<td colspan="11">   Other (describe)</td>
<td colspan="26">     </td>
</tr>
<tr class="odd">
<td colspan="9"><em>Additional Information:</em></td>
<td colspan="29">     </td>
</tr>
<tr class="even">
<td></td>
<td colspan="37"></td>
</tr>
<tr class="odd">
<td rowspan="6"></td>
<td colspan="38">   <em>Habitat Protection for species of
concern</em></td>
<td rowspan="6"></td>
</tr>
<tr class="even">
<td></td>
<td colspan="37">   Fencing    Firebreaks    Prescribed burning   
Control of nest parasites</td>
</tr>
<tr class="odd">
<td></td>
<td colspan="37">   Habitat manipulation (thinning, etc.)   
Native/exotic ungulate control</td>
</tr>
<tr class="even">
<td></td>
<td colspan="11">   Other (describe)</td>
<td colspan="26">     </td>
</tr>
<tr class="odd">
<td colspan="6"><em>Additional Information:</em></td>
<td colspan="32">     </td>
</tr>
<tr class="even">
<td></td>
<td colspan="5"></td>
<td colspan="32"></td>
</tr>
<tr class="odd">
<td rowspan="2"></td>
<td colspan="38">   <em>Prescribed Control of Native, Exotic and Feral
Species</em></td>
<td rowspan="2"></td>
</tr>
<tr class="even">
<td></td>
<td colspan="37">   Prescribed control of vegetation    Prescribed
control of animal species</td>
</tr>
<tr class="odd">
<td rowspan="4"></td>
<td></td>
<td colspan="3"></td>
<td colspan="17">   Species being controlled:</td>
<td colspan="17">     </td>
<td></td>
</tr>
<tr class="even">
<td></td>
<td colspan="3"></td>
<td colspan="17">   Method of control:</td>
<td colspan="17">     </td>
<td rowspan="3"></td>
</tr>
<tr class="odd">
<td colspan="9"><em>Additional Information:</em></td>
<td colspan="29">     </td>
</tr>
<tr class="even">
<td></td>
<td colspan="37"></td>
</tr>
<tr class="odd">
<td rowspan="6"></td>
<td colspan="38">   <em>Wildlife Restoration</em></td>
<td rowspan="6"></td>
</tr>
<tr class="even">
<td rowspan="3"></td>
<td colspan="37">   Habitat restoration    Wildlife restoration</td>
</tr>
<tr class="odd">
<td colspan="3"></td>
<td colspan="12">   Target species:</td>
<td colspan="22">     </td>
</tr>
<tr class="even">
<td colspan="3"></td>
<td colspan="12">   Method of restoration:</td>
<td colspan="22">     </td>
</tr>
<tr class="odd">
<td colspan="9"><em>Additional Information:</em></td>
<td colspan="29">     </td>
</tr>
<tr class="even">
<td colspan="38"></td>
</tr>
</tbody>
</table>

  --------- -------------------------- ------------------------ ------- ------- ------- ------- ------- ------- --------------- -- ----------- --------- ------- ------- ------- ------- ------- -------- --
  **2.                                                                                                                                                                                                    
  EROSION                                                                                                                                                                                                 
  CONTROL                                                                                                                                                                                                 
   **                                                                                                                                                                                                     

               *Pond construction and                                                                                                                                                                     
            repair*                                                                                                                                                                                       

                                       Surface area (acres):                                                    Number of cubic                                                                           
                                                                                                                yards of soil                                                                             
                                                                                                                displaced:                                                                                

                                       Length of dam (feet):                                                    Planned date of                                                                           
                                                                                                                construction:                                                                             

            *Additional Information:*                                                                                                                                                                     

                                                                                                                                                                                                          

               *Gully shaping*                                                                                                                                                                            

                                       Total acres to be                                                                           Acres                                                                  
                                       treated:                                                                                    treated                                                                
                                                                                                                                   annually:                                                              

                                       Seeding mix used for                                                                                                                                               
                                       reestablishment of                                                                                                                                                 
                                       vegetation:                                                                                                                                                        

                                       Planned date of                                                                                                                                                    
                                       construction:                                                                                                                                                      

            *Additional Information:*                                                                                                                                                                     

                                                                                                                                                                                                          

               *Streamside, pond, and                                                                                                                                                                     
            wetland revegetation.*                                                                                                                                                                        
            Techniques used:                                                                                                                                                                              

                                          Native hay bales                                                                                                                                                
                                       Fencing    Filter strips                                                                                                                                           
                                          Seeding upland buffer                                                                                                                                           

                                          Rip-rap, etc.                                                                                                                                                   
                                       stream crossings                                                                                                                                                   
                                       Other:                                                                                                                                                             

                                       Planned date of                                                                                                                                                    
                                       construction:                                                                                                                                                      

            *Additional Information:*                                                                                                                                                                     

                                                                                                                                                                                                          

               *Herbaceous and/or                                                                                                                                                                         
            woody plant establishment                                                                                                                                                                     
            on critical areas                                                                                                                                                                             
            (erodible)*                                                                                                                                                                                   

                                          Establish windbreak                                                                                                                                             
                                          Establish shrub                                                                                                                                                 
                                       mottes    Improve plant                                                                                                                                            
                                       diversity                                                                                                                                                          

                                          Improve wildlife                                                                                                                                                
                                       habitat                                                                                                                                                            
                                       Conservation/no-till                                                                                                                                               
                                       practices    Manage CRP                                                                                                                                            
                                       cover                                                                                                                                                              

            *Additional Information:*                                                                                                                                                                     

                                                                                                                                                                                                          

               *Dike/Levee                                                                                                                                                                                
            Construction/Management*                                                                                                                                                                      

                                          Reshaping/repairing                                                                                                                                             
                                       erosion damage                                                                                                                                                     
                                       Revegetating/stabilize                                                                                                                                             
                                       levee areas                                                                                                                                                        

                                          Install water control                                                                                                                                           
                                       structure    Fencing                                                                                                                                               

            *Additional Information:*                                                                                                                                                                     

                                                                                                                                                                                                          

               *Establish water                                                                                                                                                                           
            diversion*                                                                                                                                                                                    

                                       Type:    Channel                                                                                                                                                   
                                       Ridge                                                                                                                                                              

                                       Slope:    level                                                                                                                                                    
                                       graded Length (feet)                                                                                                                                               

                                       Vegetated:    No    Yes                                                                                                                                            

                                       If Yes:    Native:                                                                                        Crop:                                                    

            *Additional Information:*                                                                                                                                                                     

                                                                                                                                                                                                          
  --------- -------------------------- ------------------------ ------- ------- ------- ------- ------- ------- --------------- -- ----------- --------- ------- ------- ------- ------- ------- -------- --

  -------------- -------------- ------------------------ ------------------ -------------------- ---------------------------- ------------------------------------ -------------- ------- ------- ----------- ------- ------- ------- ------- ------- ------- ---- ------- ------- ------- ------- ------- --------- -- ------------- ---------- ------- --------- ------- ------- ------- --------- ------- ------- ------- ------- ---- ------- -- -- -- -- --
  3\. PREDATOR                                                                                                                                                                                                                                                                                                                                                                                                                                                
  CONTROL                                                                                                                                                                                                                                                                                                                                                                                                                                                     

                                   Imported red fire                                                                                                                                                                                                                                                                                                                                                                                                          
                                ants (verify prior to                                                                                                                                                                                                                                                                                                                                                                                                         
                                application that product                                                                                                                                                                                                                                                                                                                                                                                                      
                                is labeled for pasture                                                                                                                                                                                                                                                                                                                                                                                                        
                                use)                                                                                                                                                                                                                                                                                                                                                                                                                          

                                   Control of cowbirds                                                                                                                                                                                                                                                                                                                                                                                                        
                                                                                                                                                                                                                                                                                                                                                                                                                                                              
                                Grackle/starling/house                                                                                                                                                                                                                                                                                                                                                                                                        
                                sparrow control                                                                                                                                                                                                                                                                                                                                                                                                               

                                                                                                                                                                   Method of                                                                                                                                                                                                                                                                                  
                                                                                                                                                                   control:                                                                                                                                                                                                                                                                                   
                                                                                                                                                                   Trapping                                                                                                                                                                                                                                                                                   
                                                                                                                                                                   Shooting                                                                                                                                                                                                                                                                                   
                                                                                                                                                                   Baiting                                                                                                                                                                                                                                                                                    
                                                                                                                                                                   Scare tactics                                                                                                                                                                                                                                                                              

                                   Coyotes    Feral hogs                                                                                                                                                                                                                                                                                                                                                                                                      
                                   Raccoon    Skunk                                                                                                                                                                                                                                                                                                                                                                                                           
                                Bobcat    Mountain lion                                                                                                                                                                                                                                                                                                                                                                                                       

                                   Rat snakes    Feral                                                                                                                                                                                                                                                                                                                                                                                                        
                                cats/dogs                                                                                                                                                                                                                                                                                                                                                                                                                     

                                                                                                                                                                   Method of                                                                                                                                                                                                                                                                                  
                                                                                                                                                                   control:                                                                                                                                                                                                                                                                                   
                                                                                                                                                                   Trapping                                                                                                                                                                                                                                                                                   
                                                                                                                                                                   Shooting                                                                                                                                                                                                                                                                                   
                                                                                                                                                                   M-44 (licensed                                                                                                                                                                                                                                                                             
                                                                                                                                                                   applicators)                                                                                                                                                                                                                                                                               

                                                                                                                                                                      Poison                                                                                                                                                                                                                                                                                  
                                                                                                                                                                   collars (1080                                                                                                                                                                                                                                                                              
                                                                                                                                                                   certified,                                                                                                                                                                                                                                                                                 
                                                                                                                                                                   licensed,                                                                                                                                                                                                                                                                                  
                                                                                                                                                                   applicator)                                                                                                                                                                                                                                                                                
                                                                                                                                                                   Other                                                                                                                                                                                                                                                                                      

                                *Additional                                                                                                                                                                                                                                                                                                                                                                                                                   
                                Information:*                                                                                                                                                                                                                                                                                                                                                                                                                 

                                                                                                                                                                                                                                                                                                                                                                                                                                                              

  4\.                                                                                                                                                                                                                                                                                                                                                                                                                                                         
  SUPPLEMENTAL                                                                                                                                                                                                                                                                                                                                                                                                                                                
  WATER                                                                                                                                                                                                                                                                                                                                                                                                                                                       

                                   *Marsh/Wetland                                                                                                                                                                                                                                                                                                                                                                                                             
                                Restoration or                                                                                                                                                                                                                                                                                                                                                                                                                
                                Development*                                                                                                                                                                                                                                                                                                                                                                                                                  

                                                                                                                                 Greentree reservoirs    Shallow                                                                                                                                                                                                                                                                                              
                                                                                                                              roost pond development    Seasonally                                                                                                                                                                                                                                                                                            
                                                                                                                              flooded crops                                                                                                                                                                                                                                                                                                                   

                                                                                                                                 Artificially created wetlands                                                                                                                                                                                                                                                                                                
                                                                                                                              Marsh                                                                                                                                                                                                                                                                                                                           
                                                                                                                              restoration/development/protection                                                                                                                                                                                                                                                                                              

                                                                                                                                 Prairie pothole                                                                                                                                                                                                                                                                                                              
                                                                                                                              restoration/development/protection                                                                                                                                                                                                                                                                                              
                                                                                                                                 Moist soil management units                                                                                                                                                                                                                                                                                                  

                                                                                                                              Planned date of construction:                                                                                                                                                                                                                                                                                                   

                                *Additional                                                                                                                                                                                                                                                                                                                                                                                                                   
                                Information:*                                                                                                                                                                                                                                                                                                                                                                                                                 

                                                                                                                                                                                                                                                                                                                                                                                                                                                              

                                   *Well/trough/windmill                                                                                                                                                                                                                                                                                                                                                                                                      
                                overflow/other wildlife                                                                                                                                                                                                                                                                                                                                                                                                       
                                watering facilities*                                                                                                                                                                                                                                                                                                                                                                                                          

                                                                               Drill new well                                                                                                                                                                                                                                                            Gallons                                                                                              
                                                                            Depth:                                                                                                                                                                                                                                                                       per                                                                                                  
                                                                                                                                                                                                                                                                                                                                                         minute:                                                                                              

                                                                               Windmill    Pump                                                                                                                                                                                                                                                                                            Length:                                                            
                                                                               Pipeline: Size:                                                                                                                                                                                                                                                                                                                                                                

                                                                               Modification(s)                                                                                                                                                                                                                                                                                                                                                                
                                                                            of existing water                                                                                                                                                                                                                                                                                                                                                                 
                                                                            source                                                                                                                                                                                                                                                                                                                                                                            

                                                                               Fencing                                                                                                                                                                                                                                                                                                                                                                        
                                                                            Overflow    Trough                                                                                                                                                                                                                                                                                                                                                                
                                                                            modification                                                                                                                                                                                                                                                                                                                                                                      
                                                                            Pipeline                                                                                                                                                                                                                                                                                                                                                                          

                                                                            Distance between                                                                                                                                                                                                                                                                                                                                                                  
                                                                            water sources                                                                                                                                                                                                                                                                                                                                                                     
                                                                            (waterers):                                                                                                                                                                                                                                                                                                                                                                       

                                                                            Type of wildlife                                                                                                                                                                                                                                                                                                                                                                  
                                                                            watering facility:                                                                                                                                                                                                                                                                                                                                                                

                                                                               PVC pipe facility                                                                                                                                                              \#                                                           Drum with                                                                                                 \#                       
                                                                                                                                                                                                                                                                                                                        faucet or                                                                                                                             
                                                                                                                                                                                                                                                                                                                        float                                                                                                                                 

                                                                               Small game                                                                                                                                                                     \#                                                           Windmill                                                                                                  \#                       
                                                                            guzzler                                                                                                                                                                                                                                     supply pipe                                                                                                                           
                                                                                                                                                                                                                                                                                                                        dripper                                                                                                                               

                                                                               Plastic container                                                                                                                                                              \#                                                           In-ground                                                                                                 \#                       
                                                                                                                                                                                                                                                                                                                        bowl trough                                                                                                                           

                                                                               Big game guzzler                                                                                                                                                               \#                                                           Inverted                                                                                                  \#                       
                                                                                                                                                                                                                                                                                                                        umbrella                                                                                                                              
                                                                                                                                                                                                                                                                                                                        guzzler                                                                                                                               

                                                                               Flying saucer                                                                                                                                                                  \#                                                           Ranch                                                                                                     \#                       
                                                                            guzzler                                                                                                                                                                                                                                     Specialties                                                                                                                           
                                                                                                                                                                                                                                                                                                                        guzzler                                                                                                                               

                                                                               Other:                                                                                                                                                                                                                                                                                                                                                                         

                                *Additional                                                                                                                                                                                                                                                                                                                                                                                                                   
                                Information:*                                                                                                                                                                                                                                                                                                                                                                                                                 

                                                                                                                                                                                                                                                                                                                                                                                                                                                              

                                   *Spring development                                                                                                                                                                                                                                                                                                                                                                                                        
                                and/or enhancement*                                                                                                                                                                                                                                                                                                                                                                                                           

                                                                               Fencing    Water                                                                                                                                                                                                                                                                                                                                                               
                                                                            diversion/pipeline                                                                                                                                                                                                                                                                                                                                                                
                                                                               Brush removal                                                                                                                                                                                                                                                                                                                                                                  
                                                                            Spring clean out                                                                                                                                                                                                                                                                                                                                                                  

                                                                               Other:                                                                                                                                                                                                                                                                                                                                                                         

                                *Additional                                                                                                                                                                                                                                                                                                                                                                                                                   
                                Information:*                                                                                                                                                                                                                                                                                                                                                                                                                 

                                                                                                                                                                                                                                                                                                                                                                                                                                                              

                 5\. PROVIDING                                                                                                                                                                                                                                                                                                                                                                                                                                
                 SUPPLEMENTAL                                                                                                                                                                                                                                                                                                                                                                                                                                 
                 FOOD                                                                                                                                                                                                                                                                                                                                                                                                                                         

                                                            Grazing                                                                                                                                                                                                                                                                                                                                                                                           
                                                         management                                                                                                                                                                                                                                                                                                                                                                                           
                                                         Prescribed burning                                                                                                                                                                                                                                                                                                                                                                                   
                                                            Range                                                                                                                                                                                                                                                                                                                                                                                             
                                                         enhancement                                                                                                                                                                                                                                                                                                                                                                                          

                                                            Food plots                                                                                                                                                                                                                                     Fenced:                                                                                                                                            
                                                         Size:                                                                                                                                                                                                                                                Yes                                                                                                                                             
                                                                                                                                                                                                                                                                                                           No                                                                                                                                                 

                                                                                                 Irrigated:    Yes    No                                                                                                                                                                                                                                                                                                                                      

                                                                                                 Plantings:                                                                                          Cool                                                                                                                                                                                                                                                     
                                                                                                                                                                                                  season                                                                                                                                                                                                                                                      
                                                                                                                                                                                                  annual                                                                                                                                                                                                                                                      
                                                                                                                                                                                                  crops:                                                                                                                                                                                                                                                      

                                                                                                                                                                                                     Warm                                                                                                                                                                                                                                                     
                                                                                                                                                                                                  season                                                                                                                                                                                                                                                      
                                                                                                                                                                                                  annual                                                                                                                                                                                                                                                      
                                                                                                                                                                                                  crops:                                                                                                                                                                                                                                                      

                                                                                                                                                                                                     Annual                                                                                                                                                                                                                                                   
                                                                                                                                                                                                  mix of                                                                                                                                                                                                                                                      
                                                                                                                                                                                                  native                                                                                                                                                                                                                                                      
                                                                                                                                                                                                  plants:                                                                                                                                                                                                                                                     

                                                                                                                                                                                                                                                                                                                                                                                                                                                              
                                                                                                                                                                                                  Perennial                                                                                                                                                                                                                                                   
                                                                                                                                                                                                  mix of                                                                                                                                                                                                                                                      
                                                                                                                                                                                                  native                                                                                                                                                                                                                                                      
                                                                                                                                                                                                  plants:                                                                                                                                                                                                                                                     

                                                         *Additional                                                                                                                                                                                                                                                                                                                                                                                          
                                                         Information:*                                                                                                                                                                                                                                                                                                                                                                                        

                                                                                                                                                                                                                                                                                                                                                                                                                                                              

                                                            *Feeders and                                                                                                                                                                                                                                                                                                                                                                                      
                                                         mineral                                                                                                                                                                                                                                                                                                                                                                                              
                                                         supplementation*                                                                                                                                                                                                                                                                                                                                                                                     

                                                                                                 Purpose:    Supplementation                                                                                                                                                                                                                                                                                                                                  
                                                                                                    Harvesting of wildlife                                                                                                                                                                                                                                                                                                                                    

                                                                                                 Targeted wildlife species:                                                                                                                                                                                                                                                                                                                                   

                                                                                                 Feed type:                                                                                                                                                                                                                           Mineral                                                                                                                 
                                                                                                                                                                                                                                                                                                                                      type:                                                                                                                   

                                                                                                 Feeder type:                                                                                                                                                                                                                         Number of                                                                                                               
                                                                                                                                                                                                                                                                                                                                      feeders:                                                                                                                

                                                                                                 Method of mineral                                                                                                                                                                                                                                                                                                                                            
                                                                                                 dispensing:                                                                                                                                                                                                                                                                                                                                                  

                                                                                                 Number of mineral locations:                                                                                                                                                                                                                                                                                                                                 

                                                                                                 Year round:    Yes    No                                                                                                                                                                          If not,                                                                                                                                                    
                                                                                                                                                                                                                                                                                                   state                                                                                                                                                      
                                                                                                                                                                                                                                                                                                   when:                                                                                                                                                      

                                                         *Additional                                                                                                                                                                                                                                                                                                                                                                                          
                                                         Information:*                                                                                                                                                                                                                                                                                                                                                                                        

                                                                                                                                                                                                                                                                                                                                                                                                                                                              

                                                            *Managing tame                                                                                                                                                                                                                                                                                                                                                                                    
                                                         pasture, old                                                                                                                                                                                                                                                                                                                                                                                         
                                                         fields and                                                                                                                                                                                                                                                                                                                                                                                           
                                                         croplands*                                                                                                                                                                                                                                                                                                                                                                                           

                                                                                                    Overseeding cool and/or                                                                                                                                                                                                                                                                                                                                   
                                                                                                 warm season legumes and/or                                                                                                                                                                                                                                                                                                                                   
                                                                                                 small grains                                                                                                                                                                                                                                                                                                                                                 

                                                                                                    Periodic disturbance                                                                                                                                                                                                                                                                                                                                      
                                                                                                 (Discing/Mowing/Shredding)                                                                                                                                                                                                                                                                                                                                   
                                                                                                    Conservation/no-till                                                                                                                                                                                                                                                                                                                                      

                                                         *Additional                                                                                                                                                                                                                                                                                                                                                                                          
                                                         Information:*                                                                                                                                                                                                                                                                                                                                                                                        

                                                                                                                                                                                                                                                                                                                                                                                                                                                              

                                                            *Transition                                                                                                                                                                                                                                                                                                                                                                                       
                                                         management of tame                                                                                                                                                                                                                                                                                                                                                                                   
                                                         grass                                                                                                                                                                                                                                                                                                                                                                                                
                                                         monocultures*                                                                                                                                                                                                                                                                                                                                                                                        

                                                                                                    Overseed 25% of tame                                                                                                                                                                                                                                                                                                                                      
                                                                                                 grass pastures with locally                                                                                                                                                                                                                                                                                                                                  
                                                                                                 adapted legumes                                                                                                                                                                                                                                                                                                                                              

                                                                                                 Species planted:    Clover                                                                                                                                                                                                                                                                                                                                   
                                                                                                    Peas    Vetch    Other:                                                                                                                                                                                                                                                                                                                                   

                                                         *Additional                                                                                                                                                                                                                                                                                                                                                                                          
                                                         Information:*                                                                                                                                                                                                                                                                                                                                                                                        

                                                                                                                                                                                                                                                                                                                                                                                                                                                              
  -------------- -------------- ------------------------ ------------------ -------------------- ---------------------------- ------------------------------------ -------------- ------- ------- ----------- ------- ------- ------- ------- ------- ------- ---- ------- ------- ------- ------- ------- --------- -- ------------- ---------- ------- --------- ------- ------- ------- --------- ------- ------- ------- ------- ---- ------- -- -- -- -- --

<table style="width:100%;">
<colgroup>
<col style="width: 3%" />
<col style="width: 3%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 2%" />
<col style="width: 0%" />
<col style="width: 14%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 6%" />
<col style="width: 4%" />
<col style="width: 0%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 1%" />
<col style="width: 2%" />
<col style="width: 4%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 3%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 6%" />
<col style="width: 2%" />
<col style="width: 3%" />
<col style="width: 3%" />
<col style="width: 3%" />
<col style="width: 3%" />
<col style="width: 3%" />
<col style="width: 3%" />
<col style="width: 9%" />
<col style="width: 2%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="32"><blockquote>
<p>6. PROVIDING SUPPLEMENTAL SHELTER  </p>
</blockquote></td>
</tr>
<tr class="even">
<td rowspan="4"></td>
<td colspan="10">   <em>Nest boxes</em> Target Species:</td>
<td colspan="20">     </td>
<td></td>
</tr>
<tr class="odd">
<td colspan="3"></td>
<td colspan="5">   Cavity type. #</td>
<td colspan="3">     </td>
<td colspan="9">   Bat boxes. #</td>
<td colspan="3">     </td>
<td colspan="6">   Raptor pole. #</td>
<td>     </td>
<td></td>
</tr>
<tr class="even">
<td colspan="8"><em>Additional Information:</em></td>
<td colspan="22">     </td>
<td rowspan="2"></td>
</tr>
<tr class="odd">
<td colspan="30"></td>
</tr>
<tr class="even">
<td rowspan="4"></td>
<td colspan="30">   <em>Brush piles and slash retention</em></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="3"></td>
<td colspan="23">   Type:    Slash    Brush piles Number per acre:</td>
<td colspan="4">     </td>
<td rowspan="3"></td>
</tr>
<tr class="even">
<td colspan="6"><em>Additional Information:</em></td>
<td colspan="24">     </td>
</tr>
<tr class="odd">
<td colspan="3"></td>
<td colspan="27"></td>
</tr>
<tr class="even">
<td rowspan="4"></td>
<td colspan="12">   <em>Fence line management</em> Length:</td>
<td colspan="5">     </td>
<td colspan="13">Initial establishment:    Yes    No</td>
<td></td>
</tr>
<tr class="odd">
<td colspan="3"></td>
<td colspan="27">Plant type established:      Trees    Shrubs    Forbs
   Grasses</td>
<td></td>
</tr>
<tr class="even">
<td colspan="6"><em>Additional Information:</em></td>
<td colspan="24">     </td>
<td rowspan="2"></td>
</tr>
<tr class="odd">
<td colspan="30"></td>
</tr>
<tr class="even">
<td rowspan="4"></td>
<td colspan="27">   <em>Hay meadow, pasture and cropland management for
wildlife</em> Acres treated:</td>
<td colspan="3">     </td>
<td></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="29">Shelter establishment:     Roadside management   
Terrace/wind breaks    Field borders</td>
<td rowspan="3"></td>
</tr>
<tr class="even">
<td></td>
<td colspan="4"></td>
<td colspan="25">   Shelterbelts    Conservation Reserve Program lands
management</td>
</tr>
<tr class="odd">
<td></td>
<td colspan="29">Type of vegetation:      Annual    Perennial</td>
</tr>
<tr class="even">
<td></td>
<td></td>
<td colspan="14">Species and percent of mixture</td>
<td colspan="15">     </td>
<td></td>
</tr>
<tr class="odd">
<td rowspan="5"></td>
<td colspan="19">   Deferred mowing Period of deferment:</td>
<td colspan="11">     </td>
<td rowspan="5"></td>
</tr>
<tr class="even">
<td colspan="19">   Mowing Acres mowed annually:</td>
<td colspan="11">     </td>
</tr>
<tr class="odd">
<td colspan="30">   No till/minimum till</td>
</tr>
<tr class="even">
<td colspan="6"><em>Additional Information:</em></td>
<td colspan="24">     </td>
</tr>
<tr class="odd">
<td colspan="30"></td>
</tr>
<tr class="even">
<td></td>
<td colspan="30">   <em>Half-cutting trees or shrubs</em></td>
<td rowspan="4"></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="2"></td>
<td colspan="11">Acreage to be treated annually:</td>
<td colspan="5">     </td>
<td colspan="10">Number of half-cuts annually:</td>
<td colspan="2">     </td>
</tr>
<tr class="even">
<td></td>
<td colspan="7"><em>Additional Information:</em></td>
<td colspan="23">     </td>
</tr>
<tr class="odd">
<td></td>
<td colspan="7"></td>
<td colspan="21"></td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td></td>
<td colspan="30">   <em>Woody plant/shrub establishment</em></td>
<td rowspan="2"></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="2"></td>
<td colspan="20">Pattern:    Block    Mosaic    Strips: Width:</td>
<td colspan="8">     </td>
</tr>
<tr class="even">
<td></td>
<td colspan="2"></td>
<td colspan="14">Acreage or length established annually:</td>
<td colspan="9">     </td>
<td colspan="3">Spacing:</td>
<td colspan="2">     </td>
<td></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="2"></td>
<td colspan="7">Shrub/tree species used:</td>
<td colspan="21">     </td>
<td rowspan="3"></td>
</tr>
<tr class="even">
<td></td>
<td colspan="7"><em>Additional Information:</em></td>
<td colspan="23">     </td>
</tr>
<tr class="odd">
<td colspan="8"></td>
<td colspan="23"></td>
</tr>
<tr class="even">
<td></td>
<td colspan="31">   <em>Natural cavity/snag development</em></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="4"></td>
<td colspan="4">Species of snag:</td>
<td colspan="6">     </td>
<td colspan="7">Size of snags:</td>
<td colspan="3">     </td>
<td colspan="5"><blockquote>
<p>Number/acre:</p>
</blockquote></td>
<td>     </td>
<td rowspan="2"></td>
</tr>
<tr class="even">
<td></td>
<td colspan="8"><em>Additional Information:</em></td>
<td colspan="22">     </td>
</tr>
<tr class="odd">
<td></td>
<td colspan="30"></td>
<td></td>
</tr>
</tbody>
</table>

  -------- ------------------- ----------------- -------- -------------- ----------- ------------ ------- ------- ------- ------- ------- ------- ------- ------- ------- ------- ---------- ---- ------------ ------- ------- ------- ------- ------- ------- ------- ------- --- ------- ------- --- -- --
  **7.                                                                                                                                                                                                                                                                                                    
  CENSUS                                                                                                                                                                                                                                                                                                  
   **                                                                                                                                                                                                                                                                                                     

              *Spotlight                                                                                                                                                                                                                                                                                  
           counts* Targeted                                                                                                                                                                                                                                                                               
           species:                                                                                                                                                                                                                                                                                       

                                                                         Length of                                                                                                                Visibility                                                                                              
                                                                         route:                                                                                                                   of route:                                                                                               

                                                                         Dates (3                                                                                                            B.                                                C.                                                         
                                                                         required)                                                                                                                                                                                                                        
                                                                         A.                                                                                                                                                                                                                               

           *Additional                                                                                                                                                                                                                                                                                    
           Information:*                                                                                                                                                                                                                                                                                  

                                                                                                                                                                                                                                                                                                          

              *Standardized                                                                                                                                                       Targeted                                                                                                                
           incidental                                                                                                                                                             species:                                                                                                                
           observations*                                                                                                                                                                                                                                                                                  

                                                          Observations                                                                                                                                                                                                                                    
                                                          from:                                                                                                                                                                                                                                           
                                                          Feeders                                                                                                                                                                                                                                         
                                                          Food plots                                                                                                                                                                                                                                      
                                                          Blinds                                                                                                                                                                                                                                          
                                                          Vehicle                                                                                                                                                                                                                                         
                                                          Other                                                                                                                                                                                                                                           

                                                          Dates:                                                                                                                                                                                                                                          

           *Additional                                                                                                                                                                                                                                                                                    
           Information:*                                                                                                                                                                                                                                                                                  

                                                                                                                                                                                                                                                                                                          

              *Stand counts of                                                                                                                                                                                                                                                                            
           deer* (5 one hour                                                                                                                                                                                                                                                                              
           counts per stand                                                                                                                                                                                                                                                                               
           required). Number                                                                                                                                                                                                                                                                              
           of stands:                                                                                                                                                                                                                                                                                     

                                                                                     Dates:                                                                                                                                                                                                               

           *Additional                                                                                                                                                                                                                                                                                    
           Information:*                                                                                                                                                                                                                                                                                  

                                                                                                                                                                                                                                                                                                          

              *Aerial Counts*                                                                                                                                                                                                                                                                             
           Species counted:                                                                                                                                                                                                                                                                               

                                                                                     Type of                                                                                                                                                                                                              
                                                                                     survey:                                                                                                                                                                                                              
                                                                                     Helicopter                                                                                                                                                                                                           
                                                                                                                                                                                                                                                                                                          
                                                                                     Fixed-wing                                                                                                                                                                                                           

                                                                                     Percent of                                                                                                                                                                                                           
                                                                                     area                                                                                                                                                                                                                 
                                                                                     surveyed:                                                                                                                                                                                                            
                                                                                        Total                                                                                                                                                                                                             
                                                                                     50%                                                                                                                                                                                                                  
                                                                                     Other:                                                                                                                                                                                                               

           *Additional                                                                                                                                                                                                                                                                                    
           Information:*                                                                                                                                                                                                                                                                                  

                                                                                                                                                                                                                                                                                                          

              *Track counts:*                                                                                                                                                                                                                                                                             
              Predators                                                                                                                                                                                                                                                                                   
           Furbearers    Deer                                                                                                                                                                                                                                                                             
              Other:                                                                                                                                                                                                                                                                                      

           *Additional                                                                                                                                                                                                                                                                                    
           Information:*                                                                                                                                                                                                                                                                                  

                                                                                                                                                                                                                                                                                                          

              *Daylight deer                                                                                                                                                                                                                                                                              
           herd/wildlife                                                                                                                                                                                                                                                                                  
           composition counts*                                                                                                                                                                                                                                                                            

                                                                                     Species:                                                                                                                                                                                                             
                                                                                        Deer                                                                                                                                                                                                              
                                                                                     Turkey                                                                                                                                                                                                               
                                                                                     Dove                                                                                                                                                                                                                 
                                                                                     Quail                                                                                                                                                                                                                
                                                                                     Other                                                                                                                                                                                                                

           *Additional                                                                                                                                                                                                                                                                                    
           Information:*                                                                                                                                                                                                                                                                                  

                                                                                                                                                                                                                                                                                                          

              *Harvest data                                                                                                                                                                                                                                                                               
           collection/record                                                                                                                                                                                                                                                                              
           keeping*:    Deer                                                                                                                                                                                                                                                                              
              Game birds                                                                                                                                                                                                                                                                                  

                                                                                        Age                                                                                                                                                                                                               
                                                                                     Weight                                                                                                                                                                                                               
                                                                                     Sex                                                                                                                                                                                                                  
                                                                                     Antler data                                                                                                                                                                                                          
                                                                                        Harvest                                                                                                                                                                                                           
                                                                                     date                                                                                                                                                                                                                 

           *Additional                                                                                                                                                                                                                                                                                    
           Information:*                                                                                                                                                                                                                                                                                  

                                                                                                                                                                                                                                                                                                          

              *Browse                                                                                                                                                                                                                                                                                     
           utilization                                                                                                                                                                                                                                                                                    
           surveys* (thirty                                                                                                                                                                                                                                                                               
           12-foot circular                                                                                                                                                                                                                                                                               
           plots required)                                                                                                                                                                                                                                                                                

           *Additional                                                                                                                                                                                                                                                                                    
           Information:*                                                                                                                                                                                                                                                                                  

                                                                                                                                                                                                                                                                                                          

              *Census of                                                                                                                                                                                                                                                                                  
           endangered,                                                                                                                                                                                                                                                                                    
           threatened, or                                                                                                                                                                                                                                                                                 
           protected                                                                                                                                                                                                                                                                                      
           wildlife.* Species:                                                                                                                                                                                                                                                                            

                                                                                     Method and                                                                                                                                                                                                           
                                                                                     dates:                                                                                                                                                                                                               

           *Additional                                                                                                                                                                                                                                                                                    
           Information:*                                                                                                                                                                                                                                                                                  

                                                                                                                                                                                                                                                                                                          

              *Census and                                                                                                                                                                                                                                                                                 
           monitoring of                                                                                                                                                                                                                                                                                  
           nongame wildlife                                                                                                                                                                                                                                                                               
           species.* Species:                                                                                                                                                                                                                                                                             

                                                 Method                                                                                                                                                                                                                                                   
                                                 and                                                                                                                                                                                                                                                      
                                                 dates:                                                                                                                                                                                                                                                   

           *Additional                                                                                                                                                                                                                                                                                    
           Information:*                                                                                                                                                                                                                                                                                  

                                                                                                                                                                                                                                                                                                          

              *Miscellaneous                                                                                                                                                                                                                                                                              
           Counts:* Species                                                                                                                                                                                                                                                                               
           being counted:                                                                                                                                                                                                                                                                                 

                                  Remote                                                                                                                                                                                                                                                                  
                               detection (i.e.,                                                                                                                                                                                                                                                           
                               cameras)    Hahn                                                                                                                                                                                                                                                           
                               (walking) line                                                                                                                                                                                                                                                             
                               Roost counts                                                                                                                                                                                                                                                               

                                  Booming ground                                                                                                                                                                                                                                                          
                               counts                                                                                                                                                                                                                                                                     
                               Time/area counts                                                                                                                                                                                                                                                           
                                  Songbird                                                                                                                                                                                                                                                                
                               transects and                                                                                                                                                                                                                                                              
                               counts                                                                                                                                                                                                                                                                     

                                  Quail call and                                                                                                                                                                                                                                                          
                               covey counts                                                                                                                                                                                                                                                               
                               Point counts                                                                                                                                                                                                                                                               
                               Small mammal                                                                                                                                                                                                                                                               
                               traps                                                                                                                                                                                                                                                                      

                                  Drift fences                                                                                                                                                                                                                                                            
                               and pitfall traps                                                                                                                                                                                                                                                          
                                  Bat departures                                                                                                                                                                                                                                                          
                                  Dove call                                                                                                                                                                                                                                                               
                               counts                                                                                                                                                                                                                                                                     

                                  Chachalaca                                                                                                                                                                                                                                                              
                               counts    Turkey                                                                                                                                                                                                                                                           
                               hen/poultry                                                                                                                                                                                                                                                                
                               counts                                                                                                                                                                                                                                                                     
                               Waterfowl/water                                                                                                                                                                                                                                                            
                               bird counts                                                                                                                                                                                                                                                                

                                  Alligator                                                                                                                                                                                                                                                               
                               nest/census                                                                                                                                                                                                                                                                
                               counts    Other:                                                                                                                                                                                                                                                           

           *Additional                                                                                                                                                                                                                                                                                    
           Information:*                                                                                                                                                                                                                                                                                  

                                                                                                                                                                                                                                                                                                          
  -------- ------------------- ----------------- -------- -------------- ----------- ------------ ------- ------- ------- ------- ------- ------- ------- ------- ------- ------- ---------- ---- ------------ ------- ------- ------- ------- ------- ------- ------- ------- --- ------- ------- --- -- --

**IX. Additional Supporting Information. (Optional)  **

Attach any other supporting information, such as maps or photographs
that you believe to be relevant to this wildlife management plan.  

I certify that the above information provided by me in this application
is to the best of my knowledge and belief, true and complete.  

  -----------------------------------------------------------------------
       

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Landowner Signature   Date

This area for use only if the wildlife management plan was prepared for
the above landowner for a fee by a wildlife professional or consultant.
\*  

+---+---------------------------------------+---+-------------------------+---+
|   | >                                     |   | >                       |   |
+---+---------------------------------------+---+-------------------------+---+
|   | Signature of person preparing         |   | > Date                  |   |
|   | wildlife management plan.             |   |                         |   |
+---+---------------------------------------+---+-------------------------+---+
|   | >                                     |   | >                       |   |
+---+---------------------------------------+---+-------------------------+---+
|   | Company                               |   | > Phone Number          |   |
+---+---------------------------------------+---+-------------------------+---+
|   |                                       |   |                         |   |
+---+---------------------------------------+---+-------------------------+---+
|   | \* \*Signature by TPWD not required   |   |                         |   |
|   | for this plan to be valid.            |   |                         |   |
+---+---------------------------------------+---+-------------------------+---+

  -----------------------------------------------------------------------
  Texas Parks and Wildlife does not maintain the information collected
  through this form. This completed form is only provided to the County
  Tax Appraiser. Please inquire with your County Central Appraisal
  District on any local laws concerning any information collected through
  this form.

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