Healthy Forest Reserve Program

2007 Self-Assessment

Landowner Name:___________________ Tract ID:______ County:______________________

1. Do Red-cockaded woodpeckers or cavity trees occur on the offered acres (refer to photos)?  If yes, please attach map or sketch of tract with suspected location.

Circle one:  Yes            No

2. Are the offered acres within a half mile of Felsenthal National Wildlife Refuge, Crossett Experimental Forest, Warren Prairie Natural Area, or an established or proposed Red-cockaded woodpecker conservation area (refer to RCW conservation area map)?

Circle one:   Yes           No

3. Are the offered acres adjacent to a perennial stream, bayou, or river in the lower Ouachita River basin in Arkansas (denoted as solid blue line on USGS topographic map)?

Circle one:   Yes           No

4. Check any of the Arkansas Forestry Commission recommended forestry best management practices for water quality being used on the offered acres.       

a)      Riparian Forest Buffers (or Streamside Management Zones) are maintained during harvest operations_____.

b)      Logging decks, road banks, and/or firebreaks and skid trails are seeded after use_____.

c)      Water bars, diversion ditches, or culverts are properly installed on access roads, skid trails, logging decks, or   firebreaks_____.

d)      Stabilization/vegetation of inactive roads is done_____.

e)      Stream crossings are installed in a manner that does not degrade water quality_____.

5. Are pine trees at least 30 years old on a minimum of 75 acres?

Circle one:   Yes           No

6. Does a majority of the pine stand on the tract have sparse hardwood midstory (7 feet or taller)?

Circle one:   Yes           No

7. Are you practicing prescribed burning on a 3 to 5 year interval?

Circle one:   Yes           No    If Yes, how may burns were conducted during the last ten years?_____.

8.  Are you willing to establish Red-cockaded woodpecker nesting habitat and/or recruitment clusters (artificial cavities) on offered acres?

Circle one:   Yes           No

By my signature I acknowledge that the information given above is correct to the best of my knowledge.

______________________________                                                ________

Applicant Signature                                                                                  Date

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2007 Self-Assessment (PDF; 8.3 KB)

Last Modified: 05/13/2008

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