Sample Data Entry Form

U.S. Fish and Wildlife Service, Division of Migratory Bird Management, 11510 American Holly Dr.  Merriam Bldg., Laurel, MD, USA 20708
Canadian Wildlife Service, Department of the Environment, Ottawa, Ontario, Canada K1A 0H3
 Survey Year: 2023
State or Province: Maryland
County: 017
Route number:  049
Route name: Required
 
Observer's Contact Information
(F. Initial, M. Initial, Last Name)
A. A. Sample
Agency Code
State Province Federal Other
Day Telephone: 
(301) 497-5862 ext. 00
Street  
11510 American Holly Drive - Merriam
City
Laurel
State/Province*  
Maryland
Country  
USA
Zip/Postal Code  
20708-4002
Email  (not required)
WeblessSurveyCoordinator@fws.gov

Date of Survey
Month:  AprilMay
Day:    25

 

Official Sunset
(civilian only)

7 : 54 PM  h:mm

 
Sky Condition Temperature Wind (mph) Precipitation
Clear
¼ Overcast
½ Overcast
¾ Overcast
> ¾
°F °C
35-39 2-4
40-49 5-9
50-59 10-15
60+ 16+
Calm
Gentle (1-3)
Light (4-7)
Mod (8-12)
Strong (>12)		 None
Mist
Snow, Heavy Rain
Fog
Light Rain
 
Stop Number

Odometer Reading
(#####. #)

Miles  or  KM
PM Time
(Civilian)
(hh:mm)		 Number Heard Peenting (##)

Disturbance
No Low Mod Hi
1
032500.0
8 : 16
00
2
032500.4
8 : 20
01
3
032500.8
8 : 24
00
4
032501.2
8 : 28
02
5
032501.6
8 : 32
00
6
032502.0
8 : 36

-

 *
7
032502.4
8 : 38
00
8
032502.8
8 : 42
01
9
032503.2
8 : 46
00
10
032503.6
8 : 50
00
Total Woodcock Heard Peenting
04
 

9

 Total Stops Completed
Remarks  (only pertinent info)

NO-STOP HAZARDOUS at stop 6.  Spring peepers, cars, trucks, and crows heard during survey.
  * If a bad traffic hazard prevents stopping within 100ft. of the 0.4 mile mark and you note "no stop-hazardous" in the remarks column (as shown), enter ( - ) under the "Number Heard Peenting" column.
Top of Page Top of Page

Last Updated:      Please direct website questions/comments/survey related inquiries to WeblessSurveyCoordinator@fws.gov, USFWS, Division of Migratory Bird Management.