empty CONSERVATION STEWARDSHIP PROGRAM APPLICATION

Please contact your County Assessor before completing this application.

IDNR recommends landowners consult with a wildlife or forestry professional to establish their managment plan. There are a number of qualified consultants available throughout the state. A list of Consulting Foresters in Illinois is here.

Example Management Plan

YOUR PRINTED APPLICATION WILL NOT BE PROCESSED UNTIL ALL FIELDS ARE COMPLETED.

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1 - 4   Taxpayer information
First Name:
Middle Initial:
Last Name:
Corporation:
Address:
City:
State:
Zip Code: -
Daytime Phone Number: () -
Email:
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5.  Location of Unimproved Land
Property Index Number (from property tax bill)
Additional PINs   (separate by comma)
County: Township Name:
Section: Township: Range:
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6.  Aerial Map, Plat Map and Property Tax Record Card
Please prepare your aerial, plat map and record card on a separate sheet and mail it to:
Illinois Department of Natural Resources, Conservation Stewardship Program, Office of Resource Conservation, One Natural Resources Way, Springfield, IL 62702-1271.

Include your name, property location and outline the boundary of the land covered by the Conservation Management Plan. Aerial Map, Plat Map and Property Tax Record Card can be acquired at your County Assessor's Office.

The aerial map must be on an 8-1/2 x 11" paper.

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7.  Acreage of Unimproved Land (acreage cannot include your home or yard)
Acreage of Unimproved Land:
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8.  Current Condition of Unimproved Land (enter number of acres below)
Forest:       Grassland:       Wetland:      
Pond or Lake:       Pasture:
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9.  Recent History of Land (field limited to 50 characters)
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10.  Plants and Animals Present on Land (field limited to 50 characters)
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11.  Adjacent Land Use (fields limited to 45 characters)
North South
   

    
East West
   

    
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12.  Management Objectives (check all that apply)
Restoration to historic habitat type     
Erosion control      Enhancement of selected species     
Improved Hunting      Other:
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13.  Conservation and Management Practices (check all that apply)
Tree Planting      Grass Planting      Tree Removal      Mowing  after August 1st     

Prescribed Burning      Wetland Creation      Non-native Invasive Species Control (NNIS)
      Trail Construction     

Other:
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14.  YEAR 1: Schedule for Implementation (fields limited to 45 characters)
Practice When

Where Who

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YEAR 2: Schedule for Implementation (field limited to 45 characters)
Practice When

Where Who

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YEAR 3: (field limited to 45 characters)
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YEAR 4: (field limited to 45 characters)
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YEAR 5: (field limited to 45 characters)
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15.  Non-native Invasive Species Control (NNIS) known on Land (check all that apply)
Autumn Olive      Japanese Honeysuckle      Bush Honeysuckle     
Purple Loosestrife      Kudzu      Multifora Rose      Buckthorn     
Garlic Mustard      Teasel      Tree of Heaven     
Sweet Clover      Other:    Exotic Species List
Describe management practices that will be used to reduce or eradicate the exotic species checked above (field limited to 60 characters):
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16.  Uses by Landowner (check all that apply)
Hunting      Fishing      Trapping      Hiking     
Firewood Harvest      Birding      Mushroom Collection     
Berry Picking      Other:
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17.  Electronic Signature (Please enter Signed: then your name, or your name then /s/
By signing this application I testify that
the above statements are true and accurate to the best of my knowledge.
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18.  Additional Comments (field limited to 45 characters)
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2/23/2011 LL/ao