Skip to Main Content
Government
Community
Business
Visitors
How Do I
Search
Home
Forms
Historic Commission Cemetery Stewardship Monitoring Form
Leave This Blank:
PROPERTY INFORMATION
Cemetery Name
Cemetery County
Cemetery GIS coordinates or cross streets
VISIT INFORMATION
Name of Monitor(s)
Date of visit
PROPERTY OWNERSHIP
Point of Contact (at Church or Cemetery, if known)
Phone number
Email
Is the information above still accurate? If not, please provide updated info (note: we can delete this, as once it's submitted it can't be updated)
Names and dates on graves in the following format: Firstname Lastname Birthdate-Deathdate, (separate each person by comma)
MONITORING VISIT
Was landowner contacted prior to visit?
YES
NO
N/A
(Provide detailed explanation)
Were you accompanied by landowner (or representative) on monitoring visit?
YES
NO
N/A
Name of representative and relationship to landowner
How did you monitor the property?
On foot
By vehicle
Aerial/Remote
Other
If other, please describe
Describe the monitoring route/areas visited
Describe the general condition (upkeep, boundaries, markers)
Concerns/Needs (Delete? Is this redundant to the below of "other comments and follow-up notes"?)
Did you observe evidence of any human alterations (new building, road construction, construction debris, trails, excavation, timber harvesting, fences, etc.)?
Did you observe evidence of any major natural alterations (flood, ice, wind damage erosion, etc.)?
Other comments & Follow Up Notes
List and description of pictures taken
Added documentation
Convert to PDF?
(DOC, DOCX, XLS, XLSX, TXT)
Live Edit
Employment
Agendas & Minutes
City Facilities
Bid Posting
Online Payments
Job Opportunities
Video
News
Notifications
Bids
Government Websites by
CivicPlus®
Loading
Loading
Arrow Left
Arrow Right
[]
Slideshow Left Arrow
Slideshow Right Arrow