Road Crossing Observations

You can share your road crossing observations with us by completing the form below. We look forward to hearing from you! (Note: if you send photos, please send JPEGs less than 2MB each.)

Your Name	Email

Name of Observer(s)	Date

GPS coordinates (lat/long.)	OR	Map coordinates (Township Range Section)

Road Name	Stream Name

Land Use in Surrounding Area

Forest   Wetland   Open Field / Pasture   Developed   Other

Road Surface:

Paved Dirt/Gravel

Structure Type:

Culvert Bridge No Structure

Is there erosion near the crossing?

Yes No

Are eroding materials reaching the stream?

Yes No

Culvert Shape:

Round Square Ellipse

Culvert Material:

Metal Plastic Concrete Wood

Condition of Structure:

New Good Fair Poor

Plugged

%

Crushed

%

Upstream Photo

Downstream Photo

Inlet Photo

Outlet Photo

Bridge Surface Material:

Wood Concrete Asphalt Metal Other

Open decking on bridge?

Yes No

Deteriorating?

Yes No

Condition Comments:

Verification Code:     9GfwjD