California Wetlands Information System







Conservation/Mitigation Bank Questionnaire

Name of Bank:

Existing or under development? Existing Under development

If existing, when created?



Project Location:

Latitude:
Longitude:
U.S.G.S. Quad Sheet(s):
County:
Service Area:


Size: (In phases if applicable.)

Acres:
Credits:

How many credits utilized?


Credits for sale/Type of habitats/Species:

Credits for sale:
Type of habitats:
Species:

Bank Operator/Owner:

Name:
Address:
Phone: Fax: e-mail address:


Agencies of Jurisdiction:

1) Agency:
Contact:
Address:
Phone: Fax: e-mail address:

2) Agency:
Contact:
Address:
Phone: Fax: e-mail address:


Long Term Operator:

Name:
Address:
Phone: Fax: e-mail address:


Notable Restrictions:





If you wish to print and then complete this questionnaire it can be downloaded either as a Microsoft Word (.DOC) file or as a Rich Text Format (.RTF) file. Please mail completed forms to:

Resources Agency
Wetlands Program
1416 9th Street, Rm. 1311
Sacramento, CA 95814
Fax Number (916)653-8102
email: wetlands@resources.ca.gov

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