Field Data Form: Upstream Road-Stream Crossing Inventory  
Use this form for the general description of the site and information about the upstream crossing. Please photograph the upstream reach.

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Location and Observer Information
Stream/River
Road
Town
Observer
Road/Railway Characteristics
Crossing Surface              
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Number of Travel Lanes
Shoulder/ Breakdown lanes
 Road Surface
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Are any of the following conditions present that would significantly inhibit wildlife crossing over the road?
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Use this space to provide notes on conditions that would significantly inhibit wildlife crossing (above)
CROSSING/STREAM CHARACTERISTICS
DURING GENERALLY LOW-FLOW CONDITIONS
Crossing Type
you can check more than one box
Use this space to provide notes on crossing type (above)
Condition of crossing
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Use this space to provide notes on condition of crossing (above)
Does the stream at the crossing contain fish?
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Is the stream flowing (in the natural channel)?
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Flow conditions during the survey are:
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Crossing Dimensions (see questions below)
Crossing Dimensions continued (see question below)
Crossing Type (from above):
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Upstream Dimensions (ft.) for dimension A
Upstream Dimensions (ft.) for dimension B
Upstream Dimensions (ft.) for dimension C
Upstream Dimensions (ft.) for dimension D
Conditions in the stream channel/Fish Passage
Inlet Drop
Inlet drop – Where water level drops suddenly at an inlet, causing changes in water speed and turbulence. In addition to the higher velocities and turbulence, these jumps can be physical barriers to fish and other aquatic animals when they are swimming upstream and are unable to swim out of the culvert.
Outlet Drop
Outlet drop – An outlet drop occurs when water drops off or cascades down from the outlet, usually into a receiving pool. This may be due to the original culvert placement or erosion of material at the downstream end of culvert. Outlet drops are barriers to fish and other aquatic animals that can’t jump to get up into the culvert.
Flow Contraction
Flow contraction – When culvert is significantly smaller then stream width the converging flows creates a condition called “flow contraction.” The increased velocities and turbulence associated with flow contraction can block fish and wildlife passage.
Describe any physical barriers to fish and wildlife passage and indicate whether permanent or temporary.
Physical barriers to fish and wildlife passage – Any structure that physically blocks fish or wildlife movement as well as structures that would cause a culvert to become blocked. Beaver dams, debris jams, fences, sediment filling culvert, weirs, baffles, aprons, and gabions are examples of structures that might be or cause physical barriers. Weirs are short dams or fences in the stream that constrict water flow or fish movements. Baffles are structures within culverts that direct, constrict, or slow down water flow. Gabions are rectangular wire mesh baskets filled with rock that are used as retaining walls and erosion control structures.
Crossing Embedded?
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Crossing substrate
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Water depth matches that of the stream?
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Water velocity matches that of the stream?
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Crossing span
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Minimum structure height at low water  
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Passable
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Good Phase 2 Site  
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Comments/Notes
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