Locality 4: ber                     iS 
Dlate found  i7/   'Kind of nest-                       1_              
____ 
By aT om faun________ 
M ap numbe r 
Nu~mber of eggs 
Eggs clean or dirty          4.    .________..                          
         __ 
Femae flushed from nest:            i    2 
direction                          ,, 
distance she ..lew_                         _" 
acted   as  th ouh  i njured 
Dist ance  to. du sit  bath                                          ...
.*        .. 
Distance to gravel                              .....____ 
Di1stance & direction from 
nearest grainfield ...._ 
kind & height of grain            _     _   _ 
Distance from roads or trails ._._                                      
        _ 
much used?                                      t 
General Conditions Prevailing:     /1_____"_____ 
a. Slope (direction & degree)       j 
c. Dite of o    ening 
b.   sTae f opening 
d. Distance from and size of 
nearest cover improvement      1_     _   __                   ._. 
e.  Type  of  cover               ..J/               .. . 
f. Ground cover near nest 
(heavy, mod., scant) -- 
g. VegetationT 
(species around nest)                                                   
                A  1s   , 
h. Destruction factors:                    !              ' 
caxse                         _ 
date                          _ 
i. No. fertile egs                     /_                   _ 
Specific Cover 
a. Hayfield                         _' 
species of hay                                     ....... 
species of weeds              _ 
height of nest cover 
b. Fencerow or roadside 
distance to edge                                                      OW

type of "edge"               _,__,-               _,_'__ 
species within 8' of nest              ,                      _i___---______

c. Distance to good 7inter cover                                  ,.. 
d. Recheck data                           I          .A i 
Remarks-