Name of Lookout:     Reported by:

Location:    Date:

GPS Reading:

Email:       (Email address will not be published on web.  We will send you a confirmation and our thanks for submitting the information.)

CONDITION:
   Needs paint?   yes    no               General appearance?   good   not good
   Shutters OK?   yes    no              Condition of wood OK?  yes    no 
   Stairs OK?      yes    no               Glass Intact?                   yes    no 
  Comments:

ELECTRONICS AND ENCROACHMENTS:
   Are electronic sites encroaching on tower?         yes    no 
   Other encroachments?  (Describe)


   Comments:

ACCESS AND SIGNS:
   NHLR sign posted (if applicable)?  yes    no     
   Direction sign up?  yes    no 
   Comments:

STAFFED:             yes    no    sometimes
   Comments:
 

OPPORTUNITY FOR VOLUNTEER SUPPORT:
   Staffing?    yes    no                                    Maintenance?   yes    no 
   Comments:

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