Version 1
Name
Email
Address
Phone
Geographic Reporting Area (E.G. Nearest Town, Township/Range, Lat/Long, Hydrologic Unit Code)
Impact
Observed?
Trend
A1
Damage to crop quality
Yes No
Worse Same Better
A2
Income loss to farmers due to reduced crop yield
A3
Reduced productivity of cropland (wind erosion, long-term loss of organic matter, etc.)
A4
Insect infestation
A5
Plant disease
A6
Wildlife damage to crops
A7
Increased irrigation costs
A8
Cost of new or supplemental water resources development (wells, dams, pipelines)
Comments/specific causes
B1
Reduced productivity of rangelands
B2
Forced reduction of foundation stock
B3
High cost/unavailability of water for livestock
B4
Water hauling to areas not usually necessary
B5
Cost of new or supplemental water resource development (wells, dams, pipelines)
B6
Supplemental feed necessary
B7
High livestock mortality rates
B8
Disruption of reproduction cycles (delayed breeding, more miscarriages)
B9
Increased drought-related predation
B10
Damage to fish habitat
B11
Loss of fish and other aquatic organisms due to decreased flows
Locations Comments
C1
Reduction and degradation of fish and wildlife habitat
C2
Lack of food and drinking water
C3
Greater mortality due to increased contact with agricultural producers
C4
Disease
C5
Increased vulnerability to predation (from species concentrated near water)
C6
Migration and Concentration (loss of wildlife in some areas, too many in others)
C7
Increased stress to endangered species
C8
Loss of biodiversity
D1
Tree mortality
D2
Poor leaf condition
D3
Damage to grass and rangelands
D4
Damage/stress to shrubs and herbs
Species/locations
E1
Lower water levels in reservoirs, lakes and ponds
E2
Reduced flow from springs
E3
Reduced stream flow
E4
Wetland impacts
E5
Increased groundwater depletion
E6
Deepening of wells
E7
Drilling of new wells
E8
Land subsidence/desiccation cracks
E9
Unusually dry soil moisture conditions
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