Landscape Assessment Form Date: _________________ Location/Area of Concern: ____________________________________________________________ List: Plant type(s), Cultivar(s)/Varieties__________________________________________________ Plant (height/width) __________________________________________________________ I. Site History New: Date of planting(approx.)___________ 0-12 months _____1-3 years ______ 4+ years ______ Amendments during planting? Y _____ N _____What? _________________________________ Any recent disturbance/renovation to planting area? _____Y _____N Near Foundation or structure? Y______ N_______ Type: _________________ Near Walkway? Y _____ N ______ De-icers used? Y _____ N_____ Type: ______________________________ Near Downspout? Y ______ N ______ In lawn area? Y______ N______ II. Cultural Management Full Sun(≥6) _____ Sun/Shade(5-2) _____ Full Shade(≤2) _____ Hours of Direct Sunlight _____ Direction facing N _____ S _____ E _____W _____ Windy Y _____ N ______ Soil: Date of last soil test _____________ Soil Type/Texture: ______________ Depth of Loam in planting: 0-2 inches _____3-4 inches ______ 5+ inches ______ Irrigation: Y______ N_______ Hand water as needed _____ Scheduled _____ Rate: _______ Frequency ______ Mulch: Y______ N______ Type: _______________________ Depth _______ Freq. of Application: Yearly _____ 2-3 years ______ Fertilization: Compost: Date of application(s) _____________________ Date of application: _________________ Rate: ___________________________________ Rate: ________________ Analysis: ________________________________ Type: ________________ Compost tested: _____________ Weed Management/Types Evident: Broadleaf Weeds: _________________________________________________________ Control Treatment: ___________________________________________________ Grassy Weeds: ____________________________________________________________ Control Treatment: ___________________________________________________ Invasive(s): (list) __________________________________________________________ Control Methods: ___________________________________________________ Insect: Problem pest(s): __________________________________________________________ Scouting frequency: Never _____ Seasonal ______ Monthly ______ Weekly _____ Daily _____ Control Method: Hand pick _____ Bio control _____ Rate/frequency: ____________________ No Control Other ________________________________ Annual/seasonal pest(s)? Y _____ N ______ Has this pest posed a problem for more than 1 growing season? Y_____ N _____ Diseases: Plant(s) affected: _______________________________________________________________ Damage location on plant: Entire _____ leaf _____ bud ______ flower/fruit ______ stem/trunk _____ root _____ Symptoms: ___________________________________________________________________ Is this a repeated ongoing concern? Y _____ N _____ Affects more than one plant species in the landscape bed? Y _____ N ______ Key Host Plant Location of Plant in Landscape <1ft=1 1-3ft=2 4-6ft=3 7-9ft=4 >10ft=5 Host Plant Size (Ht.) seedling=2 budding=3 flowering=4 fruiting=8 leafing out=9 mature=10 dormant=11 Host Plant Stage Pest egg=1 early instar=2 late instar=3 pupa=4 adult=5 past damage=6 Pest Stage Landscape Diagram (include building and landscape area into grid) Comments bark=1 bud=2 flower=3 fruit=4 foliage=5 miner=6 borer=7 roots=8 dieback=9 Damage Site none=0 trace=<5%=1 6-10%=2 11-39%=3 40-89%=4 90-100%=5 Damage Level no action=1 mechanical=2 cultural=3 biological=4 chemical=5 Action Treatment/Application Date
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