Landowner Enrollment Form - Illinois

This fillable "Landowner Enrollment Form" is a document issued by the Illinois Department of Natural Resources specifically for Illinois residents.

Download the PDF by clicking the link below and complete it directly in your browser or through the Adobe Desktop application.

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Name:_________________________________________________________________________________________________
Address:_______________________________________________________________________________________________
City:______________________________________ ____________State: ___________________Zip:____________________
Phone:________________________________________Email:___________________________________________________
This form is to confirm your interest in applying your privately-owned property in the Illinois Recreational Access Program (IRAP). By filing out this information sheet, you are only
expressing an interested to have your property evaluated for inclusion into IRAP. Should your property be accepted and approved by IRAP staff, a formal lease agreement will be signed
and executed.
Leased Property details to be enrolled in IRAP: Please fill in the legal description(s) and mark the location(s) of the
access area(s) in the following boxes to describe the Leased Premises in Illinois.
¼
¼
¼
Sec
Sec
Sec
Twnshp
Twnshp
Twnshp
Range
Range
Range
Acres
Acres
Acres
County
County
County
Is any of the offered property enrolled in a conservation program, such as USDA Conservation Reserve Program (CRP) or Conservation Reserve
Enhancement Program (CREP), Forestry Development Act (FDA), or Conservation Stewardship Program (CSP)? YES
NO.
or
If yes, what is the contract number(s) and Program? ____________________________________________________________________________
Do you have a management plan for the offered property? YES
If so, what agency, organization or individual wrote it? _________________
or NO.
______________________________________________________________________________________________________________________
What types of IRAP activities are you interested in? (check all that apply):
Turkey Hunting
Archery Deer
Pond Fishing
River Fishing/Boat Access
Squirrel Hunting
Waterfowl
Quail/Pheasant
Dove Hunting
Have you allowed any type of hunting on this proposed leased IRAP property in the past two years? YES
NO
N/A
or
or
If so, what type of hunting? _______________________________________________________________________________________________
You will be contacted by IRAP staff to evaluate your property and discuss potential options available to you through IRAP. This form authorizes the
Illinois Department of Natural Resources (IDNR) and their designee(s) ingress/egress rights to the property offered above in order to inspect and
evaluate offered leased property for qualification into IRAP.
_______________________________________
_____________________________________
_____________
Landowner Signature
Landowner Printed Name
Date
For more information, visit the IRAP website
http://www.dnr.illinois.gov/conservation/IRAP
or contact IRAP at (217) 782-0137
Return completed form to:
IL Dept. of Natural Resources, Attn: IRAP, One Natural Resources Way, Springfield, IL 62702-1271
Name:_________________________________________________________________________________________________
Address:_______________________________________________________________________________________________
City:______________________________________ ____________State: ___________________Zip:____________________
Phone:________________________________________Email:___________________________________________________
This form is to confirm your interest in applying your privately-owned property in the Illinois Recreational Access Program (IRAP). By filing out this information sheet, you are only
expressing an interested to have your property evaluated for inclusion into IRAP. Should your property be accepted and approved by IRAP staff, a formal lease agreement will be signed
and executed.
Leased Property details to be enrolled in IRAP: Please fill in the legal description(s) and mark the location(s) of the
access area(s) in the following boxes to describe the Leased Premises in Illinois.
¼
¼
¼
Sec
Sec
Sec
Twnshp
Twnshp
Twnshp
Range
Range
Range
Acres
Acres
Acres
County
County
County
Is any of the offered property enrolled in a conservation program, such as USDA Conservation Reserve Program (CRP) or Conservation Reserve
Enhancement Program (CREP), Forestry Development Act (FDA), or Conservation Stewardship Program (CSP)? YES
NO.
or
If yes, what is the contract number(s) and Program? ____________________________________________________________________________
Do you have a management plan for the offered property? YES
If so, what agency, organization or individual wrote it? _________________
or NO.
______________________________________________________________________________________________________________________
What types of IRAP activities are you interested in? (check all that apply):
Turkey Hunting
Archery Deer
Pond Fishing
River Fishing/Boat Access
Squirrel Hunting
Waterfowl
Quail/Pheasant
Dove Hunting
Have you allowed any type of hunting on this proposed leased IRAP property in the past two years? YES
NO
N/A
or
or
If so, what type of hunting? _______________________________________________________________________________________________
You will be contacted by IRAP staff to evaluate your property and discuss potential options available to you through IRAP. This form authorizes the
Illinois Department of Natural Resources (IDNR) and their designee(s) ingress/egress rights to the property offered above in order to inspect and
evaluate offered leased property for qualification into IRAP.
_______________________________________
_____________________________________
_____________
Landowner Signature
Landowner Printed Name
Date
For more information, visit the IRAP website
http://www.dnr.illinois.gov/conservation/IRAP
or contact IRAP at (217) 782-0137
Return completed form to:
IL Dept. of Natural Resources, Attn: IRAP, One Natural Resources Way, Springfield, IL 62702-1271
stamp
IL Dept. of Natural Resources
Attn: IRAP
One Natural Resources Way
Springfield, IL 62702-1271

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