Fish Resourse Permit Form - Alaska Department Of Fish And Game Page 2
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6Isolation measures planned to control disease during transport, including
description of container, water source, and method and plan for transport: ___
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
The eggs and fish will be reared in:
[
]
recirculating aquarium
[
] flow-through aquarium
[
]
Other (describe incubation and rearing system)
Source of water for rearing and proposed effluent discharge location: ________
______________________________________________________________________________
______________________________________________________________________________
Final disposition: (check appropriate box)
and approximate date of disposition:
_____________ to ____________,19__
[
]
destroyed as a result of experimentation
[
]
destroyed at termination of project
[
]
released at egg take site
[
]
released into ADF&G approved landlocked lake.
Name: ___________________
Release should be times as nearly as possible to the natural timing of the
donor stock, the plankton bloom, or at a time appropriate to maximize the
survival rates.
The project is for educational purposes only and any adult
returns from this project may not be claimed as exclusive property of the
project.
The following persons will participate in the project under terms of the
permit being requested:
_____________________________________
____________________________________
_____________________________________
____________________________________
_____________________________________
____________________________________
_____________________________________
____________________________________
_____________________________________
____________________________________
I certify that all statements entered on this application are true, that I
will abide by all conditions and restrictions of a permit if issued, and
promise to submit a report of activities carried out under terms of such
permit within 30 days of its expiration date.
__________________________________________
(signature)
__________________________________________
(date)
The completed application must be submitted to the Alaska Department of Fish and Game,
Commercial Fisheries Management and Development Division, Planning, Development, and
Permitting Program, P.O. Box 25526, Juneau, AK
99802.
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