Fish Resourse Permit Form - Alaska Department Of Fish And Game Page 5

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STATE OF ALASKA
DEPARTMENT OF FISH AND GAME
VOCATIONAL PROJECT
PROPAGATION APPLICATION
for
FISH RESOURCE PERMIT for scientific or educational purposes to take,
transport, possess, hold alive, FISH AND THEIR EGGS (except gold fish and
decorative tropical fish) for a SCHOOL INCUBATION PROJECT.
The amount that
can be held is up to 50,000 eggs or the equivalent in spawning pairs.
___________________________________ _______________________________________
(Name of Instructor)
(Organization or School)
______________________________________________________________________________
(Mailing Address)
(City, State, Zip Code)
_______________________(email)
Telephone: ______________ (work)
______________(fax)
______________ (home)
School District: _____________________________________________________________
***A WRITTEN OPERATIONAL OR STUDY PLAN IDENTIFYING THE PURPOSE AND THE NEED
FOR THE CLASSROOM INCUBATION PROJECT, RESEARCH OBJECTIVES, PROCEDURES, AND AN
EXPLANATION OF BENEFITS THAT MAY ACCRUE TO THE STUDENTS MUST BE ATTACHED.***
I would like to conduct an incubation project using the following: (check the
appropriate box)
chum (dog) salmon
[
]
pink (humpy) salmon
[
]
coho (silver) salmon
[
]
I would like to incubate/rear a total of ____________ (amount requested).
The
maximum amounts for this permit are up to 50,000 eggs or the equivalent in
spawning pairs.
I wish to obtain the above by means of: (check appropriate box)
[
]
Directly from hatchery.
Name of hatchery: _____________________________
Approximate date of transport: ______________ to _________________,19___
[
]
Remote location.
Name of stream, river, or lake: ______________________
Approximate date of transport: ______________ to ________________, 19___
Method: (check appropriate box)
[
] beach seine
[
] gillnet
[
] dipnet
[
] rod & reel
[
]
other technique
(please explain the procedures planned for this egg take on an attached
paper).
Isolation measures planned to control disease during transport, including
description of container, water source, and method and plan for transport: ___
______________________________________________________________________________

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