Fish Resourse Permit Form - Alaska Department Of Fish And Game Page 6

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A WRITTEN EXPLANATION IS REQUIRED ABOUT WHERE AND HOW THE EGGS WILL BE
INCUBATED AND THE FISH WILL BE REARED.
1.
PLEASE DESCRIBE THE TYPE OF INCUBATION AND REARING SYSTEMS.
2.
WHAT IS THE SOURCE OF WATER FOR REARING AND PROPOSED EFFLUENT DISCHARGE
LOCATION.
3.
WHAT PROVISIONS HAVE BEEN MADE FOR AN EMERGENCY WATER SYSTEM IN THE
EVENT OF A PRIMARY WATER SYSTEM FAILURE.
4.
ATTACH A SKETCH OF THE DESIGN OF THE FACILITY, THE INCUBATION AND
REARING SITE PLAN, FACILITY FLOOR PLAN, WATER SUPPLY SYSTEM, AND
FACILITY LAYOUT.
5.
PLEASE PROVIDE A MAP SHOWING THE LOCATION OF THE SCHOOL COMPARED TO THE
LOCATION OF THE EGG TAKE SITE (if applicable), AND COMPARED TO THE
LOCATION OF THE INCUBATION FACILITY.
6.
Final disposition: the resultant fish will be released on the following
approximate dates:
____________________ to ___________________,19__
(check appropriate box)
[
]
released at egg take site
[
]
released into ADF&G approved landlocked lake.
Name: ___________________
Pre-release inspection may be required by the Pathology Laboratory.
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.
I also understand that a fish
transport permit (FTP) is required for brood stock selection for this project
and must be approved prior to the transport of live eggs or fish.
__________________________________________
(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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