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Propagation Application For Classroom Incubation Project - Alaska Department Of Fish And Game - 2004 Page 2

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:

, 20

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 timed 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:

The completed application must be submitted to the Alaska Department of Fish and Game Commercial

Fisheries Division, Attn: Sara Conrad, PO Box 115526, Juneau, AK 99811-5526 — for additional

information please email:

sara.conrad@alaska.gov

***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.***

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Propagation Application For Classroom Incubation Project - Alaska Department Of Fish And Game - 2004 Page 2