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Propagation Application For Classroom Incubation Project - Alaska Department Of Fish And Game - 2004 Page 6

*** A WRITTEN EXPLAINATION IS REQUIRED THAT ADDRESSES WHERE AND HOW THE EGGS

WILL BE INCUBATED AND THE FISH REARED. This must include:

Egg take procedures

Description of the type of incubation and rearing systems.

Water source for rearing and proposed effluent discharge location.

Provisions made for emergency water system in the event of a primary water system

failure.

Sketch of the design of the facility, the incubation and rearing site plan, facility floor

plan, water supply system, and facility layout.

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.

Final disposition: the resultant fry will be released on the following dates (approximate):

, 20

(check appropriate box)

released at egg take site

released into ADF&G approved landlocked lake. Name:

Prerelease inspection may be required by the Pathology Laboratory. 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 rate. This project is for educational purposed 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 contact:

sara.conrad@alaska.gov

Revised 08/04

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Propagation Application For Classroom Incubation Project - Alaska Department Of Fish And Game - 2004 Page 6