FISH TRANSPORT PERMIT FTP No.

Applicant: / Organization:
Mailing Address: / Phone: / Email:
Date: / Species:
Donor Stock/Ancestral Stock: / Proposed Stocking Location:
Project Summary or statement of what is being permitted:

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FISH TRANSPORT PERMIT FTP No.

For Department Use Only
Associated Permit: / FTP #:
Effective Period:
State Fish Transport Permit
Consistent with facility/project plans / Yes / No
Private Nonprofit Hatchery Fish Transport Permit
Consistent with PNP permit / Yes / No
Fish Resource Permit
Consistent with project study plan / Yes / No
Status
Disease History Complete / Yes / Date / No
In review process / DATE
Returned to applicant / DATE
5 AAC 41.005. PERMIT REQUIRED. (a) Except as otherwise provided, a person may not transport, possess, export from the state, or release into the waters of the state, any live fish unless the person holds a fish transport permit issued by the commissioner (or authorized designee), and the person is in compliance with all conditions of the permit. (b) A fish transport permit authorizes only that operation specified in the permit. Any change of species, broodstock, or location requires a new permit. Any other change requires an amendment to the permit.

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FISH TRANSPORT PERMIT FTP No.


Project Leader: / Telephone No.
Effective Period: / Species:
Transport Date(s):
Donor Stock/Ancestral Stock: / Egg-Take Location:
Initial Maximal Number Allowed: / Initial Life Stage:
Incubation Location(s): / Rearing Location(s):
Release Location: / Life Stage at Release:
Is release site landlocked?
Release Maximal Number Allowed:
Associated FTPs:
Purpose and Benefits:
Evaluation Plans:
Native Stocks present, their status, and effects of the proposed action on them:
History of previous transports of this stock:
Disease history of stock to be transported:
Description of proposed egg-take methods:
Isolation measures planned to control disease during transport, including description of container, water source, and method and plan for transport:
Source of water for rearing and proposed effluent discharge location:

Revised 3/28/2013 1

ADF&G Approval
Approval / Disapproval / Date
Commissioner Delegation - SF
Commissioner Delegation - CF

Updated 6/6/2012