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NJ Department of Environmental Protection


Division of Fish and WildlifeCaptive Game Permits1 Eldridge RoadRobbinsville NJ 08691SEMI-WILD SHOOTING PRESERVE ANNUAL REPORTFOR THE REPORTING YEAR 20-DATE PERMIT NOCLUB NAMEContact NameAddress City

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Document on Subject : "NJ Department of Environmental Protection"— Transcript:

1 NJ Department of Environmental Protectio
NJ Department of Environmental Protection Division of Fish and Wildlife Captive Game Permits 1 Eldridge Road Robbinsville, NJ 08691 S EMI - WILD SHOOTING PRESERVE ANNUAL REPORT FOR THE REPORTING YEAR 20 _____ - _____ DATE: __________________ PERMIT NO : ________________________ CLUB NAME: ________________________________________________________________________________ Contact Name: _____________________________________ ___________________ _______________________ Address: City: _________ _____________________________ State: ________ Zip Code: _________ ____ Daytime Phone Number : _____________________ ___ _ Home Phone Number: _____________________ ___ __ Email: _____________________________________________________________________________________ _ Preserve Location: _______ ______________________________________ ___ ____ Acreage: ________________ Township: County: ________________________ ______ NJ Captive Game Propagation & Sales Permit # ( if you raised and/or transferred birds to this permit ): ________ T he following is the total number of birds released during the reporting year: 20 _____ - 20 _____ Pheasant: _________________ Hungarian Partridge: _________________ Quail: _________________ Chukar Partridge: TOTAL BIRDS STOCKED: ___________ _____ Supplier Permit Number: __________________________ Total Tags Purchased: _______________ Subtract Total Birds Tagged : _______________ Ba lance of Tags (Now Expired): _______________ I hereby submit this certification as a record of activities conducted under the lice nse shown above . Completion and submi ssion of this report is required by N.J.S.A. 23:3 - 37. Date: ________________

2 __ Si gnature: ______________________
__ Si gnature: ________________________________________________________ NJ Division of Fish and W i ldlife HARVEST REPORT FOR THE RPORTING YEAR 20_______ - 20_______ Permit #: ________________________________ Check one: Semi - Wild Preserve Commercial Preserve Club Name: __________________________________________________________________________________ Pheasan ts Quail Chuka r Partridge Hungarian Partridge Mallards Total Birds Purchased Total Birds Lost Prior to Purchase Total Birds Harvested The NJ Division of Fish and Wildlife ’ s Bureau of Wildlife Management reviews and analyze s harvest statistics for various upland species, including bobwhite quail and pheasant. A significant portion of the annual game bird harvest comes from the Commercial and Semi - Wild Shooting Preserves. Therefore, in addition to the normal annual report and to further this research effort, the Divi sion is requesting all Commercial and Semi - Wild permit holders to complete this form at the end of each season. This information will be used to better estimate the harvest of native versus stocked game birds in the State. We strongly feel this is an important issue and the results will enable the Division to better serve the citizens of our State. Please note, failure to submit the Harvest Report with the Annual Report will delay the authorization and/or issuance of a Commercial and Semi - Wild Pe rmit for the upcoming season. If you have any further questions, please feel free to con tact the Wildlife Permitting Unit at (609) 984 - 6213 or Andrew Burnett, Principal Biologist, at (609) 748 - 2058. Semi - Wild Preserve Annual Report & Harvest Report Instructions

3 1. The Semi - Wild Preserve Permit
1. The Semi - Wild Preserve Permit Annual Report an d Harvest Report are due April 15th. 2. IF you cann ot provi de the appropriate information to complete the form , you should include a written explanation with the pertinent reasons why the information is not available. 3. A summary statement from your supplier(s) indicatin g the total number of each species purchased for the season and full payment of such must be submitted with this report form. 4. If you raise your own birds under a Captive Game - Propagation and Sales Permit, you must include a copy of your Ca ptive Game Permit Annual Report or docum entation indicating the transfer of these birds to your Semi - Wild Preserve. 5. Daily kill and liberation records must be kept on the premises during the season and be readily available for inspection upon r equest. 6. Records must be retai ned and available for three (3) years. 7. Licenses will not be renewed until the Annual Report and Harvest Report have been received, reviewed, and approved. 8. Failure to file your annual and harvest repo rts in a timely manner may c ause a delay in obtaining your new permit. MAIL THE FOLLOWING BY APRIL 15TH: - Completed Annual Report - Summary S t atement from Supplier - Completed Harvest Report - Captive Game - Propagation and Sales P ermit or other supporting documents (if applicable) TO: NJ Division of Fish and Wildlife Captive Game Permits , Semi - Wild Permits 1 Eldridge Road Robbinsville, NJ 08691 O r by email to: Kate Szostak at Katherine.Szostak@dep.nj.gov If you have any questions or need further information, please call (609) 984 - 6213 or visit our website at: www.njfishandwildlife.com/semi wild_preserves.htm