IFS Stocking Application: Angling club activities or junior development (Version 22/02/2017) Page 1

Inland Fisheries Service PO Box 575, New Norfolk, Tasmania 7140 17 Back River Rd, New Norfolk, Tasmania 7140 Ph (03) 6165 3808 Fax (03) 6173 0246 Email infish@ifs.tas.gov.au Web www.ifs.tas.gov.au

STOCKING APPLICATION: ANGLING CLUB ACTIVITIES OR JUNIOR ANGLING DEVELOPMENT Under the Inland Fisheries Act 1995

We strongly suggest that you discuss your application with the Hatchery Manager prior to completing the application form. Contact Brett Mawbey 0429391534 brett.mawbey@ifs.tas.gov.au

1. Applicant Details (please print using capitals)

Last name

First name(s)

Address

Club name

Postal Address

Telephone/Mobile

Fax

Email Address

2. Landowner Details (If different from above)

Last name

First name(s)

Address

Company/Business name

Postal Address

Telephone/Mobile

Fax

Email Address

IFS Stocking Application: Angling club activities or junior development (Version 22/02/2017) Page 2

3. Club activities proposed for this dam

3.1 Describe the club activities proposed for the dam (Club fishing days, Junior angling days, Open days etc.), the frequency of these events and the likely numbers attending:

3.2 How many members does your club have? Adults………….. Juniors…………………

4. Site Information

4.1 Is the proposed water to be stocked on one land title? Yes No

4.2 If yes, do you have legal tenure of the site? Yes No (If Yes, attach proof of tenure documents)

4.3 If no, do all landowners approve of this stocking? Yes No

4.4 Describe the location of the proposed water to be stocked, including the following specifications:

Grid Reference GDA 94 Easting: Northing:

Property identification Number

Title Reference Number

Property address

4.5 What are the area, depth and volume of the proposed water to be stocked?

Average length (m)

Average width (m)

Average depth (m)

Maximum depth (m)

Approx. surface are M2 / Ha

Dam volume at Full Supply Level ML

4.6 Describe the water source for the proposed water to be stocked. For example, is it piped from a spring or creek, or surface rain water flow, or dammed gully?

4.7 Describe the quality of the water. For example, is it usually clear or muddy?

4.8 Describe the weed growth. For example, what proportion of surface, if any, do water weeds cover?

IFS Stocking Application: Angling club activities or junior development (Version 22/02/2017) Page 3

4.9 When was the water, which is proposed to be stocked, first filled with water?

4.10 Provide details of any previous stockings, including date, the number of fish, size and species stocked.

4.11 Describe any present stock, including an estimate of the number and size of trout now remaining in the water.

5. Conditions of Permit

The Service may approve stocking of ponds and dams for angling club activities, subject to the following conditions:

Angling club to maintain public liability insurance for club activities.

If your application is approved, you will need to engage an authorised person to transport the fish. The IFS does not permit individuals to collect their own fish. A list of authorised persons will be provided with the approval permit.

The fish may not be artificially fed.

The fish may only be taken from the stocked water by means of angling under the current regulations and all anglers over 14 years of age must be licensed, including the landowner. A summary of the regulations is contained within the Tasmanian Inland Fishing Code.

Fishing is only permitted during the open season, ie between the first Saturday in August and the Sunday nearest 30 April.

Your permit allows you to only stock the single water nominated on this application.

6. Declaration

I/we hereby declare that all information provided in this application is true and correct. I understand fully the regulations pertaining to the activity to which this permit applies, and accept all the conditions.

Applicant(s) Signature

Landowner(s) Signature

Company Seal

Date

7. Privacy Statement

Your Personal Information is required for the issuing of a stocking permit under the Inland Fisheries Act 1995. It will be used for purposes permitted under that Act, and may be disclosed to agents of the Crown and other organizations authorised to use it. It will be managed by the Service in accordance with the Personal Information

IFS Stocking Application: Angling club activities or junior development (Version 22/02/2017) Page 4

Protection Act 2004 and may be accessed by you upon request. For more information about the Inland Fisheries Service Personal Information Protection Policy, visit www.ifs.tas.gov.au or contact the Service on 6261 8050.

8. Items to be lodged with application

a. Proof of tenure documents

b. Any documents in support of this application

9. Office Use Only

Copy of documents received Yes No

Application approved Yes No

Director of Inland Fisheries

Signature

Date