Access digital copies of guides and regulations publications from the Nebraska Game and Parks Commission.
Issue link: http://digital.outdoornebraska.gov/i/605475
� � � � � � � � � � � � � � � � � � � second edition • Nebraska Pond Management • 91 Waterbody Owner/Operator: ______________________________ Phone: ____________________________ (Home) Address: ________________________________________________ ____________________________________(Work) City: ____________________________________________________ ZIP: ______________________________________ Does the waterbody have multiple landowners? ______ If yes, how many: _________________________________ All landowners or lake association boards have to be in concurrence with stocking request, otherwise the application will be denied. Waterbody Location (miles from nearest town): ____________________________________________ County: _____________________ Quarter _____ Section _____ Township _____ Range _____ (Illustrate location on reverse side) Surface Acres: _______ Depth: _______ Date constructed: ________________________________ Use by livestock: ______________________________________________________________________________________ Watershed: % pasture _____ % crop _____ % other (describe) __________________________________________ Is waterbody open to fishing by permission without charge? _______ Fish present in waterbody: _____________________________________________________________________________ Instructions: The kind and number of fish provided will be determined after review of the application and an on-site inspection. The deadline for receiving applications in this office is August 1 for stocking during that calendar year. Please complete this form accurately and completely for each waterbody you want stocked. Failure to do so may mean disqualification. Mail to: Nebraska Game and Parks Commission, P. O. Box 30370, Lincoln, NE 68503. I herein make application for fish. It is understood and agreed that all fish secured are to be used for initial stocking in the waterbody described above and open to fishing by permission without charge; and that a valid Nebraska fishing permit is required of every angler 16 years of age and older. Signed: __________________________________________________ Date: ____________________________________ FOR STATE USE ONLY Private Waterbody Activity Report Form Type of Contact: Walk-in _____ Letter _____ Phone _____ Field investigation _____ Date:_____________________ ____________________________________________________________________________ Time Spent: __________________________________________________________________________________________ Activity and/or Summary of Recommendation: ___________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ Approved for stocking _____ Disapproved for stocking _____ Biologist:___________________________________ STOCKING DATE NUMBER RECEIVED BY SOURCE OF FISH/DELIVERED BY BLG LMB NEBRASKA GAME AND PARKS COMMISSION APPLICATION FOR FISH AND MANAGEMENT REPORT FORM