Form DNR/FPWS-62 "Application for Endangered Species Permit" - Maryland

What Is Form DNR/FPWS-62?

This is a legal form that was released by the Maryland Department of Natural Resources - a government authority operating within Maryland. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on September 1, 2003;
  • The latest edition provided by the Maryland Department of Natural Resources;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form DNR/FPWS-62 by clicking the link below or browse more documents and templates provided by the Maryland Department of Natural Resources.

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Download Form DNR/FPWS-62 "Application for Endangered Species Permit" - Maryland

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APPLICATION FOR ENDANGERED SPECIES PERMIT
INSTRUCTIONS:
1. Fee $25.00. Make check or money order payable to Department of Natural Resources.
2. Print or type all information.
3. Please be sure to complete both pages of this application.
4. Return completed application to Permits Coordinator, Wildlife & Heritage Service, Tawes State
Office Building, Annapolis MD 21401 and contact this office at 410-260-8540, or 1-877-620- 8DNR,
Ext. 8540, if you have any questions.
NAME __________________________________________________________________
STREET ________________________________________________________________
CITY______________________________ STATE ______ ZIP _____ COUNTY_______
E-MAIL ADDRESS: ________________________________________________________
NAME OF
ORGANIZATION __________________________________________________________
ADDRESS OF
ORGANIZATION __________________________________________________________
CITY______________________________ STATE ______ ZIP _____ COUNTY_______
PHONE NUMBER _____________________________
PROJECT PROPOSAL (Reason for study, objective, justification, etc.)
Use additional sheet if necessary.
FINAL DISPOSITION OF
SPECIMENS ______________________________________________________________
SPECIFIC AREAS WHERE COLLECTION WILL TAKE
PLACE ___________________________________________________________________
SPECIFIC TIME PERIOD NEEDED FOR COLLECTION:
From _______________________________ To __________________________________
APPLICATION FOR ENDANGERED SPECIES PERMIT
INSTRUCTIONS:
1. Fee $25.00. Make check or money order payable to Department of Natural Resources.
2. Print or type all information.
3. Please be sure to complete both pages of this application.
4. Return completed application to Permits Coordinator, Wildlife & Heritage Service, Tawes State
Office Building, Annapolis MD 21401 and contact this office at 410-260-8540, or 1-877-620- 8DNR,
Ext. 8540, if you have any questions.
NAME __________________________________________________________________
STREET ________________________________________________________________
CITY______________________________ STATE ______ ZIP _____ COUNTY_______
E-MAIL ADDRESS: ________________________________________________________
NAME OF
ORGANIZATION __________________________________________________________
ADDRESS OF
ORGANIZATION __________________________________________________________
CITY______________________________ STATE ______ ZIP _____ COUNTY_______
PHONE NUMBER _____________________________
PROJECT PROPOSAL (Reason for study, objective, justification, etc.)
Use additional sheet if necessary.
FINAL DISPOSITION OF
SPECIMENS ______________________________________________________________
SPECIFIC AREAS WHERE COLLECTION WILL TAKE
PLACE ___________________________________________________________________
SPECIFIC TIME PERIOD NEEDED FOR COLLECTION:
From _______________________________ To __________________________________
APPLICATION FOR ENDANGERED SPECIES PERMIT
Page 2
LIST OF TYPES, NUMBERS, AGE, CLASSES AND SEX OF SPECIMENS TO BE COLLECTED.
Use additional sheet if necessary.
Species (Common & Scientific Names)
Number
Age
Sex
METHODS OF COLLECTION:
FEDERAL PERMIT NUMBER (If applicable). __________________________________________
Copy of Federal Permit should be attached to application.
LIST OF COLLECTORS IN ADDITION TO APPLICANT (if any).
Name
Address
______
Title________
I hereby certify that all statements made on this application are true and correct to the best of my
knowledge and belief.
____________________________________________________________________________
Signature of Applicant
Date
FOR OFFICE USE ONLY ______________________________________________________
Fee Enclosed ______Yes ______No
Check or Money Order No. ___________
Application is ___Disapproved ___Approved
Permit Number___________________________ Date Issued_________________________
Valid From______________________________ To___________________________________
Comments:
DNR/FPWS-62 INT Rev. 9/2003
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