Form PR2608 "Privately Owned Cervidae Facility Registration and Business Plan Modification Application" - Michigan

What Is Form PR2608?

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

Form Details:

  • Released on June 27, 2019;
  • The latest edition provided by the Michigan 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 fillable version of Form PR2608 by clicking the link below or browse more documents and templates provided by the Michigan Department of Natural Resources.

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Download Form PR2608 "Privately Owned Cervidae Facility Registration and Business Plan Modification Application" - Michigan

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Michigan Department of Natural Resources – Wildlife Division
DNR Cashier Use Only (CERV)
P
O
C
F
RIVATELY
WNED
ERVIDAE
ACILITY
R
B
P
EGISTRATION AND
USINESS
LAN
M
A
ODIFICATION
PPLICATION
Issued under the authority of Executive Order No. 2004-3 and Act 190 of P.A. 2000. Failure to comply with
the requirements of Act 190 may result in fines, imprisonment, or both.
NOTE: Application must be legible and completed in its entirety to be processed.
H
N
ERD
UMBER
C
R
C
HANGE
EGISTRATION
LASS
C
R
N
F
T
C
II (E
)
$450
(See reverse side)
HANGE
EQUIRES
O
EE
O
LASS
XHIBITION
C
S
F
$100
T
C
III (R
)
$750
HANGE
IZE OF
ACILITY
O
LASS
ANCH
F
T
C
IV (F
)
$750
ROM
ACRES TO
ACRES
O
LASS
ULL
Applicant Full Name
Business/Facility Name
Mailing Address
Facility Address
City, State, ZIP
City, State, ZIP
Telephone (including area code) E-Mail Address (Optional)
Business Telephone (including area code) Business FAX (including area code)
Size of Property Enclosed/To Be Enclosed:
County
Township
Section(s)
(attach diagram and measurements of enclosure)
Acres
Legal Description of Property or
Copy of deed or other appropriate documentation showing the legal description is attached
Existing/Proposed Cervidae Species
White-tailed Deer #
Fallow Deer #
#
Elk #
Sika Deer
#
#
#
Reindeer
Red Deer
Other (specify)
Existing/Proposed Method of Fencing
Height
4 ½ Foot
10 Foot
Other (specify)
Type
Woven Wire
Chain Link
Other (specify)
Complete the following four items if you are expanding your facility (attach additional sheets if necessary):
1. Existing/Proposed Method of Flushing and Verification of Proposed Removal of Free-Ranging Cervidae:
2. Existing/Proposed Record Keeping System and Animal Identification:
______________________
3. Current Zoning of Property:
Agricultural
Residential
Other (specify)
4. Conforms to local fencing ordinances?
Yes
No
Do you wish to have your facility name and contact information given to the public by the Department?
Yes
No
I certify that the information contained in this application and all attachments are true and correct to the best of my knowledge.
Date
Applicant Signature
Application that requires fee: Make check or money order payable to “State of Michigan.” Return application
with appropriate fee to:
CASHIER
MICHIGAN DEPARTMENT OF NATURAL RESOURCES
PO BOX 30451
LANSING MI 48909-7951
1
PR2608 (Rev. 06/27/2019)
Michigan Department of Natural Resources – Wildlife Division
DNR Cashier Use Only (CERV)
P
O
C
F
RIVATELY
WNED
ERVIDAE
ACILITY
R
B
P
EGISTRATION AND
USINESS
LAN
M
A
ODIFICATION
PPLICATION
Issued under the authority of Executive Order No. 2004-3 and Act 190 of P.A. 2000. Failure to comply with
the requirements of Act 190 may result in fines, imprisonment, or both.
NOTE: Application must be legible and completed in its entirety to be processed.
H
N
ERD
UMBER
C
R
C
HANGE
EGISTRATION
LASS
C
R
N
F
T
C
II (E
)
$450
(See reverse side)
HANGE
EQUIRES
O
EE
O
LASS
XHIBITION
C
S
F
$100
T
C
III (R
)
$750
HANGE
IZE OF
ACILITY
O
LASS
ANCH
F
T
C
IV (F
)
$750
ROM
ACRES TO
ACRES
O
LASS
ULL
Applicant Full Name
Business/Facility Name
Mailing Address
Facility Address
City, State, ZIP
City, State, ZIP
Telephone (including area code) E-Mail Address (Optional)
Business Telephone (including area code) Business FAX (including area code)
Size of Property Enclosed/To Be Enclosed:
County
Township
Section(s)
(attach diagram and measurements of enclosure)
Acres
Legal Description of Property or
Copy of deed or other appropriate documentation showing the legal description is attached
Existing/Proposed Cervidae Species
White-tailed Deer #
Fallow Deer #
#
Elk #
Sika Deer
#
#
#
Reindeer
Red Deer
Other (specify)
Existing/Proposed Method of Fencing
Height
4 ½ Foot
10 Foot
Other (specify)
Type
Woven Wire
Chain Link
Other (specify)
Complete the following four items if you are expanding your facility (attach additional sheets if necessary):
1. Existing/Proposed Method of Flushing and Verification of Proposed Removal of Free-Ranging Cervidae:
2. Existing/Proposed Record Keeping System and Animal Identification:
______________________
3. Current Zoning of Property:
Agricultural
Residential
Other (specify)
4. Conforms to local fencing ordinances?
Yes
No
Do you wish to have your facility name and contact information given to the public by the Department?
Yes
No
I certify that the information contained in this application and all attachments are true and correct to the best of my knowledge.
Date
Applicant Signature
Application that requires fee: Make check or money order payable to “State of Michigan.” Return application
with appropriate fee to:
CASHIER
MICHIGAN DEPARTMENT OF NATURAL RESOURCES
PO BOX 30451
LANSING MI 48909-7951
1
PR2608 (Rev. 06/27/2019)
Michigan Department of Natural Resources - Wildlife Division
P
O
C
F
RIVATELY
WNED
ERVIDAE
ACILITY
R
B
P
M
A
EGISTRATION AND
USINESS
LAN
ODIFICATION
PPLICATION
I
NSTRUCTIONS
Issued under the authority of Executive Order No. 2004-3 and Act 190 of P.A. 2000.
Failure to comply with the requirements of Act 190 may result in fines, imprisonment, or both.
This application is for a registered facility that is reporting registration information changes that have occurred or will occur. For
registration class changes, registrations expire three (3) years from the date of issuance. For all other modifications, the registration
expiration date shall not change from the current one. Reminder: Renewal applications require a separate form and must be submitted
60 days prior to the expiration of a registration.
Herd Number: The eight-digit number assigned to the facility and Cervidae herd. The herd number must be written on the application.
Fees: A $100 application fee is required for modification to the size of the facility. The fee required for a registration class change is the
appropriate fee for the new class, i.e., Class II (Exhibition), $450; Class III (Ranch), $750; or Class IV (Full), $750.
No fees are required, but an application shall be submitted within 30 days after any of the following changes have occurred:
• Change to the complete name, business name, business address, or telephone number of the facility registration holder;
• Change to the complete address of the facility location;
• Sale or transfer of ownership of the facility;
(Note: A written statement signed by the new and previous owners is required to verify the sale or transfer of ownership.)
• Introduction of new species into the facility.
Changing Registration Class: Indicate the appropriate registration class for the intended purpose of the facility. See Operational
Standards For Registered Privately Owned Cervidae Facilities, December 2005, for additional facility class descriptions. The Hobby
registration class has been eliminated. Therefore, registration class changes to Hobby (Class I) will not be approved.
Legal Description of Property: Refers to the full description commonly found on deeds or title insurance documents (i.e., North ½ of south ½
of southwest ¼ of northwest ¼ of section 16 township 5 north range 2 west Clinton County, Michigan).
Cervidae Species: Indicate all species currently held or that will be held, and the population goal numbers for each species.
Method of Fencing: Indicate the existing/proposed height and type of fencing. Please refer to the Operational Standards, Facility
Standards, New Construction: “The industry standard wire is referred to as fixed-knot 20-96-6-12.5 and is required for the lower 8 feet in
new construction. All new construction shall utilize at least 10 foot continuous or 8 foot and 2 foot top panel vertical woven wire or
structurally stronger material securely connected at minimum 3 foot intervals using metal wire. The wire shall not have openings greater
than 6 inches by 6 inches…”
Method of Removal of Free-Ranging Cervidae: List existing/proposed methods to remove free-ranging Cervidae from the facility. This
includes flushing methods and removal by other methods, such as hunting. Indicate the method of verification that all free-ranging
Cervidae have been removed. Include additional sheets if necessary.
Record Keeping System and Animal Identification: Describe the record keeping system and animal identification (if applicable to
registration class) that is/will be used in accordance with Act No. 190, Public Acts of 2000, and the Operational Standards.
Two forms of animal identification are required for each animal. See the enclosed Michigan Department of Agriculture (MDA) information
Cervid Identification Options. Facilities that cannot tag animals added to the herd via natural reproduction must implement additional
biosecurity measures.
Zoning: Indicate the current zoning of the property, and indicate whether or not the proposed facility conforms to any local fencing
ordinances.
Signature: Sign and date the application. Your signature certifies that you are aware of and will abide by:
Registration requirements as described within Act 190, Public Acts of 2000;
http://www.legislature.mi.gov
Executive Order No. 2004-3
http://www.michigan.gov/gov/
and
Operational Standards For Registered Privately Owned Cervidae Facilities, December
2005.
http://www.michigan.gov/dnr, select Wildlife & Habitat, then select Privately-owned Cervidae.
Submit Application: Mail applications that require fees (and check or money order) to the Michigan DNR Cashier at the address on the
front of the application. Mail applications with no fee to the Wildlife Special Projects Coordinator at the address listed below.
Questions? Contact:
DNR Wildlife Division
517-284-6184
Attn: Ryan Soulard
PO Box 30444
Lansing, Michigan 48909-7944
2
PR2608 (Rev. 06/27/2019)
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