regulated hunting dog training area permit application

7/31/2019 Regulated Hunting Dog Training Area Permit Application

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Fee: $18.00Make Check Payable to DEEP

Wildlife Division

79 Elm Street

Hartford, CT 06106

NEW APPLICATION -- REGULATED HUNTING DOG TRAINING AREA PERMITApplication is hereby made for a permit under authority of Sec. 26-49 of the 1971 Supplement to theGeneral Statutes to establish a Regulated Hunting Dog Training Area.

_____________(Date)

1. The dog training area will be located on ___ acres in the town(s) of _______________________, CT.

2. The area where birds are to be shot in connection with dog training will consist of _____ acres located

in the town of ________________________, CT and owned by ____________________________.

Note:If the area where shooting will be done is not under the ownership of the applicant, a statement from the ownerstating that the applicant has permission to use the Area for the purpose of dog training and the shooting of birds in

connection therewith, must accompany the application.

3. I also have a:

Private Shooting Preserve Permit #_________ expiring on March 31, 20____.

Game Breeders License #__________ for the year 20____.

Commercial Kennel License #____________ for the year 20____.

4. Shooting will be done on Sunday _________ Yes ________ No

NOTE: If shooting is to be done on Sunday, a statement from the proper town authorities must be on file with theDepartment of Energy and Environmental Protection.

5. Regulated Hunting Dog Training Area will be operated as:

Private (permittee and guests only)

Club (members and guests only)

Commercial (open to the public)

6. Enclosed is the $18.00 permit fee plus $_________ for ________ tags @ $.20 each to be used

for the tagging of quail,chukar orpheasant to be liberated on the area where birds may be shot.

Name: Signed:(Please Print)

Acting for Club: Address:

Telephone Number: Email Address:

PleaseNOTE: Applications will be returned due to failure to complete applications or incorrect fees.

Rev 7/12/2011