Fillable Fseprd576254 Snake River Permit Application

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Fseprd576254 Snake River Permit Application

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The Fseprd576254 Snake River Permit Application form is 4 pages long and contains:

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  • 85 other fields

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File type: PDF

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GROUP USE APPLICATION
THIS APPLICATION IS ONLY ACCEPTED BY THE DISTRICT
BETWEEN APRIL 1ST AND SEPTEMBER 15TH
Please respond to the following questions and return this form to us along with any attachments. Your responses
will be used to determine what type of permit, if any is required. Your information will also allow us to suggest how
to meet your groups needs while minimizing conflicts with other visitors and ensuring public safety and resource
protection. In order for your application to be processed timely, please complete all sections of this application.
Group Name:
Group Leader: (This is the person applying for
the permit. This person must be present,
floating on the river with the group at all times.)
Name of Guides/Leaders/Staff:
Physical address where correspondence should be sent:
E-mail address where correspondence can be sent:
Daytime Phone: Evening Phone:
Fax Number:
Trip Itinerary:
Proposed trip dates
(no more than two
consecutive days allowed):
Number of launches per day requested:
(2 launches per day allowed Friday through Sunday,
3 launches per day allowed Monday through Thursday)
1st Launch times requested:
2nd Launch times requested:
River access point where proposed trip will begin:
River access point where proposed trip will end:
Purpose/type of trip:
How many trips have you taken this year on the Snake?:
Total number of people (including leader) in the group:
Mode of transportation:
Number of boats in the group:
Types of Boats (Check all that apply and list # of each type.)
Rafts/Catarafts
Single Kayaks/Duckies
Tandem Kayak/Duckies
Dory
N
umber of vehicles you will be bringing onto National Forest Lands:
Amount of fees paid by each participant for the trip:
Name, Driver's License Numbers, and State Issued of those participating in the trip:
(If participants do not have a driver's license, list their name and note why driver's license is not listed. This list is
required prior to your group floating the river. The reason we request this information is to help us better serve you in
case of an emergency and/or to better clarify groups on the ramps.) It is mandatory that Leaders/Guides/Staff be
listed on this application. The application will not be accepted without this information. You may list all other
participants at the time of application if information is available. If the information is not available for all other group
participants, you must turn in a complete list at the West Table boat ramp prior to launching.
Name
State and Driver's License Number
What do the fees (or tuition) pay for? (Check all that apply.)
Transportation
Reimbursement for leaders/guides
Financing other trip Insurance
Camping Fees
Meals/Food Supplies
Operating Costs (rent, phone, utilities, etc.)
Other
How will equipment/gear be handled? (Check all that apply.)
Participants will bring their own equipment/gear Participants will split cost of renting equipment/gear
Participants will be using equipment/gear supplied by organization
Describe the type of group:
(Example: mixed aged group from church,
college students enrolled at University who
signed up for trip through outdoor program,
physically challenged adults enrolled in
program)
If this trip is being offered through an
educational institution, will credit be given
for participation in the experience?
refdf
As the trip leader for the trip listed on this form, I certify that this trip is purely of a noncommercial nature. No money
has been collected beyond the direct costs of the trip including expenses for food and transportation. I have not and
will not receive any remuneration (gain) for my efforts as the trip leader. I understand that the Forest Service may
check information I have provided, and the rangers may ask questions about my group. I understand that giving false
or misleading information to a federal officer is a violation of C.F.R 361.3(b) – giving any false, fictitious or fraudulent
report of other information. This violation is punishable by up to six months in jail and/or a $5,000 fine. I also
understand that violating any of the noncommercial trip requirements by offering or selling any services or
merchandise is considered "illegal outfitting (C.F.R. 261.10(c))," and this violation is punishable by up to six months in
jail and/or a $5,000 fine.
No
Yes
The Snake River Fund is a nonprofit organization that supports the Jackson Ranger District river program and the
Snake River. The Snake River Fund is a voluntary donation program that takes the place of a mandatory fee
program. With support from river users like you, we will be able to keep the Snake River fee free. The Snake
River Fund shares event and river information with river users through their website at www.snakeriverfund.org
through an e-mail listserv. Please check the box to the left if you would like us to share your contact information
with the Snake River Fund.
WARNING!! If submitting by e-mail by pressing the button below, your default e-mail application will
automatically open and attach the data from this form to a new message. You must send this e-mail to send your
application to us! If you do not have a desktop e-mail provider, you will have to save this form and open your
internet e-mail provider (g-mail, yahoo, etc.) and attach the document to the e-mail and then send it to us.
To submit via US Mail or fax:
US Mail, send to:
Jackson Ranger District
c/o River Permits
P.O. Box 1689
Jackson, WY 83001
Fax, send to:
Jackson Ranger District
c/o River Permits
1-307-739-5450
**NOTICE!! We will reply within 5 days of receiving your application via e-mail or phone to confirm receipt. If you
do not hear from us within 5 days, then we have not received your application! If this happens, you need to
contact us as soon as possible via e-mail or phone. r4_b-t_snake_river_permits@fs.fed.us or 1-307
-739-5444. You
must apply 2 weeks in advance to give us time to process your application due to the large number of applications
we receive. Permits are issued by river rangers and the permit program is funded with limited funding through the
Snake River Fund. Time and funding are restraints on this program and that is why we request you apply two
weeks in advance. If you do not have two weeks advance to apply, it is in your best interest to contact us via e-
mail or phone to see if the resources are available to process a late request.
**A state AIS boat decal is required by the state of Wyoming to launch. To prevent the spread of Aquatic Invasive
Species (AIS), you must clean, inspect, and dry your boats and equipment prior to visiting the Snake River. For
information visit: https://wgfd.wyo.gov/Fishing-and-Boating/Aquatic-Invasive-Species-Prevention/AIS-Decal
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Completed 7 March 2020

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