DIVISION OF WILDLIFE Ohio Department of Natural Resources
Goose Capture Permit 2017
PERMIT
8617R-50353062353
Permission to operate under this permit is hereby granted to the following owners, lessees, their immediate family members, bona fide full-time employees, or agents of the owner or lessee. Strict compliance with all conditions set forth herein or included in the guidelines listed below is required Ryan Walters City of Columbus Recreation and Parks 667 Sullivant Ave columbus, OH 43215 Franklin
The applicant certifies that they understand the provisions of this permit as regulated under Ohio Revised Code section 1531.02, that this application is made in good faith with the statements made herein being true. I further acknowledge that providing false information in applying for this permit/license is a violation of law (2921.13 O.R.C.) and may subject me to arrest. DATE SIGNATURE: Special Conditions: All geese captured must be euthanized under this permit.
Permit valid March 11 – August 31, 2017
Trapper/Transporter Name and Address, if different from above
Contact the district office by June 1 for date and location that the Division of Wildlife will accept goslings. Number of geese euthanized:
Number of goslings transported:
Name of Wildlife Area: BY SEPTEMBER 1, YOU MUST REPORT THE ABOVE INFORMATION (NUMBER OF GEESE THAT WERE KILLED, GOSLINGS THAT WERE TRANSPORTED, AND WILDLIFE AREA WHERE THE GOSLINGS WERE RELEASED) AT THE FOLLOWING WEBSITE: http://apps.ohiodnr.gov/wildlife/goose/login.aspx IF NO ROUNDUP WAS CONDUCTED PLEASE ENTER 0 AT THE WEBSITE. Completion of this form is required: Section 2921.13 O.R.C. Penalty: Imprisonment up to 6 months and/or $1000.00 fine. Section 1531.02 O.R.C. Penalty Imprisonment up to 60 days and/or $500.00 fine