Application for an Airport Permit under the Migratory Birds Regulations, 2022

Protected A when completed

All information included in this application will be treated as confidential. Personal information collected as part of the permitting process is protected under the Privacy Act.

Important: Please consult the document “Instruction Sheet: Applying for an airport permit under the Migratory Birds Regulations, 2022” when filling out this application. Incomplete, illegible or unsigned application forms will be returned and may result in a refusal of your application or a delay in the issuance of your permit. Send the completed application form and any additional documents to your regional Canadian Wildlife Service office (contact information can be found at the end of the accompanying instruction sheet). An airport permit does not authorize the removal or destruction of migratory bird eggs or nests or actions related to migratory birds that are causing serious damage or danger to people or other property or structures.

Note: Only the maps referring to Section 5 will be reviewed as part of this application (as additional attached documents). These additional documents (maps) must be clearly titled and listed in Appendix B. Any additional documents that are attached and refer to other Sections will not be reviewed.

For the purpose of this application, “birds” are defined as a migratory bird referred to in the Convention.

Section 1: Airport information

Name of Airport: [textbox]

Address (street number and name): [textbox]

City: [textbox]

Province/Territory: [textbox]

Postal Code: [textbox]

Airport type:

[checkbox] military

[checkbox] civilian (commercial)

[checkbox] civilian (private)

Has an airport permit previously been issued for this airport under the Migratory Birds Regulations, 2022?

[checkbox] Yes

[checkbox] No

If yes, indicate the permit number for the most recent permit: [textbox]

Section 2: Applicant information

Given Name: [textbox]

Surname : [textbox]

Mailing Address (street number and name, incl. P.O. Box if applicable): [textbox]

City: [textbox]

Province/Territory: [textbox]

Postal Code: [textbox]

Email Address: [textbox]

Telephone Number (day): [textbox]

Telephone number (cellular): [textbox]

Fax (if applicable): [textbox]

Position title: [textbox]

Have you previously been issued an airport permit under the Migratory Birds Regulations, 2022 (for any airport)?

[checkbox] Yes [checkbox] No

If yes, please indicate the most recent permit number: [textbox]

Have you ever been refused an airport permit or had one cancelled or suspended?

[checkbox] Yes [checkbox] No

If yes, provide reason(s): [textbox]

Have you ever been convicted of an offence under the Migratory Birds Convention Act or the Migratory Birds Regulations, 2022?

[checkbox] Yes [checkbox] No

If yes, provide reason(s): [textbox]

Section 3: Nature of the situation

1. Describe briefly the situation for which the permit is being requested. [textbox]

2. Describe the existing non-lethal and lethal management techniques that are being (and have been) used to deter migratory birds and minimize any danger they may cause. [textbox]

3. Describe the proposed non-lethal management techniques to deter migratory birds and minimize any danger they may cause. [textbox]

4. If non-lethal techniques are not considered feasible, describe the proposed method(s) to kill the migratory birds. [textbox]

Section 4: Nominee(s) – Please complete schedule B to designate individuals, if necessary

Will nominees be engaged to undertake the activities listed on this application?

If yes, please complete Appendix A.

[checkbox] Yes

[checkbox] No

Section 5: Location of activity

Provide the location(s) where the scaring and/or killing activities will be conducted due to migratory birds endangering aircraft operating at the airport. Please specify at which locations lethal and non-lethal management techniques will be used. A detailed map can also accompany your application.

The physical/civic address(es) and/or latitude/longitude coordinates must be provided. (A post office box is not an acceptable location).

Section 6: Statement of certification and applicant signature

I, [textbox] (full name) attest that I have the knowledge

to conduct the permitted activities and certify that:

• all information submitted in this application is accurate and has been completed to the best of my knowledge
• I, and/or any nominees, agree to abide by the terms and conditions of the permit
• I, and the nominees, have explored all possible non-lethal management technique to deter migratory birds and minimize any danger they may cause, before applying the lethal management techniques outlined in this permit application
• I, and/or any nominees, have the ability and knowledge to accurately identify the species of migratory birds and conduct the permitted activities
• I understand that I and/or any nominees must comply with the Species at Risk Act (SARA) when undertaking any actions affecting species, or their residences or habitat, that are listed as threatened, endangered or extirpated pursuant to Schedule 1 of SARA; and
• I understand that, in order to legally conduct the activities authorized by this permit and to dispose of all migratory bird carcasses, I may need to obtain, in advance, additional federal, provincial/territorial or municipal permits or authorizations

Signature of the applicant (sign with dark ink) [textbox]

Date: [textbox] (yyyy/mm/dd)

For internal use only

Date Received: [textbox]

Permits Officer:

Approved [checkbox]

Refused [checkbox]

Date: [textbox]

Previous report on file:

Yes [checkbox]

No [checkbox]

NA [checkbox]

Documentation missing:

Yes [checkbox]

No [checkbox]

Comments: [textbox]

Appendix A: Nominees

Name and position [textbox]

Organization (if applicable) [textbox]

Appendix B: Documents attached to this application e of Applicant

Please list (e.g. notes, maps, etc.) [textbox]

Appendix C: Extra space (if needed - include section number of information that is continued)

[textbox]