Form to request authorization for the use of a pest control product or drug (deleterious substance) against aquatic invasive species

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Ensure you include as much information as possible for these sections.

Section 1: Proponent information

1.1 Proponent name: (e.g. business operating name)

1.2 Point of contact name:

1.3 Proponent address:

1.4 Proponent address:

1.5 Date submitted: (DD/MM/YYYY)

1.6 Project partners: (if applicable)

Section 2: Primary project details

2.1 Target aquatic invasive species or non-indigenous species:

2.2 Name and location of the body of water:

2.3 Proposed pesticide, drug or active agent:

2.4 Pesticide registration number:

2.5 Drug identification number:

2.6 Emergency registration:

2.7 Project start date: (DD/MM/YYYY)

2.8 Anticipated pesticide use date(s) (DD/MM/YYYY)

2.9 Project end date: (DD/MM/YYYY)

Section 3: Rationale for deposit

3.1 Invasion history:

3.2 Harm to fish, fish habitat or use of fish:

3.3 Benefit of eradication:

3.4 Consideration of alternative measure of control:

3.5 Community impacts:

Section 4: Environmental impacts of deposit

4.1 Habitat types affected by proposed project:

4.2 Description of project site:

4.3 Anticipated aquatic environmental effects of proposed project:

4.4 Extended effects of the deposit:

4.5 Proposed environmental effects mitigation:

Section 5: Protocol and safety

5.1 Pesticide or drug impact:

5.2 Labour:

5.3 Project safety:

5.4 Public safety:

Section 6: Consultations

6.1 Consultations:

Section 7: Reestablishment strategy

Comments:

Section 8: Monitoring

Comments:

Section 9: Contingency strategy

Comments:

This document constitutes a request from the Proponent (Section 1) to the Minister of Fisheries, Oceans, and the Canadian Coast Guard to authorise the deposit of a deleterious substance to control an aquatic invasive species pursuant to s. 19(3) of the Aquatic Invasive Species Regulations SOR / 2015-121 (AISR). The Proponent will include all appropriate details in the project details (Section 2 and 3) as well as details regarding environmental impact (Sections 4-7). Notwithstanding any Authorization received subsequent to this application, the Proponent must ensure compliance with all other relevant provincial and federal legislation and regulations including but not limited to: any relevant Provincial pesticide application and labour laws, the Canadian Environmental Protection Act, 1999; the Canadian Environmental Assessment Act, 2012, and the Transportation of Dangerous Goods Act, 1992. Further this Authorisation may also require a subsequent consultation with affected indigenous groups.

The applicant must ensure all the relevant information is properly included. An incomplete submission will not be considered. DFO reserves the right to ask the proponent to supply additional information to clarify any elements of the proposal put forth in this application.

Date modified:: 2019-05-03

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Form to request authorization for the use of a pest control product or drug (deleterious substance) against aquatic invasive species

Section 1: Proponent information

Section 2: Primary project details

Section 3: Rationale for deposit

Section 4: Environmental impacts of deposit

Section 5: Protocol and safety

Section 6: Consultations

Section 7: Reestablishment strategy

Section 8: Monitoring

Section 9: Contingency strategy