2017-03-15_REPORT - C2010089 (4)

Home Browse Search

U.S. FISH & WILDLIFE SERVICE, - MIGRATORY BIRD PERMIT OFFICE Return to: U.S. Fish and Wildlife Service (USFWS) PO Bo: 25486 DFC (60154) Denver, CO 80225-0486 EAGLE: TAKE (50 CFR 22.26) - ANNUAL REPORT g PERMITTEE: PERMIT NUMBER: EAIT-87555e.0411212021 _ __ ___ ____ TRI-STATE GENERATION AND TRANS.. ASSOCIATION, 2016 ADDRESS: 700 "EST 116AVENUE REPORT FOR CALENDAR YEAR": _ �— WESTMINSTER, CO 90234 *Programmatic take only REPORT DUE DATE: January 31, 2017 Cit, AC ❑ Check here if reporting a change of name, address, or contact information PHONE: Email: INSTRUCTIONS: Use section A (pp 1-2) to report eagle observations when monitoring for possible disturbance. Use section B (pp 3-4) to report eagle injuries and mortality. Type or print the information requested below for each Important Eagle -Use Area (IEUA) identified on your permit during the year covered by this report and return the completed report to the above address by the due date. Use of this fort is not mandatory, but the same information must be submitted, including a signed certification statement. Filing an annual report is a condition of your permit. Failure to file a timely and accurate report can result in permit suspension. Accurate reporting will play an essential role in future eagle management. Instructions for Section A: Continue data entry for each IEUA on additional Sec A Supplemental Sheet. (You may need to make or print copies of the blank supplemental sheet ) Use a separate supplemental sheet for each IEUA identified on your permit A. IMPORTANT EAGLE -USE AREA: 1 If your permit authorized disturbance at a nest, was the nest successful in this past year i.e , were any juveniles eagles fledged)? Yes O No K Unknown ❑ (2) if more than one of one type of IEUA is identified on your permit, designate which nest (or roost or foraging area) data applies to. DATE TIME NUMBER OF OBSERVED BEHAVIOR DESCRIPTION OF HUMAN ACTIVITY EAGLES OF DAY EAGLES OBSERVED P - perched IF- in flight AT TIME EAGLES WERE OBSERVED OBSERVED F - feeding N - sitting on or (e.g., surveying, excavation; interior work, etc) Of in large numbers, please estimate AR agitated behavior attending nest If activity is completed, enter "Com letcd" ; corms .-A. Ll a� Ito oc) Jv �- ,, ►� CERTIFICATION: I certify that the information in this report is true and correct to the best of my knowledge. I understand that any false statement herein may subject me to the crime a nalties of 1 U S.0 1000 , 51 alone blue Ink of permitter wind of officer. No photocopied or stamped sl natures Dale of id ature mm/ddi I-orm S -.O.-1, (Kcv rvzol 1) VMD 1, V1111u1 nu. IV16-VVLL zxvff G, J/J ILVI