Lake Michigan Biweekly Commercial Fishing and Sales Report – Part A
State of Wisconsin Department of Natural Resources dnr.wi.gov
Form 3600-156A (R 10/12) Boat Name
Port
I will not fish again until:
From
To
Pounds
Pounds
Pounds
Pounds
Pounds
Pounds
Pounds
Price _.__
Pounds
I hereby certify, under penalty of law, that this document and all attachments were prepared by me or under my direction and supervision. Based on my inquiry of the person or persons directly responsible for gathering and recording the information, the information is, to the best of my knowledge and belief, true, accurate and complete. I understand that s. 29.519(5)(b) and (c), Wis. Stats., requires my signature as the responsible licensee. I am aware that there are significant penalties for submitting false or inaccurate information, including the possibility of forfeitures, fines, revocation of approvals and imprisonment for violations. Signature of Licensee White copy – Mail to DNR, 110 S. Neenah Avenue, Sturgeon Bay, WI 54235-2718 Yellow copy – For Your Records
Boat Name
Port
State ZIP Code
Weighed Catch G02 I05 I18 J01 N02
From
To
Pounds
Pounds
Pounds
Pounds
Pounds
Pounds
Weighed Catch Price _.__
Pounds
Unsorted Trawl Chubs White Bass White Perch Yellow Perch
I64 V01 V05 X15
Document Number
Y
See insert for instructions and scheduled reporting periods. Reports must be delivered or postmarked by the Tuesday following the report period. Alewife G01
Estimated Catch
Price _.__
Smelt J01
Estimated Catch
Estimated Catch
Weighed Catch
Perch X15
Select One
Eggs Only
Price _.__
I06 Eggs Eggs With Guts
Estimated Catch
Weighed Catch
Chubs I06
Select One
Eggs Only
Weighed Catch Price _.__
I05 Eggs Eggs With Guts
Price _.__
Lake Whitefish I05 Estimated Catch
Weighed Catch
Estimated Catch
Time(s) Mesh Used Size
Menominee Whitefish I18
Signature of Person Reporting any "Weighed Catch" Data
Price _.__
Pounds
I hereby certify, under penalty of law, that this document and all attachments were prepared by me or under my direction and supervision. Based on my inquiry of the person or persons directly responsible for gathering and recording the information, the information is, to the best of my knowledge and belief, true, accurate and complete. I understand that s. 29.519(5)(b) and (c), Wis. Stats., requires my signature as the responsible licensee. I am aware that there are significant penalties for submitting false or inaccurate information, including the possibility of forfeitures, fines, revocation of approvals and imprisonment for violations. Signature of Licensee White copy – Mail to DNR, 110 S. Neenah Avenue, Sturgeon Bay, WI 54235-2718 Yellow copy – For Your Records
Unsorted Trawl Chubs I64
Price _.__
Pounds
Species Codes: Alewife G01 Bullheads O02 Burbot R01 Catfish O01 Chubs I06
Other Species Caught Under Contract Weighed Catch
City
Estimated Catch
Licensee Address (Year)
Submit a report prior to fishing again if your plans change. 1 Gill net–bottom Feet Nights Mesh 91 Gill net–floated Bottom 2 Pound net Depth Range 3 Trap net Fished T. Pots Nights Mesh 5 Drop net IN FATHOMS 6 Hoop net (Convert feet 7 Seine Length Hauls Mesh to fathoms) 9 Otter trawl Casts Hours Mesh Effort
Gizzard Shad Lake Whitefish Menominee Whitefish Smelt Suckers
Other Species Code
20 (Month)
Gear Type
Pounds
Notice: Completion of this form is mandatory under s. NR 25.13(3), Wis. Adm. Code. Penalties for failure to comply include forfeitures of up to $1,000.00 and revocation of all approvals issued under ch. 29, Wis. Stats. Personally identifiable information collected on this form may be used for statistical, informational and law enforcement purposes. Non-confidential information will be made available to the public upon request in written or electronic form.
Weighed Catch
Boat Reg. No.
LM Ice Fishing Only
to
Grid
Species Codes: Alewife G01 Bullheads O02 Burbot R01 Catfish O01 Chubs I06
Estimated Catch
Fishing License No.
Ending Date (Mo./Day/Yr.)
I will not fish again until:
Day
Pounds
Price _.__
Form 3600-156A (R 10/12)
Biweekly Report Period
(Day)
Price _.__
Other Species Caught Under Contract
Lake Michigan Biweekly Commercial Fishing and Sales Report – Part A
State of Wisconsin Department of Natural Resources dnr.wi.gov
Beginning Date (Mo./Day/Yr.)
Unsorted Trawl Chubs I64
Estimated Catch
Weighed Catch Price _.__
Alewife G01
Estimated Catch
Price _.__
Smelt J01
Estimated Catch
Estimated Catch
Weighed Catch
Perch X15
Select One
Eggs Only
Price _.__
I06 Eggs Eggs With Guts
Weighed Catch
Eggs Only
Weighed Catch Price _.__
Chubs I06
Select One
Eggs With Guts
Price _.__
I05 Eggs
Estimated Catch
Time(s) Mesh Used Size
Effort
Estimated Catch
Gear Type
Lake Whitefish I05
0001
See insert for instructions and scheduled reporting periods. Reports must be delivered or postmarked by the Tuesday following the report period.
Weighed Catch
Grid
Menominee Whitefish I18 Weighed Catch
Submit a report prior to fishing again if your plans change. 1 Gill net–bottom Feet Nights Mesh 91 Gill net–floated Bottom 2 Pound net Depth Range 3 Trap net Fished T. Pots Nights Mesh 5 Drop net IN FATHOMS 6 Hoop net (Convert feet 7 Seine Length Hauls Mesh to fathoms) 9 Otter trawl Casts Hours Mesh Day
State ZIP Code
City
Other Species Code
Licensee Address (Year)
Estimated Catch
(Month)
Weighed Catch
20 (Day)
Y
Notice: Completion of this form is mandatory under s. NR 25.13(3), Wis. Adm. Code. Penalties for failure to comply include forfeitures of up to $1,000.00 and revocation of all approvals issued under ch. 29, Wis. Stats. Personally identifiable information collected on this form may be used for statistical, informational and law enforcement purposes. Non-confidential information will be made available to the public upon request in written or electronic form.
LM Ice Fishing Only
to
Boat Reg. No.
Estimated Catch
Fishing License No.
Ending Date (Mo./Day/Yr.)
Weighed Catch
Biweekly Report Period Beginning Date (Mo./Day/Yr.)
Document Number
Price _.__
Pounds
Gizzard Shad Lake Whitefish Menominee Whitefish Smelt Suckers
G02 I05 I18 J01 N02
Signature of Person Reporting any "Weighed Catch" Data
Unsorted Trawl Chubs White Bass White Perch Yellow Perch
I64 V01 V05 X15
