Deer in Spring Landscape

Maryland Waterfowl Restoration Program Application

Yes, I would like to participate in the Maryland Waterfowl Restoration Program.

Date: ____________

Landowner's Signature: ____________________________

Landowner's Name: _______________________________
(PLEASE PRINT)

Telephone:

Home: ___________________________†

Office: ___________________________

Mailing address:

___________________________________________
Street or Rte. #

____________________________________________
Town

______________
State

______________
Zip Code

Location of Property:

____________________________________________
Street or Rte. #

____________________________________________
Town

______________
State

______________
Zip Code

Directions from nearest town: ____________________________________________________

____________________________________________________

The size of my project area will be ______ total acres with ________ acres of semi-permanent water or wetlands.

Type of land use:

____________________________________________________
(farming, grazing, residence, hunting, wildlife refuge, etc.)

Draw a map of the project area on a separate page showing the nearest town, access roads and location of property.†

Mail to:

Maryland Waterfowl Restoration program
DNR- Wildlife & Heritage Service
828 B Airpax Road, Suite 500
Cambridge, MD 21613
or call 410-221-8838 ext 103

For Official Use Only
Date received†
Date landowner contacted†
Date project area visited†
Approved†
Information kit provided†
Reason for rejection†
Referred to Migratory Game Bird Advisory Committee