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Land Use Permit Form
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Land Use Permit Form
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Land Use Permit Form
Buy A Land Use Permit
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*
" indicates required fields
Choose Your Dates
Please note these date-specific limitations:
Karluk Lake: not available for unguided bear hunters from October 25 – November 30.
Sturgeon River: not available for unguided users from August 16 – November 11.
Start Date
*
MM slash DD slash YYYY
End Date
*
MM slash DD slash YYYY
Will you be staying overnight?
*
Yes
No
Where will you be staying? Please give dates and location coordinates if you will be camping.
Choose Your Permit Type
Permit Fee Type
*
Allows fishing, berry picking, hiking, camping in approved locations, small game/waterfowl hunting, and non-commercial filming/still photography.
Unguided Land Access Permit (Valid January 1 – December 31. One per person per year.) – $200.00
Guided Land Access Permit: (Must be accompanied at all times by a Commercial Operator with a valid Koniag Commercial Use Permit. Valid for one trip. Can be purchased unlimited amount per year.) – $50.00
Choose Your Area of Travel
Guided Permitted Land Access Area
*
Karluk Lake
Karluk River – open to all permitted users year-round
Uyak and Zachar Bays – open to all permitted users year-round
Amook Island – only open to guided users
Sturgeon River
Sturgeon Lagoon – open to all permitted users year-round
Unguided Permitted Land Access Area
*
Karluk Lake – not available for unguided bear hunters
Karluk River – open to all permitted users year-round
Uyak and Zachar Bays – open to all permitted users year-round
Sturgeon Lagoon – open to all permitted users year-round
Sturgeon River – not available for unguided users from August 16 – November 11
Will you be floating the river?
*
–
No
Yes
I have reviewed and agree to camp only within the KARLUK RIVER Designated Camping Areas.
*
Review the KARLUK RIVER Designated Camping Areas.
Yes, I have read.
Other Details
What activity will you be engaged in?
*
Your Guide
*
Dave Duncan & Sons – Dave Duncan
Kodiak Island River Camps
Kodiak Lodge at Larsen Bay – Don Maschmedt
Kodiak Outdoor Adventures
Kramer's Kodiak Guide Service- Cole Kramer
Larsen Bay Lodge – Mike Carlson
Munsey's Bear Camp – Mike Munsey
Quartz Creek Lodge – David Pingree
Alaska Anglers & Outfitters – Bradley Aga
Bear Hunting Endorsements
Bear Hunting Access
Additional Use Endorsements
Deer Hunting Access (limit of two deer and one caribou)
Goat Hunting Access
Your Air Taxi / Transporter
*
Deckload Aviation
Island Air Service
Sea Hawk Air
Vertigo
Other — Please list below
Other Air Taxi
*
Who else will be joining your party?
*
Permit Cost
Total
Applicant (Permit-holder) Information
First Name
*
First
Last Name
*
Last
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
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Djibouti
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Dominican Republic
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El Salvador
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Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
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Gambia
Georgia
Germany
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Gibraltar
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Guinea-Bissau
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Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
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Macao
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Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
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Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Phone
*
Email
*
Check Out
Credit Card
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number
Expiration Date
Month
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
Year
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
Security Code
Cardholder Name
Cardholder Billing Address
Same as previous
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Agree to Terms and Conditions.
*
I hereby agree and acknowledge that I have read, understand, and agree to the rules and restrictions, and I agree to comply as a stipulation of this conditional use permit. I agree, to the fullest extent permitted by law, to release, defend, indemnify, and hold harmless Koniag Incorporated; and its officers, directors, employees, agents, contractors, affiliates, successors, and assigns, from and against all claims, attorneys’ and experts’ fees (including all actual costs incurred in defense or as a result of such claims), damages, losses, or injuries/death of any kind whatsoever arising or alleged to arise while or because of my presence, use of, or travel to or from Koniag Incorporated’s lands; or arising or alleged to arise out of the application of this conditional use permit. Furthermore, this conditional use permit and liability waiver applies to any and all claims arising out of the alleged or actual negligence of any of the releasees.
This permit and its endorsements are non-refundable and non-transferrable.
I verify that the information I provided is accurate, and that I have read, understand, and agree to the terms and conditions above and contained in this document.
I agree
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