EVENT APPLICATION / PERMIT (Print_Only)



|[pic] |Michigan Department of Natural Resources |EXHIBIT A |

| |Application/Permit to Use State Land |Page 1 of 2 |

| |This information is required under authority of Part 5 of Act 451 of 1994, as | |

| |amended, | |

| |MCL 324.501- 511 and the Rules for the Regulation of State Lands, R299.921 – | |

| |R299.932. | |

| | | |

|SPECIAL CONDITIONS: |

|Addendum to Land Use Permit Application # ______________ for Permittee Name |

| |

|This permit allows the permittee (with disabilities) to use an Off Road Vehicle (ORV) on trails closed to the general public for the purpose of the active pursuit of |

|game while legally hunting on the state land. |

|Motorized wheeled vehicles that meet the definition of ORVs under the ORV law may be used. Three or four-wheeled ORVs less than 50 inches in width may be used. ATV |

|means a 3 or 4-wheeled vehicle designed for off-road use that has low-pressure tires, has a seat designed to be straddled by the rider, and is powered by a 50cc to |

|500cc gasoline engine or an engine of comparable size using other fuels. ORV is a bit broader and includes golf carts and other off-road vehicles with bench seats. |

|When the ground is covered with snow, tracked vehicles may be used. |

|Any vehicle designed for legal road use, including conventional automobiles, pickup trucks, and motorcycles of any kind will not be permitted. |

|The definition of trails will include both maintained trails and trails that are not regularly maintained but used by the DNR personnel in a motorized vehicle for |

|access to food plots, dikes, and dams. |

|The local manager makes the determination of which trails will be available for access. |

|The ORV shall be used on mowed/maintained trails (closed to vehicle use by the general public) where available. |

|Refer to attached maps for trails that are approved for ORV access via this permit. |

|Off-trail travel must be minimized as much as possible, and will be allowed only for the two (2) conditions noted below: |

|To retrieve big game that is dead or “down and immobile,” |

|To maneuver around mud holes and/or deadfalls; in this case, off-trail detours will be limited to no more than 20 feet from the trail. |

|Only the permittee may operate the ORV used to access the area specified in the Land Use Permit Application; however, |

|If the ORV is designed for passenger use, privileges may extend to one (1) companion serving as the operator or passenger assisting the person with disabilities |

|(permittee). |

|The permit holder will not be permitted to transport other people into or out of the area on the ORV. |

|The ORV shall not be operated above the minimum speed necessary to maintain forward motion. |

|Permittee will access state land by gate access. A gate key that will be provided by the Waterloo Wildlife Office for access points described in this permit. |

|Refer to attached maps for trails that are approved for ORV access via this permit. |

|The keys for these gates must be returned to the Waterloo Wildlife Office no later than seven (7) business days after the permit expiration date. |

|These gates can be very heavy and do not always swing easily. Some guardrail gates require lifting to close. Use caution and common sense; the permittee may need |

|assistance operating gates. |

|Gates must not be blocked by a vehicle and must be immediately closed behind the permittee. |

|The signed Land Use Permit Application will serve as the permit and must be carried by the permittee at all times while using ORV on state lands. |

|This permit for hunting accessibility is valid only for the active pursuit of game during the specified hunting season/permit period for the specified game |

|species/group of species. |

|Activities such as scouting hunting locations, determining activity patterns of game, and establishing hunting locations, blinds, and stands are not valid uses of the |

|permit. |

|Permits for state game and wildlife area access will not supersede other land use rules that apply to the area. Such rules include time of occupancy, shooting from |

|dikes, etc. All other equipment, license, and operation requirements and restrictions apply. |

|Unless the permit holder possesses a separate permit to shoot from a standing vehicle, the permit holder is not allowed to shoot from an ORV or carry a loaded firearm |

|on it (any firearm on the ORV must be unloaded and in a case). |

|Violation of the conditions of this permit will result in its revocation for the remainder of the permit period. |

|Depending on severity of violation, future permits may also be in jeopardy. |

|The permittee accepts liability release language in the Land Use Permit Application (located on page 3, #29 in Permit Conditions and Requirements section). |

|The permittee recognizes that the Department does not maintain these game area trails for the purposes of providing public access and users must accept the conditions |

|as they find them or as weather changes them during the hunt. |

|The permittee is responsible for maintaining his/her own safety. The permittee should maintain radio or visual contact with someone who can come to the permit holder’s|

|aid and establish a check-in/check-out system with family and/or friends. |

|The WD will not provide check-in/check-out service, although the Report All Poaching (RAP) hotline, at 1-800-292-7800, serves as a resource for hunters that fail to |

|check in after hunting. |

|Hunting is a strenuous activity and weather can change environmental conditions quickly. The permittee must accept the risk that they may be unable to get out by |

|themselves due to challenging terrain, trail conditions, or rapidly changing environmental conditions. |

| |

|Questions regarding this permit should be directed to: |

|Kristin Bissell, Wildlife Biologist |

|Michigan DNR Wildlife Division |

|Waterloo Wildlife Office |

|13578 Seymour Road |

|Grass Lake, MI 49240 |

|(517) 522-4097 |

|bissellk@ |

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