**Northwestern Hawaiian Islands Marine National Monument**

**Joint Permit Application Instructions**

**January 2007**

**Introduction**

On June 15, 2006, President Bush established the Northwestern Hawaiian
Islands Marine National Monument by issuing Presidential Proclamation
8031 (71 FR36443, June 26, 2006) under the authority of the Antiquities
Act (Act)(16 U.S.C. 431). The Proclamation reserves all lands and
interests in lands owned or controlled by the Government of the United
States in the Northwestern Hawaiian Islands (NWHI), including emergent
and submerged lands and waters, out to a distance of approximately 50
nautical miles (nmi) from the islands. The outer boundary of the
Monument is approximately 950nmi long (1200 miles) and 100nmi wide
extending around coral islands, seamounts, banks, and shoals. The area
includes the Northwestern Hawaiian Islands Coral Reef Ecosystem Reserve,
the Midway Atoll National Wildlife Refuge/Battle of Midway National
Memorial, and the Hawaiian Islands National Wildlife Refuge.

The three principal entities with responsibility for managing lands and
waters of the Monument, the Department of Commerce, Department of
Interior, and the State of Hawaii (collectively the Co-Trustees), are
working cooperatively to administer the Monument. This relationship is
further described in the Memorandum of Agreement among the Co-Trustees
signed on December 8, 2006.

**Permit Application Deadlines**

Permit applications must be postmarked by:

-   February 1: For activities occurring between June 1 and Aug 31

-   May 1: For activities occurring between September 1 and December 31

-   October 1: For activities occurring between January 1 and May 31

**Confidential Information**

Applicants are requested to indicate any information that is considered
proprietary business information. Such information is typically exempt
from disclosure to anyone requesting information pursuant to the Freedom
of Information Act (FOIA) and all applicable State law. NOAA, the U.S.
Fish and Wildlife Service and the State of Hawaii attempt to protect
such proprietary information, consistent with all application FOIA
exemptions in 5 U.S.C. 552(b) and applicable State law. Typically exempt
information includes trade secrets, commercial and financial information
(5U.S.C. 552(b) (4)). Personal information affecting an individual's
privacy will also be kept confidential consistent with 5 U.S.C. 552(b)
(6)) and applicable State law. Unless such information is so identified,
the application may be made available to the public in its entirety.

**Intellectual Property**

The permittee retains ownership of any data, derivative analyses or
other work product, or any photographic or video material, or other
copyrightable works, but the Federal Government and the State of Hawaii
retain a lifetime, non-exclusive, worldwide, royalty-free license to use
the same for government purposes, including copying and redissemination,
and making derivative works.  

**Indemnification**

The permittee and any person participating in any activity authorized by
this permit shall release, indemnify, and hold harmless National Oceanic
and Atmospheric Administration, the Department of Commerce, the U.S.
Fish and Wildlife Service, the Department of the Interior, the United
States Government, the State of Hawaii, and their respective employees
acting within the scope of their duties from and against any claims,
demands, actions, liens, rights, subrogated or contribution interests,
debts, liabilities, judgments, costs, and attorney\'s fees, arising out
of, claimed on account of, or in any manner predicated upon the issuance
of this permit or the entry into or habitation upon the NWHI Marine
National Monument or as the result of any action of the permittee or
persons participating in the activity authorized by this permit.

**Reporting Burden**

Submittal of the information requested in these guidelines is required
to obtain a permit pursuant to Monument regulations (50 CFR Part 404).
This data is to evaluate the potential benefits of the activity,
determine whether the proposed methods will achieve the proposed
results, evaluate any possible detrimental environmental impacts, and
determine if issuance of a permit is appropriate. It is through this
evaluation that the Co-trustees are able to use permitting as one of the
management tools to protect Monument resources and qualities.

Public reporting burden for this collection of information, including
the time for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and reviewing
the collection of information is estimated as:

A.  Twenty-four (24) hours per response for Special Ocean Use permits;

B.  Five (5) hours per response for General (Research, Conservation and
    Management, and Education), Native Hawaiian Practices, and
    Recreation permits;

C.  Four (4) hours per response for VMS installation and maintenance;

D.  Five (5) minutes per response for entry and exit notices and VMS
    certification;

E.  Five (5) seconds per response for hourly VMS reports.

Send comments regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing this
burden, to NWHI Marine National Monument Permit Coordinator, 6600
Kalaniana\'ole Hwy. \# 300, Honolulu, HI 96825.

Notwithstanding any other provision of the law, no person is required to
respond to, nor shall any person be subject to a penalty for failure to
comply with, a collection of information subject to the requirements of
the Paperwork Reduction Act, unless that collection of information
displays a currently valid OMB Control Number.

**[Directions for filling out the Monument Permit
Application]{.underline}**

1.  Click on the document to open

2.  A window will pop up asking you to enter a password to modify or
    open read only

3.  Open the document as a "read only" version

4.  You will now be able to type in all the gray text field boxes and
    check boxes

**TO SAVE THE DOCUMENT:**

-   Every time you manually save the document, you will have to use a
    different file name.

-   You will not be able to alter, copy, delete or modify the permit
    application questions and cover page in any way.

If you have difficulty filling out the application, please contact Hoku
Johnson at (808)397-2660.

**[Please Send Permit Applications to:]{.underline}**

NWHI Marine National Monument Permit Coordinator

6600 Kalaniana\'ole Hwy. \# 300

Honolulu, HI 96825

<nwhipermit@noaa.gov>

PHONE: (808) 397-2660 FAX: (808) 397-2662

[**NOTE: SUBMITTAL VIA ELECTRONIC MAIL IS PREFERRED BUT NOT REQUIRED.**
**YOU ARE ALSO REQUIRED TO SEND ONE SIGNED ORIGINAL APPLICATION VIA MAIL
TO THE MONUMENT OFFICE BELOW:**]{.underline}

NWHI Marine National Monument Permit Coordinator

6600 Kalaniana\'ole Hwy. \# 300

Honolulu, HI 96825

FAX: (808) 397-2662

**Northwestern Hawaiian Islands Marine National Monument**

Permit Application Instructions

**NOTE: *This Permit Application (and associated Instructions) are for
activities to be conducted in the Northwestern Hawaiian Islands Marine
National Monument, including Hawaiian Islands National Wildlife Refuge,
the Midway Atoll National Wildlife Refuge, Battle of Midway National
Memorial, Northwestern Hawaiian Islands State Marine Refuge, Kure Atoll
Hawaii State Seabird Sanctuary, and the Northwestern Hawaiian Islands
Coral Reef Ecosystem Reserve. The Co-Trustees are required to determine
that issuing the requested permit is compatible with the findings of
Presidential Proclamation 8031. Within this Application, please provide
all information that you believe will assist the Co-Trustees in
determining how your proposed activities are compatible with the
conservation and management of the natural, historical and cultural
resources of the NWHI Marine National Monument (Monument).***

**[Summary Information]{.underline}**

**Applicant Name:** Please enter the name of the person who is in charge
of the proposed activity and who will be responsible for all the
personnel and actions under the authority of the requested Monument
Permit.

**Permit categories:** Please check the category of permit for which you
wish to apply. Below are the permit categories as defined by
Presidential Proclamation 8031.

**\*Research:** Research Permits may be issued for non-revenue
generating scientific research that is designed for further
understanding of Monument resources and qualities, and that are
compatible with the purposes of Presidential Proclamation 8031. To apply
for a Research Permit, please fill out Sections A-C, D if applicable,
and Appendix A.

**\*Conservation and Management:** Conservation and Management Permits
may be issued for activities that assist in the conservation and
management of the Monument and are compatible with the purposes of
Presidential Proclamation 8031. To apply for a Conservation and
Management Permit, please fill out Sections A-C, D if applicable, and
Appendix A.

**\*Education:** Education Permits may be issued for non-revenue
generating educational activities that will further the educational
value of the Monument and that are compatible with the purposes of
Presidential Proclamation 8031. To apply for an Education Permit, please
fill out Sections A-C, D if applicable, and Appendix B.

**\*Native Hawaiian Practices:** Native Hawaiian Practice Permits may be
issued for the purpose of pursuing cultural activities. Cultural
activities are activities conducted for the purposes of perpetuating
traditional knowledge, caring for and protecting the environment, and
strengthening cultural and spiritual connections to the Northwestern
Hawaiian Islands and have demonstrable benefits to the Native Hawaiian
community and are compatible with the purposes of Presidential
Proclamation 8031. To apply for a Native Hawaiian Practices Permit,
please fill out Sections A-C, D if applicable, and Appendix C.

**\*Recreation (Midway Atoll Special Management Area ONLY):** Recreation
Permits may be issued for activities conducted for personal enjoyment
that do not result in the extraction of Monument resources and that do
not involve for-hire operations, and are compatible with the purposes of
Presidential Proclamation 8031. To apply for a Recreation Permit, please
fill out Sections A-C, D if applicable, and Appendix D.

**\*Special Ocean Use:** Special Ocean Use Permits may be issued for an
activity or use of the Monument to generate revenue or profits for one
or more of the persons associated with the activity or use, and does not
destroy, cause the loss of, or injure Monument resources, and are
compatible with the purposes of Presidential Proclamation 8031. To apply
for a Special Ocean Use Permit, please fill out Sections A-C, D if
applicable, and Appendix E.

\*Please include a brief summary of the proposed activities.

\* Please specify whether you are applying for a permit for a new
project or for the renewal of an existing permitted project.

\* Please specify the dates that your activities will occur.

**[Section A: Applicant Information]{.underline}**

1\. Give the name and title of the Applicant. The Applicant is the
individual who is in charge of the proposed activity and therefore
responsible for all the personnel and actions undertaken under the
authority of the requested Monument Permit. Attach his/her CV, resume or
biography if applicable.

2\. Give the Applicant's mailing address, phone number, fax number and
email address. If the Applicant is a student, give his/her Major
Professor's contact information in addition to his/her own.

3\. Specify the Applicant's affiliation, if any, in relation to the
proposed project.

4\. List all personnel participating in the proposed activity. Please
include first and last name, affiliation, telephone number, and email
address for each individual. The Application Review Committee, on its
own initiative, may request resumes, biographies, or CVs for any of
these personnel at a later date. Please attach additional information if
necessary. It is the Applicant's responsibility to keep Monument staff
apprised of any personnel changes.

**[Section B: Project Information]{.underline}**

5a. Project Location: Check all applicable locations where the proposed
activity will occur. Please also indicate whether your project will
occur on land, in the ocean, or both. NOTE: Please include alternate
locations if appropriate.

\*Location Description: For each of the locations, if an activity is
ocean-based, please specify the exact GPS location, depth and habitats
of the proposed activity. Instead of listing locations here, you may
have the option upload a list, Excel or Shape file which contains this
information. If the activity is land-based please describe the specific
island(s), and areas of the islands where the proposed activity is to
occur.

5b. Check all applicable regulated activities proposed to be conducted
in the Monument by the Applicant at any of the locations mentioned in
5a.

\*Removing, moving, taking, harvesting, possessing, injuring,
disturbing, or damaging, or attempting to remove, move, take, harvest,
possess, injure, disturb, or damage any living or nonliving Monument
resource.

\*Drilling into, dredging, or otherwise altering the submerged lands
other than by anchoring a vessel; or constructing, placing, or
abandoning any structure, material, or other matter on the submerged
lands.

\*Anchoring means dropping anything on to the ocean bottom with the
intention of holding something fast to the bottom. Generally an anchor
secures a vessel, but it may also be used for a mooring or any other
item.

\*Deserting a vessel aground, at anchor, or adrift.

\*Discharging or depositing any material into Special Preservation Areas
or the Midway Atoll Special Management Area except vessel engine cooling
water, weather deck runoff, and vessel engine exhaust.

OR

\*Discharging or depositing any material or other matter into the
Monument, or discharging or depositing any material or other matter
outside of the Monument that subsequently enters the Monument and
injures any resources of the Monument, except fish parts (i.e. chumming
material or bait) used in and during authorized fishing operations, or
discharges incidental to vessel use such as deck wash, approved marine
sanitation device effluent, cooling water, and engine exhaust.

\*Touching any coral, living or dead.

\*Possessing fishing gear except when stowed and not available for
immediate use during passage without interruption through the Monument.

\*Attracting any living Monument resources.

\*Sustenance Fishing means fishing for bottomfish or pelagic species
within Federal waters, but outside of Special Preservation Areas,
Ecological Reserves and the Midway Atoll Special Management Area, in
which all catch is consumed within the Monument, and that is incidental
to another activity permitted under Presidential Proclamation 8031.

\*Subsistence Fishing means fishing for bottomfish or pelagic species in
State waters in which all catch is for direct personal consumption
within the Monument, and that is incidental to another activity
permitted under Presidential Proclamation 8031.

\*Swimming means entering the water and propelling oneself by movements
of the limbs, without special equipment of any kind.

\*Snorkeling means entering the water and swimming with the aid of a
mask, snorkel, and fins, or any combination of the aforementioned
equipment.

\*SCUBA Diving means entering the water and submerging oneself with the
aid of self-contained underwater breathing apparatus.

6\. Please state the purpose of the proposed activities. Please also
state the goals and objectives of the activity.

7\. The Co-Trustees are required to determine that issuing the requested
permit is compatible with the Findings of Presidential Proclamation
8031.  Please provide any information that you believe will assist the
Co-Trustees in determining how your proposed activities are compatible
with the conservation and management of the natural, historical and
cultural resources of the Monument.

The Findings are as follows:

a\. The activity can be conducted with adequate safeguards for the
resources and ecological integrity of the Monument;

b\. The activity will be conducted in a manner compatible with the
management direction of this proclamation, considering the extent to
which the conduct of the activity may diminish or enhance Monument
resources, qualities, and ecological integrity, any indirect, secondary,
or cumulative effects of the activity, and the duration of such effects;

c\. There is no practicable alternative to conducting the activity
within the Monument;

d\. The end value of the activity outweighs its adverse impacts on
Monument resources, qualities, and ecological integrity;

e\. The duration of the activity is no longer than necessary to achieve
its stated purpose;

f\. The applicant is qualified to conduct and complete the activity and
mitigate any potential impacts resulting from its conduct;

g\. The applicant has adequate financial resources available to conduct
and complete the activity and mitigate any potential impacts resulting
from its conduct;

h\. The methods and procedures proposed by the applicant are appropriate
to achieve the proposed activity\'s goals in relation to their impacts
to Monument resources, qualities, and ecological integrity;

i\. The applicant\'s vessel has been outfitted with a mobile transceiver
unit approved by OLE and complies with the requirements of Presidential
Proclamation 8031; and

j\. There are no other factors that would make the issuance of a permit
for the activity inappropriate.

8\. Please describe the procedures you will use in performing the
proposed activity while within the Monument. Please also address how the
methods and procedures you will use are appropriate to achieve the goals
of the proposed activity in relation to their impacts to Monument
resources, qualities, and ecological integrity.

Please describe in detail how you will get to your work locations and
specific sites (walking, climbing, wading, swimming, snorkeling, diving,
boating, etc.). Will you need to enter a seabird colony? Will you need
access to beaches? Will you work at night?

Will you request assistance from Monument staff to maintain the
equipment or collect data or samples in association with the proposed
activity in your absence or presence? If so, describe procedures for
doing so including how often it is to occur and how long it will take
per maintenance/data/sample collection event. Describe how you plan to
compensate volunteers for the maintenance or data/sample collection
work.

**[Section C: Logistics]{.underline}**

9\. Please list here and reference permit numbers for all other related
Federal or State Permits for which you have applied or received. These
may include, but are not limited to, a Bird Banding Lab Migratory Bird
Banding Permit, State of Hawaii Department of Land and Natural Resources
Division of Forestry and Wildlife Permit, State Conservation District
Use Permit, Endangered Species Act consultations, Marine Mammal
Protection Act Permit, International Animal Care and Use Committee, or
any University permits. Please attach copies of permits already
received. You will be required to provide copies of all required permits
to the Monument Permit coordination personnel prior to departure for the
Monument.

Please also list all permits which you have received on previous
occasions for the same or similar activities from any State or Federal
entity.

9a. For each of the permits listed, please identify any permit
violations or any permit that was suspended, amended, modified or
revoked for cause. Please explain the circumstances surrounding the
violation or permit suspension, amendment, modification or revocation.

10\. Please include a budget and funding sources specific to the
proposed activities. **Salary information and detailed program budgets
are not necessary.** Please also list any in-kind contributions awarded
for the proposed activities.

NOTE: The Monument Permit Coordinators reserve the right to request
additional budget information.

11\. The "Activity Start" and "Activity Completion" must reflect the
entire time span of the proposed activity. In other words, these dates
must indicate if the proposed activity is a multi-year activity and how
many years the proposed activity is expected to be conducted in the
Monument. NOTE: Multi-year projects do NOT guarantee the issuance of
additional permits in subsequent years.

The "Dates Actively in the NWHI Marine National Monument" must reflect
the dates during the current calendar year in which this Permit
Application is proposing work within the Monument.

If specific dates cannot be determined at the time of application,
please explain why the dates are pending (e.g., ship schedules, flight
schedules). At a minimum, you must describe the intervals of time you
wish to visit the Monument, e.g. during a specific nesting season or
quarterly, and you must describe how long you wish to stay.

In the text box allotted for Personnel Schedule, please list who will be
located where in the Monument and for what periods of time. Attach
additional documentation if necessary.

12\. All persons covered under the permit are responsible for the cost
of removing themselves from the Monument at the conclusion of the term
of the permit or upon revocation of the permit. Additionally, persons
covered under the permit are also responsible for the cost of removing
themselves from the Monument in the event of a necessary medical
evacuation, emergency evacuation, including weather, or for the cost of
any necessary search and rescue operation. Please demonstrate that all
persons covered under the permit have either appropriate insurance
coverage, have been adequately bonded, or have the independent financial
resources to pay for or reimburse the Monument Co-Trustees for the cost
of their necessary search and rescue and/or removal from the Monument.

NOTE: The State of Hawaii requires permittees to carry general liability
insurance.

13\. Please check the appropriate box to indicate how personnel will
enter the Monument. Note in the text box which vessel(s) or aircraft(s)
will be used to transport personnel. If entering by a vessel which is
not already permitted to enter the Monument in support of your proposed
activity, you must include that respective vessel and its crew on this
permit application, or the vessel must apply separately for its own
permit. If entering by a vessel which is already permitted to enter the
Monument in support of your proposed activity, please note the vessel's
Monument Permit number here.

14\. Please check the relevant inspections that you will conduct prior
to departure for the Monument. Include the dates of scheduled
inspections. Upon completion of the inspections and any required
cleaning operations, you will be required to provide proof of
inspections and cleaning to Monument Permit coordination personnel.

All vessels must have at a minimum a Rodent Free Inspection, Hull
Inspection, and Ballast Water Record Inspection no more than 14 days
prior to departure for the Monument. If any small boat operations are
proposed to occur within the Monument, then a Tender Vessel Fouling
Inspection must occur in this time frame as well. If any gear will be
placed or used in the water or on land, you must schedule an inspection
of these items before departing for the Monument. For more information
on who to contact to arrange these inspections please visit the Monument
website at http://hawaiireef.noaa.gov/

NOTE: Results of inspections may require cleaning operations such as
rodent eradication, hull cleaning, or ballast water maintenance at your
own cost before departing for the Monument. If proposed gear or
materials are found to be contaminated with alien species you may be
required to conduct specific cleaning measures or complete replacement
of contaminated items at your own cost before departing for the
Monument. Re-inspection may be required.

15\. Please list all vessel information: Vessel name, owner, captain's
name, vessel type, length, gross tonnage and vessel identification
number. Please also list vessel International Maritime Organization
Number (if applicable), flag of origin, Chief Scientist, call sign, port
of embarkation, total ballast water capacity volume (m^3^), total number
of fuel tanks on ship, total number of tanks on ship, total fuel
capacity and last port the vessel will have been prior to this
embarkation.

Please also indicate if the vessel has a Marine Sanitation Device (MSD)
and describe the type of MSD on board the vessel. Please explain in
detail how you will comply with the 'No Discharge' regulations
stipulated in Presidential Proclamation 8031. If applicable, please
attach schematics of the vessel's discharge and treatment systems.

Please list all other fuel and hazardous materials to be carried on
board for vessel or tender vessel use and their respective amounts.

Does the vessel have a NOAA Office of Law Enforcement (OLE)-approved
Vessel Monitoring System (VMS)? Please provide the name and contact
information of the contractor responsible for installing the VMS system.
For more information on NOAA OLE-approved VMS systems, please refer to
Federal Register Notice 71 FR No. 135 Published July 14, 2006.
http://hawaiireef.noaa.gov/PDFs/VMSfedreg.pdf

Please also describe the make and model of the VMS to be used while
conducting activities in the Monument.

NOTE: Per Presidential Proclamation 8031, all vessels entering the
Monument MUST have an NOAA OLE-approved VMS System installed PRIOR to
entering the Monument, "An owner or operator of a vessel that has been
issued a permit for accessing the Monument must ensure that such a
vessel has an operating vessel monitoring system (VMS) on board,
approved by the OLE in the National Oceanic and Atmospheric
Administration in the Department of Commerce when voyaging within the
Monument."

Please include the following information in this section: VMS Email
address and Inmarsat ID #.

\* NOTE: This question is not required if you are traveling aboard a
NOAA vessel.\*

16\. Please list all workboats (tenders) which will be use to transport
personnel, gear and materials within the Monument. Please include
information on the number of tenders/skiffs aboard the vessel and the
specific types of motors on each tender/skiff.

**[Section D: Additional Information for Land Based
Operations]{.underline}**

ANSWER QUESTIONS IN THIS SECTION IF YOU WISH TO CONDUCT ACTIVITIES ON
LAND

17\. Please answer the following questions:

\*If personnel, gear and materials are to be transported to the Monument
by vessel, how will personnel, gear and materials be transported between
ship and shore?

\*If applicable, how will personnel be transported between islands
within any one atoll?

\*Provide a time line of all significant transportation events for
arrivals and departures.

18\. Describe where personnel will sleep/eat/bathe while on the
island(s). Note how many personnel will be using U.S. Fish and Wildlife
Service and/or State of Hawaii supplied accommodations and for how long.

19\. Describe office/desk/workbench/workshop/lab space you expect to use
during the proposed activity on the island(s). Describe all electrical
and water needs you expect to use during the proposed activity on the
island(s). Describe what disposal route all of the water and hazardous
materials will take (e.g., laboratory sink, drains, flow-through
aquaria) and where these materials will ultimately end up.

NOTE: charging batteries, rinsing gear, cleaning tools, painting and
maintaining equipment, etc., all take space and resources. Requesting
use of these resources should be done in this section.

**[Appendix A -- Research OR Conservation and Management Application
Instructions]{.underline}**

NOTE: If you do not intend to collect specimens, you may enter "N/A" for
questions 1-3 and skip to question 4.

1a. Please list all specimens (organisms or objects) that you plan to
collect. If applicable, please list each species common name, scientific
name, number to be collected, maximum size of specimens to be collected,
amount taken and the size of the organism from which you will take any
sample(s) and collection location corresponding to coordinates requested
in #5a (primary application). Please also indicate whether you will be
taking the whole organism or a subsample thereof.

1b. Please list what will be done with specimens upon completion of the
project. Also state what will be done with the parts of samples that are
not used in your initial analysis?

1c. Please check the appropriate box to indicate if the organisms will
be kept alive after collection. If the organisms are to be kept alive,
where will they be housed? Provide the specific site and/or location.
Also check the appropriate box to indicate if there is an open or closed
system for maintaining living organisms and if there is an outfall or
discharge. If applicable, please note whether the organisms will be kept
with other species and if so, the species names of the other organisms.
Will any organisms be released? If so, where?

2\. How will the collected samples be transported out of the Monument?
Will they be transported by vessel or aircraft? Will they be transported
frozen, in formalin, in alcohol, or other media?

3\. Please describe if you are collaborating with others to reduce
duplicative activities in the Monument or elsewhere in the State of
Hawaii or other Pacific Remote Island National Wildlife Refuges. If you
are collecting samples for someone else, stipulate to whom the samples
will be provided and give their Monument permit number. Please also list
State of Hawaii and United States Fish and Wildlife Service permit
numbers for any relevant collaborations or research related to this
project, including projects in the main Hawaiian Islands and Pacific
Remote Island National Wildlife Refuges. If any permit applications for
related research are under review at any of the above agencies, please
provide us with that information.

4a. Provide a complete itemized list of work related
gear/equipment/supplies, including collecting equipment, radio isotopes,
dive equipment, etc., that will be taken into and removed from the
Monument. If you wish to store any items on any island between field
seasons, please request so here. Please indicate how and where you
propose the stored items be kept. If you are proposing to take any work
or personal items ashore that will require use of resources (electrical
power or water supplies) also describe that in this section.

4b. For any Hazardous Materials also include the following information:

\*List all hazardous materials by common name, proper shipping name,
hazard class, and amount to be taken into the Monument. Provide a
Material Safety Data Sheet for each hazardous material.

\*Describe how each hazardous material will be contained and stored
while in the Monument.

\*Describe how each hazardous material will be used for the proposed
activity. Describe how and when each hazardous material will be removed
from the Monument.

NOTE: The Co-Trustees will not be responsible for disposal of, storage,
or unauthorized use of any left-over hazardous materials from any
permitted activity.

5\. If applicable, please indicate the types of permanent or
semi-permanent installments you would like to install in the Monument,
and answer the following questions:

\*What is it made of?

\*What will be installed?

\*How will it be installed?

\*Where will it be installed?

\*How long will it be installed?

\*Will the installation require maintenance? If so, who will conduct the
maintenance and how often?

\*How and when will the installation be removed?

6\. In addition to reports required by all Monument Permits, please
provide information regarding the projected completion dates of the
following: sample analysis, write-up and publication of information
gathered within the Monument.

7\. List all publications directly related to the proposed project:

**[Appendix B - Education Permit Instructions]{.underline}**

1\. Please describe if you are collaborating with others to reduce
duplicative activities in the Monument or elsewhere in the State of
Hawaii or other Pacific Remote Island National Wildlife Refuges. Please
also list State of Hawaii and U.S. Fish and Wildlife Service permit
numbers for any relevant collaborations or education activities related
to this project, including projects in the main Hawaiian Islands and
Pacific Remote Island National Wildlife Refuges. If any permit
applications for related education activities are under review at any of
the above agencies, please provide us with that information.

2\. Provide a complete itemized list of work related
gear/equipment/supplies, including collecting equipment, radio isotopes,
dive equipment, etc., that will be taken into and removed from the
Monument. If you wish to store any items on any island between field
seasons, please request so here. Please indicate how and where you
propose the stored items be kept. If you are proposing to take any work
or personal items ashore that will require use of resources (electrical
power or water supplies) also describe that in this section.

3\. If applicable, please indicate the types of permanent or
semi-permanent installments you would like to install in the Monument,
and answer the following questions:

\*What is it made of?

\*What will be installed?

\*How will it be installed?

\*Where will it be installed?

\*How long will it be installed?

\*Will the installation require maintenance? If so, who will conduct the
maintenance and how often?

\*How and when will the installation be removed?

4\. Is your proposed activity based on a State Department of Education
Standards Based Curriculum? If so, please describe.

5\. What materials, products or deliverables will be developed as a
result of your proposed activity? Provide a time line for write-up and
publication of information or production of educational materials

6\. List all publications directly related to the proposed project:

NOTE: If you do not intend to collect specimens, you may enter "N/A" for
questions 7a-7c.

7a. Please list all specimens (organisms or objects) that you plan to
collect. If applicable, please list each species common name, scientific
name, number to be collected, maximum size of specimen(s) to be
collected, amount taken and the size off the organism from which you
will take any sample(s), and collection location(s) corresponding to
coordinates requested in #5a (primary application). Please also indicate
whether you will be taking the whole organism or a subsample thereof.

7b. Please list what will be done with specimens upon completion of the
project. Also state what will be done with the parts of samples that are
not used in the proposed education activity?

7c. Please check the appropriate box to indicate if the organisms will
be kept alive after collection. If the organisms are to be kept alive,
where will they be housed? Provide the specific site and/or location.
Also check the appropriate box to indicate if there is an open or closed
system for maintaining living organisms and if there is an outfall or
discharge. If applicable, please note whether the organisms will be kept
with other species and if so, the species names of the other organisms.
Will any organisms be released? If so, where?

8\. How will the collected samples be transported out of the Monument?
Will they be transported by vessel or aircraft? Will they be transported
frozen, in formalin, in alcohol, or other media?

**[Appendix C -- Native Hawaiian Practices Application
Instructions]{.underline}**

1\. Please state how the purpose and intent of the activity are
appropriate and deemed necessary by traditional standards in the Native
Hawaiian culture (pono), and demonstrate an understanding of, and
background in, the traditional practice, and its associated values and
protocols.

2\. Please state how the activity benefits the resources of the
Northwestern Hawaiian Islands and the Native Hawaiian community.

3\. Please state how the activity supports or advances the perpetuation
of traditional knowledge and ancestral connections of Native Hawaiians
to the Northwestern Hawaiian Islands.

4\. Please indicate whether or not you will be collecting any Monument
resource for use in any Native Hawaiian cultural practice in the course
of your proposed activity.

NOTE: If you do not intend to collect specimens, you may enter "N/A" for
questions 4a -- 4c, and skip to question 5.

4a. Please list all resources (organisms or objects) that you plan to
collect. If applicable, please list each species common name and/or
scientific name, number to be collected, maximum size to be collected,
and collection location(s) corresponding to coordinates requested in #5a
(primary application form). Please also indicate whether you will be
taking the whole organism or a subsample thereof. What will be done with
the parts of samples that are not used?

4b. Please list what will be done with specimens upon completion of the
native Hawaiian cultural practice is complete.

4c. Please check the appropriate box to indicate if the organisms will
be kept alive after collection. If the organisms are to be kept alive,
where will they be housed? Provide the specific site and/or location.
Also check the appropriate box to indicate if there is an open or closed
system for maintaining living organisms and if there is an outfall or
discharge. If applicable, please note whether the organisms will be kept
with other species and if so, the species names of the other organisms.
Will any organisms be released? If so, where?

**NOTE: Any Monument resource harvested from the Monument for the
purpose of Native Hawaiian practices will be consumed in the Monument.**

5\. If you are collaborating with any other groups or individuals
permitted to conduct Native Hawaiian practices in the Monument, please
describe how your efforts are being collaborated. Please also list State
of Hawaii and Monument permit numbers for any relevant collaboration
related to this project, including projects in the main Hawaiian
Islands. If any permit applications for related Native Hawaiian
practices are under review, please provide us with that information.

6\. Provide a complete itemized list of work related
gear/equipment/supplies, including collecting equipment, radio isotopes,
dive equipment, etc., that will be taken into and removed from the
Monument. If you wish to store any items on any island between field
seasons, please request so here. Please indicate how and where you
propose the stored items be kept. If you are proposing to take any work
or personal items ashore that will require use of resources (electrical
power or water supplies) also describe that in this section.

7\. If applicable, please indicate the types of permanent or
semi-permanent installments (such as ahu or other stone structure) you
would like to install in the Monument, and answer the following
questions:

\*What is it made of?

\*What will be installed?

\*How will it be installed?

\*Where will it be installed?

\*How long will it be installed?

\*Will the installment require maintenance? If so, who will conduct the
maintenance and how often?

\*How and when will the installation be removed?

\*Will you be making any offerings in the Monument? If so, please
describe.

8\. Will you be producing any publications, educational materials, or
other deliverables? Please provide a time line for write-up and
publication of the information or production of materials.

**[Appendix D -- Recreation Application Permit
Instructions]{.underline}**

For Activities in the Midway Atoll Special Management Area Only

*NOTE: If you are visiting the Midway Atoll Special Management Area and
entering the Monument via aircraft for the purpose of conducting
recreational activities, you are not required to complete this
application form.*

1\. Please explain how the activity is for the purpose of recreation as
defined: "An activity conducted for personal enjoyment that does not
result in the extraction of Monument resources and that does not involve
a fee-for-service transaction. This includes, but is not limited to,
wildlife viewing, SCUBA diving, snorkeling, and boating."

2\. Please also list Monument permit numbers for any associated
activities related to the proposed activity. This should include any
Research Permits, Conservation and Management Permits, Education
Permits, Native Hawaiian Practices Permits, Recreation Permits or
Special Ocean Use Permits that may be related to the proposed Recreation
activities. If any Monument permit applications for related activities
are under review, please provide that information.

3\. Provide a complete itemized list of work related
gear/equipment/supplies, including collecting equipment, radio isotopes,
dive equipment, etc., that will be taken into and removed from the
Monument. If you wish to store any items on any island between field
seasons, please request so here. Please indicate how and where you
propose the stored items be kept. If you are proposing to take any work
or personal items ashore that will require use of resources (electrical
power or water supplies) also describe that in this section.

4\. If applicable, please indicate the types of permanent or
semi-permanent installments you would like to install in the Monument,
and answer the following questions:

\*What is it made of?

\*What will be installed?

\*How will it be installed?

\*Where will it be installed?

\*How long will it be installed?

\*Will the installation require maintenance? If so, who will conduct the
maintenance and how often?

\*How and when will the installation be removed?

**[Appendix E -- Special Ocean Use Application
Instructions]{.underline}**

**NOTE: If this is a first time Special Ocean Use activity, it will be
considered a pilot project.**

1\. Please provide proof of general liability insurance, or indicate
that you will be posting an equivalent bond against claims arising out
of activities conducted under the permit.

2\. Please describe if you are collaborating with others to reduce
duplicative activities in the Monument or elsewhere in the State of
Hawaii or other Pacific Remote Island National Wildlife Refuges. Please
also list State of Hawaii and U.S. Fish and Wildlife Service permit
numbers for any relevant collaboration related to this project,
including projects in the main Hawaiian Islands and Pacific Remote
Islands National Wildlife Refuges. If any permit applications for
related education activities are under review at any of the above
agencies, please provide us with that information.

3\. Provide a complete itemized list of work related
gear/equipment/supplies, including collecting equipment, radio isotopes,
dive equipment, etc., that will be taken into and removed from the
Monument. If you wish to store any items on any island between field
seasons, please request so here. Please indicate how and where you
propose the stored items be kept. If you are proposing to take any work
or personal items ashore that will require use of resources (electrical
power or water supplies) also describe that in this section.

4\. If applicable, please indicate the types of permanent or
semi-permanent installments you would like to install in the Monument,
and answer the following questions:

\*What is it made of?

\*What will be installed?

\*How will it be installed?

\*Where will it be installed?

\*How long will it be installed?

\*Will the installation require maintenance? If so, who will conduct the
maintenance and how often?

\*How and when will the installation be removed?

5\. List all publications directly related to the proposed project.

**For projects occurring with the Midway Atoll Special Management Area,
answer the following questions:**

6\. Please explain how your activity has been found compatible with the
purposes for which the Midway Atoll National Wildlife Refuge was
designated.

7\. Please explain how your activity meets the requirement of furthering
conservation and management of the Monument.

**For projects occurring outside of the Midway Atoll Special Management
Area, answer the following questions:**

8\. Please explain how the proposed activity will directly benefit the
conservation and management of the Monument.

9\. Please explain how the purpose of the proposed activity is for
research and education related to resources or qualities of the
Monument.

NOTE: SPECIAL OCEAN USE PERMITS OUTSIDE THE MIDWAY ATOLL SPECIAL
MANAGEMENT AREA DO NOT ALLOW THE USE OF A COMMERCIAL PASSENGER VESSEL. A
commercial passenger vessel is defined by the monument regulations as a
vessel that carries individuals who have paid for such carriage.