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    ANTARCTIC SPECIALLY PROTECTED AREA

    VISIT REPORT

    1. Protected Area name and number:

     

    2. Name and address of Authority issuing permit:

      

     

    3. Date Report Filed:

    4. Name and address of Authority to whom Report is made:

      

    5. Person completing Report:

    6. Name and address of Principal Permit Holder:

      

    International telephone: +

    International facsimile: +

    E-mail address:

     

    7. List all persons who entered the Area under the current Permit:

    8. Objectives of the visit(s) to the Area under the current Permit:

     

     

     

     

    9. Date(s) and duration of visit(s) under the current Permit:

     

     

    10. Mode of transport to/from the Area:

     

     

    11. Activities conducted in the Area:

     

      

     

     

    12. Descriptions and locations of samples collected (type, quantity and details of any Permits for sample collection):

     

      

     

     

    13. Descriptions and locations of markers, instrumentation or equipment installed, or any material released into the environment (noting how long these are intended to remain in the Area):

      

     

     

     

     

    14. Descriptions and locations of markers, instrumentation or equipment removed:

     

     

     

     

     

     

    15. Any departures from the provisions of the Management Plan during this visit, noting dates, magnitudes and locations:

      

     

     

     

    16. Measures taken during this visit to ensure compliance with the Management Plan:

     

     

     

     

    17. Observations of human effects on the Area, distinguishing between those resulting from the visit and those due to previous visitors:

      

     

     

     

    18. Evaluation of whether the values for which the Area was designated are being adequately protected:

      

     

     

     

     

    19. Note any features of special significance that have not been previously recorded for the Area:

      

     

     

     

    20. Recommendations on further management measures needed to protect the values of the Area, including appraisal of condition of structures, markers etc.:

      

     

     

     

    21. Summary of scientific research undertaken in the Area:

     

     

     

     

    22. On an attached photocopy of the map of the Area, please show (as applicable): camp site location(s), land/sea/air movements or routes, sampling sites, installations, deliberate release of materials, any impacts, and features of special significance not previously recorded: [Please note the datum / basis for any coordinates given.]

    23. Any other comments or information:

     

     

     

    Last Update: 11-01-00