Translocation Proposal Form
Instructions
1.
To help you complete this proposal form use the ‘Explanatory Notes for the Translocation
Proposal Form’ DOCDM-774881 (plus website link)
2.
The Explanatory Notes provide important information and help explain various sections in
the proposal form. They also contain a glossary of terminology and definitions. The text under
the section headings of this proposal form refers you to the relevant Section in the Explanatory
Notes.
3.
Make sure you answer all the questions or record ‘N/A’ when the question is not applicable. You
may delete the instructions once you have completed the ‘Confirmation’ section below.
4.
If you have not sought feedback from DOC on the likely practicability of the proposal, it is
important to do so before you start.
5.
You can see three worked examples of completed proposal forms on the website.
Useful links
1.

Explanatory Notes for the Translocation Proposal Form (DOCDM-774881, plus website
link)

Translocation Standard Operating Procedure (SOP)−planning through to reporting for DOC
translocations (DOCDM-315121)

Translocation Guide for Community Groups−the translocation process: from the idea to
reporting (DOCDM-363788, plus website link)

Processing translocation proposals SOP (DOCDM-315123, plus website link)

Worked example 1−shore plovers translocation proposal from captivity to wild (a
Department of Conservation (DOC) proposal) (DOCDM-162939, plus website link)

Worked example 2−grand and Otago skinks from wild to captivity (a Department of
Conservation (DOC) proposal) (DOCDM-176538, plus website link)

Worked example 3−North Island robins translocation proposal from wild to wild (a
community group proposal) (DOCDM-399715, plus website link)

Translocations Spreadsheet (DOC spreadsheet of translocations approved since 2002)
(DOCDM-33810 or contact your local DOC area office for information specific to your
translocation)

Assessment and Feedback Form (for DOC staff use only, DOCDM-88583)

Reporting instructions for 2011 Translocation SOPs/Guide (DOCDM-166659, plus weblink)
Translocation summary
Translocation title
Proposal for transfer of <what > from <where> to <where> on <when>.
1.2 Species to be
State the species to be translocated, including:
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translocated
Common and scientific name
Threat status according to the NZ threat classification lists 1
1.3 Type of
translocation
1. Delete options that are not applicable:
Refer to Section 2
2. If translocating into the wild, delete options that are not applicable,
otherwise record N/A:
(Do not forget all
Section references relate
to Sections in the
Explanatory Notes)
Wild to wild
Wild to captive
Captive to wild
•
Supplementation (where the species already exists at the release
site)
•
Re-introduction (where the species no longer exists at the
release site but is still within its previous range 2)
•
Introduction (where the release site outside the previous range
of the species. i.e. release to a site the species has never been
before)
3. If translocating animals to captivity, delete options that are not
applicable, otherwise record N/A:
•
The species is already being bred in captivity
•
The species is held in captivity and is not breeding
•
This translocation will establish a captive population of this
species which will not be capable of breeding
•
This translocation will establish a captive breeding population
1.4 Temporary
translocation
If this is a translocation to a temporary holding area, state this. State the
reasons why, and the term of the temporary holding.
Refer to Section 8,
Section 8.2
Must be for less than 3 years.
1.5 Translocation
overview
Provide a summary of the proposed translocation, including a brief
outline of what you propose to do and why, and how long it will take.
Otherwise record N/A.
(maximum 200 words)
1.6 Project manager
Name and organisation (or position in DOC) of project manager.
1.7 Proposal writer
Name and organisation (or position in DOC) of proposal writer.
1.8 Project team
List the team members, organisation (or position in DOC), their roles
and their skills/experience relevant to this translocation. Include any
volunteers involved. Ensure you include people involved in the capture,
handling, marking, temporary holding and release of animals.
1.9 Lead conservancy
and lead area
Name the conservancy responsible for processing the translocation
proposal.
1
NZ threat classification lists 2005 (Hitchmough et al.) and 2008 revisions can be found on the DOC website:
http://www.doc.govt.nz/publications/conservation/nz-threat-classification-system/ (Viewed 4 July
2011).
2
For definitions refer to ‘Explanatory notes for the Translocation Proposal Form’ Section 1 Terminology and
Definitions.
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(DOC staff to complete)
Refer to Section 1 for
definitions
1.10 Affected
conservancy/ies and
affected areas
(DOC staff to complete)
Name the lead area office and indicate if they are associated with the
source site or the release site)
If this translocation involves more than one conservancy, list the
affected conservancies.
List the affected area offices and indicate if they are associated with the
source site or the release site)
Refer to Section 1 for
definitions
Otherwise record N/A.
1.11 Translocation
approver
Record the conservancy decision maker’s name and position, unless the
conservancy is requesting the deputy director-general operations to
approve the proposal.
(DOC processing staff to
complete)
2.
Reason for the translocation
Refer to Sections 3 and 4
2.1 Reason
Briefly explain why you want to do the translocation. If applicable
explain the need for the translocation (e.g. the conservation problem you
are trying to fix).
Explain what alternatives to translocation have been attempted or
considered. If this is a threatened species explain why in-situ
management is not feasible instead of translocation.
2.2 Appropriateness
and priority
(DOC staff to complete)
Refer to Section 3
For DOC proposals:
Explain why this translocation is the right conservation outcome to
invest in. I.e. with limited resources why should this work take priority
over other conservation work?
Also refer to table 1in
‘Cost recovery for
translocation proposals’
DOCDM-321137
For all proposals:
2.3 Context
Briefly list additional relevant background information, including wider
context, such as a restoration plan for the site, or connection to other
transfers.
Is the species likely to be available for this translocation? What priority
should this proposal have alongside all other translocation proposals for
this species?
Where a number of releases of different species will take place, explain
why the proposed species should be released next.
2.4 Conservation
outcomes
What do you want to achieve−for the animal or plant you want to
translocate, and/or for the site that you are moving them to?
What is the desired outcome in the short term (e.g. 3 years); medium
term (e.g. 10 years); long term (e.g. 30 years)?
2.5 Operational
targets
State operational targets for the life of the project.
(for DOC proposals−DOC staff take from work plans)
Refer to Section 4
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2.6 Research
objectives
(Only applies to
research projects; Refer
to Section 1 for
definitions)
2.7 Advocacy
(If this is a primary
reason for the
translocation)
3.
If research is the primary reason for the translocation (e.g. developing
translocation techniques using an analogue species), state the research
objectives.
Otherwise, record N/A.
If applicable, explain how this translocation might garner support for
other conservation activities.
Otherwise, record N/A.
Fit with legal requirements, strategies and plans
Refer to Sections 5 and 6
DOC staff also refer to Appendix 2, Section A2.1 in ‘Translocation SOP’ DOCDM-315121
3.1 Legal
requirements
Confirm that the various activities associated with the translocation:
(DOC staff to complete)
•
Are compatible with the legislation the land is held under
•
Meet the requirements in the Conservation General Policy and
General Policy for National Parks (if applicable)
Refer to Translocation
SOP Appendix 2,
Section A2.1
Briefly summarise Treaty settlement legislation and protocols which
affect the translocation.
3.2 Management
plans and strategies
List all the management strategies and plans that cover the source and
release sites.
Refer to Translocation
SOP Appendix 2,
Section A2.1
Confirm that the various activities associated with the translocation are
compatible with the Conservation Management Strategies (CMSs) and
Conservation Management Plans/Management Plans that apply to the
areas affected by the translocation.
Briefly explain how this translocation supports specific statements in the
Conservation Management Strategies and Plans if applicable.
If none, record N/A.
3.3 Species recovery
plan and recovery
group
Refer to Section 6,
Section 6.1
Delete the option that is not applicable:
This species is covered by the <state name> Recovery Plan 3
This species is not covered by a recovery plan
If there is a recovery plan, explain how the translocation is consistent
with objectives listed in it (latest published version or current draft).
State if the recovery group:
i. Supports the translocation proposal; or
ii. Does not fully support the translocation proposal but accept it may
proceed; or
iii. Does not support the translocation proposal.
3
See Science Publications on the DOC website
http://www.doc.govt.nz/templates/SRPublications.aspx?id=39151 (Viewed 4 July 2011).
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If they do not support the proposal, state what their concerns are.
Attach relevant letters or emails from the recovery group leader.
If the recovery group does not support the translocation, provide
justification in section 9 for continuing with the translocation.
3.4 Captive
management plan
and captive
coordinator
(captive to wild and wild
to captive proposals for
animals only)
State whether there is a captive management plan for the animal species,
and who the captive coordinator is.
If none, record N/A.
Explain how this translocation is consistent with the plan, or attach
evidence of advice and endorsement from the captive coordinator.
Refer to Section 6,
Section 6.2
4.
Source population
Refer to Section 7
4.1 Likely sources
List likely source populations.
Refer to Section 7,
Section 7.1
4.2 Preferred source
Refer to Section 7,
Section 7.1
Specify which population has been selected and why this source is the
most appropriate. State the origin of the source population, e.g. natural
remnant, translocated from elsewhere, etc.
Any translocation that involves the mixing of historically divergent
populations must have strong justification in section 9.
When a species is sourced from captivity/cultivation state the wild
origin. State if wild origin is not known.
4.3 Effects of
removal
Comment on the effect that removing the transfer group is expected to
have on the source population.
(N/A when the source is
captivity/cultivation)
If the source population will not remain viable after removal of the
individuals being transferred, justification must be given in section 9 for
continuing with the translocation.
Refer to Section 7,
Section 7.2
5.
Release site
Indicate whether the translocation is:
Of animals from the wild to captivity
Yes/No (if yes, complete section 5.1)
Of plants from the wild into cultivation
Yes/No (if yes, complete section 5.2)
To establish or supplement a wild population
Yes/No (if yes, complete section 5.3)
5.1 Establishment of captive animal populations
5.1.1 Wild to captive
Does the facility receiving the species have authority (a permit) to hold
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translocations
the species 4?
DOC staff to complete:
State whether the proposal meets the requirements of the Department’s
Captive Management Policy and the Captive Management SOP. Refer to
the Translocation SOP (DOCDM-315121) Appendix 2, Section A2.2
5.1.2 Captive
facilities
State the contact person, and the name, street and postal addresses and
phone number of each facility the animals will be transferred to.
If not already mentioned in section 1.8, state any skills/experience
they/their team has, relevant to this translocation.
5.1.3 Existing captive
population
If there is an existing breeding population of this species in captivity,
explain why more need to be brought into captivity, if not already
covered in section 2.1.
5.2 Establishment of cultivated plant populations
Refer to Section 8
5.2.1 Management of
plants in cultivation
Explain how the population will be managed to maintain its conservation
value.
Refer to Section 8,
Section 8.1
5.2.2 Cultivation
facilities
State the contact person, and the name, street and postal addresses and
phone number of each facility the plants from the wild will be
transferred to.
5.3 Release site is in the wild
Refer to Sections 1, 8 and 9
5.3.1 History of the
species at the release
site
Delete options that are not applicable:
(a) This translocation is:
A supplementation
Refer to Section 1 for
definitions.
For introductions, refer
to Section 9, Section 9.1.
A re-introduction
Go to (b)
An introduction
Go to (c)
(b) If the translocation is considered to be a re-introduction:
State the evidence available that the release site is within the
species’ previous range
State the likely factors that caused the species to die out at the site
originally, and explain why the site is now thought to be suitable
4
All applications to transfer absolutely protected wildlife (Wildlife Act 1953) to captivity must have evidence to
show that the facility has authority (is permitted) to hold the species; or has lodged an application for an
authority to hold the species.
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for the species
(c) If the translocation is an introduction:
Provide justification in section 9 for continuing with the
translocation
5.3.2 Description of
release site
Provide a description of the release site, including:
Name of the release site in full or Conservation Unit name and
number (DOC to complete if applicable)
Location, including grid reference (attach as an appendix a
relevant topographical map with the planned release/planting
sites marked on it)
Ownership or statutory land management purpose (i.e. private
land, Reserve, Forest Park etc)
Approximate size of the suitable habitat and description of land
surrounding it
Briefly describe the vegetation type, altitude and climate of the
release site
5.3.3 Temporary
holding area
If the release site is a temporary holding area:
Describe how the basic ecological requirements (e.g. food, shelter
and security) will be met
Refer to Section 8,
Section 8.2
Otherwise record N/A
5.3.4 Suitability of
release site for the
species
Describe why the release site was chosen (i.e. why it is the preferred
site), and how the release site meets the ecological requirements of the
translocated species.
(N/A if release site is a
temporary holding area)
Carrying capacity−How many breeding pairs (animals), or individual
plants can the site support?
Refer to Section 8,
Section 8.3
If the release site cannot support 50 pairs (animals) or a self-sustaining
population (plants):
•
Provide justification in section 9 for continuing with the
translocation
•
If the population is isolated from others, what mechanism have
you included to allow out-breeding; and are you able to sustain it
long-term
Describe present and potential threats at the release site that could
cause the translocation to fail.
State how these threats are being managed at the release site. If any
threats cannot be managed, provide justification in section 9 for
continuing with the translocation.
Describe uncertainties about the suitability of the release site that could
cause the translocation to fail. Where significant uncertainties exist,
there should be research (section 10.1) in place that addresses these
issues.
State whether the release population is likely to require ongoing longterm management to persist, and if so, state the nature of this
management.
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If ongoing management is likely to be required, provide justification in
section 9 for continuing with the translocation, including evidence of a
long-term commitment to the necessary management.
5.3.5 Current
management at
release site
Describe any site management currently occurring, e.g. predator control
to benefit kiwi, or weed control.
Describe potential problems or benefits for the translocated species from
current site management.
Refer to section 5.3.4 if already covered there.
If any problems are likely to be significant, justification must be given in
section 9 for continuing with the translocation and research might be
appropriate (section 10.1) to address these issues.
5.3.6 Security of
habitat
6.
Comment on whether the release site has appropriate security of habitat
for the term the released population is to reside at the site (e.g.
conservation area, covenanted, landowner permission/support for the
project), and how access for management and monitoring will be
provided if the land is privately owned.
Ecological impacts at release sites in the wild
(N/A for translocations into captivity or cultivation)
Refer to Section 9
6.1 Between-species
interactions
For introduction and re-introduction translocations only, otherwise
record N/A.
Refer to Section 9,
Section 9.2
Comment on the likely interactions and impacts, both beneficial and
negative, of the translocated species and other indigenous species at the
release site.
What is the risk of hybridisation or competition with closely related
species?
section 9 Justification must provide good reasons for proceeding with
the translocation if you think there could be significant negative impacts.
6.2 Within-species
interactions
Refer to Section 9,
Section 9.3
For supplementation translocations only, otherwise record N/A.
Comment on the likely impacts of translocating new individuals into the
existing population.
It may be appropriate to put research (section 10.1) in place to assess the
effect of the supplementation.
6.3 Impacts on
ecosystem function
For introduction and re-introduction translocations only, otherwise
record N/A.
Refer to Section 9,
Section 9.4
Comment on the likely effect that the addition of the translocated
species might have on the functioning of the ecosystem of the release
site.
If the species is likely to have a significant impact on the ecosystem, it
may be appropriate to put research (section 10.1) in place to assess the
impact.
6.4 Additional
Comment on whether the release of the species will require additional
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management
requirements for
other indigenous
species
management for other indigenous species, and if so, what that
management will be. If such additional management is needed and will
be ongoing or have significant negative impacts on the other indigenous
species, provide justification in section 9.
6.5 Additional site
management and
impacts
State what (if any) additional management will be required for the site
as a result of this translocation.
Refer to Section 9,
Section 9.5
6.6 Restriction of
future options
What impacts will this management have on the site and on other
species?
What will be done to minimise such impacts?
If this is one of a series of species re-introductions, in what order will
you reintroduce the species? Will this translocation restrict options for
reintroducing other species in the future?
State what options will be restricted. Provide justification in section 9
for continuing with the translocation if it limits future options for
restoration.
6.7 Weeds and
animal pests
Refer to Section 9,
Section 9.6.
7.
Will the translocation prevent or make difficult the control or
eradication of problem weeds or animal pests at the site? If yes, what
weeds or animal pests, and how?
Comment on what has been done to minimise the risk of introducing
weeds and animal pests to the release site. If nothing, explain why not.
Disease management
Refer to Section 10
7.1 Disease
management
requirements for
plants
For translocations of plants, state what measures you will take to reduce
the risk of introducing disease causing pathogens or parasites.
Refer to Section 10,
Section 10.1.1
7.2 Animal disease
management
protocol
(Excludes invertebrates)
For translocations of animals, attach the worksheets from the
Translocation Disease Management Workbook to this proposal as an
appendix and refer to them here. State who you consulted with in
development of this protocol.
Refer to Section 10,
Section 10.1.2
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7.3 Other disease
management
requirements for
animals
Complete the hygiene checklist from the Wildlife Health Management
SOP and attach as an appendix.
Using the Wildlife Health Management SOP 5 (Sections 1.1 to 1.7),
comment on what other measures you will take to reduce disease risks.
Refer to Section 10,
Section 10.1.2
7.4 Disease
management
requirements for
invertebrates
For translocations of invertebrates, state what measures you will take to
reduce disease risks.
Refer to Section 10,
Section 10.1.3
8.
Translocation design
Refer to Section 10
8.1 Learning from
past translocations
Comment on whether past translocations of the species have been
successful 6.
Refer to Section 10,
Section 10.2
If ‘YES’:
Briefly list references and describe the techniques used that made
the translocation successful
Summarise what monitoring was done to confirm success
What were the key techniques used that you will copy to help
ensure the success of this translocation
If ‘NO’:
Describe what went wrong in other translocation attempts (e.g.
released birds eaten by predators) if known
What were the recommendations on things that could be improved
for future translocations (i.e. what lessons were learnt)
Describe how this translocation proposal attempts to overcome the
things that went wrong in past transfers
If translocation has not been attempted with this species before state
this.
8.2 Composition
Refer to Section 10,
Section 10.3
Describe the proposed composition of the plants or animals to be
translocated including:
Age
Sex ratio
5
Wildlife Health SOP http://intranet/procedures-and-guides/wildlife-health-management-sop/
(Viewed 25 July 2011, DOCDM-442078)(plus DOC website link)
6
Contact your local DOC area office to find out if a best practice for translocation is available for your species.
DOC staff this information is listed on the Translocation page on DOC’s intranet.
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Singles/pairs
Total number of individuals
If more than one source, state how many from each
Explain the rationale for this proposed composition. Comment on how
likely it is to produce a genetically diverse and viable population (if not
viable, justify in section 9).
For transfers from captivity/cultivation, include:
Information on the wild origin of the population
Information on the genetic diversity of the original
captive/cultivated population
Comment on whether the captive/cultivated population has been
managed to achieve/maintain genetic diversity
Supplementary transfers−state any plans for supplementary transfers in
out-years to reduce the risk of inbreeding depression or further loss of
genetic diversity.
If there is to be more than one transfer, note the number and
composition of individuals that will be moved on each occasion.
8.3 Timing
Note the month(s) and year(s) the plants or animals will be translocated
and the reasons why this timing is considered optimal.
You may wish to propose an alternative or additional time in case the
translocation cannot go ahead at the proposed time, or if you do not find
or catch the proposed number of animals.
8.4 Pre-transfer
preparation of
captive animals
Describe how any behavioural training needs will be met in captivity, to
prepare individuals for release into the wild.
(For captive to wild
transfers only)
Refer to Section 10,
Section 10.4
8.5 Capture /
collection and
transport
Describe methods for capture and transport of the animals. Include how
long the transportation will take, and provisions made to minimise
stress and maximise the welfare of the transferred species.
(N/A to plant
translocations)
State who will be doing it and what their skills are.
Refer to Section 10,
Section 10.5
Also make reference to lessons learned from previous translocations (see
section 8.1) and note any departures from procedures that have been
successfully used in previous translocations.
Include any contingency plans or changes that might be implemented
within this transfer in the event of possible problems.
8.6 Release /
planting
Refer to Section 10,
Section 10.6
Describe how the translocated plants will be planted or animals will be
released, including time of day, distribution of individuals around the
release site, and any temporary holding at the release site (i.e. delayed
versus immediate planting/release).
State who will be doing the release/temporary holding and what their
skills are.
Make reference to lessons learned from previous translocations (see
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section 8.1) and note any departures from procedures that have been
successfully used in previous translocations.
8.7 Dispersal from
the release site
(N/A for wild to captive
translocations or plant
translocations)
Comment on whether the species is likely to disperse from the release
site and target area, and note implications for management. If there is
risk of substantial dispersal:
Describe any measures you will put in place that may reduce
dispersal or increase the likelihood of site fidelity (bonding to
site). Cross reference other sections as appropriate.
Refer to Section 10,
Section 10.7
Note any contingency plan for management of dispersed animals.
Justification should be given in section 9 for translocations where there
is significant risk of dispersal outside the target area, and it may be
appropriate to put in place research (section 10.1) aimed to improve
methods for reducing dispersal.
8.8 Short-term postrelease management
(N/A for wild to captive
translocations)
Describe any short-term management needed specifically for the
transferred species at the release site to facilitate its establishment. Do
not repeat anything you have already mentioned in sections 5.3.4, 6.4
and 6.5.
Refer to Section 10,
Section 10.8
Describe any other post-release management needed for the species that
has not already been mentioned.
8.9 Contingency
plans for unexpected
results
Can the translocated species be removed from the site in the future if its
effects become unacceptable?
(N/A for wild to captive
or plant translocations)
Outline the contingency plan to be followed to salvage individuals
if a threatened species is translocated to a new site but it is found
that the species cannot persist there
9.
For threatened species only:
Justification
Refer to Section 11
9.1 Justification
Refer to Section 11
Justify why this translocation should go ahead if you have identified
significant potential adverse issues in previous sections or other
problems.
10. Research and monitoring
Refer to Section 12
10.1 Research
Refer to Section 12,
Section 12.1
If research is the primary reason for the translocation briefly describe
the research programme and refer to the reason and objectives which are
described in sections 2.1 and 2.6.
Outline any research questions that were identified in sections 5, 6 and
8, to address significant gaps or areas of concern relating to this
translocation. Indicate which research questions you are going to tackle.
Outline any other research opportunities associated with this
translocation, including both planned and potential research.
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10.2 Monitoring
programme
Outline the monitoring programme for the source and release
populations and sites.
Refer to Section 12,
Section 12.2
Include:
What will be monitored
How/by who
When/how often
For how long
For proposals covering multiple transfers, state the process that will be
used to review the results of each transfer before the next transfer is
carried out.
If this proposal is for a ‘head starting programme’ 7 covering multiple
transfers, state the process that will be used to review the results of all
transfers covered by it, or refer to other documents that describe the
process.
11. Consultation and community relations
Refer to Sections 6 and 13
11.1 Specialist advice
Refer to Section 6
Specify whether specialist advice was sought on any aspects of the
translocation (e.g. community relations staff, or a population ecologist).
List who (including their position and organisation) and when.
If ‘NO’, briefly explain why no advice was sought.
11.2 Iwi
Refer to Section 13,
Sections 13.1, 13.2 and
13.4
Describe what consultation has been undertaken with the iwi of the
source and release sites and the outcome.
State any concerns that were raised and describe how they were
addressed.
If the release site is captivity, what agreements have been made with iwi
of the source site about future consultation if/when the animals are
released into the wild?
If the source is captivity, describe consultation undertaken with iwi of
the animals' original source site in the wild, and reasons why if there was
no consultation.
Comment on whether iwi are participating in the transfer and
monitoring and/or management.
Attach as an appendix a record of consultation. Include contact details
for the iwi, who was consulted, the date, the topics covered, and any
decisions reached. Also include relevant letters/emails.
If animals are being transferred to or from captivity, give details of the
iwi of the captive site that will need to be informed of the translocation
before the transfers occur.
7
For definitions refer to ‘Explanatory notes for the Translocation Proposal Form’ Section 1 Terminology and
definitions.
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11.3 Key stakeholders
Refer to Section 13,
Sections 13.1 and 13.3
Briefly describe the communication process undertaken with key
stakeholders (any party likely to be affected by or have a major interest
in your proposal) and their response. State any concerns that were raised
and how they were addressed.
Attach as an appendix a record of consultation. Include contact details
for all key stakeholders, who was consulted, the date, the topics covered,
and any decisions reached. Also include relevant letters/emails.
11.4 Communication
and community
involvement
Refer to Section 13,
Section 13.4
11.5 Public interest
issues management
Briefly describe plans for communicating about your project (e.g.
media).
List opportunities for community involvement in this project, and
describe plans for involving the wider community.
If community involvement is not appropriate state why.
List and comment on:
Refer to Section 13,
Section 13.4 and 13.5
•
The key issues (positive and negative) of public interest
•
Possible risks (perceived and real)
•
What can be done to lessen those risks
This is particularly relevant to translocations that might have high public
interest or contentious issues.
Briefly state how the issues are going to be managed.
12. Budget
Refer to Section 14
12.1 Business plan
(DOC proposals only)
State whether the translocation project outlined in this proposal is
included in a work plan in the business plan or has been approved in
principle by a level 2 line manager.
If it is not, explain why.
12.2 Resources
required
Using the table below, complete a list of the resources required to
undertake this project, the costs and the sources of funding.
Refer to Section 14
If volunteers are involved, include their time (at zero cost).
DOC proposals must include staff hours.
Item description
Cost ($)
e.g. equipment, contract
workers, freight,
transport (animals and
people), staff hours,
predator control
Year 1
Source of funding
Year 2
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Year 3
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13. Permits and approvals
Refer to Section 5
13.1 Permits and
approvals
State what permits or other approvals are needed to undertake this
translocation.
Refer to Section 5,
Section 5.2
e.g. to:
Enter areas
Collect/capture/hold/release animals or plants
Mark species, etc.
For translocations of animals state whether Animal Ethics Committee
approval is required.
State whether permits and other approvals not covered by this
application/proposal have been granted or applied for and if so, give the
person/organisation applied to.
State the person the permits are to be issued to, their postal and street
addresses and phone number.
Permits from DOC will state that the methods outlined in the approved
proposal must be adhered to.
•
13.2 Collection of
samples
Will any samples be collected from animals or plants for
purposes other than disease screening? Yes/No
If ‘YES’
•
Describe the samples that will be collected.
•
What is the purpose of collecting the material? (may refer to
other sections in the application)
•
Will any of the material be used for genetic modification outside
of gene sequencing for taxonomic purposes? Yes/No
If ‘YES’, please attach ERMA application.
•
Will any of the material or its DNA be leaving New Zealand?
Yes/No
If ‘YES’
Where will the samples be sent and stored?
Please list any Department facilities that will be used.
13.3 Effects of the
translocation
Will your proposal have any
direct or indirect effects on
the following conservation
values at the source and
release sites in the wild:
1.
Natural waterways or bodies of water?
2.
Any disturbance of native vegetation?
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Source site
Release site
(tick)
(tick)
Yes
No
N/A
Yes
No
N/A
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13.3 Effects of the
translocation
Will your proposal have any
direct or indirect effects on
the following conservation
values at the source and
release sites in the wild:
Source site
Release site
(tick)
(tick)
Yes
3.
Disturbance to soils, wetlands or any other natural
feature?
4.
Wildlife species (other than those being transferred)
either within or near the area where you want to
operate?
5.
Historic or archaeological sites?
6.
Other people using the site?
7.
Will your activity affect the visual amenity of the site (i.e.
will there be any aviaries etc. visible at the site or from
areas adjoining the site)?
8.
Is it possible that your activity will introduce weeds,
including lake weeds, or seeds of weeds into the area?
9.
Is there a risk of fire from your activity?
No
N/A
Yes
No
N/A
10. Will significant noise be caused by your activity?
11. Is there any aspect of your activity that will affect
current or future public access to the area?
12. Will your activity affect plants, animals or sites of
traditional importance to Mäori and who have you
consulted over this matter?
13. Will your activity have any positive effects on natural or
historic values?
14. Will
your
activity
conservation?
13.4 Beneficial
effects
13.5 Measures to
avoid, remedy or
mitigate adverse
effects of the
translocation
promote
understanding
of
If you have answered ‘YES’ to any of the above, and the effect is
beneficial:
•
Describe the direct or indirect effect; or
•
Refer to the section of the translocation proposal form where you
have described the effects.
If you have answered ‘YES’ to any of the above, and the effect is adverse:
Refer to Section 5,
Section 5.3
•
Briefly describe the direct or indirect effect; and
•
Describe the actions you propose to take to avoid, remedy or
mitigate those effects; or
•
Refer to the section of the translocation proposal form where you
have done this.
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Note: all permits and approvals must be obtained prior to the transfer occurring.
14. References
List references cited in the text, such as scientific papers.
References are to be specific and traceable.
15. Applicant’s confirmation
The applicant
(Non−DOC
proposals only)
Applicant (Chairperson /
Chief Executive Officer /
individual - in full) and
organisation name
Legal status (strike out or
specify Other)
Individual / Company / Trust / Incorporated
Society / Other:
Contact person
Postal address and street
address
Phone
Cell phone
E-mail
Confirmation
(Applicant / DOC
project manager)
‘I confirm that the person completing this application form has read the
instructions in sections 1−15 of the proposal form and answered all of the
questions before they deleted the instructions.’ (delete the last 5 words if
you did not delete the instructions)
Signature of Applicant/DOC project manager
Dated:
(Chairperson /Chief
Executive Officer /
Individual−non-DOC
proposals only)
Thank you for your application. Please ensure that:
You have attached any maps and additional information relevant
to your application
Your application processing fee deposit of $380.00 + GST is
included with your application. Note you can apply for a reduction
or waiver of fees
I certify that the information provided on this application form and
attached additional information is to the best of my knowledge true and
correct:
Signature of the Applicant:
Dated:
Signature of Witness:
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Dated:
Name and Address of Witness:
This application is made pursuant to Sections 17R and 17S of the
Conservation Act 1987 [and (where applicable) Section 49 of the National
Parks Act 1980/Section 59A of the Reserves Act 1977].
All costs relating to the consideration of the application are payable by
the Applicant to the Department of Conservation (see Section 60A and
60B of the Conservation Act 1987).
Applicants should be aware that provisions of the Official Information Act
may require that some or all information in this application be publicly
released if so requested.
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DOC is responsible for completing sections 16 and 17 when
assessing the proposal
16. Approval of translocation proposal
Refer to Sections 6−8 and Appendix 1 in ‘Processing Translocation Proposals SOP’
(DOCDM-315123)
16.1 Recovery group
State whether the recovery group has reviewed the completed proposal.
Briefly list any concerns they had and how they have been addressed.
‘N/A’ if no recovery group.
16.2 Introductions
expert group
For translocations that are:
•
Introductions; or
•
Involve mixing subspecies or historically divergent populations;
or
•
Will cause significant ecological impact.
State whether an introductions expert group has reviewed the completed
proposal.
State the make up of the group.
Briefly list any concerns they had on the possible implications of moving
the species to a location out side its previous range, and the
appropriateness of the translocation. The possible impacts on species of
concern at the release site must be taken into account.
16.3 Legal
State whether a Departmental solicitor has reviewed the completed
proposal.
Briefly list any concerns the solicitor had and how they have been
addressed.
16.4 Area manager(s)
concurrence
State whether the area manager(s) (DOC) support the proposal being
approved, briefly list any concerns they had and how they have been
addressed.
For multi-conservancy proposals, state whether the area manager(s) in
the affected conservancy(s) support the proposal being approved, briefly
list any concerns and how they have been addressed.
16.5 Concurrence of
affected
conservator(s)
For multi-conservancy proposals, state whether the conservator(s) of
affected conservancy(s) support the proposal being approved, briefly list
any concerns they had and how they have been addressed.
Highlight any dissenting views that prevent affected conservancy
concurrence, and require deputy director-general operations to
approve/decline the translocation proposal.
16.6 Inform deputy
director-general
operations
If the deputy director-general operations needs to be informed about the
translocation, state the reason for informing them. Otherwise record
N/A.
The deputy director-general operations must be informed prior to the
transfer if the translocation is:
A re-introduction
An introduction
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(refer to section 1.3 for definitions)
Deputy Director-General Operations name:
______________________
Date informed:
16.7 Lead
conservancy / deputy
director-general
operations sign off
__________________________
This translocation proposal is Approved / Not Approved
Lead Conservator’s name
Or Deputy Director-General Operations name
Or other by delegation (delete two):
Signature:
---------------------------------------
Date:
/
/
.
17. Permissions database references and due dates for reports
Refer to Section 9 in ‘Processing Translocation Proposals SOP’ (DOCDM-315123)
17.1 Permissions database references
Permissions
number
Permissions type
Translocation proposal
Permit to …..(description)
Permit to ….(description)
17.2 Reports required
Due dates
Transfer report(s)
Monitoring report(s)
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Appendices
For example:
•
Contact details for iwi and relevant letters/emails, record of consultation
•
Contact details for affected and interested parties and relevant letters/emails, record of
consultation
•
Endorsement from recovery group and/or captive coordinators
•
Worksheets from the Disease Management Workbook
•
Copies of any amendments to translocation design section (for translocations involving
multiple transfers).
Go to

Explanatory Notes for the Translocation Proposal Form (DOCDM-774881, plus website
link)

Translocation Standard Operating Procedure (SOP)−planning through to reporting for DOC
translocations (DOCDM-315121)

Translocation Guide for Community Groups−the translocation process: from the idea to
reporting (DOCDM-363788, plus website link)

Processing translocation proposals SOP (DOCDM-315123, plus website link)

Assessment and Feedback Form (for DOC staff use only, DOCDM-88583)

Reporting instructions for 2011 Translocation SOPs/Guide (DOCDM-166659, plus weblink)

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