Special Use Permit Application

STATE OF ALASKA

DEPARTMENT OF NATURAL RESOURCES

DIVISION OF PARKS AND OUTDOOR RECREATION

SPECIAL USE PERMIT APPLICATION
A Special Use Permit (SUP) is required for anyone conducting activities (as defined in 11 AAC 18.010) within any unit of the State Park system. Examples of activities included the reservation and exclusive use of picnic shelters (not on Reserve America); groups or events of 20 or more people; special events including but not limited to wedding parties; family reunions; research activities (i.e. collecting plants or animals/insects for scientific or educational purposes); educational activities (school field trips); scout troop events, special access, church outings, motorized access, etc.

Any SUP application must be submitted online with sufficient time given for review, planning, and permit processing. All SUP applications are considered on a first-come, first-served basis.

Please completely fill out the application. Only complete applications will be processed. Allow up to 30 days for permit processing. Instructions for payment will follow. Full fee information is provided here: Fees for Special Use Permits

Permit Fees:
- A non-refundable permit application processing fee of $100
- Or a no-significant change permit renewal of $50
An organized or promoted assembly of more than 20 persons:
- Small assembly: 20-50 persons $50
- Medium assembly: 50-100 persons $100
- Large assembly: 100 persons and up $225
Any promotional or entertainment event, including an organized athletic event, competitive recreational event, or spectator event:
- Small organized event: 20-50 participants $75 + ($2 per participant)
- Medium organized event: 50-100 participants $150 + ($3 per participant)
- Large organized event: 100 participants and up $250 + ($4 per participant)
Constructing or placing an improvement, structure, or property within a park (excludes utilities, telecom towers)
- Shoreline improvements $100 per year/per site
- Scientific research equipment $1000 per year/per site, $5000 max
- Temporary structure $100 per permit time period
- Up to 64 sq. ft. containers in Kachemak Bay State Park $300 per year
- Up to 128 sq. ft. containers in Kachemak Bay State Park $600 per year
- Net pens $1500 per month
- Mooring buoy in Parks water $100 per boat per year
Discharging explosives $500

Conducting exploration, scientific research, or information collection activities $100

Using a state park for recurring or permanent motorized access, including aircraft landings and takeoffs across land or water closed to motorized use, to land not owned or controlled by the state.
- Park road access and gate keys as needed $100 per year
- Helicopter freight drops $100 per day
Removal of firewood from Park Unit (as allowed by management plan) $50

Long-term parking (Lake Aleknagik State Recreation Area) $150 per winter

Long-Term camping (Clam Gulch) $500 per month

Any other incompatible use as defined by statute and regulation, or which does not otherwise have lawful recreation as its primary purpose. $250

FOR ADDITIONAL INFORMATION, contact the permitting office at:

specialusepermits@alaska.gov

REMINDER - You may submit a single application to cover multiple dates and/or similar activities (e.g., school field trips, research activities, or race events).

Applicant Information
Name*

First NameLast Name
Email*
Optional Additional Email
Phone Number*
Please enter a valid phone number.
Emergency Contact Name*
Emergency Contact Phone Number*
Please enter a valid phone number.
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Company/Organization Name
Have you had a permit with us in the past?*

YesNo
Provide any LAS or ASP numbers associated with previous permits*
Is the sole purpose of the activity related to a youth educational activity organized by a school, government agency, or non-profit?*
Please provide EIN (non-profit only)
School or government agency put NA
Park Unit and Requested Activity

Please include the Park Unit and specific Park Facility/Area you would like your requested activity to take place
Check All Park Regions that apply;

Northern (Fairbanks to Tok including Fielding Lake)MatSu (Denali State Park, Hatcher Pass, Nancy Lake)Chugach (Eklutna to Turnagain Arm)Kenai (Kenai River and Peninsula to Valdez)Southeast (Ketchikan, Wrangell, Sitka, Juneau, and Haines)Southwest (Kodiak and Dillingham)
Requested Use Areas*
Will you be operating at Eagle River Nature Center?*

YesNo
I agree and understand that by operating at the Eagle River Nature Center I must have the Friends of Eagle River Nature Center listed as additionally insured on my insurance policy.*

I agree and understand
I agree and understand that by operating at the Eagle River Nature Center I am responsible for paying Friends of Eagle River Nature Center's day-use parking fees.*

I agree and understand
Please provide a description of requested activity, be as specific as possible.*

Example: Dock Installation, River Bank Stabilization, Event, Motorized Access, Parking/Storage, Research, Trail Grooming etc. 0/250
Is this an event such as a race, wedding, family reunion etc.:*

YesNo
Have you already or will you reserve a park facility such as a picnic shelter, campground, or public use cabin associated with your activity?*

yes I have a reservation or will make a reservation on Reserve Americanot needed with my requested activity
Does this activity require a fee to be paid to your organization in order to participate (i.e. race event)?*
How much is the fee (per person)?*
Estimated number of participants/people attending*
Date(s) of Requested Activity*
Estimated time of arrival/departure*
For the requested activity, attach supplemental information if necessary (ex: maps, construction plans, ADFG habitat permit, etc.)

If your files don't attach it is because the file size is too large or file type is not supported by State of Alaska. Please reduce file size or convert to an Adobe PDF. NO GOOGLE DOCS OR GOOGLE DRIVE LINKS
Cancelof
Permit Stipulations

Special Use Permit General Stipulations
Special Use Permit General Stipulations
Signature
I attest the information submitted on this form and any attachments are true, complete, and accurate to the best of my knowledge. The permittee has read and agreed to the terms of this permit and understands that the breach of any of the terms is cause for revocation or suspension. By signing this form, the permittee, its agents, and employees agree to conduct the authorized activities under this permit in accordance with the attached general stipulations and special stipulations, that are incorporated upon the issuance of this permit.
Signature*

Clear
Date of Signature*

MonthDayYear
Should be Empty:

Applicant Information

Park Unit and Requested Activity

Permit Stipulations

Signature