Scientific Permit & Site Activity Review Application

Please note: Application processing takes a minimum of one month.

Application Kind

Application Kind *

Scientific Permit Application

Site Activity Review Application

(For work at San Bruno Mountain select "Site Activity Review Application.")

Applicant

First Name *

First Name

Last Name *

Last Name

Organization

Address

Street Address *

Street Address

Street Address 2

Street Address Line 2

City *

City

State *

State / Province / Region

Zip Code *

Postal / Zip Code

Country *

Country

Email *

Phone Number *

Phone Number

Supervisor, Academic Adivsor, or Principal Investigator

(Fill in if different from above.)

First Name

Last Name

School/Organization

Organization (if different from above)

Organization Address

Street Address

Street Address 2

Street Address Line 2

City

State

State / Province / Region

Zip Code

Postal / Zip Code

Country

Phone Number

Project Logistics

Number of Participants Expected *

Starting date of proposed activity *

Month

Day

Year

Ending date of proposed activity *

Month

Day

Year

Expected arrival time *

Hour

Minute

Expected time of departure *

Hour

Minute

Will this scientific activity require you to stay overnight in the park?

yes

When do you expect to complete the investigation/report? *

Month

Day

Year

Name of Park(s) *

Shift or Option click to select multiple parks.

Sites *

List the specific site/trails for fieldwork, or indicate on a preserve map (upload below).

Map

Optional: Upload a preserve map(s) indicating the specific site or trail(s) for fieldwork. After browsing for your file, remember to click "Upload."
Files must be less than 12 MB.
Allowed file types: gif jpg png rtf pdf doc docx ppt pptx xls xlsx zip mxd mpk.

Vehicle Considerations

Number of Vehicles *

Number of these Vehicles with 4-Wheel Drive Capacity? *

Requests *

	Yes	No	I don't know
Are you requesting permission to drive on roads/trails within the Park(s)? *	Are you requesting permission to drive on roads/trails within the Park(s)? - Yes	Are you requesting permission to drive on roads/trails within the Park(s)? - No	Are you requesting permission to drive on roads/trails within the Park(s)? - I don't know
Are you requesting permission to leave vehicles parked after sunset? *	Are you requesting permission to leave vehicles parked after sunset? - Yes	Are you requesting permission to leave vehicles parked after sunset? - No	Are you requesting permission to leave vehicles parked after sunset? - I don't know
Are you requesting permission to park in a permit-only parking lot? *	Are you requesting permission to park in a permit-only parking lot? - Yes	Are you requesting permission to park in a permit-only parking lot? - No	Are you requesting permission to park in a permit-only parking lot? - I don't know
Are you requesting permission to enter a closed section(s) of the Park(s)? *	Are you requesting permission to enter a closed section(s) of the Park(s)? - Yes	Are you requesting permission to enter a closed section(s) of the Park(s)? - No	Are you requesting permission to enter a closed section(s) of the Park(s)? - I don't know

Vehicle Make

If you answered yes to any of the four questions above, please indicate vehicle make, model, color, and license plate number.

Proposal

Objective of Investigation *

Method of Investigation *

Please be as specific as possible. Include how you plan to access the site. Please describe in detail any activities that my result in vegetation or ground disturbance and your plans to protect or restore any damage resulting from your activities.

Proposal Upload

If you have a research proposal, prospectus, or monitoring plan please upload the file here. After browsing for your file, remember to click "Upload."
Files must be less than 12 MB.
Allowed file types: gif jpg png rtf pdf doc docx ppt pptx xls xlsx zip mxd mpk.

Other Permits

Please list any other permits, licenses, etc. that are necessary to carry out the field work (for example, a CDFW Scientific Collection Permit).

Upload File 1

After browsing for your file, remember to click "Upload."
Files must be less than 12 MB.
Allowed file types: gif jpg jpeg png rtf pdf doc docx ppt pptx xls xlsx zip mxd mpk.

Upload File 2

After browsing for your file, remember to click "Upload."
Files must be less than 12 MB.
Allowed file types: gif jpg jpeg png rtf pdf doc docx ppt pptx xls xlsx zip mxd mpk.

Upload File 3

After browsing for your file, remember to click "Upload."
Files must be less than 12 MB.
Allowed file types: gif jpg png rtf pdf doc docx ppt pptx xls xlsx zip mxd mpk.

Access Needs

Please describe any special access needs or other requirements.

To expedite the review process, please be as complete and informative as possible in completing this form. Please allow a minimum of two weeks for permit approval and processing.

Signature *

I Agree.

By submitting this permit application, I agree to comply with all field research permit conditions.

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Departments

County of San Mateo

Parks Department

Scientific Permit & Site Activity Review Application

Application Kind

Applicant

Supervisor, Academic Adivsor, or Principal Investigator

Project Logistics

Proposal

Coyote Point Recreation Area
Coyote Point Marina
Crystal Springs Regional Trail
Devil's Slide Trail
Edgewood Park
Fitzgerald Marine Reserve
Flood Park
Friendship Park
Huddart Park
Junipero Serra Park
Memorial Park
Mirada Surf
Moss Beach Park
Pescadero Creek Park
Pillar Point Bluff
Quarry Park
Sam McDonald Park
San Bruno Mountain Park
Sanchez Adobe
San Pedro Valley Park
Woodside Store
Wunderlich Park

Departments

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Scientific Permit & Site Activity Review Application

Application Kind

Applicant

Supervisor, Academic Adivsor, or Principal Investigator

Project Logistics

Proposal