GENERAL PARTICULARS
PLEASE FILL IN ALL THE FIELDS

Contact person
ID number
Telephone no.
Cell number
Fax no.
Postal address
 
Forwarding address for fish
delivery
GPS Coordinates
Delivery of fish :
Date of enquiry
E-mail

LOCATION OF THE WATER RESOURCE / DAM

Name of the water body / dam
Name of the farm / property
Name of the closest river
Name of the closest town
Name of the province
Any flow from the dam to the river?
Yes No

INFORMATION PERTAINING TO THE WATER BODY / DAM

Estimated depth x length x width of the dam
 
Depth
Lenght
Width
Dam 1
Dam 2
Dam 3
Current water level in percent (%) 
Lowest seasonal water level in percent (%)
What is the dam used for?
e.g. irrigation, drinking water etc.
What % of the dam surface has aquatic vegetation?
Leaves Growth Manner
Leaf type
Leaf colour
Rooting
Seasonality
Identification
(Multiple select options by holding the 'Ctrl-key' on the keybord and clicking the options.)
Are there any fish in the dam?
Yes No
What other fish species occur?
Do you want to use the dam for angling?
Yes No
No. of Grass Carp required.
(leave blank if we must recommend)
If previously stocked with grass carp, how many fish survived?
Approximate size of surviving fish in cm.
Size of fish required.
(Choose recommend if required)
Can De Rust apply for the permit (local) after the quote has been signed??
(Permit applications are undertaken at R100 per permit)
Yes No

ANY OTHER COMMENTS OR QUESTIONS?


* Type verification image:
verification image, type it in the box


Copyright © . Robertson Valley Technologies