OMB Control No. 0648-0703
Expiration Date:
FEDERAL PERMIT APPLICATION FOR OFFSHORE AQUACULTURE IN THE GULF OF MEXICO (GULF AQUACULTURE PERMIT)
FOR OFFICE USE ONLY
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Date Received |
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Gulf Aquaculture Permit Number |
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Permit Expiration Date |
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Check or Money Order Number |
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Violation Date |
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Violation Clear Date |
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Reviewer Initials and Date |
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(Current Permit # _______________)
Complete
all Sections of this application if you are applying for a new
permit.
If you are applying for a permit
renewal,
fill out all Sections except 2, 3, 6 and 7.
See
the instruction
pagesinstructions section at the end of this form for additional
more information on how to submitregarding submission of a
completed application package (application package = this
application form + supporting materials).
Applicants
are strongly encouraged to are instructed to schedule an
inter-agency consultation with the various federal permitting
agencies prior to beginning the permit application process.
Contact the NOAA Fisheries Regional Aquaculture Coordinator at
(727) 551-5755 or email nmfs.ser.aquaculture@noaa.gov
to inquire about schedulingschedule a consultation.
A
completed application package should be submitted at least 180
days
prior to the date the applicant desires the permit to become
effective. For renewals, all information should be submitted at
least 120 days prior to the date the permittee desires the renewal
to become effective. An application package is not considered to
be complete until NOAA Fisheries receives all necessary
information.
Eligibility
for a Gulf Aquaculture Permit is limited to U.S. citizens as
defined in the Immigration and Nationality Act of 1952, as amended,
and permanent resident aliens lawfully accorded the privilege of
residing permanently in the U.S. in accordance with U.S.
immigration laws.
APPLICANT INFORMATION ((Note: If permit holder will be a business include a information on who will act as the primary contact for the business)
LAST NAME FIRST NAME MIDDLE NAME Suffix (Sr., II, etc.)
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( ) -
DATE OF BIRTH (MM/DD/YYYY) SOCIAL SECURITY NUMBER or PERMANENT RESIDENT ALIEN ID
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BUSINESS INFORMATION
(A) Provide business information, if applicable.
BUSINESS NAME MAILING ADDRESS
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( ) -
(B) Provide information on the names, addresses, and titles of all officers, partners, and/or directors, if applicable. Attach additional sheets with this information, as necessary.
OFFICER/PARTNER/DIRECTOR #1
LAST NAME FIRST NAME MIDDLE NAME Suffix (Sr., II, etc.)
( ) -
( ) -
DATE OF BIRTH (MM/DD/YYYY) SOCIAL SECURITY NUMBER or PERMANENT RESIDENT ALIEN ID
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OFFICER/PARTNER/DIRECTOR #2
LAST NAME FIRST NAME MIDDLE NAME Suffix (Sr., II, etc.)
( ) -
( ) -
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(C) Has any person affiliated with this application (including any shareholder, director, partner, or officer) applied for a NOAA Fisheries Gulf Aquaculture permit Permit in the past?
Yes No N/A
If Yes, provide name and contact information for all person(s) who have applied for a permit in the past as well as the date the application was submitted to NOAA Fisheries.
LAST NAME FIRST NAME MIDDLE NAME Suffix (Sr., II, etc.)
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LAST NAME FIRST NAME MIDDLE NAME Suffix (Sr., II, etc.)
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LAST NAME FIRST NAME MIDDLE NAME Suffix (Sr., II, etc.)
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(D) Provide information for all shareholders who own or control at least 10% of the outstanding stock and the percentage of outstanding stock currently owned or controlled by each such shareholder. Attach additional sheets with this information, as necessary.
Name (First, Last, Middle) Street Address City, State, Zip Percentage of Stock
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(E) Does the applicant or business, or any shareholder, director, partner, or officer own an interest, either directly or beneficially, in any other Gulf offshore aquaculture venture?
Yes No N/A
If Yes, provide the following information for each person(s).
LAST NAME FIRST NAME MIDDLE NAME Suffix (Sr., II, etc.)
LAST NAME FIRST NAME MIDDLE NAME Suffix (Sr., II, etc.)
LAST NAME FIRST NAME MIDDLE NAME Suffix (Sr., II, etc.)
(F) Has the applicant or any shareholder, director, partner, or officer listed in part D above ever been arrested, indicted, convicted of, or adjudicated to be responsible for any violation of marine resources or environmental protection law, whether state or federal?
Yes No
If Yes, provide the information for each person(s). Include additional sheets with this information, if needed.
LAST NAME FIRST NAME MIDDLE NAME Suffix (Sr., II, etc.)
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LAST NAME FIRST NAME MIDDLE NAME Suffix (Sr., II, etc.)
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SITE DESCRIPTION
Provide latitude and longitude coordinates for the proposed aquaculture site. Latitude and Longitude must be reported as Degree Minutes and decimal minutes to the third decimal place (e.g., DD MM.MMM). If the proposed site has greater than four coordinates, provide additional coordinates in on a separate sheet.
North Point Lat/Long South Point Lat/Long West Point Lat/Long East Point Lat/Long
Attach a NOAA chart or USGS Topographic map of the site to scale must be attached which indicates: 1) proposed facility boundary boundariesfor facility; 2) depth contours; and 3) location of Federal projects, navigational channels, or other structures or areas (e.g., gas/oil platformssee #5 of the Pre-Application checklist at http://sero.nmfs.noaa.gov/sustainable_fisheries/gulf_fisheries/aquaculture) within 1 3 nautical miles of proposed site. Additional information may be requested by NOAA Fisheries, .see (http://sero.nmfs.noaa.gov/sustainable_fisheries/gulf_fisheries/aquaculture/) for more info.
LIST OF SPECIES TO BE CULTURED
Provide the following information for each species to be cultured. Do not abbreviate genus or species name.
Start up Production Annual Maximum Total
Genus and Species Level (Pounds) for Harvest (Pounds)
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HATCHERY LOCATION
Provide information for each hatchery which will be providing juvenile organisms for grow‑out at the proposed facilities. On a continuing basis, provide a copy of all relevant, valid state or Federal aquaculture permits issued to each hatchery. For hatcheries located offshore, provide GPS coordinates (latitude and longitude). A permittee may only obtain juvenile organisms for grow-out at an aquaculture facility from a hatchery located in the U.S. U.S. hatchery.
HATCHERY #1
HATCHERY NAME MAILING ADDRESS (OR GPS COORDINATES IF LOCATED OFFSHORE)
( ) -
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HATCHERY #2
HATCHERY NAME MAILING ADDRESS (OR GPS COORDINATES IF LOCATED OFFSHORE)
( ) -
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HATCHERY #3
HATCHERY NAME MAILING ADDRESS (OR GPS COORDINATES IF LOCATED OFFSHORE)
( ) -
( ) -
DESCRIPTION OF AQUACULTURE SYSTEMS
Provide a description of all components of the aquaculture system(s) (including mooring and anchoring systems) to be used, including: 1) number, size, dimensions, position relative to sea surface, 2) manufacturer information,n of the aquaculture system(s) and mooring system(s); and, 3) schematic or photographic renderings of generalized layout of aquaculture system(s) and mooring system(s) (s) indicating depths from structure(s) to sea floor, from a top and cross-sectional view. Permittees must also provide documentation of the aquaculture system's ability to withstand physical stresses associated with major storm events (e.g., hurricanes, storm surge), including any available engineering analysis, computer and physical oceanographic models, or other documentation. Additional information may be requested by NOAA Fisheries. It is recommended that all plans and drawings submitted with the application package be certified by a professional engineer.
DESCRIPTION OF EQUIPMENT AND METHODS
Provide a description of the equipment and methods to be used for feeding, transporting, maintaining, and removing cultured species from aquaculture systems, including: 1) number, size, dimensions, and manufacturer information; 2) type of powered equipment to be used on site (except vessels/aircraft listed in #8 of this application) and frequency and duration of use (e.g., daily, weekly, monthly); 3) frequency and duration of vessel/aircraft traffic; 4) feed schedule and feed techniques; 5) predator control methods; 6) net cleaning and maintenance (methods, frequency); 7) usage of drugs or other chemicals; 8) number, type, wattage, and location of lights at proposed site (except those used for navigation or marking); and 9) off-site facilities or holdings to be used for feed transport, processing, etc. Additional information may be requested by NOAA Fisheries.
VESSEL AND AIRCRAFT DOCUMENTATION
Provide all information for each vessel used for transport, harvest, transfer, or sale of cultured animals. Attach a copy of the valid, unexpired U.S. Coast Guard Certificate of documentation (or valid state registration if not documented) for each vessel listed. Also provide documentation or identification numbers for any vehicles or aircraft used.
VESSEL #1
USCG DOC. NUMBER (STATE REG IF NOT DOCUMENTED) VESSEL NAME LENGTH TOTAL HORSEPOWER
VESSEL #1 OWNER INFORMATION CHECK ONE: INDIVIDUAL BUSINESS
NAME (FIRST, MIDDLE, LAST, SUFFIX or BUSINESS) HOME or BUSINESS TELEPHONE NUMBER
SOCIAL SEC. or PERMANENT RESIDENT ALIEN ID DATE OF BIRTH (MM/DD/YYYY) FEDERAL ID # (FEIN) if a BUSINESS
VESSEL #2
USCG DOC. NUMBER (STATE REG IF NOT DOCUMENTED) VESSEL NAME LENGTH TOTAL HORSEPOWER
NAME (FIRST, MIDDLE, LAST, SUFFIX or BUSINESS) HOME or BUSINESS TELEPHONE NUMBER
SOCIAL SEC. or PERMANENT RESIDENT ALIEN ID DATE OF BIRTH (MM/DD/YYYY) FEDERAL ID # (FEIN) if a BUSINESS
CERTIFICATION OF REMOVAL
(Print
Full Applicant Name)
ADDITIONAL INFORMATION
The following information must be submitted with a new application:
Copy of a baseline environmental survey survey and all other field surveys of the proposed site. Baseline Environmental SurveyG guidance can be found at: http://sero.nmfs.noaa.gov/sustainable_fisheries/gulf_fisheries/aquaculture/.
Documentation certifying the applicant has posted an assurance bond sufficient to cover the costs of removal of all components of the aquaculture facility, including cultured animals remaining in allowable aquaculture systems, from the Gulf EEZ. Assurance Bond guidance can be found at: http://sero.nmfs.noaa.gov/sustainable_fisheries/gulf_fisheries/aquaculture/.
Copy of an emergency disaster plan, developed for and to be used by the aquaculture facility, that includes, but is not limited to, procedures for preparing or if necessary removing allowable aquaculture systems, aquaculture equipment, and cultured organismsanimals in the event of disaster (e.g., hurricane, tsunami, harmful algal bloom, chemical or oil spill, etc.).
Documentation certifying the applicant has posted an assurance bond sufficient to cover the costs of removal of all components of the aquaculture facility, including cultured organisms remaining in allowable aquaculture systems, from the Gulf EEZ. If an applicant provides certification that a bond has already been posted as a requirement of the ACOE or other authority and that the bond is sufficient to cover the costs of removal of all components of the aquaculture facility, including cultured organisms as required by NOAA Fisheries, a separate bond may not be necessary. Costs associated with removal of oil and gas platforms are not covered under the assurance bond requirement. Assurance Bond guidance can be found at:
Copy of a contractual arrangement with an aquatic animal health expert to provide services to the aquaculture facility. An aquatic animal health expert is defined as a licensed doctor of veterinary medicine or a person who is certified by the American Fisheries Society, Fish Health Section, as a "Fish Pathologist" or "Fish Health Inspector". A copy of the expert’s license or certification must also be provided.
Certification that all broodstock, or progeny of such broodstock, used to provide juveniles to the aquaculture facility will be or were originally harvested from U.S. waters of the Gulf, and will be or were harvested from the same population or subpopulation
Certification by the applicant that: 1) all broodstock, or progeny of such broodstock, used to provide juveniles to the aquaculture facility will be or were originally harvested from U.S. waters of the Gulf, and will be or were from the same population or subpopulation (based on the best scientific information available) where the facility is located, and that each individual broodstock was marked or tagged at the hatchery to allow for identification of those individuals used in spawning, and 2) certification by the applicant that no genetically engineered or transgenic animals are used or possessed for culture purposes at the aquaculture facility. This Certification for Broodstock and Juveniles document can be found at: http://sero.nmfs.noaa.gov/sustainable_fisheries/gulf_fisheries/aquaculture/.
Once a new permit or renewal permit has been issued, an Annual Report along with payment of $1,000.00 must be received by NOAA Fisheries by January 31 of each year for permits to remain active. Fees may change slightly each year. The Annual Report form can be found at: http://sero.nmfs.noaa.gov/sustainable_fisheries/gulf_fisheries/aquaculture/.
Prior to issuance of a new permit or a renewal permit, the applicant must provide NOAA Fisheries a copy of currently valid state or Federal permits (e.g., Army Corps of Engineers Section 10 permit, and Environmental Protection Agency (EPA) National Pollutant Discharge Elimination System permit) applicable to the proposed aquaculture site, facilities, or operations. A NOAA Fisheries permit will not be issued until all other applicable permits have been secured.
After NOAA Fisheries issues a new permit or renewal permit, permittees must continue to provide NOAA Fisheries with valid copies of all state and Federal permits required for conducting offshore aquaculture. Permittees must also report any changes applicable to those permits to NOAA Fisheries.
The permittee must provide NOAA Fisheries current copies of valid state or Federal permits for each hatchery from which fingerlings or other juvenile animals are obtained and alert NOAA Fisheries to any changes to those permits within 30 days.
The NOAA Fisheries Gulf Aquaculture permit must be prominently displayed and available at the aquaculture facility. The permit number should also be included on the buoys or other floating devices used to mark the restricted access zone of the operation per § 622.104(c). In addition, the aquaculture facility’s permit (if the fish have not yet been purchased by a dealer), must accompany each vehicle that is used to receive fish harvested from an aquaculture facility in federal waters of the Gulf. A vehicle operator must present the permit or a copy for inspection upon the request of an authorized officer.
NOAA Fisheries Gulf Aquaculture permit holders must notify the Regional Aquaculture Coordinator within 30 days after any change in the application information specified in 50 CFR 622.101(d)(11). The NOAA Fisheries Gulf Aquaculture permit is void if any change in the information is not reported within 30 days.
The permittee must conduct comply with any sampling andall monitoring and requirements procedures specified in their NOAA Fisheries Gulf Aquaculture permit. The permittee must also comply with all applicable monitoring and reporting requirements specified in the valid EPA NPDES permit and U.S. Army Corps of Engineers Section 10 permit for each particular operation. .
The permittee must conduct inspections of permitted aquaculture systems for entanglements and interactions with marine mammals, protected species, and migratory birds. The frequency of these inspections will be specified in the conditions of their NOAA Fisheries Gulf Aquaculture permit.
The permittee must conduct feed monitoring and management practices in compliance with EPA regulations at 40 CFR 451.21.
The permittee must comply with all applicable monitoring and reporting requirements specified in the valid EPA NPDES permit and U.S. Army Corps of Engineers Section 10 permit for each particular operation.
The permittee must comply with the use of drugs, pesticides, and biologics per all applicable Food and Drug Administration (FDA), EPA, and USDA requirements (e.g., Federal, Food, Drug and Cosmetic Act, 21 U.S.C. 301 et seq.; Clean Water Act, 40 CFR part 122; 9 CFR parts 101‑124; 21 CFR parts 500‑599; and 40 CFR parts 150‑189)).
The permittee must maintain and make available monitoring reports required by applicable state and federal agencies for the most recent three years.
The permittee must maintain a minimum of one properly functioning electronic locating device (e.g., GPS device, pinger with radio signal) on each aquaculture system (i.e., net pen or cage).
The permittee must provide NOAA Fisheries or authorized officers access to operations in order to conduct on-site inspections to monitor compliance with the conditions and requirements specified in the permit and/or applicable aquaculture regulations.
The permittee must comply with all other operational, monitoring, recordkeeping, and reporting requirements as outlined in subpart F of 50 CFR part 622.
A NOAA Fisheries Gulf Aquaculture permit may be revoked, suspended, or modified, and such permit applications may be denied, in accordance with the procedures governing enforcement-related permit sanctions and denials found at subpart D of 15 CFR part 904.
SIGNATURE
I hereby declare under penalty of perjury that the foregoing information is true and correct (28 U.S.C. section 1746; 18 U.S.C. section 1621; 18 U.S.C. section 1001).
APPLICANT SIGNATURE DATE SIGNED (MM/DD/YYYY)
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PRINTED NAME POSITION IN COMPANY
Mail this completed form and all supporting documentation to:
NMFS Permits Office (F/SER14), Attn: Regional Aquaculture Coordinator, 263 13th Avenue South, St. Petersburg, FL 33701.
Public reporting burden for this collection of information is estimated to average 3 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or other suggestions for reducing this burden to PRA Officer, National Marine Fisheries Service. F/SER26, 263 13th Avenue South, St. Petersburg, FL 33701.
The National Marine Fisheries Service requires this information for the conservation and management of marine fishery resources. The data reported will be used to develop, implement, and monitor fishery management activities for a variety of other uses. Responses to this collection are required to obtain or retain a fisheries permit under the Magnuson - Stevens Act. Non-confidential information may be released via a NOAA Fisheries website. Non-confidential information means: Name, Street Address, City, State, Zip Code, Effective Date of Permit, Permit Types, Vessel Name, Vessel Identification Number, and in the case of a “for hire” vessel the Passenger Capacity, or individual, corporate and lease holders of permits. All other data submitted will be handled as confidential material in accordance with NOAA Administrative Order 216-100, Protection of Confidential Fishery Statistics. Notwithstanding any other provisions of the law, no person is required to respond to, nor shall any person be subjected to a penalty for failure to comply with, a collection of information subject to the requirements of the Paperwork Reduction Act, unless that collection of information displays a currently valid OMB Control Number.
Instructions for the Federal Permit Application to Conduct Offshore Aquaculture in the Gulf of Mexico
General Instructions:
Applicants with specific questions may contact the Regional Aquaculture Coordinator at (727) XXX-XXXX824-5301 between 8:00 a.m. and 4:30 p.m. ET, Monday through Friday, or email nmfs.ser.aquaculture@noaa.gov.
Complete all sections of this application form. Applications should be typed. Incomplete or illegible applications will be returned.
The application fee for a new permit is $10,000 and is non-refundable ($5,000 non-refundable fee for permit renewal). A check or money order payable to the U.S. TREASURY must accompany each application.
Mail the completed application, payment, and all required supporting documentation to: NMFS Permits Office (F/SER14), Attn: Regional Aquaculture Coordinator, 263 13th Avenue South, St. Petersburg, FL 33701.
APPLICATION SECTION 1 Eligibility for a Gulf Aquaculture permit is limited to U.S. citizens as defined in the Immigration and Nationality Act of 1952, as amended, and permanent resident aliens lawfully accorded the privilege of residing permanently in the U.S. in accordance with U.S. immigration laws.
APPLICATION SECTION 2 For businesses or corporations, include a copy of the Articles of Incorporation or Certificate of Limited Partnership or documentation of the formation of a General Partnership.
APPLICATION SECTION 3 See 50 CFR 622.103(a) for additional information on facility siting requirements and conditions.
APPLICATION SECTION 4 Only federally managed species that are native to the Gulf of Mexico and are not genetically engineered may be used or possessed at an aquaculture facility (shrimp and corals are exempted from culture). A list of species that can be cultured under a NOAA Fisheries Gulf Aquaculture permit can be found at 50 CFR 622.105(b).
APPLICATION SECTION 5 Include a copy of all relevant, valid state or Federal aquaculture permits issued to each hatchery.
APPLICATION SECTION 6 Submit documentation (e.g., engineering analyses, computer and physical oceanographic model results) sufficient to evaluate the ability of the allowable aquaculture system(s) (including moorings) to withstand physical stresses associated with major storm events, e.g. hurricanes, storm surge.
APPLICATION SECTION 7 All feed monitoring and management practices must be conducted in compliance with EPA regulations at 40 CFR 451.21. . The permittee must comply with the use of drugs, pesticides, and biologics per all applicable Food and Drug Administration , EPA, and USDA requirements (e.g., Federal, Food, Drug and Cosmetic Act, 21 U.S.C. 301 et seq.; Clean Water Act, 40 CFR part 122; 9 CFR parts 101‑124; 21 CFR parts 500‑599; and 40 CFR parts 150‑189).
Use of drugs, pesticides, and biologics must comply with all applicable Food and Drug Administration (FDA), EPA, and USDA requirements (e.g., Federal, Food, Drug and Cosmetic Act, 21 U.S.C. 301 et seq.; Clean Water Act, 40 CFR part 122; 9 CFR parts 101 through 124; 21 CFR parts 500 through 599; and 40 CFR parts 150 through 189).
APPLICATION SECTION 8 Provide a copy of the valid U.S. Coast Guard certificate of documentation or, if not documented, a copy of the valid state registration certificate for each vessel as well as documentation or identification numbers for any aircraft used for transport, harvest, transfer, or sale of cultured species at the approved site.
APPLICATION SECTION 10 Provide additional information as outlined.
APPLICATION SECTION 11 Applicant must sign and date this section for the application to be considered complete.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Title | Federal Offshore Aquaculture Permit for the Gulf of Mexico |
| Author | jess.beck |
| File Modified | 0000-00-00 |
| File Created | 2021-01-24 |