Aquaculture Site Evaluation Report

U.S. DEPT OF COMMERCE, NOAA
NMFS PERMITS BRANCH, F/SER1

AQUACULTURE SITE EVALUATION REPORT

OMB No. 0648-205 Form
Approval expires 10/31/2006

263 13th Avenue South
St. Petersburg, FL 33701
(727) 824-5326 (8 am - 4:30 pm ET)
http://sero.nmfs.noaa.gov

FOR OFFICE USE ONLY
SITE NUMBER
PERMIT NUMBER

Reviewer Initials and
Date
INSTRUCTIONS: Provide the information required on the evaluation form- ALL BLANKS MUST BE FILLED IN. Additional sheets or presentations may be
used, however all information must be provided on this form. Latitude and Longitude must be provided in the following fomat: degrees and minutes to the
third decimal place (24-56.789N 081-23.456W). When providing a copy of a portion of a nautical chart showing the location of the site, ensure that the
chart number, title and edition used are included. Use a chart large enough in scale to show sufficient detail and allow for site location and inspection. No
site, or group of sites maintaned by a single owner may exceed (individually or together) a total of 1 acre (43,560 square feeet). All sites are to be a circle
with a radius not to exceed 0.019 NM (117.75 feet); or a one acre area.

Site Evaluation prepared for (Aquaculture applicant name)

Section 1. Site Size and Position Information. Note ALL Aquaculture sites are circles with a radius not to exceed 117.75 feet
(0.019 NM). The total acerage of ALL sites maintained by a single permit owner must not exceed 1.0 acres.
Latitude and Longitude must be reported as Degrees Minutes to the third decimal place (i.e. 24-32.123 N 085-45.456 W)
Center Point Latitude

Radius (in feet)

Center Point Longitude
Method of determining Latitude and Longitude
GPS

DGPS

LORAN TDs converted by manual plotting orelectronics

State the site is located in:

Other ___________________________
Minimum Depth of water ( in feet) to be allowed
over the site:

Description of the location of the site (i.e. 5.5 NM SW of Rock Key and .75 NM east of Sand Shoal)

2. Describe all possible hazards to safe navigation or hindrance to vessel traffic, interference with traditional fishing operations
or other public access that may result from aquacultured rock at the site.

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3. Describe the naturally occurring bottom habitat at the site:

4. Describe the type, size, amount and origin of the material to be deposited on the site and how it will be distinguishable
(method of marking/tagging and description) from the naturally occurring substrate. You must provide a sample of the
material.

5. SIGNATURE
Preparer Signature

Date Signed

Printed Name

Position in Company if Corporation/Business/LLC

Qualifications/Experience of Preparer
GENERAL INSTRUCTIONS 1. A site evaluation report must be submitted by the applicant to Carolyn Sramek, Permit Branch,
Southeast Regional Office, 263 13th Avenue South, St. Petersburg, FL 33701. The report, which may include videotapes of underwater surveys, shall be
prepared by an independent source pursuant to generally accepted industry standards and shall demonstrate that the proposed site:
a. Is not a hazard to safe navigation or a hinderance to vessel traffic; and
b. Avoids traditional fishing operations, or other public access; and
c. Avoids impacts to naturally occurring hard bottom habitat and submerged aquatic vegetation; and
d. Contains natural underlying substrata that is primarily hard packed sand, hard shell hash, or rock covered by sand not more than 6 inches deep.
2. The applicant shall identify the site on a nautical chart in sufficient detail to allow for site inspection, and shall provide accurate coordinates so that the
site can be located by Differential Global Positioning System (DGPS) equipment. Site inspection may be required on a case by case basis.
3. Sites which individually or cumulatively total more than one acre will not be authorized.
4. If applicant is an individual enter the Social Security number. If applicant is a corporation or partnership, enter the Federal Tax ID number.
5. A site evaluation report must be done for each application. You may include additional information in seperate sources, but the information must be
provided on this form. Fields 1,2,3 and 4 on this form shall not refer to another source for information.
6. A sample of the rocks to be deposited must accompany each Site Evaluation report.

Public reporting burden for this collection of information is estimated to average 20 minutes 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 any other suggestions for reducing this burden to National Marine Fisheries Service, F/SER1, 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. Name and address information will be released via a NOAA
Fisheries website. 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.
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Last Form Revision 11/15/2005