Harvest and Landing Notification

Southeast Region Aquaculture Program

11 - Harvest and Landing Notification (12-4-2015)

Harvest and Landing Notification

OMB: 0648-0703

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OMB Control No. 0648-0703

Expiration Date:


HARVEST AND LANDING NOTIFICATIONS

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Permittees must notify NOAA Fisheries via phone (XXX) XXX-XXXX or the web form (website TBD) at least 72 hours prior to the desired date of harvest and at least 72 hours prior to landing.

FOR OFFICE USE ONLY

Date Received


Gulf Aquaculture Permit Number


Reviewer Initials and Date









Part 1 – Permit Holder Information


LAST NAME FIRST NAME MIDDLE NAME Suffix (Sr., II, etc.)

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Shape6 Shape7 MAILING ADDRESS Apt/Suite #



Shape8 Shape9 Shape10 Shape11 CITY STATE COUNTY ZIP CODE



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( ) -

( ) -


HOME TELEPHONE NUMBER CELL PHONE NUMBER GULF AQUACULTURE PERMIT NUMBER



BUSINESS NAME BUSINESS PHONE NUMBER


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( ) -






Part 2 – Harvest Information


VESSEL USCG DOC. NUMBER (STATE REG IF NOT DOCUMENTED) VESSEL NAME

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PROPOSED DATE OF HARVEST (MM/DD/YYYY) PROPOSED TIME OF HARVEST

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/ /

: AM / PM





LATITUDE (DEGREE MINUTES TO THIRD DECIMAL PLACE) LONGITUDE (DEGREE MINUTES TO THIRD DECIMAL PLACE)

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Genus and Species Estimated Whole Weight (lbs)

1) _____________________________________________________________________________

2) _____________________________________________________________________________

3) _____________________________________________________________________________

4) _____________________________________________________________________________

5) _____________________________________________________________________________

Part 3 – Landing Information


All fish cultured in federally permitted offshore aquaculture facilities must first be landed at a U.S. port. Species cultured at an aquaculture facility can only be offloaded between 6 a.m. and 6 p.m., local time. The person landing the cultured fish must also validate the dealer transaction report when it is submitted.



PORT LOCATION (CITY, STATE) DATE OF LANDING (MM/DD/YYYY) TIME OF LANDING

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/ /

: AM / PM





SPECIES BEING LANDED AND ESTIMATED NUMBER OR WHOLE WEIGHT (LBS) FOR EACH SPECIES

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DEALER NAME (FIRST, LAST, MIDDLE) DEALER PERMIT NUMBER

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Shape30 Shape29 DEALER MAILING ADDRESS CITY, STATE, ZIP




Part 4 – 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).


PERMIT OWNER SIGNATURE DATE SIGNED (MM/DD/YYYY)

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/ /





PRINTED NAME POSITION IN COMPANY (if applicable)

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Public reporting burden for this collection of information is estimated to average 30 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 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.

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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleNotice of harvest
Authorjess.beck
File Modified0000-00-00
File Created2021-01-24

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