Harvest and Landing Notification

Southeast Region Aquaculture Program

11 - Harvest and Landing Notification (2-4-2014)

Harvest and Landing Notification

OMB: 0648-0703

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OMB Control No. 0648-XXXX

Expiration Date:


HARVEST AND LANDING NOTIFICATION


Shape1

NMFS must be notified at least

72 hours prior to the desired date of harvest and landing by calling (XXX) XXX-XXXX.

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.)

Shape2 Shape3 Shape4 Shape5


Shape6 Shape7 MAILING ADDRESS Apt/Suite #



Shape8 Shape9 Shape10 Shape11 CITY STATE COUNTY ZIP CODE



Shape13 Shape14 Shape12 HOME TELEPHONE NUMBER CELL PHONE NUMBER GULF AQUACULTURE PERMIT NUMBER



BUSINESS NAME BUSINESS PHONE NUMBER


Shape15 Shape16




Part 2 – Harvest Information


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

Shape18 Shape17




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

Shape19 Shape20

/ /

: AM / PM





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

Shape22 Shape21

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 in a U.S. port. Species cultured at an aquaculture facility can only be landed ashore 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

Shape24 Shape25 Shape23

/ /

: 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

Shape28 Shape27



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. Name and address information will be released via a NMFS 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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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleNotice of harvest
Authorjess.beck
File Modified0000-00-00
File Created2021-01-28

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