North Carolina Aquaculture Operations Permit Home » North Carolina » Aquaculture » Aquaculture Operations Permit APPLICATION FOR A AQUACULTURE OPERATION PERMIT. A brief description of the form or Application to be filled out here. Vessel Name Vessel Use / Endorsement Pleasure Commercial Official Number Confirm Official Number Application Date Expiration Date Participant I.D. Ph. NumberEmail Enter Email Confirm Email Record Most Recent LicensesFish Dealer License SCFL / RSCFL SCFL w/ Shellfish Endorsement RSCFL w/ Shellfish Endorsement Shellfish License Recreational Commercial Gear Lic. New Update Renew Replace Individual Participant InformationName First Middle Last Suffix Date of Birth MM slash DD slash YYYY Operation InformationOperator Name Date of Birth MM slash DD slash YYYY TelephoneOperation Mailing Address: Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Operation Physical Address: Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Shellfish Lease/Franchise Number: Water Column Lease Number: Land Based Tank Ponds Other If other, explain Business Participant InformationBusiness Name Business Agent Name (First, MI, Last) Operation Type: Hatchery/Nursery Field Growouts RAS Other Other Species: Clam Oyster Shrimp Bay Scallops Flounder Striped Bass Hybrids Other Specify Species: Product to be imported from other states? Market goal, e.g., retail sale, wholesale, etc.: Nearest Waterbody County Zip Code THIS SECTION IS ONLY FOR: Upland Systems, including RAS, Raceways, Ponds, Pools, etc.Flood Zone FIRM Panel and ID# How will product be transferred from nursery to grow-out area? How will deceased product be handled, disposed? Describe the effluent system for liquid and solid waste, including storage and disposal. How will the product be harvested? Will holding containers be drained? Describe the water quality/chemical treatment and monitoring system. Please attach escapement plan as approved by NCWRC. Materials, methods, and equipment to be used on the permit area:Bottom material enhancement (shell, alternative substrate) dimensions Bottom material enhancement (shell, alternative substrate) quantity Soft bags dimensions Soft bags quantity Hard cages dimension Hard cages quantity Floating cages, Upwellers, etc. dimension Floating cages, Upwellers, etc. quantity Land-based structures dimension Land-based structures quantity Buoys dimension Buoys quantity Cover Nets dimension Cover Nets quantity Harvest of undersized product Please type lease size:Method of transport and placement: Harvest Methods: Ploidy Status: Diploid Triploid PLEASE FILL OUT A SEPARATE APPENDIX SHEET FOR EACH LEASE CONTAINING BAGS, CAGES, UPWELLERS, ETC.Bottom Lease # Water Column # Species Waterbody Waterbody Classification: Approved Conditionally Approved Restricted Prohibited Certification statement must be completed and signed by the permittee. I,__________ certify that: All of the information and supporting documentation provided is true, accurate, and complete. For renewals or modifications, any changes in information or supporting documents have been provided at the time of submission. I and all listed designees currently have no marine fisheries licenses, permits, endorsements, or registrations under suspension or revocation, and the privilege to hold such licenses, permits, endorsements, or registrations is not revoked or suspended. I and all listed designees have not been convicted of four or more violations in any jurisdiction related to state or federal law or regulations involving or related to marine, estuarine, or aquatic resources. I have been provided a copy of the rules and conditions that apply to this permit and I acknowledge that failure to abide by all permit rules as well as conditions on this permit may result in termination of the permit. I understand that as a condition of accepting this permit from the Division of Marine Fisheries, I agree to abide by all conditions of this permit, and agree that if conditions of this permit as identified on this permit are violated, or if false information was provided in the application for issuance, renewal, modification, or transfer, this permit may be suspended or revoked by the DMF Director. I understand that any false information or fraudulent disclosures may result in termination of this permit and related documents, and possible criminal prosecution. Application Fee Price: RENEWAL ADVANCED PAYMENT OPTION No Additional Years 2 year renewal 3 year renewal 4 year renewal 5 year renewal Total $0.00 Consent I agreeI CERTIFY THAT THE RECITATIONS CONCERNING THE VESSEL: NAME, TONNAGE, DIMENSIONS, PROPULSION, OWNERSHIP, HAILING PORT, RESTRICTIONS, ENTITLEMENTS, REMARKS AND ENDORSEMENTS CONTAINED IN THE CERTIFICATE OF DOCUMENTATION REMAIN ABSOLUTELY THE SAME.NAME: Type your full name to sign this secure webformSignatureCAPACITY OF PERSON SIGNING (E.G., OWNER, AGENT, TRUSTEE, GENERAL PARTNER, CORPORATE OFFICER, MEMBER) Date MM slash DD slash YYYY Authorization I agreeI agree to pay the above total amount according to the card issuer agreement and hereby authorize the charge for the total amount above for the processing of selected permits. I understand that my application will be processed in the order in which it is received by Commercial Fishing Permits Center, a private fee-for-service documentation company, not owned or operated by any governmental agency. I understand that application and processing fees are non-refundable as per Commercial Fishing Permits Center's no refund policy. I understand that submitting another application for a license or permit will supersede the current/pending application for that license or permit. I understand that Commercial Fishing Permits Center does not issue or sell any licenses or permits.Credit Card Having Trouble with your card? 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