Form FDACS-15138 "Application for Sovereignty Submerged Land Aquaculture Letter of Consent" - Florida

What Is Form FDACS-15138?

This is a legal form that was released by the Florida Department of Agriculture and Consumer Services - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on September 1, 2014;
  • The latest edition provided by the Florida Department of Agriculture and Consumer Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form FDACS-15138 by clicking the link below or browse more documents and templates provided by the Florida Department of Agriculture and Consumer Services.

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Download Form FDACS-15138 "Application for Sovereignty Submerged Land Aquaculture Letter of Consent" - Florida

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Florida Department of Agriculture and Consumer Services
Division of Aquaculture
APPLICATION FOR SOVEREIGNTY SUBMERGED LAND
NICOLE "NIKKI" FRIED
AQUACULTURE LETTER OF CONSENT
CO MMISSIONER
Section 253.69, Florida Statutes – Rule 18-21.021, F.A.C.
Application No.
(Official Use Only)
Please Type or Print Legibly
APPLICANT INFORMATION:
Name:
Authorized Agent (If Applicable):
Aquaculture Certificate Number:
Address:
City:
State:
Zip:
Telephone Number:
Fax Number:
I certify that I am 18 years old or older (please initial):
FACILITY LOCATION:
Section:
Township:
Range:
County:
City / Town:
Waterbody:
Latitude:
Longitude:
Street address:
Describe the general site characteristics: (Include a vicinity map, navigation chart, or other
appropriate map):
Describe the aquaculture activities to be conducted:
FDACS-15138 09/14
Page 1 of 3
Florida Department of Agriculture and Consumer Services
Division of Aquaculture
APPLICATION FOR SOVEREIGNTY SUBMERGED LAND
NICOLE "NIKKI" FRIED
AQUACULTURE LETTER OF CONSENT
CO MMISSIONER
Section 253.69, Florida Statutes – Rule 18-21.021, F.A.C.
Application No.
(Official Use Only)
Please Type or Print Legibly
APPLICANT INFORMATION:
Name:
Authorized Agent (If Applicable):
Aquaculture Certificate Number:
Address:
City:
State:
Zip:
Telephone Number:
Fax Number:
I certify that I am 18 years old or older (please initial):
FACILITY LOCATION:
Section:
Township:
Range:
County:
City / Town:
Waterbody:
Latitude:
Longitude:
Street address:
Describe the general site characteristics: (Include a vicinity map, navigation chart, or other
appropriate map):
Describe the aquaculture activities to be conducted:
FDACS-15138 09/14
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Describe the aquaculture-related structures proposed which require the use of the water column,
including docks (A detailed and dimensioned site plan is required pursuant to subsection
18-21.021(3) F.A.C.):
Describe the production techniques including the equipment proposed to be utilized in
conjunction with planting and harvesting activities (Include a description of all nursery methods
including storage):
Describe why an aquaculture letter of consent is being requested:
PRODUCT TO BE CULTIVATED:
Please check the products to be cultivated:
Clams
Oysters
Clams & Oysters
Live Rock
Other
GENERAL INFORMATION:
Do you own the riparian upland property?
Yes
No
If yes, attach a copy of warranty deed.
Do you have another form of interest in the upland property?
Yes
No
If yes, attach a copy of the rental or lease agreement and warranty deed.
FDACS-15138 09/14
Page 2 of 3
What is the zoning designation of the upland property?
Are there special conditions or restrictions?
Yes
No
If yes, please explain:
For questions regarding this form or the application process, please call the
Division of Aquaculture at (850) 617-7600
Remit this application along with attachments to:
Department of Agriculture and Consumer Services
Division of Aquaculture
600 South Calhoun Street, Suite 217
Tallahassee, FL 32399
________________________________________
____________________
Original Signature of APPLICANT
Date
________________________________________
Typed/Printed Name of APPLICANT
FDACS-15138 09/14
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