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Application
for Cultivation of Atlantic Salmon
Company Name:
Manager or Contact
Person:
Address:
City:
State
Zip
Business Phone:
FAX
email:
GPS Coordinates (If
Known)
Total Capacity of Facility:
Fish Health
Inspector/Veterinarian:
Fish Lot# Fish Strain Egg Source Transfer Permit Fish Quantity
I understand that
all shipments of fish transported from the facility must be tagged with my name,
the companies name and address and date. (initial)
I understand that
all shipments of fish transported from the facility must be accompanied by a
copy of a current approved transfer permit for the lot being transferred: (initial)
I understand that no live fish or gametes may be
imported into the State of Maine without written
permission of the Commissioners of DMR . (initial)
I understand that the facility licensee must keep invoices for all shipments of fish sold or purchased and must make them available for inspection by the Commissioner or his authorized agent: (initial) Signed
Date:
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Department of Marine Resources