AQUACULTURE OPERATION DESCRIPTION FORM
Name:
Company:
Mailing Address:
Telephone/fax/email:
Location of facility/operation:
Purpose: Commercial_____ Research_______ Educational_____
Other (explain)_______
Species:_______________________________________________________
______________________________________________________________
______________________________________________________________
Activity: Hatchery_________ Growout ________ Holding___________
System: Pond___________ Flow Through_______ Closed ___________
Other (explain)___________________________
Total # of:
Ponds___________ Incubator Trays___________
Tanks______________ Pens/Cages_______________
Raceways_______________ Other (explain) ____________
Feed Type and ingredients:__________________________________
(provide label if available)
Feed Source (company and location if applicable):____________________________________________________
Importation of eggs, seed, stockers/broodstock: Yes No
Source (company and location): ___________________________________
Theraputants/Drug Use: Yes No
List:_________________________________________________________
Source of Intake Water:
Approx. Volume: System Total:________gallons Recharge:________g.p.d.
Water Pretreatment (physical/chemical) describe:______________________________________________
Point of Water Discharge (location) describe:
Approx. Volume: _________________g.p.d.
Discharge Frequency: Continuous ________ g.p.m. Other (explain): _____________________________________________________
Type of Water Treatment (physical/chemical) describe:
_______________________________________________________________
_______________________________________________________________
Effluent Quality (describe nature and type of materials discharge):
Product/Crop Disposition: Live_______________Shucked_______________ Whole_____________Smoked____________
Fresh_____________ Other_______________
Fillets__________________
Product/Crop Use:
Private Stocking________ Public Stocking_______
Fee Fishing On Site______ Processor___________
Wholesaler____________ Retailer_____________ Restaurant__________
Broker/Agent__________ Bait________________
Ornamental____________ Other______________
Details of Operational Plan _______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
Return to:
- Scott J. Soares
- Aquaculture Coordinator
- Massachusetts Department of Food and Agriculture
- 251 Causeway Street, Suite 500
- Boston, MA 02114
- Contact Scott by phone at 617-626-1730, by fax at 617-626-1850, or by email at
- scott.soares@state.ma.us