Okaloosa County BOCC — April 1, 2014 — reading text

State Zip Code Phone declare that I am staging and transporting the following artificial reef construction materials allowable pursuant to the U.S. Army Corps of Engineers Artificial Reef Permit referenced below and agree to comply with all permit conditions in the permit listed below and attached to this manifest. I understand this artificial reef site is open to public access and this authorization does not provide any rights or exclusive private use over those rights or uses to the general public. The address of the land based reef materials staging area is: ______________________________________ Transporting Vessel Registration Number: _____________________________________________________ Vessel Owner: _____________________________ Vessel Operator: ______________________________ The following items are to be deployed as reef material (attach additional sheets when more than four locations): MATERIAL TAG Descriptions of material ID NUMBER(S), GPS Coordinates if applicable (number of pieces, type, dimension, weight) degrees, minutes, decimal minutes (DD°MM.mmm’) Lat:_____°___.__ __ __’ Lon:____°___.__ __ __’ Lat:_____°___.__ __ __’ Lon:____°___.__ __ __’ Lat:_____°___.__ __ __’ Lon:____°___.__ __ __’ Lat:_____°___.__ __ __’ Lon:____°___.__ __ __’ A copy of the below referenced permit(s) and all associated conditions is attached to this manifest and shall be carried on board the vessel during loading, storing, or transporting artificial reef material. -- OFFICIAL USE ONLY -- (TO BE COMPLETED BY PERMIT HOLDER, OR AUTHORIZED ARTIFICIAL REEF INSPECTOR) Permit Holder: ______________________________________________________________________________ Name of U.S. Department of the Army, Corps of Engineers (ACOE) Permit Holder ACOE permit number ________________________, permitted site name _______________________________ issued on _________________________________ and has an expiration date of ________________________. Local tracking number (if applicable): __________________________________________________________ _________________________________________________________ (Name of FWC authorized Artificial Reef Inspector, printed) _________________________________________________________ ________________ (Signature) Packet (Date) Pg. 267 Revised 4/23/07  EXPLANATION SHEET FOR THE ARTIFICIAL REEF MATERIALS CARGO MANIFEST FORM The attached artificial reef cargo manifest has been developed in compliance with subsection 379.249(6)(b), Florida Statutes, which states that: “It is unlawful for any person to: store, possess or transport on or across state waters any materials reasonably suited for artificial reef construction and stored in such a manner providing ready access for use and placement as an artificial reef, unless a valid cargo manifest issued by the commission or a commission-certified inspector is onboard the transporting vessel. The manifest will serve as authorization to use a valid permitted site or land-based staging area, which will validate that the type of artificial reef construction material being transported is permissible for use at the permitted site, and will describe and quantify the artificial reef material being transported. The manifest will also include the latitude and longitude coordinates of the proposed deployment location, the valid permit number, and the copy off the permit conditions for the permitted site. The manifest must be available for inspection by any authorized law enforcement officer or commission employee.” This requirement for a cargo manifest became part of the statutory revision of the artificial reef program statute Section 379.249 Florida Statutes (F.S.), modified during the 2000 State of Florida Legislature. The statutory language allows a “commission certified inspector” to complete and approve the artificial reef materials cargo manifest. Therefore, we are providing the attached cargo manifest form to all local coastal government artificial reef coordinators and eligible non-profit corporations who may physically construct artificial reefs with the approval of the permit holders. INSTRUCTIONS A separate cargo manifest form is to be completed for each load to be transported offshore (i.e., one manifest per voyage). The manifest is to list all, and only, the reef materials onboard. The top of the form is to be filled out by the reef builder with his/her contact information and the information about the proposed reef materials to be deployed written into the boxes. If several materials are identical but have different tag numbers, please write “SAME” in the box for the other materials. Also put “SAME” under additional coordinates if all materials are going to the same deployment site. The shaded portion of the form at the bottom is to be filled out by the materials inspector. The cargo manifest must be completed by an entity representing the holder of the applicable artificial reef permit to assure that all materials meet the requirements of the permit. Completion of the artificial reef materials cargo manifest is required for all construction activities. The requirement to complete this document is not intended to be an undue burden on entities wishing to legally construct artificial reefs within permitted sites, but is a tool to assist law enforcement personnel in preventing the illegal construction of artificial reefs without the knowledge of the permit holder or in areas outside of legally permitted sites. It is intended to allow law enforcement staff to determine whether or not a load of materials is legal under the permit conditions. Without a properly completed Cargo Manifest Form on board, reef builders will be returned to port pursuant to Chapter 379.249 (6) (b). It is not necessary to send a copy of the Cargo Manifest Form to the FWC artificial reef section in Tallahassee. Documentation of the reef building activity should be maintained by the entity issuing the manifest in the event of any FWC inquiries. Reminder: the placement of all public artificial reefs in state or adjacent federal waters requires the submittal of a Materials Placement Report to the FWC artificial reef program within 30 days of public reef deployment in accordance with s. 379.249 F.S. Packet Pg. 268  FLORIDA ARTIFICIAL REEF MATERIALS PLACEMENT REPORT AND POST-DEPLOYMENT NOTIFICATION To Be Completed For Each Deployment Location or Date of Deployment County or Municipality:_____________________________________ Date of Placement:_________________________ Grant No. FWC - ________________________________ U.S. Army Corps (if applicable) Permit No.: _______________________________ Total project cost: $___________ (Funding Source(s) and Amount(s): FWC $____________ Local $ __________ Other $________) Name of Permitted Location Name Reef Site: ________________________________ for This Deployment:________________________ ° Latitude:_____ ______.___ ___ ___’ North Longitude:______ °_______.___ ___ ___’ West Degrees minutes decimal minutes Degrees minutes decimal minutes GPS Brand:__________________ GPS Model number:___________ Geographical Location: ______________ at __________degrees from ___________________________________ (nautical miles) (bearing) (reference inlet) Water Depth:________ feet (minus) Max. Material Height: ________feet (equals) Actual Vertical Clearance: ______feet TYPE AND AMOUNT OF MATERIAL DEPLOYED AT THE LOCATION DESCRIBED ABOVE: (ATTACH A PHOTOGRAPH OF THE MATERIAL ON THE BARGE IMMEDIATELY PRIOR TO DEPLOYMENT) Primary Type of Material:____________________________________________ Number of Pieces:__________ Dimensions:________________________________________________________________________________ Secondary Type of Material:_________________________________________ Number of Pieces:__________ Dimensions:________________________________________________________________________________ How was tonnage calculated?(Check all that apply, attach additional sheets if necessary): Before & after barge draft calculation Known weight of individual pieces TOTAL TONNAGE FOR THIS DEPLOYMENT: _______________________ Trucking receipts I DO HEREBY CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE Observer’s Name: _________________________________ Title: _________________________________ (PLEASE PRINT) (PLEASE PRINT) Observer’s Signature: _______________________________ Date: __________________________________ Observer’s Remarks: __________________________________________________________________________ ___________________________________________________________________________________________ I DO HEREBY CERTIFY THAT THE ABOVE INFORMATION COMPLIES WITH THE ABOVE REFERENCED PERMIT CONDITIONS Permittee’s Staff Name: _________________________________ Title: __________________________________ (PLEASE PRINT) (PLEASE PRINT) Permittee’s Staff Signature: ______________________________ Date: _________________________________ Local Tracking number ______________ FWC Tracking number _______________ Entered by _________ on _________ Rev. 4/23/2007 FWC initials date Packet Pg. 269 Packet Pg. 270