EXPERIRENTAL LHASH APPLICATION

1. API.LICANT CONTACT INFORMATION

I -AppncantFerda Farms LLC

`Gontactperson amuel Dorval

AddressPinefields Lane

'. City Brunswick

a_fate, ZipMaine, 04011

County Cumberland

' Telaphone 207-208-9707

Email erdafarms@gmail.com

Note: If applicant is a coxporation or a partnership, the ``Coxporate Applicant lrformation Document''avcrz/c7b/e cr£;. btto //www.maine. gov/dmr/aauaculture/forms/experimental.hthl #¢24sf crfuo be codye/ecz

2. PROPOSED LEASE SITE INFORMATION

Lo,6ation Ofproposed I,eas`e Site,

-- T6un Brunswick and Harpswell

Waterbody New Meadows River

Generalbescriptioni(e,g..§outhofBIsland) East of Lower Coombs Island

._. _ _.__.__`... L_eas`e`feformation __ ,_~___.~.~_.~..^~_._.._..~~_

Tofalacreagerequested__`(4:acremaxinum)_ 3.86

Typ'eofoulture(checkallthatapply)I Bottom (no gear)X Suspended (gear in the water and/or on the bottom)

I Net Pen (finfish)> Is anyportion\ofthe I Yes XNo

I?roposed leas\e siteabbyemeanlo~Wwater? Note: If you selected yes, you need to complete the steps outlined in thesection titled: " 17. Landouner"ulcipal Permission Requirements".

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3. WATER QUALITYDire c lions : Water Qndi:ty Tnflorrm:hen can be; floundhaene.. http:/y\iiww. maine.gowldmulshelif ish-sanitation-managemenwc]osures/pollution.html

.Pouution-Area (e.g. ``|94A"): 19-A

I Pollution Area Section (e.g. ¢8.2''. or "none"): None

Water Qri=ality Classification (e.g. approved,` restricted, etc.); Open and Approved

Note: If you are proposing to grow molluscan shellfish in waters classified as anything other thanopen/approved, you will need to contact the Bineau Of public Health to discuss you plans at the followingemail:DMRPublicHealthDiv@mai+aine.sov

4. GENERAL LEASE INFORMATION

A. Please cQmDlete the table below and add additional rows as needed.•` Name of`species tQ be c`ultivated

Name and address- of trfe soti ce of seed'(intltidebothcommonand,scientifiQ _stock, jtiv\en`iles, smolts, ,etc., to be cultivated:names):

1. American Oyster, Crassostrea virginica Mook Sea Farms lnc., 321 state rt.129 Walpole, ME

Muscongus Bay Aquaculture lnc., PO Box 204,

Bremen, ME

2. Hard Shell Clam/ Qualiog, Mercenaria Muscongus Bay Aquaculture lnc., PO Box 204,mercenaria Bremen, ME

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A/#A/¢8. Do you intendto pbss`ess, transport,` or 'sell wholeJorroe-on scallops? I ¥e§ X No

If you answered "yes" please contact the Bureau of public Health to discuss you plans at thefollowing emall: DMRPublicHealthDiv@malne. gov

Note: If you are proposing to grow molluscan shellfish, this application also serves as youriwhtten operational plan as required in the National Shellfish Sanitation Program (NSSP) ModelOrdinance Chapter 2, and must be maintained in your ffles. If you wish to submit an operationalplan separate from this application, please contact: I)hffipublicHealthDiv@maine. rev

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5. VlcFTy nAINote: You may embed the maps within the document, or attach the maps to the end of yourapplication. If you attach the maps, please label them according to the instructions providedbelow. If you attach the map, please label it: `Vicinity Map'.

Directions: Using a NOAA Chart or USGS topographic map, show the area within a minimum ofone-half mile of the proposed lease site.

The map needs to display the following:

• The waters, shore lands, and lines of mean high and mean low water withinthe generalarea of the lease

• An arrow indicating true north• Ascalebar• The approximate lease boundaries

6. BoUNDARV DRAwrzNGNote: If you attach a drawing, please label it CBoundary Drawing'.

Directions: Depict the boundaries of the proposed lease site. Provide a drawing with all comers,directions, and distances lal)eled. Provide coordinates for each comer as follows:

• Coordinate DescrindonProvide geographic coordinates for each comer of the lease site in latitude and longitudeas accurately as possible (e.g., to the nearest second or fraction of a second). Identify thedatum from the map, chart, or GPS unit used to develop these coordinates. The datumwill be shown on the map or chart you are using. The Coordinate Description may beprovided separately from the Boundary Drawing.

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7. RESFARCH pROGRAn4 ANI) opERATloNSD!+ec#ojis.. If you are cultivating more than one species, you will need to provide informationfor fag± species. Please attach a separate page if needed.

A. Type of study (check one): I Scientific Research X Commercial ResearchPlease note:a) Scientific research is not kept corfidential.b) Experinental leases f;or corrmercial research are not renewable. Ilesults Of commercialresearch are kept corrf iideutial.

8. What is the puxpose of the study? If scientific, please include a detailed study design.

The purpose of the study is to compare growth rates of American Oysters in the NewMeadows River, as well as Quahogs, to results from the Damariscot[a River. No official studieshave shown comparisons of either body of water, although it is commonly lmown the Damariscottais the best. The proposed experimental lease is also designed to be compared against other LPAlocations we have chosen through growth simulation software Shell GIS. Furthermore,experimenting with different grow out techniques, such as a flip-bag system, will be studied on theproposed lease. Generally, OysterGro cages are preferred due to better stocking density and easierdefouling. We would like to implement our flipbag system into our farm to decrease labor andcompare efficiency.

C. Describe the general culture process for each species proposed.

Oyster and quahog seed will be placed in .5mm spat bags on the lease longlines. Once oysterseed is of size, approx. 8mm, it will have the densities split for optimal growl, and be put into cagebags or flip bags on the longline. Once quahog seed is approximately 8mm in size it will be put intomesh bags and sunk into the bottom sediment.

The oysters will stay in cage bags and flip-bags throughout the growout process. Mesh sizeand densities will be changed during this process. Qunhogs will stay in the bottom sediment untilthey are of size to harvest. This lease site will be used to harvest market product to eventually besold.

D. What months will the proposed activities (i.e. seeding, tending, and harvesting) occur?

Seeding will talce place in either June or July, while tending and harvesting will occur from Marchuntil December. From, January to February all gear will either be re.moved or sunk.

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E. How often will you be at the site during seeding and harvesting periods?

Throughout spring, summer, and fall, we will be on the proposed lease site daily to put outseed, tend to the longlines and equipment, harvest and de-foul gear. The on-site activity will cometo a halt after transition from floating to sunk gear in the winter.

F. How frequently will you visit/tend the site for routine maintenance (i.e. flipping cages, etc.)?

We will be on our site every day for routine maintenance and checkups. We see it to be veryimportant to keep track of all equipment and to ensure it is safe in all aspects.

G. Describe the harvesting techniques you will use. If you plan on using a drag, pleaseprovide the dimeusious ,

To harvest product from cages, we will bring a boat alongside them and flip thecages into de-fouling position. Bags will be slid out and put into the boat. Bags ofquahogs of market size will be harvested by pulling up the bags from the bottomsediment. Product will then be culled and washed off on the float to ensure qualityproduct before sale.

H. Describe any overwintering or "off season" plans for the site. For example, will youremove gear from the site and/or deploy gear in different areas within the proposed site?Please include where gear or product will be located if moved fi.om the site.

We plan to remove some gear from the site for the winter. All floating cages will besunk with the oysters in them and left on the bottom sediment until Spring, and bottom cageswill be added to hold exfro oyster bags. Gear removed fi.om the site will be stored at 9Pinefields,Lane or another storage shed in Brunswick. Some mal.ket shellfish from the site willbe transported to an LPA for winter access where there is no ice. This LPA has not yet beenapplied for. However, if the LPA is not granted, all shellfish will remain on the proposedexperimental lease, sunk in cages fo`r winter.

I. What type of machinery (e.g. generator, drag, grading equipment, etc.) will you be using onthe site? When and how often will the machinery be used?

Our oyster tumbler consists of a wash down pump, motor, and submerged bilge pump.These are powered by solar panels, connected to a battery pack. The machinery will be usedwhen the oysters are tumbled or culled, around 5 days out of the week. This device is detailedin the raft gear drawing. Our Carolina skiff engine will also make noise, but it is a quiet 4-stroke Yamaha engine.

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J. What is the maxinum amount of gear that will be deployed on the site (i.e. 200 cages, 100lantern nets, etc.)?

The maximum gear capacity for the proposed lease will consist of 800 cages, eachholding 6 bags, for a maximum of 4,800 bags. There will also be a maximum of 4,800 flip-bags.At any time the number of bags in Oyster Gro cages and flip bags will total a maxinuln of4,800. In other words, there may be all ffip-bags used on the lease, all Oyster Gro cages, or amixture of the two gear types.

There will be a maxinum of an additional 4,800 mesh bags used for quahogs.

K.What is the maximum number (or biomass) of organisms you anticipate being on the site?

The maxinum number of oysters is 1,440,000, and the maxinum nuniber of quahogs is also1,440,000.

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8. EXISTING USESDz.recto.ous.. Describe the existing uses of the proposed area. Please include the amount ofactivity, the time of year the activity occurs, frequency, and proximity to the lease site.

A. bescri`be the exi'stingusesLofthe proposed area in questions A.1 ilirough A.5 below.Please include the a) type b) time of year the ,actr`vfty Qcctlrs Lc`) frequency, and d)

f Proxirfu_tyto thglease site.

`' 1, corimdeial'Firfug

Lobstering occurs frequently on the New Meadows River in the summer months. However, no

lobstering goes on in close proximity to the site.

2. R`ecreafio-nalFishing ~

Recreational fishing for striped bass is seen all around the New Meadows River frequently throughout

he summer. However, no recreational fishing has been seen in close proximity to the proposed lease.

3, Boarfug Aedvities (please a-1so include the distance to` any navigable chamel(s) from-I 7`your proposed site at low'water)./

he navigable channel is used frequently in the New Meadows during the summer months by

recreational boaters. The edge of the channel, marked by the green Coast Guard buoy at the North of

he Vicinity Map is 1100' from our closest boundary of the proposed lease. There are a few moorings to

he south of our lease site as well, but they are too far away to be impacted by the lease.

4.RIparianthgres§tsgr\es's

he only riparian use is to and from a dock which is located at the southern end of our lease. on the

south end on Lower Coombs Island. The dock is frequented throughout the summer but the proposed

lease will be well out of their way.

5`. Other uses Orayaldng, swimming, \eto.)

Kayaking tours are popular during the summer months, which include our current LPAs as one of the

tops. The kayakers are very friendly, and we encourage them to paddle up to our gear to take a look.

he channels in-between the long lines give kayakers ample space to maneuver.

8. Are there private docks, moorings, or other access points within 1,000 feet of theproposed lease? If yes, please include approximate distance from proposed lease.

Yes, there are moorings and a riparian dock close to the proposed lease.The dock is 403 ' away from the proposed lease, and there are two moorings of279' and 173'.

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C. Are there public beaches, parks, or docking facilities within 1,000 feet of the proposedlease site. If yes, please describe and include approxinate distances from proposed lease.

No, there are not any beaches or public boat ramps close to the proposed lease area.

9. CURRENT OPERATIONSDl+ccJz.o#s.. If a question does not putain to your proposed operations, please write "not applicable"or "N/A.',

A. Describe your existing aquaculture operations.

Our current aqunculture operations cunently exist of 8 LPAs with floating bags and cages.We have a total of 72 cages with 6 bags per, totaling 432 bags. Along with the cages, wealso have a total of 100 floating bags with pontoons as well. Within the 8 LPAs, wecurrently have a total of 250,000 oysters, a mixture of seed and market, and 10,000 quahogseed.

8. What are your plaus for any existing leases and/or Limited Purposed Aquaculture (LPA)licenses if the lease is granted? Will any existing leases and/or Limited PurposeAquaculture qpA) licenses be relinquished if the lease is granted? If so, please indicatewhich ones.

Existing LPAs in the area of the proposed lease site will be relinquishedQ4BUR118,MBUR218, MBUR318, MBUR418). LPAs that are not within the area ofthe proposed lease will continue to be held as nursey sites for oysters and quahogs, aswell as areas for an experimental flip-bag system to increase floating bag efficiency.These LPA's are CBUR119, CBUR219, and CBUR319.

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10. HXCI,USIVE USE

If your lease is granted, what activities would you request be excluded from occuring withinthe boundaries of the lease site? in your answer please address applicable commercial andrecreational fishing, boating activities, and other activities you listed in the `Existing Uses'section of this application.

We ask that commercial dragging for any bottom s|)ecies be excluded from the leasesite. We do not see this being a problem since there are no bottom species. Furthemore, wealso ask that commercial fishing and lobstering be linited to the charmels between our cagelonglines and not in-between cages or gear. Recreational diving should be excluded as well,due to liability issues if the diver gets hurt. Other recreational activities such as kayaking,canoeing, and paddle-boarding will all be allowed.

1 1. ENvmoNRENTAL cHARACTERlzATloNDz+cc#.oj!s: Using your knowledge of the area, describe the environment of the proposed leasesite. Be sure to include units of measurement in your answers (i.e. feet, cm/s).

A. What are the approximate depths at mean low water?

The approximate depth at mean low water is 7 feet on the West half, and 16 feet on the Easthalf.

8. What are the approximate depths at mean high water?

The approximate depth at mean high water is 19 feet on the West half, and 28 feet on the Easthalf.

C. Provide the approximate current speed and direction during the ebb and flow.

The approximate current speed is 2 feet per second south to north during ebb, and 2 feet persecond north to south during flow.

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rB\.Thefandwingques'tions@.`1,thr`oughD:-9maybEanswieredinwhtingorby`§.ubmittinga

video=Ifyouplanto§ubinitavideo,pleasecontacttheDepartmentpriortovideocolleQtion.

1. What are the b`cifeom charasterfstics (mud,` sand, gravel, rock2 ledger or sons mix, e.tc.)?

The bottom characteristics of the proposed lease site is 6 inches of soft sediment.

2'. ` Describe the bottom topography `(flat, steep Tough, eto.);

he bottom topography is a gradual upward slope towards the sandbar that separates the two halves of

he proposed lease site.

3-. Describe marine organisms by species or common names. Based 6n your -personal'observations or other sources ofinfomation,` as these species abundant, common7 or

Iare?Based on test dives, we have found no significant abundance of marine species. Occasionally, hermit

crabs and snails can be seen beneath the site.

4. ,`Are there, shellfishbeds or fish migration routes inthe surouliding area? If so, pleasedescribe.

here are softshell clam beds south of the proposed site at Indian Rest. There are no noted fish

migration routes.

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`. `, '5, Describeihe presence and extent of subrierg+ed aquatic vegefation7 i.e, eelgrass: within ^`

fropropos,edleasearea.Pleas5includethedate`9fthisob_servationalongwiththe'metho`dof chservation. If submerged aquaticvegetation is o'bserved, please also describe the .7abundan-c'ebelowandsketcbthelimits`Oftheb.edsinthevieinitymap.

here have been no sightings of aquatic vegetation in the proposed lease site or in the surrounding

rea. Our last test dive was in August, 2019.

6. Describe they geheral §horeline and upland characteristics,`(rbcky-sholel'in_e\, fQrested, `Iesid.ential3 et.a. )

he general shoreline is rocky and forested. There is one summer time residence on Lower Coombs

Island that is only inhabited with periodic use through the months of June-September

E. Is your proposed lease located within a Malne Department of Inland Fisheries andWildlife designated Essential Habitat?

I Yes X No

Nofe.. The location ofEssential Habitats in the State of Maine, along with infomation on howprojects within these areas are reviewed, can be found here: s://www.maine. ov/ifiv/fish-wildlife/wildlife/endangered-threatened-soecies/essendal-wildlife-habitat/index.html

If a project is located witJin an Essendal Habitat, apphoan:ts are s;itongry enco"aiged to coataictthe h®ITW Environmental Review Coordinator (John.Perrvfuaine. gov. phone: 207-2 87-5254)prior to application submission.

F. Will your operations discharge anything into the water such as feed (pellets, kelp, etc.) orchemical additives (therapeutants, chemical treatments, etc. )?

I Yes X No

IVofe.. If you answered yes, you must submit a video of the bottom using a method prescribed bythe Department. The video must be filmed between April 1 and November 15. If a dischargeis proposed you will also need to obtain a Maine Department of Environmental Protection (DEP)discharge permit. For information on this permit please contact DEP's Wastowater Licensing

11|Page Rev 8/14/19 ©

Program (Gregg.wood@maine.sov` 207-287-7693). Further sampling may be required by DMR,or DEP, depending on the characteristics of the site or the proposed activities.

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12. sTRucTUREs /zrc!fp/i-caz7/e/If your operations require the use of cages, nets, I.opes, trays, or any object (structure) other thanthe organism to be grown directly on the bottom or buoys to markthe comers of the lease site,you must submit an Overhead View and Cross-Section View of your gear plans. It is importantto note that, unlike Limited Purpose Aquaculture qpA) Licenses, experimental and standardleases require that all gear, including moorings, must be located within the proposed leaseboundaries.

Note: You may embed the gear plans, or attach them to the end of your application. If you attachthe plans, please label them according to the instructions provided below.

A) Overhead View tolease label this "Overhead View"):I)I+ecf±.our.. All dimensions need to labeled with the appropriate units (i.e. loft, loin)

• Show maxinum layout of gear including moorings.• Show dimensions of entire gear layout• Show approximate spacing between gear.• Show lease boundaries and the location of proposed markers on all drawings.

8) Cross-Section View ®1ease label this "Cross Section View"):D!.rccfl.our.. The cross-section view must show the following:

• Theseabottom• Profile of gear incross-section as it will be deployed• Label gear with dimensions and materials• Show mooring gear with mooring type, scope, hardware, and line type and size• Water depth at mean high and mean lowwater

JVofe.. Please include an additional Cross Section View, depicting the elements listed above, ifthere will be seasonal changes to gear layout (i.e. over wintering).

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C) Gear Description

Dz.rec&.o#s.. List each individual gear tvi]e that vou will use in the table below.

S-peciffic\ Gea`r Type re.g. DinensfonsTine of year gea`r win be\deployed`(e.g.Spring,Winter:ieta.)

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Oyster Gro Cage 20"x36''x60" II year

Mesh Bag 18.5"x36"x3" ll year

Bag Pontoon 32"x3.25" Spring, Summer, Fall

Float ee Gear Drawing 1 Spring, Summer, Fall

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AV / fr AV / fr A/A/

D) Gear Drawing tolease label this "Gear Drawing").D!+ecf!.our.. hclude a drawing of an individual piece of gear for each of the gear type(s) you planto use. The drawing(s) needs to depict the length, width, and height of each gear type withappropriate units referenced (i.e. loin, loft, etc.).

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13. n4A-GWill you be able to mark your site in accordance with DMR regulations, Chapter 2.80?

X Yes I No

If you answered no, explain why and suggest alternate markings.

jvofe.. If a lease is granted, you will also be required to mark the site in accordance withappropriate US Coast Guard Regulations. If you have questions about US Coast Guardregulations contact: 1St Coast Guard District, Aids to Navigation Office.

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14. RIPARIAN LAND0lh/NERS AND SITE ACCESS

A. If your lease is within 1,000ft of shorefront land (wliich extends to mean low water or 1,650ft. from shore, whichever is less), the following supporting documents are required:

1. A !ab§±g4 copy of a tax map(s) depicting the location of the proposed lease site andincluding the following elements :• Label the map `Tax Map: Town of(nane of town)."• Legfole scale• Tax lot numbers clearly displayed• The boundaries of the proposedlease

2. Please use the RiDarian Landowner List (included on the next page) to list the name andaddress Of every shorefront landowner within 1,000ft of the proposed lease site. Have thetax collector or clerk of the municipality certifythe list.

3If any portion of the site is intertidal you need to complete the steps outlined in "17.Landowner/Mmicipal Permission Requirements".

I. Will your access to the lease area be across riparian land?

EYes XNo.

Note: If you selected yes, you will need to complete the landowner pemission requirementsincluded in " 17` Landowner/Municipal Permission Requirements" of this application.

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RIPARIAN OWNERS LIST -

THIS LIST MUST BE CER[TIF_IED_BY THE TOWN CLERK

On this list, please include the map nuniber, lot number, and the current owners' names and mailing addresses forall shorefront parcels within I,000 feet of the lease site. It is the applicant's responsibility to assemble theinformalon for the Town Clerk to certify. The Town Clerk 2z2S± certifies that the infomation is correct accordingto the Town's records. Once you have completed the fomL aslk the Town Clerk to comolete the certificationsection below. If riparian paroels are located within more than one inunicipality, provide a separate, tax map andcertified riparian list for each municipality.

TTOVI/N OF: Brunswick

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Richard D Knedler, PO Box 15432, Portland, ME 041 I 2

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On this list, please include the map nuinber, lot number, and the current owners' names and mailing addresses forall shorefront parcels withn I,000 feet of the lease site. It is the applicant's responsibility to assemble theinfoimation for the Town Clerk to certify. The Town Cleric gz2Si certifies that the information is correct accordingto the Town's records. Once you have completed the fomL ask the Town Clerk to comolete the certificationsection below. If riparian parcels are located within more than one municipality, provide a separate, tax map andcertified riparian list for each municipality.

Toll/N OF: HarDswell

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15. ESCROW ACCOUNT 0R PERFORMANCE B0NI)

Check the category that describes your operation:

CIleck Lease Category Amount of Required nscrowHere or Performance Bond

No geal./structure, no discharge None

No gear/structure, discharge $500.00

S 400 square feet of gear/structure, no$1,500.00discharge

>400 squai.e feet of gear/structure, no$5,000.00*discharge

Gear/Structure, discharge $25,000.00

*DMR may increase the bond/escrow requirements for leases with more than 2,000 feet of stmcture.

I> trrz#'ed77C'me a/CZPP/Zccr"I) s c`Mv4, 8 Dorvc\, have read DMRAquaculture

Regulations 2.64(10) (D) and if this proposed lease is granted by Dhfl I will either open anescrow account or obtain a Derformance bond. depending on the category of lease.

±<+J 3----/ co -c]ujyur'Applicant SignatureNote: Add title if signing on behalf Of a corporate applicant.

3-21 -2DDate

ADDITIONAL APPLICANTS: Each applicant must sign this section indicating that they willopen an escrow account or obtain a performance bond. Use the space below for additionalpersons listed on the application. You may attach additional pages, if necessary.

I, ¢7';.j7/ec7 7zcz#7e o/czj?p/z.ccz;?/) _ .` have read DMR AquacultureSctNv¢l 8 Dorunl

Regulations 2.64(10)(D) and if this proposed lease is granted by DMR I will either open anescrow account or obtain a erformance bond depending on the category of lease.

Co -C) l~yurApplicant SignatureNote: Add title if signing on behalf. Of a corporate applicant.

18 I P a g e

1-21 -? aDate

Rev 8/]4/19 @

16. APPLICANT SIGNATURE PAGE

I hereby state that the infomation included in this application is true and correct. I have also readand understand the requirements of the Departhent's rules governing aquaculture and theapplication instructions pertalning to the experimental lease pro cess.

Printedname: Sc\t^i/i}| a 0orvc`(

rFi:fL:a (if corporate applicant)..

Signature:

C,o-ou.nor

Date: Z-L\-2.o

18 U.S.C. Section 1001 provides that: Whoever, in any manner within the jurisdiction of anydepartment or agency of the Uhited States knowingly and willfully falsifies, conceals, or coversup any trick, scheme, or disguises a material fact or makes any false, fictitious or fi.audulentstatements or representations or makes or uses any false whting or document knowing sane tocontain any false, fictitious or fi-audulent statements or entry, shall be fined not more than$10,000 or inprisoned not more than five years or both.

Note:• AIl applicants must sign and date this page. Please use the space below, if additional

signatures are required.• Corporate applicants, please be sure to include the title (i.e. President, Treasurer, etc.) of

the individual(s) signing on the company's behalf.

19 I P a 8 e Rev 8/14/19

17. LANDOWNER/MUNCIPAL PERMSSI0N REQUIRERENTS (7/c7jap/;.cczb/e)

PART I: The use of private property to access your site.

Pursuant to 2.64(C)(6) if you are using private property to access the proposed lease site, youneed to submit written permission from the property owner with your application. It is yourresponsibility to obtain whtten permission. Please note that the Department does not provideforms for landowner or municipal permission. If any portion of your site is also intertidal youwill need to complete the steps outlined in Part 1[, below.

PART H: If any portion of the site is intertidal you need to complete the following steps:

Step I: Obtain written permission from all intertidal landowners.Pursuant to 2. 64(C)(6) the Department requires 14;7.j#e7c pemc is,sz.o77 o/eve7); oi4;7zer. Qraterdcke/land in, on, or over which the experimental activity will occur. It is yoNI IespousTbELty to obtainiwhtten permission and include it with your application materials. Please note that theDepartment does not provide forms for landowner permission.

Step 11: Determine if the municipality where your site is located has a shellfish conservationProgram.

Pus;:ira:rut to 12 MR:SA §cO]2(5) In any municipality with a shellf iish conservation program undersection 667 1, the Ccrmmissioner may not lease areas in the intertidal zone witlin themunicipality without the consent Of the rmlnicipal offiicers.

If the municipality where the proposed lease site is located has a shellfish conservation program,it is your responsibility to obtain consent for the proposed lease site from the municipal officers(i.e. the selectmen or councilors of the toun> or the mayor and aldermen or councilors of a city.)Consent means a majority vote of the municipal officers as recorded in a priblic meeting.

It is your responsibility to contact the municipality and determine if they have a shellfishconservation program. Best practices would include discussing your plans with shellfishcomrmrfuee "emtoers.but only the consent o_f.municipal offiicers is req_uired.

1. Does the municipality, where the proposed site is located, have a shellfish conservation

program? E¥es I No

If you answered yes, please attach documentation from a put)1ic meeting demonstrating that amajority of municipal officers have consented to your proposal.

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MAINE DEPARTMENT OF MARINE RESOURCESAquaculture Division, 21 State Hcluse Station, Augusta, ME 04333-0021 (207) 624-6567

cORpORATE AppLlcANT FORn4For Standard and Experimental Aquaculture Lease Applications

Corporations or partnerships that apply for aquaculture leases in the State of Maine mustcomplete this fom. Corporations must submit information as requested under A CoroorateApplicantt. Partnerships must submit infonnation as requested under 8. Partnership ADDlicant.

A. Corporate ApplicantNote: You must attach a copy of the Articles of Incorporation (Inc.) or Certificate ofFormationquLC) to your application.

1. Name of Corporation: Ferda Farms LLC

2. Date of incorporation: July lst, 2018 State of incorporation: Maine

3. List the names, addresses, and titles of all officers:Name Address TitleSamuel Dorval 28 Lamb Farm Road, Brunswick, hffl Co-Ouner, CMO

Maxwell Burtis 9 Pinefields Lane, Brunswick, hffi Co-Ouner, CTO

Chn stopher Burtis 9 Pine fields Lane, Brunswick, hAI Co-Owner, D irectorofoperations

A/4 A/# zjzj#Please use additional sheets if necessarv and attacli to the ai)Dlication.

4. List the names and addresses of all directors/members:Name AddressSamuel Dorval 28 Lamb Farm Road, Brunswick, hAI

Maxwell Burtis 9 Pinefields Lane, Bruuswick, ME

Chri stopher Burti s 9 Pinefields Lane, Brunswick, hffi

„/A „/4Pleasa 'use additional sheets if necessarv and attach to the ant)Iication.

Upchted1/31/2019

5. Has the coxporation, or any stockholder, director, or officer applied for an aquaculture lease

forMaine lands inthe past? H¥es BE No

If you selected "yes," please indicate who applied for the lease and the status of theapplication or lease.

6. List the names and addresses of all stockholders who own or control at least 50/o of theoutstanding stock and the percentage of outstanding stock cunently owned or controlled by eachstockholder.

Name Address I'ercentage ofOwnedStock

Chris Burtis 9 Pinefields Lane, Brunswick, hffi 40

rm Burtis 9 Pinefields Lane, Brunswick, hffi 30

Sam Dorval 28 Lanib Fami Road, Brunswick, hffl 30

•N /fr „/A A/iPlease use additional sheets if necessarv dnd attach to the al}nlication.

7. List the names and addresses of stockholders, directors, or officers owning an interest, eitherdirectly or beneficially, in any other Maine aquaculture leases, as well as the quantity of acreagefrom existing aquaculture leases attributed to each such person. If none, write, "None."

Name Address LeaseAcronym Acreage

^j /,.`'-``\. ;\ '! I--.-.-.::

/U V /IJ iJ,:J,Please use additional sheets if necessarv and attach to the aDI)Iication.

8. Has the corporation or any officer, director, member, or shareholder listed in item 5 aboveever been arrested, indicted, convicted of, or adjudicated to be responsible for any violation ofany marine resources or environmental protection law, whether state or federal?

E¥es BZI NoIf you selected `tyes", please provide details.

2Updated I/3 lreo19 ®

8. Partnership ApplicantNote: You must attach a copy of either the Certificate of Limited Partnership or dooumeutationof the formation of a General Partnership to your application.

1. Name of partnership:

2. Date offormation:

3. List the names,

unardrdrre#fy#farndow-sdi:=IVstsof partnership:

of all partners:

Name Address OwnershipShares

////V//\

/ /Please use additional sheets if necessarv and attach to the aui}Iication.

4. Has the partnership, or any partner applied for an`aquaculture lease for Maine lands in the

prty? E¥es FTNo

If you selected ftyes," please indicate who applied for the lease and the status of theapplication or lease.

5. List the names and addresse

•-:---.`'--.-`

partner owning an interest, either directly or beneflcially,in any other Maine aquaculture leases, as well as the quantity of acreage from existingaqunculture leases attributed to each such person.

Name Address Lease Acronym Acreage

/A

A /- / I// /"- /Please use add.itional sheets if necessarv and attach to the auDlication.

Urfuted I/3 I/2oi 9 ©

6. Has the partnership or any partner been arrested, indicted or convicted of or adjudicated to beresponsible for any violation or marine resources or environmental protection law, whether Stateor Federal?

if#u::selected `tyes", please provide details.

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Yes

Updatedl/3l/2019 ®

n-Ijnmue IIABrm¥ ConmANy

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Pusuantto31MRSA§1531,theundesignedexeoutesanddeliversthefol(owhgCerfficateOfFomalion:

REST: ` Thenrme ofthe limited I;abilitycompanyis:

Ferda Farms LLC

SECORE:

I-='

FOURm=

(A ]inited lichilfty ompany ILaBe Bill]sl conhin fro words alinited ldeiLity coxpapr or "»mifed csopaqp' ar the chhe`n.B8-oD"`C,"`ng""LG"orlcpor,inthocaseofalowiiroEitlimitedlichiftycoapBqy,13CporaBct-sce3lrmsA1508.)

FflingDate:(selee[one}

EDate ofthis ELg; orhatereffectivedate(ireoffiedhere):

DestgndotLasalowprofitl,I.C(Checkodyifappli6alle}:

• This is a low-profit linited Habflity company pusiiant to 3l MRSA §161l meeting all qualificrfuon§ set

forthhBre:

A The company intends to q]ialff}r as a Iou-proft linifed lichilfty congEny;

8. The company must at all tines signfficantly rfurther the acconriishneut Of one or more of thecharita"eoleducationalptxposes`hfflinthemeaningOfSection170(e)G2}Q})OfthehiemalRca/enueCute Of 1986, as it may be amended. mtised or 3uc€eede4 and zmist list the apecifro chadtchle oreducalonalpixpusesthecompBnyiullfirfuer,

C. No significant purpose of the corxpany is the production of income or the apprecindon Of prqperty.The fact that 8 person prdrces stgnificanE izicQme ot capital apprec-ndon is not iD the alsenae ofother factors, conchasive evidence of a sigrifioant pixpose irvolwhg the pnduetion of income or theappreo!dionofproperty;and

D. No purpose of the cqupany !s to accomplish one or inore po)itical or legislative purpose within themeaningofsectionl70(oX2)®)Ofthc:htamalRevrmiecodeofl986.oritssucccssor.

DesigBatimasap{ofes3lonall,LC(Checkulyifqmifeable):

ThisisaproREond]hitedlichilifycoxpany*fomedpusuaDtto13MRSAChapter22-Atoprcwidethe fouowing pmfesriozlal services:

aypeafpafcssiarden.es}

FomNo.mcL6(lof2)

ERE=

SERE:

•,TheREgistndAgeutisa*(Select.eaneraoammerfu-al6r.No.a-6oinedalR:grierdAE6Bt)

• H CormeroialReSstendAgent CRAPutHONlrder:

QJaneofcommerc.rdHSstezedagrni)

Noncomnese-ul.RegistezedA9iezit.

®TaneofhoncommenoialreEsleredngeof)•.- 9 Pinefield§ Ln

rrfetp.O.Bo-xJ`deieet-¢fty;sfr€;-ffid.ZiE;.cdii): Brunswick, ME 04011

(inaflingiddess€fdifaeBffiinedove).

Pugra!is to 5 MRSA. §1052, the Beristened agent listed chove has coz]serfed to serve as the tegistaed agedforthii;iinifediickiilfty.coripapy."

-....SEVERE: .Otherfna#ers 8iezneinbeis detemineto inclndcale sckforfhinfroathchedEwhibit_andmade a pathereof.

±mbe_-(sigz!-atifeofinthorizedFgiv}

`riatedJun.e.28,2018

christopher B-.tirti;•q3p6t-orfr.nt.nhieof.dinho'"petsoxp

Maffie.ld`Frie.dma.nire.orprfu(qarnEorutfroTidzfas6n)

:E£!#:fdi¥#ai#|cesiv|#iE¥|::!sH£!|!!E|!|£3;#?§:i:!|£5:;;3.acoourfutsatoneys,chfropractus,denfids,regivntusesand

"ptrisiiantto3iMRSA:§1676.1.A,-cgrfeficife'ofF-omaininsTbesigreddyatlenstoneauthorfe.dpgrfen.

Thecked`itiaii6fuscin.cats-drtrtsrioathor.in.ti6nun.derutpenrfeesdffiifesiirearingimderl7-A`MRSA§453.'

•T(easedsyrmpayneafrmdepaychletotheMiriBsecrefaryofstafe.

Submit ¢onip]eted fomto: Sdretny ofs.fateDivision bfcoriidrrious, ricc ind cO.in-ri=9±Ous . ..i.O]StateHousesfatjonAijgrgfa, xp 04333coiolTtlaphonB nqiiiries: @07)` 624J7752

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Enrfu lriSriries: CEC.Coq]orafiou@Rthe.g6v

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