On-Bottom Molluscan Shellfish Lease Application

Price
$1.00

Please complete this application form and submit per the instructions at dmr.ms.gov/on-bottom-molluscan-shellfish-leases/. Ensure that all information provided is accurate and complete. Incomplete applications may result in delays or rejection.

 

1. Application Fee

A non-refundable application fee of $50 must be paid at the time of submission.

2. Applicant Information

Address

3. Residency Requirement

Are you a resident of the State of Mississippi?
If not a Mississippi resident, are you organized under the state laws and registered with the Secretary of State's Office?

4. Property Classification

Select the appropriate classification for the property: (select only one)

5. Proposed Lease Location

Please insert the proposed coordinates of the water bottoms being requested. Lease Latitudes/Longitudes must be in decimal degrees.
This brief caption will be associated with the table and will help screen reader better describe the content within.

6. Proposed Acreage

7. Cultch Material Description

8. Financial Stability

Are you financially stable and able to meet and perform program requirements?

9. Cultivation Details

10. Experience in Reef Development

 

I hereby declare that the information provided in this application is true and accurate to the best of my knowledge. I understand that any false statements or misrepresentations may result in the rejection of my application.

By submitting, I certify that I have read and understand all regulations of Title 22 – Mississippi Department of Marine Resources Part 1 Rules and Regulations for Molluscan Shellfish Related Activities and agree to abide by the terms as stated.

  • I understand prior to signing the lease agreement, it is my responsibility to read and comply with all terms and conditions of the lease agreement.
  • I certify that I am a resident of the State of Mississippi, or if a firm or corporation, such firm or corporation shall be organized under the laws of the State of Mississippi.
  • I understand that I will be responsible to install and maintain lease markers. All leases shall be marked by appropriate poles, stakes or buoys of such material as will not injure watercraft, at the expense of the leaseholder.
  • An application fee of $50.00 is required to be submitted with the lease application.