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.. L.ORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION DIVISION OF MARINE RESOURCES - ARTIFICIAL FISHING REEF PROGRAM M A T E R I A L S P L A C E M E N T R E P O R T ••""• To Be Completed For Each Deployment Location or Date of Deployment"" ATTACH A PHOTOGRAPH OR VIDEO OF THE MATERIAL AS 1T APPEARED ON THE BARGE IMMEDIATELY PRIOR 'rO DEPLOYMENT • County or Municipality: Date of Placement: Grant No, OFMAS - U.S. Army Corps (if applicable) Pe, -mil . No.: Source of Funding: Amount: Name of Permitled Location Name Reef Site: for This Deployment: NOTE: ONLY LATf'D AND LONGITUDE COORDINATES TAKEN WITH A°GLOBAL POSITION 'SYSTEM (GPS) RECEIVER ARE ACCEPTABLE. f t �tO NVERSIONS FROM LORAN -C TIME DELAYS ARE UNACCEPTABLE, DIFFERENT AL t r Latitude: Longitude: GII f�$fa� ) 0 Brand of Machine: Model Number: Adual LORAN -C coordinates (if iaken on-site): Geographical Location: at degrees from �- (nautical miles) (bearing) (reference channel marker) Water Depth: feet Maximum Material Height: feet TYPE ANIS AMOUNT OF MATERIAL PLACED AT THE LOCATION [DESCRIBED ABOVE: Primary Type of Material: Number of Pieces: Secondary Type of Tertiary Type of Material - Number of Pieces: Number of Pieces: FOR GRANT -FUNDED REEFS, the following data will be recorded at the st.-�4ing area prior to and after the deployment: Barge Length;_ feet Barge Width; feet Loaded Draft: feet Unloaded Draft (l-ength X, Vwrfdth X Loaded Draft X 0.93 X 63) * 2,00D = _(Loaded barge and material weighs in tons) SUBTRACT (Length X Width .XUnloaded Draft 'X 0.93 X 63) * 2,D0D = (Unloaded barge weighl in tons) TOTAL TONNAGE THIS DEPLOYMENT: 1 DO HEREBY CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE Observer's Name - Observers Signature. Observer's Remarks: DEP - OFMAS Foffl No. 34 403 (grafi) Rev. 11/97 Title: (PLEASEPRIf I)