I Original Applicaon Received 10.06.20 STARD LEASE PLICATION: NON-DISCGE 1. PLICT CONTACT FOTION Applicant Conta Person Address City State, Zip County Telephone Email Type of Application Dates D Application Final Applic@ion l subtt befo scoping ssion session] [suitt aſter scoping session] Pre-Application Draſt Application Meeting: l ? 1 - Submicd 1 0 / ) Scoping Session: I 2 l J Note: If applicant is a cooration or a paership, e "Coorate Applict lnfmm tion Do ument" available at: http://www.maine.gov/dmr/uaculre/nns/standard.html must also be completed. 2. PROPOSED LEASE SITE FOTION Locaon of Prooosed Lease Site Town Sf CJ jJ'L, Waterbody /Oe110 {)t IS ( General Descption S ofl And� fe. . south ofB Island) Lease Ination Total acreage requested J, (I 00-acre maximum) Lease te requested (20-vear maximum) Type of cultu (check all D Boom (no gear) at apply) 2 Suspended (gear in the water and/ or on the bottom) Is any poon of the D Yes No proposed lease site above mean low wate Note: you selected yes, you need to complete the steps outlined in the section titled: "19. Landownerunicipal Permission Requirements". 1 j I'",, e Final App Received: 06.29.21 Revised Final App: 09.30.21 Deemed Complete: 10.07.21 Draft