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pdfRevised 07/08/09
OMB Control No. 0648-0460
Expiration Date: 1/31/2010
SUBSISTENCE HALIBUT
REGISTRATION CERTIFICATE (SHARC)
APPLICATION FOR A RURAL RESIDENT
U.S. Dept of Commerce/NOAA
National Marine Fisheries Service
Restricted Access Management
P.O. Box 21668
Juneau, Alaska 99802-1668
Block A - Type of Subsistence Halibut Registration
Are you applying for a new SHARC or a renewal of an existing SHARC?
[
] New
[
] Renewal
If a renewal, enter current SHARC number: _________________
Only persons who are rural residents as defined in 50 CFR 300.65 may be issued a rural SHARC.
A Rural Resident means, for purposes of the subsistence fishery for Pacific halibut in waters in and off
Alaska, an individual domiciled in a rural community, as listed in 50 CFR Part 300.65(g)(1), OR a rural
area as described at 50 CFR Part 300.65(g)(3), who has maintained a domicile in listed rural communities
or described rural areas for 12 consecutive months immediately preceding the time when the assertion of
residence is made and who is not claiming residency in another state, territory, or country. A rural
SHARC may not be issued to anyone who has not maintained a domicile within the municipal or
census boundaries for an eligible rural community or within a described rural area, or has not
maintained a domicile within those boundaries or rural areas for 12 consecutive months.
Please select one option from the following list to indicate the basis for your eligibility to harvest subsistence
halibut. In Block B you must provide the name of the rural community and/or a description of the physical
location of your domicile that coincides with the box you check below:
[ ] An individual domiciled in a rural community, as listed in 50 CFR Part 300.65(g)(1).
[ ] An individual domiciled in Southeast Alaska east of 141° W long., except for the land areas of the
Ketchikan Gateway Borough on May 18, 2008, the land areas of the City and Borough of Juneau,
and the Ketchikan and Juneau non-subsistence marine waters areas (see Figures 2 and 3 to
subpart E of 50 CFR Part 300).
[ ]
An individual domiciled on the Alaska Peninsula, Aleutian Islands, or Kodiak Island Archipelago,
or in the area south of the northern boundary of the Bristol Bay Borough and south of 58°39.2’ N lat.
(see Figures 5, 6, and 7 to subpart E of 50 CFR Part 300).
[ ]
An individual domiciled on Nelson, Nunivak, or Saint Lawrence Islands (see Figure 6 to subpart E
of 50 CFR Part 300).
[ ] An individual domiciled in any other area of Alaska within 10 statute miles of mean high water on the
Bering Sea and Pacific Ocean coasts, south of Cape Espenberg, including along the Kuskokwim River to
Bethel, and that is not specified as a non-rural land or water area as defined in 50 CFR Part 300.65(g)(4)
(see Figures 4, 5, 6, and 7 to subpart E of 50 CFR Part 300).
Applicants must complete Blocks B & C, and sign and date Block D on page 2.
Incomplete applications will result in delayed processing.
Unsigned applications will not be processed.
Subsistence Halibut Registration Application
Page 1 of 5
Block B - Alaska Rural Subsistence Registrant Information
1. Name of Fisherman (First, Middle, Last)
2. Birth Date
(mm/dd/yyyy)
3. Daytime Telephone Number
4. Mailing Address (P.O. Box, Street, City, State, Zip Code). If you have no street address, please include a
description of the physical location of your domicile.
5. Rural Community or Rural Area of Residence
6. Dates of residence in this community or
area
___/___/_____ to ___/___/______
Block C – Verifier Information
1. Name of an Adult Verifier (First, Middle, Last)
2. Verifier’s Daytime Telephone Number
3. Verifier’s Mailing Address (P.O. Box, Street, City, State, Zip Code).
Block D – Certification Of Eligibility
I certify, under penalties of perjury, that I am a Rural Resident as defined at 50 CFR 300.65(g)(1) or (g)(3)
and that to the best of my knowledge and belief all information contained on this application is true, correct
and complete.
Signature of Rural Applicant
Date:
PUBLIC REPORTING BURDEN STATEMENT
Public reporting burden for this collection of information is estimated to average 10 minutes per response, including the time for
reviewing the instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the
collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including
suggestions for reducing the burden, to Sue Salveson, Assistant Regional Administrator, Sustainable Fisheries Division, Alaska Region,
NMFS, P.O. Box 21668, Juneau, AK 99802-1668.
ADDITIONAL INFORMATION
Before completing this form please note the following: 1) NMFS may not conduct or sponsor this information request, and you are not
required to respond to this information request, unless the form displays a currently valid OMB control number; 2) This information is being
used to monitor the Alaska Subsistence Halibut Program; 3) Federal law and regulations require and authorize NMFS to manage the
subsistence halibut program in Alaska; 4) Submission of this information is required of all persons seeking to participate in directed fishing for
Pacific halibut under the subsistence halibut program; 5) This information is mandatory and is required to monitor the subsistence halibut
program under the Northern Pacific Halibut Act of 1982; 6) The birthdate is confidential under the Privacy Act.
Subsistence Halibut Registration Application
Page 2 of 5
INSTRUCTIONS
SHARC APPLICATION FOR RURAL RESIDENT
GENERAL INFORMATION
If you have questions when completing the application, please
• call RAM at (800) 304-4846 (select option 2) or (907) 586-7202 (select option 2),
• check our web site at www.alaskafisheries.noaa.gov/ram, or
• e-mail your questions to [email protected].
Please allow at least 10 days for processing your SHARC. If you would like to have your SHARC sent by a
method other than regular U.S. mail, please attach a note indicating a method, and follow the appropriate procedure
below.
Complete the application and submit:
By mail to:
NMFS, Alaska Region
Restricted Access Management (RAM)
P.O. Box 21668
Juneau, Alaska 99802-1668
Or deliver to:
Federal Building
709 W. 9th Street, Suite 713
Juneau, Alaska 99801
Or fax to:
907-586-7354.
Express Mail Return
If you would like to have your SHARC sent to you by U.S. Postal Express Mail, send us an express mail envelope
with the correct amount of postage prepaid or send express mail stamps UNATTACHED to an envelope. NOTE:
If the express mail envelope you send is too small or the postage attached is less than the amount required, your
SHARC will be sent to you by regular U.S. mail.
Return by Other Express Carriers
If you would like to have your SHARC sent to you by a private express carrier (e.g., Federal Express, UPS, DHL),
submit your account number and name of carrier or a prepaid envelope with the permit application.
PROGRAM INFORMATION
The Halibut Subsistence Fishery is authorized by Federal regulations at 50 CFR Part 300 and provides for eligible
persons to conduct subsistence halibut fishing in Convention waters off Alaska.
Subsistence halibut means halibut caught by a rural resident or a member of an Alaska Native tribe for direct
personal or family consumption as food, sharing for personal or family consumption as food, or customary
trade.
Subsistence Halibut Registration Application
Page 3 of 5
Eligible persons are residents of particular rural communities or rural areas and all identified members of
federally recognized Alaska Native tribes.
Rural Resident means, for purposes of the subsistence fishery for Pacific halibut in waters in and off Alaska:
●
an individual domiciled in a rural community listed in the table at 50 CFR Part 300.65(g)(1), who has
maintained a domicile in rural communities listed in the table at §300.65(g)(1), or in rural areas
described at § 300.65(g)(3), for the 12 consecutive months immediately preceding the time when the
assertion of residence is made and who is not claiming residency in another state, territory, or country; or
●
an individual domiciled in a rural area described at 50 CFR Part 300.65(g)(3) and who has maintained a
domicile in rural areas described at § 300.65(g)(3), or in rural communities listed in the table at
§300.65(g)(1), for the 12 consecutive months immediately preceding the time when the assertion of
residence is made, and who is not claiming residency in another state, territory, or country. The rural areas
are as follows (for a full description including maps, please refer to the regulations referenced above):
●
Southeast Alaska east of 141° W long., except for the land areas of the Ketchikan Gateway Borough on
May 18, 2008, the land areas of the City and Borough of Juneau, and the Ketchikan and Juneau nonsubsistence marine waters areas as these land and water areas are described in 50 CFR Part 300.65(g)(4).
●
The Alaska Peninsula, Aleutian Islands, Kodiak Island Archipelago, and the area south of the northern
boundary of the Bristol Bay Borough and south of 58° 39.2 N lat.
●
Nelson, Nunivak, and Saint Lawrence Islands.
●
All other areas of Alaska within 10 statute miles of mean high water on the Bering Sea and Pacific Ocean
coasts, south of Cape Espenberg, including along the Kuskokwim River to Bethel, and that are not
specified as non-rural land or water areas as defined in 50 CFR Part 300.65(g)(4).
A rural SHARC may not be issued to anyone who has not maintained a domicile within the
municipal or census boundaries for an eligible rural community or within a described rural area,
and who has not maintained a domicile within those boundaries or rural area for 12 consecutive
months.
COMPLETING THE APPLICATION
Block A – Type of Subsistence Halibut Registration
Note: Your application will not be processed if all of the following sections are not completed.
•
Please indicate whether you are applying for a new SHARC or a renewal of an existing SHARC. If a
renewal, please list your current SHARC number in the space provided.
•
Check one option to indicate under what basis you are eligible to harvest subsistence halibut as a rural
resident of Alaska – see Attachment. If you need assistance with this step, such as determining if you live
in a rural area, please contact RAM (see the top of page 3 for contact information).
•
Please complete Blocks B and C, and sign and date Block D.
Subsistence Halibut Registration Application
Page 4 of 5
Block B – Alaska Rural Subsistence Registrant Information
1. Enter your full name (First, Middle, Last). Please include any suffixes such as Jr., Sr., etc.
2. Enter your date of birth (Month/Day/Year).
3. Enter a daytime telephone number, including area code.
4. Enter your permanent mailing address, including P.O. Box, street, state, and zip code. The SHARC will be
sent to this address. Please include your street address even if you have a P.O. Box number. If you have
no street address, please include a description of the physical location of your domicile, such as latitude and
longitude, if known, or direction and distance from a landmark or from a milepost on a road.
5. Enter your Community or Area of Residence (city and state or area of state). This must be one of the rural
communities listed at 50 CFR 300.65(g)(1) or a rural area listed at 50 CFR 300.65(g)(3) – see Attachment.
6. Enter the dates of your residence in this community or area.
Block C – Verifier Information
1. Please provide the name of an adult person age 18 or older who can verify that the residence listed by you
is your domicile and that it was your domicile for 12 months prior to the date of the application. The
verifying person may not be your wife, husband, parent, or child and may not be living at the rural
residence listed by you.
2. Enter a daytime telephone number, including area code, for the verifier.
3. Enter the verifier’s mailing address, including P.O. Box, street, state, and zip code.
Block D – Certification of Eligibility
Please sign and date the application. You must sign and date the application certifying you are an eligible
rural resident under 50 CFR 300.65(g)(1) or 50 CFR 300.65(g)(3) and that all information contained in the
application is true, correct, and complete to the best of your knowledge and belief. The application will be
considered incomplete without your signature and will not be processed.
Subsistence Halibut Registration Application
Page 5 of 5
File Type | application/pdf |
File Title | Subsistence Halibut Registration Certificate Application |
Author | DOC/NOAA/NMFS |
File Modified | 2009-07-23 |
File Created | 2009-07-23 |