Application for permit to harvest and/or transship AMLR

OMB Control No.: 0648-0194
Expiration Date: 03/31/2013

THE UNITED STATES OF AMERICA
DEPARTMENT OF COMMERCE
NATIONAL OCEANIC AND ATMOSPHERIC ADMINISTRATION
APPLICATION FOR PERMIT TO HARVEST and/or TRANSSHIP
ANTARCTIC MARINE LIVING RESOURCES (AMLR)

A Vessel Identification Form (VIF) is attached to this application for each vessel seeking a permit to harvest AMLR
or transship Dissostichus species. A Harvesting Information Form (HIF) describing contemplated fisheries, catch, and
operations is attached to this application for each vessel seeking a permit to harvest AMLR.

Complete one.
Harvesting AMLR
Under the provisions of the Antarctic Marine Living Resources Convention Act of 1984, the following person(s)
__________________________________________________________________ submit(s) this permit application for
harvesting resources within the area covered by the Convention on the Conservation of Antarctic Marine Living
Resources (CCAMLR).
Is this application for a fishery designated by the Commission for the Conservation of Antarctic Marine Living
Resources as a: New Fishery _____________________ Exploratory fishery _______________________

Transshipping toothfish
Under the provisions of the Antarctic Marine Living Resources Convention Act of 1984, the following person(s)
____________________________________________________________________ submit(s) this permit application for
transshipping toothfish species, wherever harvested.

Signature
Submitted by (Firm or individual):

Signature: _________________________________________________

Title:

Date:

Detailed descriptions of the vessels and the methods of operation proposed are attached to this application. Completion of
this application is required to obtain a permit to harvest Antarctic marine living resources under provisions of the
Antarctic Marine Living Resources Act Convention of 1984 (16 USC 2431 et seq.). No permit will be issued without
completion of this application.

OMB Control No.: 0648-0194
Expiration Date: 03/31/2013

VESSEL IDENTIFICATION FORM (VIF)

FOR ALL VESSELS

(1) VESSEL NAME: _______________________________________________________________

(2) ALL PREVIOUS VESSEL NAMES AND FLAGS (IF KNOWN):

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

(3) NAME AND ADDRESS OF OWNER:

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

(4) NAME AND ADDRESS OF BENEFICIAL OWNERS (IF KNOWN):

__________________________________________________________________________________

________________________________________________________________________________

__________________________________________________________________________________

OMB Control No.: 0648-0194
Expiration Date: 03/31/2013

(5) NAME AND ADDRESS OF LICENCE OWNER (IF DIFFERENT FROM VESSEL OWNER):

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

(6) U.S. COAST GUARD DOCUMENTATION NUMBER:______________________________

(7) PORT OF HAIL: _____________________________________________________________

(8) VESSEL’S EXTERNAL MARKINGS (ATTACH THREE COLOR PHOTOS):

(9) INTERNATIONAL RADIO CALL SIGN: _________________________________________

(10) VESSEL’S INTERNATIONAL MARITIME ORGANIZATION (IMO) NUMBER (IF ISSUED):
________________________________________________________________________________

(11) VESSEL TYPE: __________________________________________________________________

(12) WHERE BUILT: _________________________________________________________________

(13) WHEN BUILT: __________________________________________________________________

(14) HULL NUMBER: ___________________________________________________________________

(15) LENGTH OVERALL: _____________________________________________________________

(16) GROSS TONS: _______________________________________________________________

(17) MAXIMUM SHAFT OR HORSE POWER: _______________________________________________________

OMB Control No.: 0648-0194
Expiration Date: 03/31/2013

(18) PROCESSING EQUIPMENT: _______________________________________________________________

(19) HOLD CAPACITY (IN CUBIC METERS - BALE CAPACITY ONLY):
HOLD #1: ________ HOLD #2: __________ HOLD #3: _________ HOLD #4: _________
(IF MORE THAN 4 HOLDS, GIVE TOTAL HOLD CAPACITY)

(20) OTHER CARRYING CAPACITY (IN TONNES): _________________________________________________

(21) DETAILS OF THE TAMPER-PROOF ELEMENTS OF THE SATELLITE-LINKED VESSEL MONITORING
DEVICE (WHERE APPLICABLE): _______________________________________________________________

(22) PROVIDE LAST AMLR PERMIT NUMBER ________________ IF NONE CHECK _________________

(23) WILL HARVESTING VESSEL BE SUPPORTED BY OR WORKING WITH A FOREIGN VESSEL? ______

IF YES, PROVIDE:

NAME OF THE VESSEL: _______________________________________________________________

FLAG OF THE VESSEL: _______________________________________________________________

INTERNATIONAL RADIO CALL SIGN: _____________________________________________________

TYPE OF VESSEL: _______________________________________________________________

PERMIT NUMBER: _______________________________________________________________

VESSEL’S INTERNATIONAL MARITIME ORGANIZATION (IMO) NUMBER (IF ISSUED):
___________________________________________________________________________________

OMB Control No.: 0648-0194
Expiration Date: 03/31/2013

ADDITIONAL INFORMATION FOR VESSELS PARTICIPATING IN A NEW OR
EXPLORATORY FISHERY
(1) NAME, ADDRESS OF OPERATOR (IF DIFFERENT FROM VESSEL OWNER):
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________

(2) NAME, NATIONALITY OF MASTER: _________________________________________
(3) NAME, NATIONALITY OF FISHING MASTER (WHERE RELEVANT):
______________________________________________________________________________________
(4) VESSEL COMMUNICATION TYPES AND NUMBERS:
______________________________________________________________________________________
(5) NORMAL CREW COMPLEMENT: ____________________________________________
(6) ICE CLASSIFICATION: _____________________________________________________

VESSEL OWNER'S/APPLICANT'S SIGNATURE
The undersigned acknowledges that he/she is bound by Federal regulations governing the harvest of Antarctic Marine
Living Resources in Convention on the Conservation of Antarctic Marine Living Resources (CCAMLR) waters. This
permit is valid only so long as the undersigned complies with these applicable regulations.
Knowingly supplying false information for the purpose of obtaining a permit is a violation of Federal law punishable by a
fine of up to $10,000 and/or imprisonment up to 5 years.

Signature: ___________________________ Date: ___________________

TIN (Tax Identification Number) if a business: _____________________ Date of incorporation or birth: ____________(mm/dd/yyyy)
This information is used to verify the identity of the applicant(s) and to accurately retrieve confidential records
related to federal permits. The primary purpose for requesting the TIN is for the collection and reporting on any
delinquent amounts arising out of such person’s relationship with the government pursuant to the Debt Collection
Improvement Act of 1996 (Public Law 104-134). Personal information is confidential and protected under the
Privacy Act (5 U.S.C. 552a). Business information may be disclosed to the public.

OMB Control No.: 0648-0194
Expiration Date: 03/31/2013

HARVESTING INFORMATION FORM (HIF)

Use the space below (and supplemental sheets as necessary) to list each target species for
which an AMLR harvesting permit is requested and to identify for each: the tonnage
requested, CCAMLR statistical area to be fished, gear to be used, and type and amount
of bycatch anticipated.

OMB Control No.: 0648-0194
Expiration Date: 03/31/2013

CONVENTION ON THE CONSERVATION OF ANTARCTIC
MARINE LIVING RESOURCES (CCAMLR)
INSTRUCTIONS FOR COMPLETING
APPLICATION FOR PERMIT TO HARVEST and/or TRANSSHIP
ANTARCTIC MARINE LIVING RESOURCES (AMLR)
VESSEL INFORMATION FORM (VIF)
HARVESTING INFORMATION FORM (HIF)
Complete an application and VIF for each vessel for which a permit is requested. Applicants for a harvesting permit
should also submit an HIF. Submit these documents at least 90 days before harvesting and/or transshipment activities
are to begin. If you are applying to participate in an exploratory fishery, submit an application to the Assistant
Administrator no later than four months before the annual meeting of CCAMLR (i.e., no later than July 15 in any given
year). Applicants wishing to harvest krill must submit an application to the Assistant Administrator for NMFS no later
than June 1 prior to the krill season opening on December 1 of the same year. This allows time for review, issuance and
delivery of the permit. Timely submission will ensure prompt consideration of your request. Incomplete, unsigned, or
improperly signed applications will be returned for completion.
Type all materials in English. Complete all items except the space near the top, right hand corner labeled "No." A
number will be assigned by the Government of the United States.
Application for Permit to Harvest and/or Transship Marine Living Resources
(1)

Harvest: If this is an application to harvest AMLR, please complete the harvesting line.
New or Exploratory Fisheries: If this is an application to initiate a new fishery or participate in an exploratory
fishery, please check either the New Fishery or Exploratory box.
New Fishery: A new fishery is defined as a fishery on a species using a particular method in CCAMLR

statistical subarea for which: (1) information on distribution, abundance, demography, potential yield and stock
identity from comprehensive research/surveys or exploratory fishing has not yet been submitted to CCAMLR;
(2) catch and effort data have never been submitted to CCAMLR; or (3) catch and effort data from the two most
recent seasons in which fishing has occurred have not been submitted to CCAMLR. If you are applying to
initiate a new fishery, submit an application to the Assistant Administrator no later than June 1 of the year in
which you are requesting to fish. Your application must be accompanied by information on: (1) the nature of the
proposed fishery, including target species, methods of fishing, proposed region, and any minimum level of
catches that would be required to develop a viable fishery; (2) biological information from comprehensive
research/survey cruises, such a distribution, abundance, demographic data and information on stock identity; (3)
details of dependent and associated species and the likelihood of them being affected by the proposed fishery;
and (4) information from other fisheries in the region or similar fisheries elsewhere that may assist in the
valuation of potential yield. This information should be submitted as a narrative attached to the harvesting vessel
application. Applicants wishing to harvest krill, must also, to the extent possible, identify the products to be
derived from the anticipated catch of krill. If you need assistance in providing this information, please contact
the National Marine Fisheries Service, Southwest Fisheries Science Center, Antarctic Ecosystem Research
Group, P.O. Box 271, La Jolla, California 92038-0271 or phone (858) 546-5601.
Exploratory Fishery: An exploratory fishery is a fishery that was originally a new fishery, but has not yet been
fully developed. A fishery will continue to be a classified by CCAMLR as an exploratory fishery until sufficient
information is available to (1) evaluate the distribution , abundance, and demography of the target species,
leading to an estimate of the fishery’s potential yield; (2) review the fishery’s potential impacts on dependent
and associated species; and (3) allow the CCAMLR Scientific Committee to formulate and provide advice to the
Commission for the Conservation of Antarctic Marine Living Resources on appropriate harvest catch levels and
fishing gear.

(2)

Transshipment: If this is an application to transship Dissostichus species, whether harvested within or
outside CCAMLR waters, please complete the transshipment line.

OMB Control No.: 0648-0194
Expiration Date: 03/31/2013

VESSEL IDENTIFICATION FORM (VIF)
INSTRUCTIONS FOR ALL VESSELS
(1) Vessel Name: Type in the name of the vessel.
(2) All Previous Vessel Names and Flags (If Known): Provide all, or as many, of the of the previous names and
flags of the vessel as known.
(3) Owner's Name and Address: Enter the names and mailing addresses of all owners of the vessel. If there is more
than one owner, enter the first name and address on the VIF and the other names and addresses on attached pages.
"Owner" includes any person, company, or government agency that owns the vessels; any charterer, whether
bareboat, time or voyage; and any person or company that acts in the capacity of a charterer, including but not
limited to parties to a management agreement, operations agreement, or any similar agreement that bestows
control over the destination, function, or operation of the vessel.
(4) Names and Addresses of Beneficial Owners (If Known): Enter the names and mailing addresses of all
beneficial owners of the vessel. If there is more than one beneficial owner, enter the first name and address on the
VIF and the other names and addresses on attached pages.
(5) Name and Address of License Owner (If Different From Vessel Owner): Enter the names and mailing
addresses of all owners of the vessel’s license. If there is more than one owner of the license, enter the first name
and address on the VIF and the other names and address on attached pages.
(6) U.S. Coast Guard Documentation Number: Enter the Coast Guard Documentation number of the vessel.
(7) Port of Hail: Enter the port of registration of the vessel.
(8) External Markings: Attach three color photographs of the vessel (a) one photograph not smaller than 12x7 cm
showing the starboard side of the vessel displaying its full overall length and complete structural features; (b) one
photograph not smaller than 12x7 cm showing the port side of the vessel displaying its full overall length and
complete structural features; and (c) one photograph not smaller than 12x7 cm showing the stern taken directly
form astern.
(9) Call Sign: Enter the vessel identifying markings permanently affixed to the vessel, normally the international radio
call sign.
(10) Vessel’s International Maritime Organization (IMO) and Lloyd’s Registry Number (If Issued): Provide the
IMO and Lloyd’s registry number if one has been issued for the vessel.
(11) Vessel Type: Enter one of the following vessel types:
Stern Trawler
(small/0-289 GRT, medium/290-1399 GRT
large/1,400 plus GRT)
Side Trawler
Side Trawler/Purse Seiner
Pair Trawler
Danish Seiner
Purse Seiner
Longliner

Longliner/Pot
Longliner/Gillnet
Gillnet
Troller
Factory/Mothership
Cargo/Transport
Tanker
Patrol/Cargo

If other than one of the above, specify.
(12) Where Built: Indicate the city and shipbuilder where the vessel was originally
built
(13) When Built: Indicate the year the vessel was built.
(14) Hull Number: Enter the vessel’s hull number.
(15) Length Overall: Enter the vessel's overall length to the nearest meter.

OMB Control No.: 0648-0194
Expiration Date: 03/31/2013

(16) Gross Tons: Enter the registered gross tonnage, GRT, rounded to the nearest metric ton.
(17) Maximum Shaft Power or Horse Power: Enter the vessel's maximum shaft power (kw at...rev/min) or horse
power.
(18) Processing Equipment: List the types of fish processing equipment aboard the vessel such as flash freezer,
header, eviscerator, filleter, fish meal plant, fish oil plant, surimi plant, cannery, etc.
(19) (Fill out only for a harvesting permit) Hold Capacity: Enter in cubic meters the hold capacity for each hold
or other space (including flash freezers) in which fish or fish products may be stored. Use bale capacity only. If
there are more than four (4) holds, give the total hold capacity in cubic meters. Otherwise, list the holds
individually. Record this information accurately; enforcement officials and CCAMLR inspectors to determine
the quantity of fish or fish products aboard the vessel use the data.
(20) Other Carrying Capacity: Provide the carrying capacity in tons of the vessels’ storage capacity exclusive of
holds.
(21) Details of the Tamper-Proof Elements of the Vessel’s Satellite-Linked Vessel Monitoring Device:
Describe the type and configuration of the vessel monitoring device installed on the vessel. Note: The device
must be located within a sealed unit and be protected by official seals (or mechanisms) of a type that indicate
whether the unit has been accessed or tampered with. The unit must capable of preventing the input or output of
false positions and not capable of being over-ridden manually, electronically or otherwise.
(22) (Fill out only for a harvesting permit) Indicate if the vessel has fished in Convention waters in prior years by
listing the last permit application number. If the vessel has never applied for a permit, indicate so with a check
mark next to the blank marked "none."
(23) If the permitted vessels will be supporting or working with foreign vessels that are not permitted by the United
States, the name of the foreign vessel, the flag of the vessel, the international radio call sign, type of vessel,
permit number, and IMO and Lloyd’s Registry numbers (if issued).
(24) In the event the modifications or amendments to this application become necessary, please submit a new
application.

OMB Control No.: 0648-0194
Expiration Date: 03/31/2013

INSTRUCTIONS FOR SUPPLYING ADDITIONAL INFORMATION FOR VESSELS PARTICIPTING IN A
NEW OR EXPLORATORY FISHERY
(1) Name and Address of Operator (If Different from Vessel Owner): Enter the name and mailing address of the
operator of the vessel.
(2) Name and Nationality of the Master: Enter the name and nationality of the master (captain) of the vessel.
(3) Name and Nationality of the Fishing Master: Enter the name and nationality of the fishing master of the vessel,
if the vessel is operating with a fishing master in addition to the master of the vessel.
(4) Vessel Communication Types and Numbers: Indicate the numbers of INMARSAT A, B or C.
(5) Normal crew complement: Indicate the normal number of crew on the vessel.
(6) Ice classification: Only vessels with a minimum classification standard of ICE-IC will be licensed for fishing in
high latitude areas (Subareas 88.1 and 88.2).

Please sign and date as the Vessel Owner/Applicant at the bottom of the application also providing the TIN (Tax
Identification Number) and Date of Incorporation. If the entity applying is not a corporation then Date of Birth can be
substituted for Date of Incorporation.

This information is used to verify the identity of the applicant(s) and to accurately retrieve confidential records related
to federal permits. The primary purpose for requesting the TIN is for the collection and reporting on any
delinquent amounts arising out of such person’s relationship with the government pursuant to the Debt Collection
Improvement Act of 1996 (Public Law 104-134). Personal information is confidential and protected under the Privacy
Act (5 U.S.C. 552a). Business information may be disclosed to the public.

OMB Control No.: 0648-0194
Expiration Date: 03/31/2013

Harvesting Information Form (HIF)
(1) Target species: Identify all target species. Categories include: finfish, krill, squid, crab, and other species. If krill is
identified, to the extent possible, identify the products to be derived from the anticipated catch of krill. If finfish is
identified, please specify from the list below which finfish will be harvested.
Antarctic Finfish include:
Humped rockrod (Gobionotothen gibberifrons)
Marbled rockrod (Notothenia rossii)
Grey rockrod (Lepidorhirus squamifrons)
Striped-eyed rockcod (Lepidonothon kempi)
Patagonian toothfish (Dissostichus eleginoides)
Antarctic toothfish (D. mawsoni)
Lanternfish (Electrona carlsgergi)
Patagonian rockrod (Patagonothen brevicauda guntheri)
Antarctic silverfish (Pleuragramma antarcticum) Antarctic
cods (Trematomus spp.)
Blackfin icefish (Chaenocephalus aceratus)
Spiny icefish (Chaenodraco wilsoni)
Mackerel icefish (Champsocephalus gunnari)
Ocellated icefish (Chionodraco rastrospinosus)
South Georgia icefish (Pseudochaenichthys georgianus)
(2) Total Tonnage Requested. For each species, enter the requested amounts in metric tons. If more tonnage is needed
after submission of the first application, another application is required to increase the earlier request. If an
additional application is not submitted to increase the tonnage from the initial application, you may only harvest
the amount initially requested.
(3) CCAMLR Statistical Areas: See enclosed map for designation of CCAMLR areas. Enter the CCAMLR
statistical area(s) where each species will be harvested.
(4) Gear to be used: Identify the gear which will be used in harvesting each requested species.
(5) Type and amount of bycatch: Identify the type and amount of bycatch anticipated to be taken in each
Statistical Area while harvesting for each requested species and the planned disposition of the bycatch (i.e.,
whether it is to be retained or discarded).

Completed applications should be sent to the following address:
Assistant Administrator for Fisheries
National Marine Fisheries Service
1315 East-West Highway
Silver Spring, Maryland 20910
Attention: Office of International Affairs
NMFS manages Antarctic fisheries and the importation of resulting products under the Antarctic Marine Living Resources Convention
Act, codified at 16 U.S.C. 2431 et seq. NMFS implements CCAMLR conservation measures by regulations at 50 CFR part 300,
subparts A and G. Changes to the existing regulations are necessary to incorporate new conservation measures and facilitate
enforcement. Public reporting burden for this collection of information is estimated to average 30 minutes per response in the case of a
harvesting permit and 12 minutes in the case of a transshipment permit, including the time reviewing 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 this burden, to
National Marine Fisheries Service, 1315 East West Highway, Attention: Office of International Affairs, Silver Spring, Maryland,
20910. Responses to the collection are mandatory. Confidentiality of information collected will be subject to NOAA Administrative
Order 216-100, “Confidentiality of Fishery Statistics.” Notwithstanding any other provision of the law, no person is required to respond
to, nor shall any person be subject to a penalty for failure to comply with, a collection of information subject to the requirements of the
Paperwork Reduction Act, unless that collection of information displays a currently valid OMB Control Number.