Application for Rockfish Limited Access Fishery

OMB Control No. 0648-0545
Expiration Date: 07/31/2009

Revised: 04/14/2009

Application for
Rockfish Limited Access Fishery

U.S. Dept. of Commerce/
NOAA National Marine Fisheries Service (NMFS)
Restricted Access Management (RAM)
P.O. Box 21668
Juneau, AK 99802-1668
(800) 304-4846 toll free / 586-7202 in Juneau
(907) 586-7354 fax

This application must be submitted annually and received by NMFS no later than 1700 hours A.l.t. on March 1
of the year for which the applicant wishes to participate in a Rockfish limited access fishery, or if sent by U.S.
mail, the application must be postmarked by that time.
BLOCK A -- APPLICANT INFORMATION
1. Applicant name
2. NMFS person ID
3. Permanent business mailing address

4. Business telephone No.

5. Business fax No.

7. Is applicant a U.S. citizen?

[_] YES

[_] NO

6. e-mail address (if available)

If YES, enter date of birth __________________

8. Is the applicant a U.S. corporation, partnership, association, or other non-individual business entity?
[__] YES

[__] NO

If YES, enter date of incorporation: ___________________________
9. Is applicant an eligible Rockfish Harvester?
[__] YES [__] NO
10. Is applicant participating in the Rockfish Limited Access Fishery?
[__] YES [__] NO

BLOCK B -- VESSEL IDENTIFICATION
ADF&G
Vessel Name
No.

Application for Rockfish Limited Access Fishery
Page 1 of 4

USCG
No.

LLP License
No.

OMB Control No. 0648-0545
Expiration Date: 07/31/2009

BLOCK C -- LLP HOLDERSHIP DOCUMENTATION
If the LLP License Holder (Applicant) is not an individual (i.e. is a corporation, partnership, association or some
other non-individual entity) the name(s) of all owners of the Applicant must be provided, together with the
percent of ownership. In the space below, enter the names of all of the owners of the Applicant, and indicate the
percent of ownership. If a listed owner is not an individual, provide the same information for each such owner
until all owners, and their percent of ownership, is revealed to the individual level.
Name
% Ownership in LLP License

BLOCK D -- APPLICANT CERTIFICATION
Under penalties of perjury, I declare that I have examined this application, and to the best of my knowledge and
belief, the information is true, correct, and complete.
1. Signature of Applicant (or Authorized Representative) 2. Date Signed

3. Printed Name of Applicant (or Authorized Representative); if representative, attach authorization

__________________________________________________________________________________
PUBLIC REPORTING BURDEN STATEMENT
Public reporting burden for this collection of information is estimated to average 2 hours per response, including the time
for reviewing the instructions, searching the existing data sources, gathering and maintaining the data needed, and
completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect
of this collection of information, including suggestions for reducing the burden, to Assistant Regional Administrator,
Sustainable Fisheries Division, NOAA National Marine Fisheries Service, P.O. Box 21668, Juneau, AK 99802-1668.
ADDITIONAL INFORMATION
Before completing this form, please note the following: 1) Notwithstanding any other provision of 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; 2) This information is mandatory and is required to manage commercial fishing efforts under 50
CFR part 679 and under section 402(a) of the Magnuson-Stevens Act (16 U.S.C. 1801, et seq.); 3) Responses to this
information request are confidential under section 402(b) of the Magnuson-Stevens Act as amended in 2006. They are also
confidential under NOAA Administrative Order 216-100, which sets forth procedures to protect confidentiality of fishery
statistics.
___________________________________________________________________________________________________

Application for Rockfish Limited Access Fishery
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OMB Control No. 0648-0545
Expiration Date: 07/31/2009

INSTRUCTIONS
Application for Limited Access Rockfish Fishery
Issuance of a permit in response to this application may be delayed or denied if it is
determined that the applicant(s) owes any delinquent non-tax debts to any agency or
department of the United States federal government.
This application must be submitted annually and received by NMFS no later than 1700 hours A.l.t. on March 1
of the year for which the applicant wishes to participate in a Rockfish limited access fishery, or if sent by U.S.
mail, the application must be postmarked by that time.
Eligible Rockfish Harvester
A person is eligible to participate in the Rockfish Program as an Eligible Rockfish Harvester if that person:
♦ Holds a permanent fully transferable License Limitation Program (LLP) license endorsed for Central
Gulf of Alaska groundfish with a Legal Rockfish Landing of any Primary Rockfish Species attributed to
that LLP license at the time of Application to Participate in the Rockfish Program; and
♦ Submits a timely Application to Participate in the Rockfish Program that is approved by NMFS;
Eligible Rockfish Processor
A person is eligible to participate in the Rockfish Program as an Eligible Rockfish Processor if that person:
♦ Holds the processing history of a shoreside processor or stationary floating processor (SFP) that
received at least 250 metric tons in round weight equivalent of aggregate Legal Rockfish Landings of
Primary Rockfish Species each calendar year in any four of the five calendar years beginning 1996
through 2000 during the season dates for that Primary Rockfish Species as established in Table 28 to
part 679;
♦ Submits a timely Application to Participate in the Rockfish Program that is approved by NMFS; and
♦ That person or his successor-in-interest exists at the time of Application to Participate in the Rockfish
Program.
The Rockfish Pilot Program Limited Access Fishery is authorized from 1200 hours, A.l.t., July 1 through 1200
hours, A.l.t., November 15. The fishery closes once the allocation is met or exceeded. If the annual catch
amount assigned to the fishery is small, and forecast harvest rate is high, NMFS may not open a limited access
fishery if it is likely that participants in the limited access fishery would exceed their allocation.
Type or print legibly in ink; retain a copy of completed application for your records.
When complete, mail application to:
NMFS Alaska Region
Restricted Access Management (RAM)
P.O. Box 21668
Juneau, AK 99802-1668
Or fax to:
FAX: (907) 586-7354
If you need additional information, contact RAM at
(800) 304-4846 (#2) or (907) 586-7202 (#2).

Application for Rockfish Limited Access Fishery
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OMB Control No. 0648-0545
Expiration Date: 07/31/2009

Please allow at least 10 working days for your application to be processed. Items will be sent by first class
mail, unless you provide alternate instructions and include a prepaid mailer with appropriate postage or
corporate account number for express delivery.
BLOCK A. APPLICANT INFORMATION
1. Applicant’s name.
2. NMFS person ID.
3. Permanent business mailing address, including street address or P.O. box number, city, state,
and zip code.
4. Business telephone number, fax number, and e-mail address (if available);
5. Indicate whether applicant is a U.S. citizen; if YES, enter date of birth.
6. Indicate whether applicant is a U.S. corporation, partnership, association, or other non-individual
business entity; if YES, enter date of incorporation.
7. Indicate whether the applicant is an eligible Rockfish Harvester.
8. Indicate whether the applicant is participating in the Rockfish Limited Access Fishery.
BLOCK B. VESSEL IDENTIFICATION
Name, Alaska Department of fish and Game (ADF&G) vessel registration number, and
United States Coast Guard (USCG) documentation number of the vessel
LLP license number(s) held by the applicant and used on that vessel.
BLOCK C. LLP HOLDERSHIP DOCUMENTATION
If the LLP License Holder (Applicant) is a corporation, partnership, association, or other non-individual
entity, provide the names of, and the percent of ownership in the Applicant held by, all of its owners.
Provide information to the individual level.
BLOCK D. APPLICANT CERTIFICATION
Signature of applicant and date signed
Printed name of applicant (or authorized representative); if representative, attach authorization.

Application for Rockfish Limited Access Fishery
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