Initial Incidental HMS Squid Trawl Permit

2011 Northeast Federal
Application

United States Department of Commerce
National Oceanic and Atmospheric Administration
National Marine Fisheries Service
Northeast Region
55 Great Republic Drive
Gloucester, MA 01930
Telephone:(978)281-9370

VESSEL
APPLICATION

15-FEB-11

PE
Section 2 - VESSEL INFORMATION

Section 1 - OWNER INFORMATION

F/V: J
Northeast Federal
Vessel Permit Number: 1

-

CG Documentation or
State Registration:
B
Home Port:
Principal Port: B
Telephone:
(

1

Section 3 - 2010 FISHERY INFORMATION

Fishery:

Initial
Application
Category
Gear(s):for Incidental

Cancel:

310 , 4
800

Highly Migratory Species (HMS) Squid Trawl Permit
A

1

Instructions
for applying for this permit:

• Review
the vessel and owner information above, sign the bottom of this form and mail it to
the
  address above.

• You do not need to submit any additional documents or gear code information. Trawl gear

(gear
codes 310, 320 and 330) will automatically be applied to this permit.

• This
permit will be added to your existing Northeast Region permits.

• Only
vessels with a current limited access Illex squid permit are qualified for this permit.

Applicant’s
Name and Signature:

I, the undersigned,
am the owner or legally authorized agent of the owner of the vessel named in Section 2 above. I affirm,
subject to the penalties provided in 18 USC 1001, that all information that I have given in obtaining this permit is true and

correct. By signing this application, I am applying for an Incidental HMS Squid Trawl permit for the vessel named above
in Section
  2 of this application.
Signature:
  _______________________________________________ Date:__________________
TO CANCEL A FISHERY/CATEGORY, PLACE AN 'X' IN THE CORRESPONDING COLUMN OMBTOPOMBO THE RIGHT MARKED 'CANCEL' .

Print Name:______________________________________________

OMB Control No. 0648-0327 Exp 03/31/2012

Public reporting burden for the collection of information on the initial vessel application is estimated to
average 15 minutes per response, including time for reviewing instructions, searching existing data
sources, gathering and maintaining data needed, and completing and reviewing the information. Send
comments regarding this burden estimate or suggestions for reducing this burden to: National Marine
Fisheries Service, Permit Office, 55 Great Republic Drive, Gloucester, MA 01930. The Paperwork
Reduction Act requires that potential respondents for a fishing vessel permit be notified of certain
information regarding their rights and the burden associated with applying for Federal fisheries Permits.
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. Owner name, vessel characteristics, address, phone, and permit information will be
released via NMFS Fisheries website. All other data submitted will be handled as confidential material in
accordance with NOAA Administrative Order 216-100, Protection of Confidential Fishery Statistics.