Amendment 80 Application for Quota Share

Alaska Region Amendment 80 Permits and Reports

0565 Amend 80 QS appln 122313

Application for Quota Share

OMB: 0648-0565

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Revised: 12/23/2013 OMB Control No. 0648-0565 Expiration Date: 01/31/2016

Application for Amendment 80 Quota Share (QS)

U.S. Department of Commerce/NOAA

National Marine Fisheries Service (NMFS)

Restricted Access Management Program (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 completed and received by NMFS no later than 1700 hours Alaska local time (A.l.t.) on October 15th, or if sent by U.S. mail, postmarked by that time, for the applicant to be considered for initial issuance of Amendment 80 QS to participate in the program next calendar year. Only applicants that are determined to be eligible under 50 CFR 679.90(a)(2) will receive an initial allocation of Amendment 80 QS.

Indicate whether you are applying as (select only one):

[ ] The owner of an Amendment 80 vessel as defined in 50 CFR 679.2 and listed in Table 31 to 50 CFR Part 679.

Review and complete blocks A, B, and C. Sign and date Block E.

[ ] The holder of an Amendment 80 License Limitation Program (LLP) license originally assigned to an Amendment 80 vessel that is no longer able to be used in the Amendment 80 Program due to the actual total loss, constructive loss, or permanent ineligibility of that vessel. Review and complete Blocks A, B, and D, sign and date Block E.

Refer to application instructions for a list of Amendment 80 vessels and Amendment 80 LLP licenses.


BLOCK A -- APPLICANT IDENTIFICATION

1. Applicant Name:

2. NMFS Person ID:


3. Permanent Business Mailing Address:

4. Business Telephone Number:

5. Business Fax Number:

6. E-mail Address (if available):

7. Is Applicant an Individual U.S. Citizen?

[ ] YES [ ] NO

If YES, Enter Date of Birth:


8. Is Applicant a U.S. Corporation, Partnership, Association,

or Other Business Entity?

[ ] YES [ ] NO

If YES, Enter the Date of Incorporation:

9. Is Applicant a Successor-In-Interest to a Deceased Individual or to a Non-Individual No Longer In Existence?


[ ] YES [ ] NO

If YES, attach evidence of death or dissolution.


BLOCK B -- AGREEMENT WITH AMENDMENT 80 OFFICIAL RECORD

[ ] I AGREE with the Amendment 80 Official Record Summary sent to me by NMFS. If you check this box, you are accepting the Amendment 80 Official Record. Proceed to Block E, sign the application, and return the application to NMFS.


[ ] I DO NOT AGREE with the Amendment 80 Official Record Summary sent to me by NMFS. Sign Block E, attach additional pages outlining the nature of your disagreement and provide documentation supporting your claims.


[ ] I DID NOT RECEIVE an Amendment 80 Official Record Summary from NMFS. I believe that I am eligible to receive an initial allocation of Amendment 80 QS. Complete Blocks C and/or D as applicable, signed Block E and provide documentation supporting your claims.


Regardless of your agreement or non-agreement with the Official Record, if you are applying for QS as the holder of an Amendment 80 LLP license originally assigned to an Amendment 80 vessel that cannot participate in the program due to the actual total loss, constructive loss, or permanent ineligibility of that vessel, you must complete Block D and provide the required documentation described in that block.


BLOCK C – OWNER OF AMENDMENT 80 VESSEL

For an applicant claiming Amendment 80 legal landings associated with an Amendment 80 vessel, enter the following information for each Amendment 80 vessel. You may be required to provide documentation, such as an abstract of title or U.S. Coast Guard Certificate of Documentation, establishing your ownership of each Amendment 80 vessel for which you are applying for Amendment 80 QS.

Vessel Name:

LLP Number:

ADF&G Number:

USCG Number:

Vessel Name:

LLP Number:

ADF&G Number:

USCG Number:

Vessel Name:

LLP Number:

ADF&G Number:

USCG Number:


BLOCK D – HOLDER OF AMENDMENT 80 LLP LICENSE

The holder of an Amendment 80 LLP license may only receive an initial allocation of Amendment 80 QS if an Amendment 80 vessel(s) originally assigned to the Amendment 80 LLP license(s) is no longer able to participate in the Amendment 80 Program due to actual total loss, total constructive loss, or is permanently ineligible to receive a fishery endorsement under 46 U.S.C. 12108. If the Amendment 80 vessel does not fit these requirements, the Amendment 80 QS derived from that vessel’s catch must be applied for by the owner of the vessel.


List each Amendment 80 LLP license number for which you are applying for Amendment 80 QS, and the name, ADF&G registrations number, and USCG documentation number of the Amendment 80 vessel originally assigned to each license.


ATTACHMENTS


[ ] Attach clear and unambiguous documentation in written form that the Amendment 80 vessel has suffered an actual total loss, total constructive loss, or is permanently ineligible to receive a fishery endorsement under 46 U.S.C. 12108.


[ ] If the holder of the LLP license is not the same person(s) who owns the Amendment 80 vessel, attach a copy of the express terms of a written contract held by the applicant that clearly and unambiguously indicates that the owner of the Amendment 80 vessel that has suffered an actual total loss, total constructive loss, or is permanently ineligible to receive a fishery endorsement under 46 U.S.C. 12108 has transferred all rights and privileges to use Amendment 80 legal landings and any resulting Amendment 80 QS or exclusive harvest privilege from that Amendment 80 vessel to the person holding the Amendment 80 LLP license originally assigned to that Amendment 80 vessel.

Amendment 80 LLP Number

Amendment 80 Vessel Originally Assigned

Name of Vessel

ADF&G Number

USCG Number


















BLOCK E -- APPLICANT CERTIFICATION

The applicant must sign and date the application certifying that all information is true, correct, and complete to the best of his/her knowledge and belief. If the application is completed by an authorized representative, attach authorization to application.

Under penalties of perjury, I declare that I have examined this application, and to the best of my knowledge and belief, the information presented here 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, Alaska Region, 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.) as amended by Public Law 109-479; 3) Responses to this information request are confidential under section 402(b) of the Magnuson-Stevens Act. They are also confidential under NOAA Administrative Order 216-100, which sets forth procedures to protect confidentiality of fishery statistics.

__________________________________________________________________________________________________________


Instructions for Completion of Application For

Amendment 80 Quota Share (QS)



A person who wishes to receive an Amendment 80 QS permit must submit a timely and complete application for Amendment 80 QS. Once an application for Amendment 80 QS is approved by NMFS, no other application for Amendment 80 QS is required.


A completed application to receive an Amendment 80 QS permit must be received by NMFS no later than 1700 hours A.l.t. on October 15th or if sent by U.S. mail, postmarked by that time. Applications received after October 15th will be processed; however, those applicants will not be eligible to participate in the Amendment 80 Program during the upcoming calendar year. For example, an applicant who submits an Application for Amendment 80 Quota Share after October 15, 2010, and is found eligible to receive an Amendment 80 QS permit, would not be eligible to participate in the Amendment 80 Program until 2011.


Forms are available on the NMFS Alaska Region website at: http://alaskafisheries.noaa.gov.


When application is complete:


Mail to: NMFS Alaska Region

Restricted Access Management (RAM)

P.O. Box 21668

Juneau, Alaska 99802-1668


Deliver to: 709 West 9th Street, Room 713

Juneau, AK 99801



or fax to: (907) 586-7354


Type or print legibly in ink; retain a copy of completed application for your records.


If you need additional information, contact Restricted Access Management at (800) 304-4846 (Option #2) or

(907) 586-7202 (Option #2).



COMPLETING THE APPLICATION


A completed application must contain the following information:


Indicate whether the applicant is applying


♦ As the owner of an Amendment 80 vessel (Complete Blocks A, B, C, and E), or


♦ As the holder of an Amendment 80 License Limitation Program (LLP) license originally assigned to an Amendment 80 vessel that is no longer able to be used in the Amendment 80 Program due to the actual total loss, constructive loss, or permanent ineligibility of that vessel (Complete Blocks A, B, D, and E).


Refer to the following table for name and LLP license originally assigned to that vessel (from Table 31 to 50 CFR Part 679).

Column A

Name of Amendment 80 Vessel

Column B

USCG Documentation Number

Column C

LLP License Number Originally Assigned to the Amendment 80 Vessel

ALASKA JURIS

569276

LLG 2082

ALASKA RANGER

550138

LLG 2118

ALASKA SPIRIT

554913

LLG 3043

ALASKA VOYAGER

536484

LLG 2084

ALASKA VICTORY

569752

LLG 2080

ALASKA WARRIOR

590350

LLG 2083

ALLIANCE

622750

LLG 2905

AMERICAN NO. 1

610654

LLG 2028

ARCTIC ROSE

931446

LLG 3895

ARICA

550139

LLG 2429

BERING ENTERPRISE

610869

LLG 3744

CAPE HORN

653806

LLG 2432

CONSTELLATION

640364

LLG 1147

DEFENDER

665983

LLG 3217

ENTERPRISE

657383

LLG 4831

GOLDEN FLEECE

609951

LLG 2524

HARVESTER ENTERPRISE

584902

LLG 3741

LEGACY

664882

LLG 3714

OCEAN ALASKA

623210

LLG 4360

OCEAN PEACE

677399

LLG 2138

PROSPERITY

615485

LLG 1802

REBECCA IRENE

697637

LLG 3958

SEAFISHER

575587

LLG 2014

SEAFREEZE ALASKA

517242

LLG 4692

TREMONT

529154

LLG 2785

U.S. INTREPID

604439

LLG 3662

UNIMAK

637693

LLG 3957

VAERDAL

611225

LLG 1402





BLOCK A - APPLICANT IDENTIFICATION


1-2. Applicant’s name and NMFS person ID; all owners of the vessel or the LLP license must be listed


3. Permanent business mailing address


4-6. Business telephone number, business fax number, and e-mail address


7. Indicate (YES or NO) if the applicant is a U.S. citizen;

If YES, enter his or her date of birth.


8. Indicate (YES or NO) if the applicant is a U.S. corporation, partnership, association, or

other business entity;

If YES, enter the date of incorporation.


9. Indicate (YES or NO) if the applicant is a successor-in-interest to a deceased individual or to a

non-individual no longer in existence;

If YES, attach evidence of death or dissolution



BLOCK B - AGREEMENT WITH AMENDMENT 80 OFFICIAL RECORD


Select the statement in Block B that best represents your agreement with the Amendment 80 Official Record.


♦ I AGREE with the Amendment 80 Official Record Summary sent to me by NMFS.


♦ I DO NOT AGREE with the Amendment 80 Official Record Summary sent to me by NMFS. If you received more than one Amendment 80 Official Record Summary, and you do not agree with all Amendment 80 Official Record Summaries sent to you, mark the box that you Do Not Agree, and identify in your attached documentation which Amendment 80 Official Record Summaries with which you disagree.


♦ I DID NOT RECEIVE an Amendment 80 Official Record Summary from NMFS. If you did not receive an Amendment 80 Official Record Summary, you must complete all blocks on the application that pertain to your situation.

NOTE: if you are applying for QS as the holder of an Amendment 80 LLP license originally assigned to an Amendment 80 vessel that cannot participate in the program due to the actual total loss, constructive loss, or permanent ineligibility of that vessel, you must complete Block D and provide the required documentation described in that block.



BLOCK C - OWNER OF AMENDMENT 80 VESSEL


For an applicant claiming Amendment QS as the owner of an Amendment 80 vessel, enter the following information for each Amendment 80 vessel. You may be required to provide documentation, such as an abstract of title or U.S. Coast Guard (USCG) Certificate of Documentation, establishing your ownership of each Amendment 80 vessel for which you are applying for Amendment 80 QS.


USCG documentation number of vessel


♦ Vessel name and Alaska Department of Fish & Game (ADF&G) vessel registration number

♦ LLP license numbers held by that person at the time of application



BLOCK D - HOLDER OF AMENDMENT 80 LLP


The holder of an Amendment 80 LLP license may only receive an initial allocation of Amendment 80 QS if the Amendment 80 vessel(s) originally assigned to the Amendment 80 LLP license(s) listed below is no longer able to participate in the Amendment 80 Program due to the actual total loss, constructive loss, or permanent ineligibility of the vessel. If the Amendment 80 vessel does not fit these requirements, the Amendment 80 QS derived from that vessel’s catch must be applied for by the owner of the vessel.


List each Amendment 80 LLP license number for which you are applying for Amendment 80 QS, and the name, ADF&G registrations number, and USCG documentation number of the Amendment 80 vessel originally assigned to each license.


ATTACHMENTS


♦ Attach clear and unambiguous documentation in written form that the Amendment 80 vessel has suffered an actual total loss, total constructive loss, or is permanently ineligible to receive a fishery endorsement under 46 U.S.C. 12108.


♦ If the holder of the LLP license is not the same person(s) who owns the Amendment 80 vessel, attach a copy of the express terms of a written contract held by the applicant that clearly and unambiguously indicates that the owner of the Amendment 80 vessel that has suffered an actual total loss, total constructive loss, or is permanently ineligible to receive a fishery endorsement under 46 U.S.C. 12108 has transferred all rights and privileges to use Amendment 80 legal landings and any resulting Amendment 80 QS or exclusive harvest privilege from that Amendment 80 vessel to the person holding the Amendment 80 LLP license originally assigned to that Amendment 80 vessel.



BLOCK E - APPLICANT CERTIFICATION


The applicant must sign and date the application certifying that all information is true, correct, and complete to the best of his/her knowledge and belief. If the application is completed by a designated representative, then explicit authorization for the designated representative signed by the applicant must accompany the application.


Amendment 80 QS Application

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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleApplication for Amendment 80 Quota Share
SubjectApplication for Amendment 80 Quota Share
AuthorDOC/NOAA/NMFS
File Modified0000-00-00
File Created2021-01-26

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