Trip exchange request

SEA SCALLOP ACCESS AREA
TRIP EXCHANGE APPLICATION
SUBMIT TO:
SFD - Sea Scallop Trip Exchange
NOAA Fisheries
55 Great Republic Drive, Gloucester, MA 01930
Fax: (978) 281-9135
Instructions: This form must be used to request a Sea Scallop Access Area trip exchange between two vessels.
Trips may be exchanged on a one-for-one basis and may only occur between vessels within the same permit
category (Full-time, Part-time, or Occasional). One form must be used for each exchange. This form may be
duplicated for additional exchange requests. Vessel operators may not initiate the Access Area trip requested
below until vessel owners receive written notice that the request has been approved. Written approval or
disapproval of the request will be provided within 15 days of receipt of this form.
Vessel A: Owner Name _____________________________ Permit # _____________________________
Vessel Name _____________________________ Official # _____________________________
The owner of Vessel A wishes to give one trip to Vessel B in the following access area (Circle One):
NLAA

ETAA

DMV

Vessel B: Owner Name _____________________________ Permit # _____________________________
Vessel Name _____________________________ Official # _____________________________
In exchange, the owner of Vessel B wishes to give one trip to Vessel A in the following access area (Circle One):
NLAA

ETAA

DMV

Owner of Vessel A: ______________________________
(Signature)

Date: ________________

Owner of Vessel B: ______________________________
(Signature)

Date: ________________

Access area codes: Nantucket Lightship Access Area = NLAA; Elephant Trunk Access Area = ETAA; Delmarva Access
Area = DMV
Signature of this form certifies that the information provided on this form is true, complete and correct to the best of the vessel owner’s
knowledge, and made in good faith (18 U.S.C. 1001). Making a false statement on this form is punishable by law.
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. Public reporting burden for this collection of information is estimated to average 5 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 NMFS, 55 Great Republic Drive,
Gloucester MA 01930; and to OMB, Paperwork Reduction Project, Washington, DC 20509. OMB Approval No. 0648-0491; Expires March, 2011.