Application for Annual Exemption from Western Aleutian I

Revised: 08/04/2014

OMB Control No. 0648-0514, Expires 07/31/2017

Application for Annual Exemption
from Western Aleutian Islands
Golden King Crab West Region
Delivery Requirements

U.S. Department of Commerce
NOAA Fisheries Service, Alaska Region
Restricted Access Management (RAM)
Post Office Box 21668
Juneau, Alaska 99802-1668
(800) 304-4846 toll free /
586-7202 in Juneau
(907) 586-7354 fax

Additional documents supporting eligibility under § 680.4(o)(2)(i) must be attached to
this application to facilitate approval.
IDENTIFICATION OF ELIGIBLE CONTRACT SIGNATORIES
1. Printed Name of Eligible Signatory
2. Signature of Eligible Signatory

4. NMFS Person ID

5. Indicate Type of Eligible Signatory
[__] Quota Share Holder
[__] Processor Quota Share Holder

3. Date Signed

[__] Municipality

AFFIDAVIT
The signature above affirms that:
♦

Each eligible contract signatory has signed a master contract authorizing the completion of the application to request
that NMFS exempt West designated IFQ and West designated IPQ for the Western Aleutian Golden king crab fishery
from the West Region Delivery requirements, and

♦

All information in this application is true, correct, and complete to the best of his or her knowledge and belief.

Note: If this application is completed by an authorized representative, attach documentation demonstrating authorization.

IDENTIFICATION OF ELIGIBLE CONTRACT SIGNATORIES
1. Printed Name of Eligible Signatory
2. Signature of Eligible Signatory

4. NMFS Person ID

5. Indicate Type of Eligible Signatory
[__] Quota Share Holder
[__] Processor Quota Share Holder

3. Date Signed

[__] Municipality

AFFIDAVIT
The signature above affirms that:
♦

Each eligible contract signatory has signed a master contract authorizing the completion of the application to request
that NMFS exempt West designated IFQ and West designated IPQ for the Western Aleutian Golden king crab fishery
from the West Region Delivery requirements, and

♦ All information in this application is true, correct, and complete to the best of his or her knowledge and belief.
Note: If this application is completed by an authorized representative, attach documentation demonstrating authorization.

Application for Exemption from WAG Delivery Requirements
Page 1 of 6

IDENTIFICATION OF ELIGIBLE CONTRACT SIGNATORIES
1. Printed Name of Eligible Signatory
2. Signature of Eligible Signatory

4. NMFS Person ID

5. Indicate Type of Eligible Signatory
[__] Quota Share Holder
[__] Processor Quota Share Holder

3. Date Signed

[__] Municipality

AFFIDAVIT
The signature above affirms that:
♦ Each eligible contract signatory has signed a master contract authorizing the completion of the application to request
that NMFS exempt West designated IFQ and West designated IPQ for the Western Aleutian Golden king crab fishery
from the West Region Delivery requirements, and
♦ All information in this application is true, correct, and complete to the best of his or her knowledge and belief.
Note: If this application is completed by an authorized representative, attach documentation demonstrating authorization.

IDENTIFICATION OF ELIGIBLE CONTRACT SIGNATORIES
1. Printed Name of Eligible Signatory
2. Signature of Eligible Signatory

4. NMFS Person ID

5. Indicate Type of Eligible Signatory
[__] Quota Share Holder
[__] Processor Quota Share Holder

3. Date Signed

[__] Municipality

AFFIDAVIT
The signature above affirms that:
♦ Each eligible contract signatory has signed a master contract authorizing the completion of the application to request
that NMFS exempt West designated IFQ and West designated IPQ for the Western Aleutian Golden king crab fishery
from the West Region Delivery requirements, and
♦ All information in this application is true, correct, and complete to the best of his or her knowledge and belief.
Note: If this application is completed by an authorized representative, attach documentation demonstrating authorization.

IDENTIFICATION OF ELIGIBLE CONTRACT SIGNATORIES
1. Printed Name of Eligible Signatory
2. Signature of Eligible Signatory

4. NMFS Person ID

5. Indicate Type of Eligible Signatory
[__] Quota Share Holder
[__] Processor Quota Share Holder

3. Date Signed

[__] Municipality

AFFIDAVIT
The signature above affirms that:
♦ Each eligible contract signatory has signed a master contract authorizing the completion of the application to request
that NMFS exempt West designated IFQ and West designated IPQ for the Western Aleutian Golden king crab fishery
from the West Region Delivery requirements, and
♦ All information in this application is true, correct, and complete to the best of his or her knowledge and belief.
Note: If this application is completed by an authorized representative, attach documentation demonstrating authorization.

Application for Exemption from WAG Delivery Requirements
Page 2 of 6

IDENTIFICATION OF ELIGIBLE CONTRACT SIGNATORIES
1. Printed Name of Eligible Signatory
2. Signature of Eligible Signatory

4. NMFS Person ID

5. Indicate Type of Eligible Signatory
[__] Quota Share Holder
[__] Processor Quota Share Holder

3. Date Signed

[__] Municipality

AFFIDAVIT
The signature above affirms that:
♦

Each eligible contract signatory has signed a master contract authorizing the completion of the application to request
that NMFS exempt West designated IFQ and West designated IPQ for the Western Aleutian Golden king crab fishery
from the West Region Delivery requirements, and

♦

All information in this application is true, correct, and complete to the best of his or her knowledge and belief.

Note: If this application is completed by an authorized representative, attach documentation demonstrating authorization.

IDENTIFICATION OF ELIGIBLE CONTRACT SIGNATORIES
1. Printed Name of Eligible Signatory

4. NMFS
Person ID

2. Signature of Eligible Signatory

3. Date Signed

5. Indicate Type of Eligible Signatory
[__] Quota Share Holder

[__] Processor Quota Share Holder

[__] Municipality

AFFIDAVIT
The signature above affirms that:
♦

Each eligible contract signatory has signed a master contract authorizing the completion of the application to request
that NMFS exempt West designated IFQ and West designated IPQ for the Western Aleutian Golden king crab fishery
from the West Region Delivery requirements, and

♦

All information in this application is true, correct, and complete to the best of his or her knowledge and belief.

Note: If this application is completed by an authorized representative, attach documentation demonstrating authorization.

IDENTIFICATION OF ELIGIBLE CONTRACT SIGNATORIES
1. Printed Name of Eligible Signatory

4. NMFS
Person ID

2. Signature of Eligible Signatory

3. Date Signed

5. Indicate Type of Eligible Signatory
[__] Quota Share Holder

[__] Processor Quota Share Holder

[__] Municipality

AFFIDAVIT
The signature above affirms that:
♦

Each eligible contract signatory has signed a master contract authorizing the completion of the application to request
that NMFS exempt West designated IFQ and West designated IPQ for the Western Aleutian Golden king crab fishery
from the West Region Delivery requirements, and

♦

All information in this application is true, correct, and complete to the best of his or her knowledge and belief.

Note: If this application is completed by an authorized representative, attach documentation demonstrating authorization.
Application for Exemption from WAG Delivery Requirements
Page 3 of 6

IDENTIFICATION OF ELIGIBLE CONTRACT SIGNATORIES
1. Printed Name of Eligible Signatory

4. NMFS
Person ID

2. Signature of Eligible Signatory

3. Date Signed

5. Indicate Type of Eligible Signatory
[__] Quota Share Holder

[__] Processor Quota Share Holder

[__] Municipality

AFFIDAVIT
The signature above affirms that:
♦

Each eligible contract signatory has signed a master contract authorizing the completion of the application to request
that NMFS exempt West designated IFQ and West designated IPQ for the Western Aleutian Golden king crab fishery
from the West Region Delivery requirements, and

♦

All information in this application is true, correct, and complete to the best of his or her knowledge and belief.

Note: If this application is completed by an authorized representative, attach documentation demonstrating authorization..

IDENTIFICATION OF ELIGIBLE CONTRACT SIGNATORIES
1. Printed Name of Eligible Signatory

4. NMFS
Person ID

2. Signature of Eligible Signatory

3. Date Signed

5. Indicate Type of Eligible Signatory
[__] Quota Share Holder

[__] Processor Quota Share Holder

[__] Municipality

AFFIDAVIT
The signature above affirms that:
♦

Each eligible contract signatory has signed a master contract authorizing the completion of the application to request
that NMFS exempt West designated IFQ and West designated IPQ for the Western Aleutian Golden king crab fishery
from the West Region Delivery requirements, and

♦

All information in this application is true, correct, and complete to the best of his or her knowledge and belief.

Note: If this application is completed by an authorized representative, attach documentation demonstrating 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 estimate or any other aspect of this collection of information, to Assistant Regional Administrator, Sustainable Fisheries Division, NOAA
Fisheries Service (NMFS), 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 680, under section 402(a) of the Magnuson-Stevens Act (16 U.S.C. 1801, et seq.) and under 16 U.S.C.
1862(j); 3) Responses to this information request are not confidential.
________________________________________________________________________________________________________________________

Application for Exemption from WAG Delivery Requirements
Page 4 of 6

Instructions for
APPLICATION FOR EXEMPTION FROM WAG DELIVERY REQUIREMENTS
The eligible contract signatories (see qualifications at §680.4(o)(2)(i)) may request that NMFS exempt West designated
individual fishing quota (IFQ) and West designated individual processing quota (IPQ) for the Western Aleutian Islands
golden king crab (WAG) fishery from the West Region Delivery requirements.
Note: An exemption from West regional delivery requirements is only valid for the remainder of the crab fishing
year during which the application was submitted to and approved by NMFS.
Eligible Contract Signatories are:
♦

Quota Share (QS) holders: Any person or company that holds in excess of 20 percent of the West designated

WAG QS at the time the contract was signed, or their authorized representative.
♦

Processor Quota Share (PQS) holders: Any person or company that holds in excess of 20 percent of the West
designated WAG PQS at the time the contract was signed, or their authorized representative.

♦

Municipalities: designated officials from both the City of Adak and the City of Atka or an authorized
representative

Each Eligible Contract Signatory must complete, sign, and date an Affidavit affirming that a master contract was signed to
authorize the request for exemption from the West region delivery requirements for West designated IFQ and West
designated IPQ for the WAG fishery at § 680.7(a)(2) and (a)(4). By signing the affidavit, the signatory affirms that all
information is true, correct, and complete to the best of his or her knowledge and belief.
A completed application must be received and approved by NMFS before any person may use WAG IFQ or IPQ with a
West regional designation outside of the West region during a crab fishing year.
The application is available on the NMFS Alaska region website (http://alaskafisheries.noaa.gov) or from NMFS at the
address below. All information fields on the application must be accurately completed.
If NMFS approves this application, the effective date of the exemption is the date the application is approved by NMFS.
Any delivery of WAG IFQ or IPQ with a West regional designation outside of the West region prior to the effective date
of the exemption is prohibited under 680.7(a)(2) and (a)(4).
The completed application may be submitted to NMFS using any one of the following methods:
♦ Mail:

Regional Administrator, NMFS
c/o Restricted Access Management Program,
P.O. Box 21668,
Juneau, AK 99802-1668; or

♦ Fax:

907-586-7354; or

♦ Hand delivery or carrier:

NMFS,
Room 713, 709 West 9th Street,
Juneau, AK 99801

Application for Exemption from WAG Delivery Requirements
Page 5 of 6

COMPLETING THE APPLICATION
Identification of Eligible Contract Signatories and Affidavit affirming master contract has been signed.
1. Printed Name and Signature of Eligible Signatory. By signing the affidavit, the signatory affirms that all
information is true, correct, and complete to the best of his or her knowledge and belief. If the application is
completed by an applicant’s authorized representative, attach proof of authorization.
2. Date Signed
3. NMFS Person ID
4. Indicate Type of Eligible Signatory

Application for Exemption from WAG Delivery Requirements
Page 6 of 6