Pacific Highly Migratory Species Vessel Permit Applicati

West Coast Region Permit Family of Forms

Pacific Highly Migratory Species Vessel Permit Application

HMS Permits

OMB: 0648-0204

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U.S. DEPARTMENT OF COMMERCE
NATIONAL ATMOSPHERIC AND OCEANIC ADMINISTRATION
NATIONAL MARINE FISHERIES SERVICE
PERMITS OFFICE
501 W. OCEAN BLVD., SUITE 4200
LONG BEACH, CA 90802
[email protected]

OMB 0648-0204
EXP 1-31-2020

PERMIT APPLICATION FEE: $

PACIFIC HIGHLY MIGRATORY SPECIES VESSEL PERMIT APPLICATION
Please print legibly or type

SECTION 1 VESSEL INFORMATION
US COAST GUARD DOC OR STATE REG. NUMBER

VESSEL NAME

HOME PORT AND STATE

HAIL PORT AND STATE

RADIO CALL SIGN

DOES THIS VESSEL HAVE A VMS? (REQUIRED FOR VESSELS GREATER THAN 24M)

YES
REGISTERED LENGTH (FT)

REGISTERED BREADTH
(FT)

HOLD CAPACITY (SHORT TONS; 1 ST =
2000 LBS)

REFRIGERATION TYPE

PROPULSION TYPE

HORSEPOWER

GAS

DIESEL

ICE

NO

REGISTERED DEPTH (FT)

BRINE

SPRAY BRINE
HULL MATERIAL

GROSS TONS

NET TONS

BLOWER/BLAST

OTHER

________________

CREW SIZE

OTHER

YEAR BUILT

LOCATION BUILT (CITY,STATE)

PREVIOUS VESSEL NAMES, VESSEL FLAGS, EFFECTIVE DATES

SECTION 2 GEAR TYPE TO BE AUTHORIZED BY THIS PERMIT
RECREATIONAL CHARTER VESSEL

PASSENGER CAPACTY: ____________

COMMERCIAL: SELECT THE GEAR TYPES THE VESSEL WILL BE USING (Some gear types may have additional requirements)
TROLL / JIG

BAIT BOAT

HARPOON

DRIFT GILLNET

DEEP-SET LONGLINE

SECTION 3 VESSEL OWNERSHIP INFORMATION
PERMIT HOLDER / BUSINESS NAME

PURSE SEINE

DATE CORPORATION FILED

BUSINESS ADDRESS, CITY, STATE, ZIP CODE
TELEPHONE

FAX

CELL PHONE

EMAIL

MANAGING OWNER LAST NAME

FIRST NAME

MIDDLE

SUFFIX

DATE OF BIRTH

SECOND OWNER LAST NAME

FIRST NAME

MIDDLE

SUFFIX

DATE OF BIRTH

THRID OWNER LAST NAME

FIRST NAME

MIDDLE

SUFFIX

DATE OF BIRTH

SECTION 4 ELIGIBITY

IS EACH HOLDER OF THIS PERMIT A U.S. CITIZEN (INCLUDING ALL MEMBERS OF AN ASSOCIATION OR JOINT VENTURE)?
YES

NO

SECTION 5 SIGNATURE

I CERTIFY THAT THE ABOVE INFORMATION IS COMPLETE, TRUE, AND CORRECT TO THE BEST OF MY KNOWLEDGE.
SIGNATURE _______________________________________ NAME (PRINTED) _________________________________ DATE ____________

Permit application fee: $ .00 payable to “US Department of Commerce – NOAA

Please write your vessel name and Coast Guard/State Registration number in the memo section of your check.

Mail to: Permits Office, 501 W Ocean Blvd., Suite 4200, Long Beach, CA 90802

General – This information is being collected by the National Marine Fisheries Service (NMFS) to ensure that timely and accurate records are
available concerning the fishing vessels of the U.S. that participate in Pacific Ocean fisheries for highly migratory species (HMS). This collection
of information concerning U.S. fishing vessels harvesting tuna in the eastern Pacific Ocean (EPO) is also necessary for the U.S. to comply with
its obligations as a member of the Inter-American Tropical Tuna Commission (IATTC).
This permit is required for commercial fishing vessels and recreational charter vessels that harvest any of the species that are included in the
HMS Fisheries Management Plan. They are: striped marlin (Tetrapturus audax), swordfish (Xiphias gladius), common tresher shark (Alopias
vulpinus), shortfin mako or bonito shark (Isurus oxyrinchus), blue shark (Prionace glauca), north Pacific albacore (Thunnus alalunga), yellowfin
tuna (Thunnaus albacares), bigeye tuna (Thunnus obess), skipjack tuna (Katsuwonus pelamis), northern Bluefin tuna (Thunnus orientalis), and
dorado or dolphinfish (Coryphaena hippurus).
Instructions
Section 1- Vessel Information. Enter vessel information as it appears on the Coast Guard documentation, or if the vessel is not documented, as
it appears on the state registration, vessel tonnage certificate, and/or marine survey. Provide all other information required to the best of your
ability.
Home Port: City and state where the vessel is customarily kept, not necessarily the home port list on the certificate of documentation.
Radio Call Sign – Leave blank if your vessel does not have one.
Operational Vessel Monitoring System (VMS) – Required for vessels fishing in the high seas (outside 200 nm) and commercial vessels greater
than 24 m (78.74 ft.). Contact the permits office at [email protected] for more information.
Section 2 – Gear Endorsements. For commercial fishing vessels, mark only gears that the vessel will use to harvest HMS. Some gears are
subject to additional requirements prior to approved endorsements. It is not necessary to list any gear for recreational charter or commercial
passenger fishing vessels (CPFV).
Section 3 – Vessel ownership. Enter the owner's date of birth. The owner’s date of birth will be used as an additional identifier and to establish
the two-year renewal date for the permit. Contact information for the vessel owner is required.
Section 4 – Eligibility. The following vessel owners are eligible to hold a Pacific HMS permit:
(1) An individual who is a citizen of the United States.
(2) An association, trust, joint venture, or other entity if—(A) each of its members is a citizen of the United States; and (B) it is capable
of holding title to a vessel under the laws of the United States or a State.
(3) A partnership if—(A) each general partner is a citizen of the United States; and (B) the controlling interest in the partnership is
owned by citizens or the United States.
(4) A corporation if—(A) it is incorporated under the laws of the United States or a State; (B) its chief executive officer, by whatever
title, and the chairman of its board of directors are citizens of the United States; and (C) no more of its directors are noncitizens
than a minority of the number necessary to constitute a quorum.
(5) The United States Government.
(6) The government of a State.
Application Processing Fee – Include a check or money order payable to “US Department of Commerce – NOAA.” Cash is not accepted. To pay
by credit card, apply online at http://fisheriespermits.noaa.gov.
Privacy Act Statement: Federal Regulations (at 50 CFR Part 660) authorize collection of this information. This information is used to verify the
identity of the applicant(s) and to accurately retrieve confidential records related to federal commercial fishery permits. Where the requested
information is a Social Security Number, disclosure is mandatory in accordance with the Debt Collection Act (31 U.S.C. 7701).
Paperwork Reduction Act - Public reporting burden for this collection of information is estimated to average 40 minutes per response, including
time for reviewing instructions, searching existing data sources, gathering and maintaining data, and completing and reviewing the collection of
information. 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. Send comments regarding this burden estimate or any other aspect of this collection
of information, including suggestions for reducing this burden, to the Regional Administrator, National Marine Fisheries Service, 501 West Ocean
Blvd., Suite 4200, Long Beach, CA 90802-4213.


File Typeapplication/pdf
AuthorShannon Penna
File Modified2020-01-08
File Created2019-11-01

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