Pacific Whiting Vessel License Application

OMB Control No.: 0648-xxxx
Expiration Date: mm/dd/yyyy

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UNITED STATES DEPARTMENT OF COMMERCE
National Oceanic and Atmospheric Administration
National Marine Fisheries Service, Northwest Region
Fisheries Permits Office
7600 Sand Point Way NE, Bldg. 1
Seattle, WA 98115-0070
Phone: (206) 526-4353

Fax: (206) 526-4461

www.nwr.noaa.gov

INSTRUCTIONS
Please complete one application for each vessel you wish to qualify for a Pacific Whiting Vessel License.
SECTION A – Sector Qualification: Designate which sector(s) the vessel qualifies for in the Pacific Whiting fishery.
SECTION B - Vessel Information/Vessel Owner Information/Certification: Provide the vessel name and vessel
official number (USCG documentation number). If the vessel is registered to Pacific Coast Groundfish Limited Entry
Permit, please give the permit number. Please provide the vessel owner name (as registered with USCG), the vessel
owner business address (street or P.O. Box), city, state, and zip code, and business phone number and fax number.
An authorized representative of the vessel owner must sign and date the application in the presence of a notary. The
notary must notarize the document. If the applicant fails to sign, date and have the document notarized, NMFS will
consider the application to be incomplete and will not review it.
SECTION C - Years of Participation and Number of Pounds Landed or Processed by Vessel: In this section, there
are listings for the four different whiting vessel sectors and the corresponding qualifying years of participation in the
whiting fishery for each sector. The applicant must indicate ONE year that the vessel named in Section A met the
qualifying criteria and list the total amount of whiting was landed or processed in the year given for that sector. If the
vessel qualifies for more than one vessel sector, provide the year and the landed/processed amount for that year for each
applicable sector. Whiting harvested or processed by a vessel that has since been totally lost or decommissioned will not
be considered for this license. Whiting harvested or processed illegally or landed illegally will not be considered for this
license. Catch and/or processing history associated with a vessel purchased by through the Pacific Coast groundfish
capacity reduction program (68 FR 62435-62440 – November 4, 2003) will not be considered in meeting the qualification
criteria.
SUPPLEMENTAL DOCUMENTATION: The applicant must provide documentation that verifies the amount of whiting
either landed or processed for the year given in Section C. This documentation must provide a date of landing or
processing, indicate the vessel that landed or processed the whiting, and clearly show that whiting was landed or
processed species and the amount of whiting in pounds for the given date. If the supplemental documentation is not
provided as specified above, NMFS will consider the application to be incomplete and will not review it.
DEADLINE: Your application must be received at the address given above no later than December 31, 2008. Any
application received after December 31, 2008 will not be processed by NMFS and returned to the applicant.

PACIFIC WHITING VESSEL LICENSE APPLICATION - PAGE 1 of 3

OMB Control No.: 0648-xxxx
Expiration Date: mm/dd/yyyy

UNITED STATES DEPARTMENT OF COMMERCE

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National Oceanic and Atmospheric Administration
National Marine Fisheries Service, Northwest Region
Fisheries Permits Office
7600 Sand Point Way NE, Bldg. 1
Seattle, WA 98115-0070

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Phone: (206) 526-4353

Fax: (206) 526-4461

www.nwr.noaa.gov

SECTION A – SECTOR QUALIFICATION
Indicate which sector(s) the vessel qualifies for. Check all that apply.

“ Catcher Vessel - Shoreside
“ Catcher Vessel – Mothership
“ Mothership
“ Catcher Processor
SECTION B – VESSEL INFORMATION/VESSEL OWNER CERTIFICATON
Vessel Name

Permit Number (if applicable)

USCG Doc or State Registration Number

GF
Current Vessel Owner Name(s) (Last, First, Middle Name or Business Name)
Business Name

Last

Business Mailing Address

First

Middle Name

( Street or PO Box)

Business Phone

(

)

Business Fax (optional)

(
City

State

Zip Code

)

Business Email (optional)

The remainder of Section B must be completed by a notary to certify that
the individual(s) signing this form have satisfactorily identified themselves.
Under penalties of perjury, I hereby declare that I, the undersigned, completed this application, and the information contained herein is true, correct,
and complete to the best of my knowledge and belief.
Signature of Applicant or Authorized Representative (See Note 1)

Date

Printed Name of Applicant or Authorized Representative (NOTE: If form completed by a representative, attach authorization.)

Notary Public Signature

“

ATTEST

Date Commission Expires

PACIFIC WHITING VESSEL LICENSE APPLICATION – PAGE 2 OF 3

Affix Notary Stamp or Seal Here

OMB Control No.: 0648-xxxx
Expiration Date: mm/dd/yyyy

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VESSEL LICENSE
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UNITED STATES DEPARTMENT OF COMMERCE
National Oceanic and Atmospheric Administration
National Marine Fisheries Service, Northwest Region
Fisheries Permits Office
7600 Sand Point Way NE, Bldg. 1
Seattle, WA 98115-0070
Phone: (206) 526-4353

Fax: (206) 526-4461

www.nwr.noaa.gov

Section C – Years of Participation and Pounds Landed or Processed
For all applicable vessel sectors, provide for the vessel named in Section A, the year the whiting deliveries or processing occurred and the
total amount of whiting delivered or processed in that year. You must submit records to verify the amount(s) of whiting landed and/or
processed for the qualifying year indicated below.

Catcher Vessels Delivering to Shoreside Facilities Sector (Qualifying Years January 1, 1994- January 1, 2007)
Provide one qualifying year that the vessel in Section A made at least one landing of whiting with midwater gear and
that the weight of whiting exceeded 50 percent of the total weight of the landing: ___________
Provide the total amount of whiting (in pounds) delivered by the vessel for the year given above: ________________
Catcher Vessels Delivering to Mothership Sector (Qualifying Years January 1, 1997 – January 1, 2007)
Provide one year that the vessel named in Section A delivered any amount of whiting:___________
Provide the total amount of whiting delivered (in pounds) by the vessel for the year given above: _________________
Mothership Sector (Qualifying Years January 1, 1997 – January 1, 2007)
Provide one year that the vessel named in Section A received and processed any amount of whiting: ___________
Provide the total amount of whiting (in pounds) received and processed for the year given above: _________________
Catcher Processor Sector (Qualifying Years January 1, 1997 – January 1, 2007)
Provide one year that the vessel named in Section A caught and processed any amount of whiting: ___________
Provide the total amount of whiting (in pounds) caught and processed for the year given above: _________________
NOTE: Attach documentation that verifies the amount of whiting delivered, received, or processed for the year
stipulated.

DEADLINE: Your application must be received at the address given above no later than December 31, 2008. Any
application received after December 31, 2008 will not be processed by NMFS and returned to the applicant.
WARNING STATEMENT: A false statement on this form is punishable by permit sanctions (revocation, suspension, or modification) under 15 CFR 904,
a civil penalty of up to $100,000 under 16 USC 1858, and as a federal crime under 18 USC 1001.
PRA STATEMENT: Public reporting burden for this collection of information is estimated to average 1.0 hour per response, including the time for
reviewing the instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the
burden, to NOAA/National Marine Fisheries Service, Northwest Region, Attn: Assistant Regional Administrator, Sustainable Fisheries Division, 7600
Sand Point Way NE, Seattle, WA 98115. Notwithstanding any other provisions of the law, no person is required to respond to, nor shall any person be
subjected 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.

Sustainable Fisheries Privacy Act Statement: This information is collected under the authority of the Magnuson-Stevens Fishery Conservation and
Management Act.

PACIFIC WHITING VESSEL LICENSE APPLICATION- PAGE 3 of 3