Initial mackerel limited access permit application

U.S. Department of Commerce
NOAA/National Marine Fisheries Service
Northeast Region Permit Office
55 Great Republic Drive
Gloucester, MA 01930
Tel: (978) 282-8438

OMB CONTROL NO.: 0648-0601
Expires: 12/31/2012

Initial Application for a Federal
Limited Access Atlantic Mackerel Permit

date

Section 1 - Write in Owner, Contact, and Vessel Information
Owner name

Name of Vessel

Mailing address

Vessel Permit Number

City, State

USCG Documentation / State Registration

Zip Code

Phone Number

Please write in the vessel’s current baseline specifications below and attach the
appropriate documentation to verify length overall, gross registered tons (GRT), net tons
(NT), horsepower. Applicants do not need to provide Fish hold volume with this initial mackerel
application, but this measurement will be required at the time of first renewal for vessels issued a
Tier 1 or Tier 2 permit. Further information on these documentation requirements is provided on
page 3 of this application. Instead of GRT and NT information, you may submit verification of
vessel breadth and depth, and length overall. This information will then be used to calculate GRT
and NT using the simplified calculation method.
Length Overall (ft)

Gross Registered Tons

Net Tons

Horsepower

Fish Hold Volume (optional at this time, but required for renewal of Tier 1 or 2)

Section 2A - Atlantic Mackerel Categories and Gears
Check the permit category you’d like to apply for (you can check more than one): □ 1 □ 2 □ 3
A vessel can be issued only one category. If your vessel is found eligible for more than one
category, you will be issued the highest qualifying category. Tier 1 is the highest category, followed
by Tier 2, with Tier 3 being the lowest. Please read the enclosed permit holder letter for information
regarding eligibility criteria for each category.

Section 2B – Check off one or more gears to be used with the Atlantic mackerel permit
120 –Purse Seine

210 - Beach Seine

220 - Boat Seine

310 - Bottom Trawl

320 –Midwater Trawl

330 – Other Trawls

410 – Dredge

700 – Gill/Entangling Nets

800 –Pots and Traps

911 - Handlines

912 - Rod and Reel

913 - Tub Trawl

920 – Longlines/Setlines

1010 - Harpoons

1200 – Other Gears

1400 – Diving Gear

Please sign and date the back of this form.

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Initial Application for a Federal Limited Access Atlantic Mackerel Permit – page 2
additional instructions are contained on page 3
If you have already renewed the vessel’s permit(s) for the 2011 permit year:
1. Complete all sections and return this application to the address on the front of this form.
2. Provide information to document the vessel’s baseline specifications, including fish hold
volume if you wish to be considered for a Tier 1 or Tier 2 permit category.
If your vessel has not been issued a permit for the 2011 permit year or your vessel is
replacing another qualifying vessel, you must:
1.
2.
3.
4.

Complete all sections and return this application to the address on the front of this form.
Complete the vessel ownership form and return it along with your application
Include a copy of the vessel’s unexpired Coast Guard Documentation or State Registration.
Provide information to document the vessel’s baseline specifications, including fish hold
volume if you wish to be considered for a Tier 1 or Tier 2 permit category.

Confirmation of Permit History (CPH) - If your vessel has sunk, been destroyed, or sold to
another person without its permit history, you may apply for a CPH using the following instructions:
1. Complete all sections and return this application to the address on the front of this form.
2. Complete the vessel ownership form and return it along with your application
3. To verify that you have retained the permit history of a vessel you no longer own, please
provide one of the following:
a. A bill of sale or document stating that the permit history has been retained by you
(the seller) and signed by you and the buyer; or
b. A copy of the confirmation of permit history.
4. To verify that the vessel has been destroyed or is no longer seaworthy, please provide one
of the following: a. Coast Guard accident report; b. Insurance adjustor’s report;
or c. Verification from certified marine surveyor that vessel is no longer seaworthy.

Section 3 – Applicant’s Name and Signature
_____ Applying using retained
history
No Longer Own Vessel
Vessel Sold

I, the undersigned, am the owner or legally authorized agent of the owner of the
vessel named in Section 1 above. I affirm, subject to the penalties provided in 18
USC 1001, that all information that I have given in obtaining this permit is true and
correct.
Print Name: _______________________________________________

Vessel Destroyed
See CPH instructions above for
more information

Signature:______________________________________Date:_________________

PAPERWORK REDUCTION ACT STATEMENT: Public reporting burden for this collection of information is estimated to average 30
minutes per response, including the time for reviewing 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 suggestions for reducing this burden to the Assistant Regional Administrator, Sustainable Fisheries Division, NOAA
National Marine Fisheries Service, 55 Great Republic Drive, Gloucester, MA 01930. All landings and catch data, and any other
information protected under federal law, will be kept confidential. 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.
Any information submitted on this NOAA approved permit application form, which is not otherwise protected under federal law,
may be disclosed upon request. To avoid a delay in processing, please verify and complete all sections and include all
information requested on this form.

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OMB CONTROL NO.: 0648- Expires:

How to complete the limited access Atlantic mackerel application
SECTION 1: VESSEL/OWNER INFORMATION:
Enter current address and contact information for vessel owner
Enter vessel name, federal permit number (if it exists), and USCG Documentation or State
Registration
The vessel’s baseline refers to those specifications from which any future vessel size change is
measured and is based on the specifications of the vessel that is initially issued a limited access
permit as of the date that the vessel applied for such a permit.
Vessel specification documentation (Please Note: All documentation must include the name and
documentation number of the vessel)
For all vessels, you must verify total engine horsepower by providing one of the following:
• Marine survey documentation showing the name and location of the marine surveyor;
• Mechanic certification on the mechanic’s letterhead; or
• Engine manufacturer specification and proof that the engine is installed on your vessel.
For Coast Guard documented vessels, you must provide a copy of the documentation papers. By
submitting this documentation, you confirm that the vessel length overall is correct as indicated on
the CG documentation. If it is not, please submit additional documentation to confirm the length
overall of the vessel.
For State registered vessels, you must verify length overall, gross registered tonnage, and net
tonnage by providing one of the following:
• Marine survey documentation showing the name and location of the marine surveyor (survey
may indicate either gross and net tons or provide information on the vessel=s breadth and
depth (not draft), and length overall); or
• US Bureau of Shipping document.
Applicants do not need to provide Fish hold volume with this initial mackerel application, but this
measurement will be required at the time of first renewal for vessels issued a Tier 1 or Tier 2 permit.
If not provided with this initial application, the first renewal application for a Tier 1 or Tier 2 permit
must include a copy of a fish hold measurement from a Certified Marine Surveyor with a fishing
specialty by the National Association of Marine Surveyors (NAMS) or from an Accredited Marine
Surveyor with a fishing specialty by the Society of Accredited Marine Surveyors (SAMS).

SECTION 2: FISHERY INFORMATION
Gear Codes: You must select at least one gear code or multiple gear codes from those listed on the
front of this form.
SECTION 3: OWNER’S SIGNATURE
Please sign the form. Unsigned or incomplete applications will be returned.

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