Form NOAA 58-5 NOAA 58-5 Federal Northeast Seafood Dealer Initial Permit Applicat

NATIONAL MARINE FISHERIES SERVICE
Northeast Regional Office / Fisheries Statistics Office
Application Instructions
Federal Fisheries Dealer Permit
Mail the completed application packages to: National Marine Fisheries Service
(NOAA Fisheries Service), Northeast Permits Operations, One Blackburn Drive,
Gloucester, MA 01930-2298. Note: There is a 30-day processing period for all
application packages. This 30-day processing period begins when a correct and
complete application package is received in the NMFS Northeast (NE) Permits
Operations Office. Failure to provide the required information will delay
processing of your dealer permit.
For further information, call Northeast Permits Operations at (978) 281-9370

¾ Section 1 - Dealer Information
If you already have a NE dealer permit, enclosed is a pre-printed application,
which is partially completed for you.
If you are a new seafood dealer and have not been issued a NE dealer permit
previously, an initial NE dealer permit application is enclosed.
Before submitting your application, review the dealer information placed in
Section 1 to ensure it is correct. Make any corrections on the lines provided. It
is important to include your Southeast Dealer Permit Number in Section 1 if you
have been issued a dealer permit by the Southeast Region of NOAA Fisheries
Service.

¾ Section 1A - Additional Dealer Information
You must provide the address of each place of business where you purchase or
receive the regulated species for commercial purposes.
If regulated species are purchased or received for commercial purposes at more
than one place of business, each address must be listed on the application.
Space is available on the back of the dealer permit form for the required listing of
additional addresses.

¾ Section 2 - Selected Fisheries
If not already marked, place an ‘X’ next to each of the fisheries for which you are
requesting a Federal Fisheries Dealer Permit. Please note: Atlantic
Hagfish has been added to the list of fisheries for purposes of a one-time pilot study.

¾ Section 3 – Applicant’s Signature
Before mailing, carefully review the application form for accuracy and
completeness. Sign and date the application in Section 3 and return it to the
address listed above.

Revised: 8/2006

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

United States Department of Commerce
National Oceanic & Atmospheric Administration
Fisheries Statistics Office/Northeast Permits Operations
One Blackburn Drive
Gloucester, MA 01930-2298

Federal Northeast Seafood Dealer
Initial Dealer Permit Application
SECTION 1 - DEALER INFORMATION
Southeast Dealer # (if available) _________
Company name:

__

Owner’s Name:

___

__

___

Street Address:
City:

___
State :

Telephone:

Zip Code:

___

Fax Number:

___

**Vessel Name:
___
**Vessel Hull Number:
**(must enter vessel name and hull number above if applying for Atlantic Mackerel at Sea Processor,
if mackerel processing will be done aboard a vessel)

If regulated species are purchased or received for commercial purposes at more than one place of business, each
address must be listed. List those additional addresses on the back of this form in Section 1A.

SECTION 2 - FISHERIES
Select the fisheries desired by placing an (X) in the boxes provided. Select all fisheries that apply.  

Atlantic hagfish
** (see note in Section 1)
SECTION 3 - OWNER'S NAME AND SIGNATURE
I affirm, subject to the penalties provided in 18 USC 1001, that all information I have given in obtaining this
permit is true and correct.
Print Name:
Signature:

Date:

1
Revised: 8/2006

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

SECTION 1A - ADDITIONAL DEALER INFORMATION. If regulated species are purchased or received for
commercial purposes at more than one place of business, each address must be listed below.
COMPANY ADDRESS:
STREET:
CITY:
STATE:

ZIP CODE:

COMPANY TELEPHONE:
COMPANY ADDRESS:
STREET:
CITY:
STATE:

ZIP CODE:

COMPANY TELEPHONE:
COMPANY ADDRESS:
STREET:
CITY:
STATE:

ZIP CODE:

COMPANY TELEPHONE:
For further information, call Northeast Permits Operations at (978) 281-9370
The information requested on this form is not confidential and will be available to the general public upon request.
The Paperwork Reduction Act requires potential respondents for a dealer/processor permit be notified of certain
information regarding their rights and the burden associated with applying for a Federal dealer/processor permit.
One of the regulatory steps taken by the National Marine Fisheries Service (NMFS) to carry out conservation and
management objectives is the requirement of a permit for users of the resources. All the fisheries included on this
application require a permit to purchase, or otherwise receive for transport, species harvested by the owner or
operator of a fishing vessel issued a Federal fisheries permit for these species. Section 303(b)(1) of the MagnusonStevens Fishery Conservation and Management Act (MSFCMA) specifically recognizes the need for permit issuance.
The purpose and use of permits is to: (1) register fish dealers and processor, (2) list the characteristics of
dealer/processor operations, (3) exercise influence over compliance (e.g. withhold issuance pending collection of
unpaid penalties), (4) provide a mailing list for the dissemination of important information to the industry, (5)
provide a universe for data collection samples, and (6) obtain first purchase information on landings to evaluate the
biological, economic and social implications of management measures.
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 15 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: National Marine Fisheries Service, Permit Office, One Blackburn Drive, Gloucester, MA 01930-2298.

2
Revised: 8/2006

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

a

Corporations and Partnership Information
Corporations
All dealer corporations must submit with their initial application a copy of the
certificate of incorporation, showing officers and shareholders owning 25% or
more of the shares of the corporation. In addition, each year the corporation
must submit current information listing all current officers, along with their
addresses, and shareholders owning 25% or more of the shares of the
corporation, along with their addresses.
Partnerships
If your business is a partnership, you must submit a copy of the partnership
agreement with your initial application. In addition, each year the
partnership must submit the names and addresses of all current partners.
Sole proprietorships
If your business is a sole proprietorship, you must submit, with your initial
application, a statement in writing that you are a sole proprietorship.
Failure to provide this information will delay processing of your dealer permit.

Dealer Reporting
An application is complete when all requested forms, information, and
documentation have been received, and the applicant has submitted all applicable
reports specified in the Federal regulations including dealer electronic weighout
reports and processed products reports [CFR § 648.7 and § 635.5]. All dealers
must submit detailed purchase reports electronically, with the exception of dealers
holding only a federal Northeast dealer permit for American lobster and/or Atlantic
tunas. Atlantic tuna dealers who purchase or receive bluefin tuna have separate
reporting requirements. Dealers who purchase Atlantic hagfish will also have separate
reporting requirements in accordance with the information collection pilot program
requirements. Processors who have processor or dealer permits must complete and
submit to NOAA Fisheries Service an annual processed products report. Atlantic hagfish
processors will be required to report their processing activities for the length
of the pilot program.
Electronic dealer reports must contain all species, including, but not limited to, all
Northeast managed species, as well as all non-bluefin tunas, sharks, swordfish
and Atlantic hagfish. Failure to submit the reports required under either CFR § 648.7
or § 635.5 may bar issuance of any Northeast dealer permit (except for American lobster).
In addition, failure to report in an accurate and timely fashion may result in enforcement action
being taken. If you have any questions concerning your compliance with the
reporting regulations for Northeast managed species [CFR § 648.7], please contact
your local NMFS Field Office (list enclosed). Questions concerning reporting for
bluefin tuna [CFR § 635.5], should be directed to the Highly Migratory Species
Office at (978) 281-9140.

3
Revised: 8/2006

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