Coastal Pelagics Fishing Limited Entry Permit - Permit R

UNITED STATES DEPARTMENT OF COMMERCE
National Oceanic and Atmospheric Administration
NATIONAL MARINE FISHERIES SERVICE
West Coast Region
501 West Ocean Boulevard, Suite 4200
Long Beach, California 90802-4213
wcr-permits@noaa.gov

OMB CONTROL NO. 0648-0204
Expiration Date: 1/31/2020

COASTAL PELAGICS FISHING LIMITED ENTRY PERMIT
PERMIT RENEWAL FORM

Mail to: Permits Office, 501 W Ocean Blvd., Suite 4200, Long Beach, CA 90802
(1) APPLICANT INFORMATION
Name of current permit owner

Permit Number

Permit_number

PERMIT_HOLDER

Phone Number

Address

ADDRESS

PHONE_NUMBER

Signature

Print name

Date

(2) VESSEL INFORMATION (If no vessel is assigned write NO VESSEL)
Vessel Name

Permit Fixed Gross Tonnage

Fixed_Gt

VESSEL_NAME
U.S. Coast Guard Documentation number or State
registration number

Uscg_Doc_Or_State_Reg_Num
Overall Length (ft.)

LENGTH

Breadth (ft.)

BREADTH

Home Port

International Radio Call Sign (IRCS)

HOME_PORT
Depth (ft.)

DEPTH

IRCS
Vessel Calculated Gross Tonnage*

Gross_Tons

*Gross tonnage (GT) means gross tonnage as determined by the formula in 46 CFR 69.209(a) for a vessel not designed for sailing (.67 x length x
breadth x depth/100). A vessel’s length, breadth, and depth are those specified on the vessel’s certificate of documentation issued by the U.S. Coast
Guard or state.
The purpose of this information collection is to limit the number of vessels fishing for coastal pelagic species according to the provisions of the Fishery Management Plan
for Coastal Pelagic Species, which was approved by the Secretary of Commerce and implemented by federal regulations on December 15, 1999 (64 FR 69888). The
information on this form is mandatory for owners of vessels who wish to participate in the limited entry fishery, and is required by 50 CFR 660.512. 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.
Paperwork Reduction Act - Public reporting burden for this collection 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 aspect of this collection of information, including suggestions for reducing this burden to West Coast Region, NMFS, 501 West Ocean Blvd.,
Suite 4200, Long Beach, California 90802-4213.