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OMB Controll No. 0648-05455 Expiration Daate: 05/31/2021
App
plication for
f Rockfissh
Coopera
ative Fishing Quota
a (CQ)
U.S. Dept. oof Commerce/
NOAA Nattional Marine Fissheries Service ((NMFS)
Restricted A
Access Managem
ment (RAM)
P.O. Box 2 1668
Juneau, AK
K 99802-1668
(800) 304-44846 toll free / (9907) 586-7202 in Juneau
(907) 586-77354 fax
This ap
pplication must be submitteed annually bby each Rockffish Cooperattive
an
nd received by
b NMFS by March 1st
A Rockfish
h Cooperativee that submitss a complete application
a
thhat NMFS appproves will reeceive a CQ ppermit.
The CQ peermit will estaablish an annu
ual amount off primary rockkfish species,, secondary sppecies, and hhalibut
prohibited species catch
h (PSC) based
d on the collecctive rockfishh quota share (QS) of the L
License Limittation
Program (L
LLP) licensess assigned to the
t rockfish cooperative
c
byy its memberss.
A CQ perm
mit will list th
he amount of CQ,
C by fisherry, held by thee Rockfish Coooperative, thhe members oof the
Rockfish Cooperative,
C
LLP
L licenses assigned to th
hat rockfish ccooperative, aand the vessells that are authhorized to
harvest fish
h under that CQ
C permit.
♦
♦
♦
ATTA
TACHMENTS
S
For the cooperatiive applicatio
on to be considered compleete, the follow
wing documennts must be atttached:
♦
A copy of
o the businesss license issu
ued by the state where the R
Rockfish Coooperative is reegistered as a
business entity
♦
A copy of
o the articles of incorporation or partneership agreem
ment of the Roockfish Coopeerative;
♦
A copy of
o the Rockfissh Cooperativ
ve agreement signed by thee members off the Rockfishh Cooperativee
(if differrent from the articles of inccorporation orr partnership agreement off the Rockfishh Cooperativee)
NO
OTE: The articcles of incorp
poration or cooperative agrreement must specify that
♦
the Rock
kfish QS hold
ders affiliated with Rockfissh processors cannot particcipate in pricee setting negootiations,
except as
a permitted by
b general anttitrust law
♦
the Rock
kfish Cooperaative has a mo
onitoring prog
gram sufficiennt to ensure ccompliance w
with the
Rockfish
h Program
♦
rockfish quota share holders
h
who are
a members of
o the Rockfiish Cooperativve must ensurre full paymeent of
Rockfish
h cost recoverry fees that may
m be due.
BL
LOCK A – RO
OCKFISH COOPERATIV
C
VE IDENTIF
FICATION
1. R
Rockfish Coo
operative's Legal Name:
2. NMF
FS Person ID:
3. T
Type of busin
ness entity under which thee cooperative is organized::
Cooperativee
Partnersh
hip Other (Please
(
speciffy)
4. D
Date of Incorp
poration:
5. State in whiich the coope rative is
leegally registerred as a businness entity:
Applicatiion for Rockfishh CQ
Page
P
1 of 9
6. Name of A
Authorized
Representativve:
7. Permanent Business Address:
8. Business Telephone Number:
1. Full Name:
9. Business Fax Number:
10. E-mail Address:
BLOCK B – MEMBERS OF THE ROCKFISH COOPERATIVE
LLP Holder and Ownership Documentation
2. NMFS Person ID:
3. LLP Number(s):
Enter the names of all persons, to the individual level, holding an ownership interest in the LLP license(s) assigned to the rockfish
cooperative and the percent of ownership each person and individual holds in the LLP license(s).
% Ownership in
LLP License
Name
1. Full Name:
LLP Holder and Ownership Documentation
2. NMFS Person ID:
3. LLP Number(s):
Enter the names of all persons, to the individual level, holding an ownership interest in the LLP license(s) listed above and the
percentage ownership each person and individual holds in the LLP license(s). Attach additional pages as necessary.
Name
Application for Rockfish CQ
Page 2 of 9
% Ownership in
LLP License
1. Full Name:
LLP Holder and Ownership Documentation
2. NMFS Person ID:
3. LLP Number(s):
Enter the names of all persons, to the individual level, holding an ownership interest in the LLP license(s) listed above and the
percentage ownership each person and individual holds in the LLP license(s). Attach additional pages as necessary.
% Ownership in
LLP License
Name
1. Full Name:
LLP Holder and Ownership Documentation
2. NMFS Person ID:
3. LLP Number(s):
Enter the names of all persons, to the individual level, holding an ownership interest in the LLP license(s) listed above and the
percentage ownership each person and individual holds in the LLP license(s). Attach additional pages as necessary.
% Ownership in
LLP License
Name
1. Full Name
LLP Holder and Ownership Documentation
2. NMFS Person ID:
3. LLP Number(s):
Enter the names of all persons, to the individual level, holding an ownership interest in the LLP license(s) listed above and the
percentage ownership each person and individual holds in the LLP license(s). Attach additional pages as necessary.
Name
Application for Rockfish CQ
Page 3 of 9
% Ownership in
LLP License
BLOCK C -- IDENTIFICATION OF ROCKFISH COOPERATIVE MEMBER VESSELS
Vessel Name
ADF&G Number:
USCG Number:
Vessel Name
ADF&G Number:
USCG Number:
Vessel Name
ADF&G Number:
USCG Number:
Vessel Name
ADF&G Number:
USCG Number:
Vessel Name
ADF&G Number:
USCG Number:
Vessel Name
ADF&G Number:
USCG Number:
Vessel Name
ADF&G Number:
USCG Number:
Vessel Name
ADF&G Number:
USCG Number:
Vessel Name
ADF&G Number:
USCG Number:
Vessel Name
ADF&G Number:
USCG Number:
Vessel Name
ADF&G Number:
USCG Number:
Vessel Name
ADF&G Number:
USCG Number:
Vessel Name
ADF&G Number:
USCG Number:
Vessel Name
ADF&G Number:
USCG Number:
Vessel Name
ADF&G Number:
USCG Number:
Application for Rockfish CQ
Page 4 of 9
BLOCK D – SHORESIDE PROCESSOR ASSOCIATE OF THE ROCKFISH COOPERATIVE
1. Processor Name:
2. NMFS Person ID:
4. ADF&G Processor Code:
3. Facility Name:
5. Federal Processor Permit Number:
BLOCK E - CERTIFICATION OF COOPERATIVE AUTHORIZED REPRESENTATIVE
Under penalties of perjury, I declare that I have examined this application, and to the best of my knowledge and belief, the
information is true, correct, and complete.
1. Signature of Cooperative Authorized Representative:
2. Date Signed:
3. Printed Name of Cooperative Authorized Representative (attach authorization):
BLOCK F - CERTIFICATION OF PROCESSOR ASSOCIATE
Under penalties of perjury, I declare that I have examined this application, and to the best of my knowledge and belief, the
information is true, correct, and complete.
1. Signature of Shoreside Processor Authorized Representative:
3. Printed Name of Shoreside Processor Authorized Representative (attach authorization):
Application for Rockfish CQ
Page 5 of 9
2. Date Signed:
___________________________________________________________________________________________________________
PAPERWORK REDUCTION ACT STATEMENT
A Federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for
failure to comply with an information collection subject to the requirements of the Paperwork Reduction Act of 1995 unless the
information collection has a currently valid OMB Control Number. The approved OMB Control Number for this information
collection is 0648-0545. Without this approval, we could not conduct this information collection. Public reporting for this information
collection is estimated to be approximately 2 hours per response, including the time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed, and completing and reviewing the information collection. All responses to this
information collection are required to obtain benefits. Send comments regarding this burden estimate or any other aspect of this
information collection, including suggestions for reducing this burden to Assistant Regional Administrator, Sustainable Fisheries
Division, Alaska Region, NMFS, P.O. Box 21688. Juneau, AK 99802-1668.
PRIVACY ACT STATEMENT
AUTHORITY: The collection of this information is authorized by the Magnuson-Stevens Fishery Conservation and Management Act,
16 U.S.C. 1801 et seq.
PURPOSE: NMFS uses the information provided on this application form to identify cooperatives eligible to participate in the Central
Gulf of Alaska Rockfish Program; the license holders and vessels that are the members of each cooperative; and the person who is the
authorized representative for the cooperative. In addition, NMFS uses the information on this application form as a basis for issuing
annual cooperative quota for groundfish and halibut prohibited species to each eligible cooperative.
ROUTINE USES: Disclosure of this information is subject to the published routine uses identified in the Privacy Act System of
Records Notice COMMERCE/NOAA-19, Permits and Registrations for the United States Federally Regulated Fisheries. NMFS posts
some information from these application forms on its public website (www.alaskafisheries.noaa.gov), including the name of the
authorized representative of the cooperative, the business address of the cooperative, and the names of the license holders who are
members of the cooperative. In addition, NMFS may share information submitted on this application form with other State and
Federal agencies or fishery management commissions, including staff of the North Pacific Fishery Management Council and Pacific
States Marine Fisheries Commission. Other information is confidential under section 402(b) of the Magnuson-Stevens Act and NOAA
Administrative Order 216-100, which sets forth procedures to protect confidentiality of fishery statistics.
DISCLOSURE: Providing this information is voluntary; however, the failure to provide complete and accurate information will
prevent the determination of eligibility and annual issuance of RP cooperative quota.
___________________________________________________________________________________________________
Application for Rockfish CQ
Page 6 of 9
Instructions for
APPLICATION FOR ROCKFISH COOPERATIVE QUOTA (CQ)
Catcher vessel sector: Those rockfish eligible harvesters, who hold an LLP license without a catcher/processor
designation with at least one rockfish legal landing that could, or does, generate rockfish quota share (QS). Catcher
vessels may form a cooperative with other catcher vessels with an association with any shoreside processor located within
the geographic boundaries of the City of Kodiak. No minimum number of License Limitation Program (LLP) licenses is
required.
Catcher/processor sector: Those rockfish eligible harvesters, who hold an LLP license with a catcher/processor
designation that is assigned at least one rockfish legal landing that could, or does, generate rockfish QS.
Catcher/processors may form a cooperative with other catcher/processors. No minimum number of LLP licenses required.
Rockfish Program Species of the Central Gulf of Alaska
Rockfish Primary Species:
Rockfish Secondary Species:
1.Northern rockfish
1.Sablefish not allocated to the IFQ Program
2.Pacific Ocean perch
2.Thornyhead rockfish
3.Pelagic Shelf rockfish
3.Pacific cod for catcher vessel sector
4.Rougheye rockfish for the catcher/processor sector
5.Shortraker rockfish for the catcher/processor sector
A Rockfish CQ permit is valid only until the end of the calendar year for which the CQ permit is issued.
Fishing by vessels participating in a rockfish cooperative is authorized from 1200 hours, A.l.t., May 1 through 1200 hours,
A.l.t., November 15.
GENERAL INFORMATION
Please allow at least 10 working days for your application to be processed. Items will be sent by first class mail,
unless you provide alternate instructions and include a prepaid mailer with appropriate postage or corporate account
number for express delivery.
Application forms are available on the NMFS Alaska Region website at
https://alaskafisheries.noaa.gov/fisheries/central-goa-rockfish-program
or by contacting NMFS at 800–304–4846, Option 2.
A completed application must be received by NMFS no later than 1700 hours, A.l.t., March 1 or if sent by U.S. mail, the
application must be postmarked by that time. For applications delivered by hand delivery or carrier only, the receiving
date of signature by NMFS staff is the date the application was received. If the application is submitted by fax, the
receiving date of the application is the date stamped received by NMFS.
Objective written evidence of timely application will be considered as proof of a timely application.
This application may only be submitted to NMFS using the methods described below. Type or print legibly in ink; retain a
copy of completed application for your records.
Application for Rockfish CQ
Page 7 of 9
Complete application and submit:
by mail to: NMFS Alaska Region
Restricted Access Management (RAM)
P.O. Box 21668
Juneau, AK 99802-1668
by delivery to: Room 713, Federal Building
709 West 9th Street
Juneau, AK
by fax to: (907) 586-7354
If you need additional information, contact RAM at: (800) 304-4846 (Option #2) or
(907) 586-7202 (Option #2)
Print information in the application legibly in ink or type information.
Retain a copy of completed application for your records.
COMPLETING THE APPLICATION
ATTACHMENTS
Include all of the attachments required at 50 CFR § 679.81(f)(4)(i) and listed on page 1 of the application form.
BLOCK A – ROCKFISH COOPERATIVE IDENTIFICATION
1. Rockfish cooperative’s legal name
2. NMFS Person ID
3. Type of business entity under which organized
4. Date of Incorporation
5. State in which legally registered as a business entity
6. Name of the authorized representative
7. Permanent business address, including P.O. Box number or street address, city, state, and zip code
8-9. Business telephone number and fax number, including area code
10. Business e-mail address
BLOCK B – MEMBERS OF ROCKFISH COOPERATIVE (LLP Holder and Ownership Documentation)
(Copy this page to accommodate additional coop members)
1. Full name of member
2. NMFS Person ID
3. LLP license number(s)
4. List all persons, to the individual level, holding an ownership interest in the LLP(s) assigned to the rockfish
cooperative and the percent of ownership each person and individual holds in the LLP license(s).
BLOCK C -- IDENTIFICATION OF ROCKFISH COOPERATIVE MEMBER VESSELS
Provide a list of any vessels that may be used by the cooperative to harvest CQ during the year for which CQ is applied.
This list may not be modified during the year for which the CQ permit is issued. For each vessel provide:
Vessel name
Alaska Department of Fish and Game (ADF&G) vessel registration number
U.S. Coast Guard (USCG) documentation number
Application for Rockfish CQ
Page 8 of 9
BLOCK D – SHORESIDE PROCESSOR ASSOCIATE OF THE ROCKFISH COOPERATIVE
1.
2.
3.
4.
5.
Processor name
NMFS Person ID
Facility name
ADF&G processor code
Federal processor permit (FPP) number
BLOCK E – CERTIFICATION OF COOPERATIVE
The Rockfish Cooperative’s authorized representative must enter printed name, sign, and date the application certifying
that all information is true, correct, and complete to the best of his/her knowledge and belief.
BLOCK F – CERTIFICATION OF PROCESSOR ASSOCIATE
The Processor Associate’s authorized representative must enter printed name, sign, and date the application certifying that
all information is true, correct, and complete to the best of his/her knowledge and belief.
Application for Rockfish CQ
Page 9 of 9
File Type | application/pdf |
File Title | Microsoft Word - cq_app.docx |
Author | User1 |
File Modified | 2020-07-24 |
File Created | 2020-07-23 |