Form # 05-11a - Commercial Fisheries Entry Commission 2010 Commercial Vessel License Application
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1
2
3Commercial Fisheries Entry Commission
8800 Glacier Hwy. #109
P.O. Box 110302, Juneau, Alaska 99811-0302
2010 Commercial Vessel License Application
Phone: (907)789-6150/Fax: (907)789-6170
Vessels used in commercial fi shing activities (commercial fi shing vessels, tenders, processors and transporters) must be licensed with the Entry Commission
by completing this form. If the vessel is also used for guided sport fi shing, please contact your local Alaska Department of Fish and Game, Sport Fish Division
offi ce to request the necessary forms. Fee categories are based on the overall length and are shown below. If the vessel is used for salmon seining, gillnetting
or trolling, complete number 22 and/or 23 in Part B. If you are not sure of the vessel’s ADF&G number, or whether it has one, please complete Part D on the
back of this page.
THE OWNER OR AUTHORIZED AGENT MUST SIGN THE APPLICATION BELOW OR THERE WILL BE
DELAYS IN PROCESSING.
FOR PAYMENT PLEASE SUBMIT A CHECK OR MONEY ORDER MADE PAYABLE TO THE STATE OF ALASKA OR IF PAYING WITH A CREDIT CARD
COMPLETE THE ATTACHED CREDIT CARD AUTHORIZATION.
Vessel License Fees:
Fees are based on the overall length of the vessel, as defi ned by the United States Coast Guard. If this vessel is being licensed for
commercial fi shing in Alaska for the fi rst time, submit an additional $30 for the initial issuance of a metal ADF&G number plate.
Vessels to 25’: $24
Over 25’-50’: $60
Over 50’-75’: $120
Over 75’-100’: $225
Over 100’-125’: $300 Over 125’-150’: $375
Over 150’-175’: $450
Over 175’-200’: $525
Over 200’-225’: $600
Over 225’-250’: $675 Over 250’-275’: $750 Over 275’-300’: $825
Over 300’: $900
Part A: Legal Owner of Vessel, Name and Address
(
)
-
Name of vessel owner - print clearly
Contact person
Telephone (Check if unlisted: ___ )
Permanent mailing address (street or P.O. Box)
E-mail address
City (of permanent mailing address)
State
Zip
Temporary mailing address for this license, if different
_________________________________________________ _______________________
Social security number or Federal EIN
Birthdate (mm/dd/yyyy)
City (of temporary mailing address)
State
Zip
Part B: Vessel Information
U.S.A.
Canada
Other: _____________________ 20. Types of fi shing activity (check all that apply):
1. Vessel registered in:
2. ADF&G number (if known): ___________________
92 Commercial fi shing
87 Freezer/canner
88 Tender/packer
89 Transporter
3. Vessel name: ________________________________________________________ 21. Types of gear expected to be fi shed (check all that apply):
4. U.S. Coast Guard Doc. or State registration #: ______________________
01 Purse seine
02 Beach seine
03 Drift gillnet
04 Set gillnet
34 Herring gillnet
05 Hand troll
15 Power troll
25 Dinglebar troll
26 Mech jig
06/61 Long line
5. Year built: _________________ 6. Overall length (feet):_________________
09/91 Pot gear
10 Ring nets
08 Fish wheel
11 Dive
22 Dredge
7. Vessel make/model: _________________________________________________
17 Beam trawl
07 Otter trawl
27 Dbl otter trawl
37 Pair trawl
99 Other gear
8. Gross tonnage: _______________ 9. Net tonnage: ____________________
22. Salmon net area registration:
Vessels that fi sh salmon with seines or gillnets must be registered for ONE administrative area each year.
10. Home port (city/state): ______________________________________________
Indicate the area the vessel will fi sh during 2010 (check one box). List the permit numbers of the CFEC
salmon permits which will be fi shed on the vessel.
Gas
Diesel 12. Horsepower: ____________
11. Engine type:
A - Southeast
E - Prince William Sound
H - Cook Inlet
K - Kodiak
13. Vessel value (as presently equipped): _______________________________
L - Chignik
M - Peninsula/Aleutians
T - Bristol Bay
Z - Norton Sound
Aluminum
Fiberglass/plastic
Wood
14. Hull construction:
Concrete
Iron/steel alloy
Rubber
CFEC permit numbers: S 0 _ __ _ _ __ _, S 0 _ _ _ _ _ _, S 0_ _ _ _ _ _ _
23. Salmon troll registration:
15. Hull identifi cation number: ________________________________________
Troll registration must be effective prior to participating in the
commercial salmon troll fi shery. Check the appropriate gear type below, either hand troll or power troll. If
(12 alpha-numeric characters - lower right outboard side of transom)
you intend to use the vessel for sport fi shing prior to commercial trolling, you may choose the date you
expect to begin commercial trolling as the effective registration date. After the effective date of the troll
16. Hold capacity (cu. feet): ______ 17. Live tank capacity (cu. feet): _____
registration, sport fi shing activity may be restricted. Consult ADF&G regulations for details.
Hand troll
Power troll
Effective date: ___________________
18. Fuel capacity (gal.): __________ 19. Refrigeration:
Yes
No
Part C: Certifi cation: I certify under penalty of perjury that I am the vessel owner or authorized agent to license the vessel,
that I have reviewed the information on this form and it is true and correct to the best of my knowledge.
_____________________________________________________________________________________________________________________________
_________________________
THE OWNER OR AUTHORIZED AGENT MUST SIGN ABOVE OR THERE WILL BE DELAYS IN PROCESSING
DATE
Revised September 2009
Form # 05-11A
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