PO Box 110302 Commercial Fisheries Entry Commission Juneau, AK 99811-0302 2017 Commercial Fishing Permit Application Phone: 907-789-6150/Toll Free: 1-855-789-6150

Fax: 907-789-6170 Website: www.cfec.state.ak.us

Use this form to apply for and/or renew commercial fishing permits for 2017. Submit payment by check, money order or use the attached credit card authorization. All sections of this form must be completed to avoid delays in issuance of the permit(s).

Applicant Information: Permit Holder’s Name: ____________________________________________________________________________________________ Permanent Mailing Address: _______________________________________________________________________________________ City: _______________________ State: ______ Zip: ___________ Phone Number: _____________________ Check if Unlisted _______ *REQUIRED FOR VERIFICATION OF RESIDENCY* Physical Location of residence (where you live): ______________________________________________________________________ City: _______________________ State: ______ Zip: __________ How Long (years/months) at the Physical Address?_____________ Social Security Number: __________________________ Date of Birth: ___________ Email Address: ___________________________ Temporary Mailing Address (for these permits): _______________________________________________________________________ City: __________________________ State: ___________

Zip: _______________________

Fishery Information: Below provide the fishery resource, gear, and area code as indicated on the next four pages, leave the “permit number” blank if you are applying for a new permit, or if you don’t know your permit number and provide the ADF&G number of the vessel you will be fishing. Note: The designated vessel must be licensed for 2017 in order for the permit card to be issued, if a vessel is required for the fishery. Fishery Code:

Permit Number:

Fishery Description:

Vessel ADF&G Number:

Fee:

1.

$

2.

$

Nonresidents are required to pay an annual nonresident differential of $215 with issuance of their first 2017 permit: $ _________ Total permit fees due: $ _________ If you held federal individual fishing quota (IFQ) in 2016 you may qualify for the $75 fee in the halibut or sablefish fishery. You must have held IFQs in 2016 and your 2016 landings must have been 8,000 pounds or less of halibut (standardized weight), 9,000 pounds or less of sablefish (round weight). If you did not deliver halibut or sablefish in 2016, you must submit a copy of your IFQ permit showing the total pounds you hold. If you are fishing halibut for a Western Alaska Community Development Quota Program then you must provide the name of the CDQ community group name. - I certify I hold IFQ & landed under 8,000lbs of halibut in 2016:

__YES, if yes pay $75.00

- I certify I hold IFQ & landed under 9,000lbs of sablefish in 2016:

__YES, if yes pay $75.00

- I certify I will be fishing halibut only for the following Western Alaska CDQ community:

______________________________________, pay $75.00

If you hold more than one salmon net area permit, designate the ONE salmon net area you will fish in 2017: _______

Certification: You must complete this portion or there will be delays in processing 20 AAC 05.290. Residency Definition, for the purpose of assessing fees for the application for, annual issuance of, or renewal of entry and interim-use permits, an individual is a resident of this state if, on the date of permit application, issuance, or renewal, and throughout the 12-month period before that date, that individual maintained their domicile in this state and neither claimed residency in another state, territory, or country nor obtained benefits under a claim of residency in another state, territory, or country.

Residency:

Alaska Resident

Nonresident

Citizenship:

U.S. Citizen

Alien* (Registration no._____________ ) *Aliens must enclose a copy of their green card

I certify under penalty of perjury that the information contained herein is true and complete. ___________________________________________________________________

Signature of Permit Holder

(Authorization must be attached if signed or picked-up by someone else) Revised October 2016

Form # 05-07A

Date PAGE 1

2017 Fishery Codes and Permit Fees Dungeness Crab: Southeast 75 pots or 25% of max gear 150 pots or 50% of max gear 225 pots or 75% of max gear 300 pots or 100% of max gear Ring net Diving gear Yakutat Pot gear vessel under 60’ Pot gear vessel 60’ or over Prince William Sound Pot gear vessel under 60’ Pot gear vessel 60’ or over Cook Inlet Pot gear vessel 60’ or over Ring net Westward Pot gear vessel under 60’ Pot gear vessel 60’ or over Chignik Pot gear vessel under 60’ Pot gear vessel 60’ or over Alaska Peninsula Pot gear vessel under 60’ Pot gear vessel 60’ or over

King Crab: D9DA D9CA D9BA D9AA D10A D11A

LE LE LE LE LE LE

$75 $150 $225 $225 $75 $75

D09D D91D

$75 $75

D09E D91E

$75 $75

D91H D10H

LE LE

$75 $75

D09J D91J

$300 $375

D09L D91L

$150 $150

D09M D91M

$225 $225

Tanner Crab: Yakutat Pot gear vessel under 60’ Pot gear vessel 60’ or over Prince William Sound Pot gear vessel under 60’ Pot gear vessel 60’ or over Cook Inlet Pot gear vessel under 60’ Pot gear vessel 60’ or over Chignik Pot gear vessel under 60’ Alaska Peninsula Pot gear vessel under 60’ Pot gear vessel 60’ or over Dutch Harbor Pot gear vessel under 60’ Pot gear vessel 60’ or over Bering Sea Pot gear vessel under 60’ Pot gear vessel 60’ or over Adak Pot gear vessel 60’ or over

T09D T91D

$75 $75

T09E T91E

$150 $225

T09H T91H

$75 $75

T09L

$225

T09M T91M

$225 $225

T09O T91O

$150 $225

T09Q T91Q

$75 $3000

T91R

$75

Tanner Bairdi Crab: Kodiak only Pot gear vessel to 120’ Pot gear vessel under 60’

TB9AK TB9BK

LE LE

Yakutat Pot gear vessel under 60’ Pot gear vessel 60’ or over Prince William Sound Pot gear vessel under 60’ Pot gear vessel 60’ or over Cook Inlet Pot gear vessel under 60’ Pot gear vessel 60’ or over Kodiak Pot gear vessel under 60’ Pot gear vessel 60’ or over Alaska Peninsula Pot gear vessel under 60’ Pot gear vessel 60’ or over Dutch Harbor Pot gear vessel under 60’ Pot gear vessel 60’ or over Bering Sea Pot gear vessel under 60’ Pot gear vessel 60’ or over Bristol Bay Pot gear vessel under 60’ Pot gear vessel 60’ or over Kotzebue Pot gear vessel under 60’ Pot gear vessel 60’ or over Norton Sound Pot gear vessel under 60’ Pot gear vessel 60’ or over

K09D K91D

$75 $75

K09E K91E

$75 $75

K09H K91H

$75 $75

K09K K91K

$75 $675

K09M K91M

$300 $300

K09O K91O

$75 $3000

K09Q K91Q

$75 $675

K09T K91T

$675 $3000

K09X K91X

$75 $75

K09Z K91Z

$150 $225

E09Q E91Q

$75 $225

E09B E91B

$150 $825

Hair Crab: Bering Sea Pot gear vessel under 60’ Pot gear vessel 60’ or over Statewide (excluding above) Pot gear vessel under 60’ Pot gear vessel 60’ or over

King and Tanner Crab: Southeast only Tanner pot gear Tanner ring net King Red/Blue pot gear King Red/Blue/Brown pot gear King Brown pot gear King Red/Blue & Tanner pot gear King Brown & Tanner pot gear King Red/Blue/Brown & Tanner pot gear

T19A T10A K19A K29A K39A K49A

LE LE LE LE LE

$300 $75 $75 $375 $375 $300

K59A K69A

LE LE

$600 $600

$225 $150 PAGE 2

2017 Fishery Codes and Permit Fees Weathervane Scallops:

Geoduck clams:

State Waters Dredge vessel to 80’ Dredge vessel over 80’ Federal Waters Dredge vessel to 80’ Dredge vessel over 80’

Southeast Diving gear

W2BSW W2ASW

$150 $900

J11A

LE

W2BFW W2AFW

$450 $3000

Statewide (excluding Southeast geoduck) Shovel R18B Mechanical digger R23B

P07A P17A P91A

$75 $75 $75

Southeast Purse seine Drift gillnet Yakutat Set gillnet Prince William Sound Purse seine Drift gillnet Set gillnet Cook Inlet Purse seine Drift gillnet Set gillnet Kodiak Purse seine Beach seine Set gillnet Chignik Purse seine Alaska Peninsula Purse seine Drift gillnet Set gillnet Atka/Amlia Islands Set gillnet Bristol Bay Drift gillnet Set gillnet Kuskokwim Gillnet Kotzebue Gillnet Lower Yukon Gillnet Norton Sound Gillnet Upper Yukon Gillnet Fish wheel Statewide Hand troll Power troll

$300

Clams: $75 $75

Shrimp: Southeast Otter trawl Beam Trawl Pot gear Yakutat Otter trawl Beam Trawl Pot gear vessel under 60’ Pot gear vessel 60’ or over Prince William Sound Otter trawl Beam trawl Pot gear vessel under 60’ Pot gear vessel 60’ or over Cook Inlet Otter trawl Beam trawl Pot gear vessel under 60’ Pot gear vessel 60’ or over Westward Otter trawl Beam trawl Pot gear vessel under 60’ Pot gear vessel 60’ or over

Salmon: LE LE LE

P07D P17D P09D P91D

$75 $75 $75 $75

P07E P17E P09E P91E

$750 $75 $75 $75

P07H P17H P09H P91H

$75 $75 $75 $75

P07J P17J P09J P91J

$150 $75 $75 $75

Octopus/Squid: Statewide Longline vessel under 60’ Longline vessel 60’ or over Pot gear vessel under 60’ Pot gear vessel 60’ or over Mechanical jig

O06B O61B O09B O91B O26B

$75 $75 $75 $75 $75

Snails: Statewide Pot gear vessel under 60’ Pot gear vessel 60’ or over

N09B N91B

$75 $450

Sea Cucumbers and Sea Urchins: Southeast Sea cucumber diving gear Sea urchin diving gear Kodiak Sea cucumber diving gear Sea urchin diving gear Statewide (excluding above) Sea cucumber diving gear Sea urchin diving gear

Q11A U11A

LE LE

$75 $75

Q11K U11K

$75 $75

Q11B U11B

$75 $75

S01A S03A

LE LE

$750 $375

S04D

LE

$75

S01E S03E S04E

LE LE LE

$600 $675 $750

S01H S03H S04H

LE LE LE

$300 $225 $75

S01K S02K S04K

LE LE LE

$150 $75 $300

S01L

LE

$675

S01M LE S03M LE S04M LE

$225 $375 $225

S04F

$75

S03T S04T

LE LE

$450 $150

S04W LE

$75

S04X

LE

$75

S04Y

LE

$75

S04Z

LE

$75

S04P S08P

LE LE

$75 $75

S05B S15B

LE LE

$75 $150

PAGE 3

PO Box 110302

Commercial Fisheries Entry Commission Juneau, AK 99811-0302 Phone: 907-789-6150/Toll Free: 1-855-789-6150 2017 Permit Fee Table

Fax: 907-789-6170 Website: www.cfec.state.ak.us

Herring Food & Bait:

Herring Roe continued:

Southeast Purse seine Pound gear Prince William Sound Purse seine Gillnet Kodiak Otter trawl vessel to 60’ Otter trawl vessel to 70’ Otter trawl vessel to 75’ Purse seine vessel to 60’ Chignik Purse seine Alaska Peninsula Purse seine Gillnet Kotzebue Beach seine Gillnet Norton Sound Gillnet

Cape Romanzof Gillnet Norton Sound Beach seine Gillnet

H01A H21A

$600 $75

H01E H34E

$75 $75

LE

$75

G02Z G34Z

LE LE

$150 $75

L21A

LE

$150

L21C

LE

$150

L12E L21E

LE

$75 $75

L12T

LE

$75

Herring Spawn on Kelp: H7DK H7CK H7BK H1DK

LE LE LE LE

H01L

$75 $75 $75 $75 $75

H01M H34M

$900 $75

H02X H34X

$75 $75

H34Z

$75

Herring Roe: Southeast Purse seine Gillnet Prince William Sound Purse seine Gillnet Cook Inlet Purse seine Gillnet Kodiak Purse seine Gillnet Gillnet and purse seine Chignik Purse seine Alaska Peninsula Purse seine Gillnet Bristol Bay Purse seine Gillnet Kotzebue Purse seine Beach seine Gillnet Nelson Island Gillnet Security Cove Gillnet Nunivak Island Gillnet Cape Avinof Gillnet Goodnews Bay Gillnet

G34Y

G01A G34A

LE LE

$975 $75

G01E G34E

LE LE

$150 $300

G01H LE G34H

$75 $75

G01K G34K G31K

$150 $75 $75

LE LE LE

G01L

$75

G01M G34M

$75 $75

G01T G34T

$300 $75

G01X G02X G34X

$150 $75 $75

G34N LE

$75

G34S

$75

G34U LE

$75

G34V

$75

G34W LE

$75

Northern Southeast Pound gear Southern Southeast Pound gear Prince William Sound Dive/hand pick Pound gear Bristol Bay Dive/hand pick

Fresh Water Fish: Statewide Beach seine Set gillnet Hand troll Longline vessel under 60’ Fish wheel Pot gear vessel under 60’ Mechanical jig

F02B F04B F05B F06B F08B F09B F26B

$75 $75 $75 $75 $75 $75 $75

B05B B25B B26B B06B B61B B09B B91B

$75 $75 $75 $450 $1125 $75 $75

Halibut: Statewide Hand troll Dinglebar troll Mechanical jig Longline vessel under 60’ Longline vessel 60’ or over Pot gear vessel under 60’ Pot gear vessel 60’ or over

Sablefish: Northern Southeast Longline Southern Southeast Longline Pot gear Prince William Sound Net gear vessel to 50’ Fixed gear vessel to 35’ Fixed gear vessel to 50’ Fixed gear vessel to 60’ Fixed gear vessel to 90’ Statewide (excluding above) Dinglebar troll Mechanical jig Otter trawl Longline vessel under 60’ Longline vessel 60’ or over Pot gear vessel under 60’ Pot gear vessel 60’ or over

C61A

LE

$1575

C61C C91C

LE LE

$1500 $1500

C4CE C5DE C5CE C5BE C5AE

LE LE LE LE LE

$75 $150 $150 $225 $225

C25B C26B C07B C06B C61B C09B C91B

$75 $75 $525 $600 $1500 $225 $1425 PAGE 4

2017 Fishery Codes and Permit Fees Ling Cod:

Miscellaneous Saltwater Finfish:

Statewide Hand troll Longline vessel under 60’ Longline vessel 60’ or over Pot gear vessel under 60’ Pot gear vessel 60’ or over Dinglebar troll Mechanical jig

Statewide (includes Gulf of Alaska) Purse seine Beach seine Hand troll Longline vessel under 60’ Longline vessel 60’ to under 90’ Longline vessel 90’ or over Pot gear vessel under 60’ Pot gear vessel 60’ or over Beam trawl Dinglebar troll Mechanical jig Pair trawl Otter trawl vessel under 60’ Otter trawl vessel 60’ to under 90’ Otter trawl vessel 90’ to 125’ Otter trawl vessel over 125’

I05B I06B I61B I09B I91B I25B I26B

$75 $75 $75 $75 $75 $75 $75

Y05A Y06A Y61A Y25A Y26A

$75 $75 $150 $75 $75

Demersal Shelf Rockfish: Southeast Hand troll Longline vessel under 60’ Longline vessel 60’ or over Dinglebar troll Mechanical jig

M01B M02B M05B M06B M6BB M6AB M09B M91B M17B M25B M26B M37B M7FB M7GB M7HB M7IB

$75 $75 $75 $300 $450 $3000 $1350 $1350 $75 $75 $75 $75 $2475 $3000 $3000 $3000

Miscellaneous Saltwater Finfish: Gulf of Alaska (including Southeast) Purse seine Beach seine Hand troll Longline vessel under 60’ Longline vessel 60’ to under 90’ Longline vessel 90’ or over Pot gear vessel under 60’ Pot gear vessel 60’ or over Beam trawl Dinglebar troll Mechanical jig Pair trawl Otter trawl vessel under 60’ Otter trawl vessel 60’ to under 90’ Otter trawl vessel 90’ to 125’ Otter trawl vessel over 125’

M01G M02G M05G M06G M6BG M6AG M09G M91G M17G M25G M26G M37G M7FG M7GG M7HG M7IG

$75 $75 $75 $225 $450 $450 $525 $975 $75 $75 $75 $75 $1275 $3000 $3000 $3000

Reduced fee: To apply for a reduced permit fee (half of the fee shown), submit a 2017 Reduced Fee Application and a complete copy of your 2015 or 2016 federal income tax return, or a copy of your QUEST card or other supporting documents showing you are currently receiving Public Assistance. The Reduced Fee Application may be obtained from CFEC, our website at: www.cfec.state.ak.us, or your local ADF&G office. The reduced fee criteria for 2017 are based upon Federal Food Stamp Guidelines. AS 16.05.815 and AS 16.05.480, social security numbers and other information required on this form may be used for fisheries research, management and licensing purposes and may be disclosed to: the Alaska Department of Fish and Game, the National Marine Fisheries Service, staff of the Pacific States Marine Fisheries Commission who are employed by the Alaska Fisheries Information Network Project, the North Pacific Fisheries Management Council, Department of Public Safety, Department of Revenue, Child Support Enforcement Agencies for child support purposes, and to other agencies or individuals as required by law or court order. Name, address, and licenses held are public information that may be released. PAGE 5

Commercial Fisheries Entry Commission Credit Card Authorization

PO Box 110302 Juneau, AK 99811-0302 Phone: 907-789-6150/Toll Free: 1-855-789-6150 Fax: 907-789-6170 Website: www.cfec.state.ak.us

I authorize the Commercial Fisheries Entry Commission to charge the card indicated on this authorization. This payment is for the items listed below, for the amount indicated below and is valid for a one time use.

Indicate the permit and/or vessel numbers in the space provided and the total amount you are authorizing your card to be charged. FEES TO BE CHARGED TO CARD:

Item(s)

Enter Permit & Vessel Numbers

Fee Amount

Permit(s):

__________________________

$ _________

Vessel(s):

__________________________

$ _________

Transfer Fees:

__________________________

$ _________

Duplicate Fees:

__________________________

$ _________

Immediate Fishing Fees: __________________________

$ _________

____ Check here to have your licenses express mailed and that you agree to pay the current USPS express mail rate plus the CFEC service fee of $15.00. Total Amount to be Charged:

$ _________

Name of Cardholder: ______________________________________________________ Cardholder Phone Number: __________________________ Cardholder Signature: __________________________ Date: ________________ Card type: ____ Visa ____ Mastercard ____ Discover Expiration Date: _________ Credit Card #: _____________ - _____________ - _____________ - ____________ Note: The Entry Commission does not retain credit card information.

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