MOORING PERMIT APPLICATION --- MASONS ISLAND
Application must be received annually by the Harbormaster
per the Harbor Management Commissions.
Please fill in any missing information and or updates
& last name:
Boat Name: CT Reg.
# or Fed. Doc. #:
Mooring Location: GPS
Legal Shore Access Point:
Water Depth at low tide: ft.
grace period for winter stake removal ends May 15th.
locations cannot be sold or leased.
undersigned, agree to comply with the Mystic Harbor Management Plan, as
well as applicable Town Ordinances, and any State and Federal regulations
that may apply. I hereby certify that ground tackle and anchor is adequate
for the vessel moored.
To obtain your approved copy and ID #, please enclose a
self addressed stamped envelope.
Approved for Calendar
Year: 2016 Mooring ID # Fee Paid $_____
______________________ Date _______
Form Rev. 1/2016