MOORING PERMIT APPLICATION --- MASONS ISLAND
(Non- Commercial)
Application must be received annually by the Harbormaster
per the Harbor Management Commissions.
Please fill in any missing information and or updates
below.
First
& last name:
Tel (1):
Address:
Tel (2):
Boat Name: CT Reg.
# or Fed. Doc. #:
Mooring Location: GPS
Lat/Long:
Legal Shore Access Point:
Water Depth at low tide: ft.
2. A current CT decal must be displayed on vessel.
3. The
grace period for winter stake removal ends May 15th.
4. Mooring
locations cannot be sold or leased.
I, the
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.
____________________________________
_______________
Owner’s
Signature Date
To obtain your approved copy and ID #, please enclose a
self addressed stamped envelope.
Approved for Calendar
Year: 2008 Mooring ID # Fee Paid $_____
Harbormaster
______________________ Date _______
Form Rev. 4/08