2008 CITY OF NEWPORT

CERTIFICATE OF REGISTRATION

APPLICATION FOR A MOORING STATION

 

PERSONAL INFORMATION

Dear Sir of Madam:

 

I herewith make formal application for a mooring station in the City of Newport.

 

My signature affixed below will attest that I have read, understood and agree to abide by Ordinance #114, pertaining to Mooring Management of Public Waters governing the waters within the City of Newport. This also includes having my tackle installed by July 15 and my personal vessel moored to my mooring during the duration of this Certificate of Registration. For Marina and Yacht Club Certificates of Registration, tackle must be installed by July 15 during the duration of the Certificate of Registration.

 

In making this application, I understand that I have the responsibility for the care and maintenance of the mooring tackle placed in the location assigned to me by the Harbormaster. I will not increase or decrease the size of the boat using this tackle without written permission from the Harbormaster. I further agree, not to sell, trade, rent or barter in any way, any mooring station location assigned to me. Exception being:(a Marina or Yacht Club Group Certificate of Registration mooring stations shall be allowed to be rented).

 

Name:______________________________________________________________________________________

 

Home Address:_______________________________________________________________________________

 

City, State, Zip: ______________________________________________________________________________

 

Home Phone: ________________________________ BusinessPhone;___________________________________

Please notify the City of Newport if any of the above info changes.

BOAT INFORMATION

Boat Name: _________________________________________________________________________________

 

Length: ______________ Beam:_______________ Draft: ____________________________________________

 

Color: ___________________________Manufacturer: _______________________________________________

 

Registration Number: ________________________ Hull I.D. Number; __________________________________

 

Special Notes:________________________________________________________________________________

 

Mooring Station(s)Requesting:______________1st choice ________2nd choice____________

Renewal Registration (fee is $100.00)_____ Y or N First time Certification of Registration Application Fee $10.00 Application fee is non-refundable.

Method of Payment:___________Cash: __________Check: _________Credit: ________

 

Signature: ________________________________________ App. Date:______________

For Office Use Only:

Mooring Station Assigned: _____________________Date:_________________________

 

Harbormaster: __________________________________________________

 

APPLICATION DUE BY APRIL 1, 2008

Return to City of Newport Recreation Dept. 222 Main Street Newport, VT 05855

Att: Janice Hogan- Director

 

 

NEWPORT CITY DOCK

2008 SEASONAL REGISTRATION FORM

 

BOAT OWNER’S NAME(s) _______________________________________________

 

MAILING ADDRESS ____________________________________________________

 

PHYSICAL ADDRESS ___________________________________________________

 

PHONE NUMBER(s) ____________________ HOME ____________________WORK

 

NAME OF BOAT _____________________ REGISTRATION # _________________

 

TYPE OF BOAT _______________________ MAKE OF BOAT __________________

 

LENGTH OF BOAT ____________ RESIDENT OR NON-RESIDENT _____________

 

IN CASE OF AN EMERGENCY – NAME _______________ PHONE # ____________

                                                                        (other than owner)

RATES - RESIDENTS $34/FT. – W/MINIMUM OF $830.00 - WITHOUT P&W- $675.00 NON-RESIDENTS $39/FT. – W/MINIMUM OF $980.00 – W/O P&W - $825.

                       

AMOUNT OF SEASONAL RATE TO BE PAID            $_________

NONREFUNDABLE DEPOSIT OF $50.00*           - $50.00            DUE BY 10/9/07

BALANCE                                                                 $ ________            DUE BY 6/12/08

 

LENGTH OF SEASON IS FROM MAY 4, 2008 TO OCTOBER 5, 2008.

 

ASSIGNED SLIP # ________

 

YOUR NONREFUNDABLE DEPOSIT OF $50.00 WILL NEED TO BE PAID BY 10/9/07 TO SECURE YOUR CURRENT BOAT SLIP #.  SLIPS ARE NON- TRANSFERABLE AND NOT SUBJECT TO SUB-LEASING.

 

__________________________________                            ______________________

NAME OF INDIVIDUAL                                                             DATE

 

__________________________________

SIGNATURE

 

OFFICE USE: _________________________ DATE RECEIVED

 

 

Janice A. Hogan
Director of Recreation
City of Newport
222 Main Street
Newport, VT 05855
802-334-6345 phone
802-334-5632 fax

Registration Form  .pdf format