The document is a mooring permit application for the Town of Pembroke. It provides information on mooring fees, which are $25 for residents and $50 for non-residents. The application collects information from the mooring owner such as contact details, type of mooring, and mooring location. It also includes a chart specifying coordinates for proposed mooring field locations.
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Mooring Permit Application
The document is a mooring permit application for the Town of Pembroke. It provides information on mooring fees, which are $25 for residents and $50 for non-residents. The application collects information from the mooring owner such as contact details, type of mooring, and mooring location. It also includes a chart specifying coordinates for proposed mooring field locations.
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Town of Pembroke - Mooring Permit Application
Mooring Fees: $25 for Residents; $50 for Non-residents
Payment Received Date:
New Application: ☐ Renewal Application: ☐
NOTE: Permit is good for 2 years with renewal payment each year.
Mooring Owner:
Mailing Address:
Resident Address:
Telephone: Mobile Phone:
Type of Mooring: Weight:
Size of chains: Length of Chains: (top)
(Bottom) Size of Pennant: Length of Pennant:
Water Depth (high Tide): Water Depth (low Tide):
Mooring Location: (name of Bay):
If not in mooring Field indicate Map and Lot # of shorefront property:
Proposed Mooring Field Coordinates:
Mark an x Date Moved to beside your Swing Chain Proposed Proposed Proposed Location mooring Mooring Radius Length Latitude Longitude 1 30 meter 70-79 ft 44.923790 -67.129816 2 30 meter 70-79 ft 44.923838 -67.129246 3 30 meter 70-79 ft 44.923838 -67.128668 6 49 meter 102-115 ft 44.923668 -67.131625 5 49 meter 102-115 ft 44.923789 -67.132566 7 49 meter 102-115 ft 44.923688 -67.130570 11 49 meter 102-115 ft 44.922780 -67.124267 10 49 meter 102-115 ft 44.923022 -67.125122 9 49 meter 102-115 ft 44.923143 -67.126035 12 55 meter 123-138 ft 44.923126 -67.129974 13 55 meter 123-138 ft 44.923295 -67.128952 8 49 meter 102-115 ft 44.923352 -67.126860 15 55 meter 123-138 ft 44.922671 -67.126746 14 55 meter 123-138 ft 44.922994 -67.127674 16 55 meter 123-138 ft 44.922487 -67.125742 17 55 meter 123-138 ft 44.922218 -67.124799 4 30 meter 70-79 ft 44.923757 -67.127580 Existing mooring – indicated on attached map
Page
1
Mooring
Description
(buoy
color
/
markings):
Name
&
Registration/Documentation#
of
Owners
Boat:
Name
&
Registration/Documentation#
of
Owners
2nd
Boat:
As
the
Registered
Mooring
Owner
I
hereby
certify
that
I
have
read
and
understand
the
Pembroke
Harbor
Ordinance,
as
amended
August
10,
2015: