Mooring Permit Wait List Application

ESSEX HARBOR MANAGEMENT COMMISSION

Paul Riggio, Harbor Master

 

WAIT LIST APPLICATION FOR MOORING PERMIT

(Initial request only not for renewal purposes)

 

Applicant Information (PLEASE PRINT CLEARLY)

Full Name: _____________________________________

Address: _______________________________________ Email __________________________

                   (STREET)    (TOWN)   (STATE)               (ZIP)

Phone (H#)___________ (W#)_____________  (Cell#) ________________

Boat Information  (ALL INFORMATION MUST BE PROVIDED)

Name: ______________________

CT Registration #: __________________

Displacement (weight) : ________________________

Length: ________________ Beam: ______________ Draft: __________

How to you plan on accessing your vessel?  ____yacht club  ____marina _____ please specify

Type of vessel: (Circle one) Sail or Power

Type of hull: Sail boat only (Circle one of the following)

Full Keel / Fin Keel / Modified Fin Keel / Center Board

 

Type of cabin: Power boat only (Circle one of the following)

Open boat / Sport Fisherman / Trawler

 

Desired anchorage area: (Circle one of the following)

Great Meadows

Main

North Cove

Middle Cove

South Cove

Fees

There is a $10.00 per year waiting list fee that will be due upon the filing of this application and at the date of renewal each year that you continue to be on the waiting list.

 

Signature:  ________________________ Date: ______________

 

Return the completed application and the $10.00 fee to:

Attn: Paul Riggio Harbormaster

Town of Essex

Harbor Management Commission

29 West Ave.

Essex CT 06426

 

Make checks payable to:

The Essex Harbor Management  Commission.

For questions call Paul Riggio at 860-767-0032