Form Dsss 19 - Application For A Congregate Mooring Field Permit Page 2

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Please describe the membership of the group that will have the use of the moorings. Include any
membership requirements:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Please explain how the moorings will be distributed within the group: ____________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Please state all proposed charges for the use of the moorings:
NOTE: (The law requires that charges for
moorings shall not unreasonably exceed the cost of mooring installation and maintenance (RSA 270:67,II(d).
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Please explain how the mooring users will get to and from the mooring field: ______________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Please give an explanation of support facilities such as public or private restrooms and parking for
automobiles and trailers:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Please describe the mooring buoys, including the color, shape, size and material: ____________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Please describe the mooring anchors, including the material used and the weight: ___________________
____________________________________________________________________________________
____________________________________________________________________________________

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