Login
Town of Darien, CT
Home
Chart
You are here:
Pre Application
>
Application Form
>
Application Completion
Instructions
Please submit this form using any of the contact methods provided below.
Instructions
Mooring permit applications are due by March 1st. A fee of $15 is due for each mooring permit.
Provider Name
Town of Darien
Provider Mailing Address
Attn: John A. Keena Harbor Master
P. O. Box 1271
Darien, CT 06820
Provider Phone
203-984-7389
Provider Email
darienharbor@darienct.gov
Application
Reference Number
Application Status
Unknown
Application Phase
Other Public Access
Application Type
Mooring Permit
Application Comments
Applicant
First Name
Middle Name
Last Name
Suffix
Contact Information
Local Street Name
Local City
Local State
Local Zip Code
Home Phone
Mobile Phone
Work Phone
Email Address
Vessel
Documentation State
Registration #
Vessel Name
Vessel Type
Size
Length
feet
inches
Draft
feet
inches
Characteristics
Year Built
Vessel Make
Vessel Model
Vessel Color
Engine
Engine Horsepower
Other
Vessel Photo(s)
(Maximum file size=10MB)
Documentation #
Insurance Carrier
Insurance Policy #
Wait List
Wait List Selection
Select up to 2 list(s):
List Name
Darien Harbor - Main Harbor
Holly Pond
Noroton Bay - Weed Beach area
Scott Cove
Wait Listed Without Boat - Darien Harbor
Wait Listed Without Boat - Holly Pond
Wait Listed Without Boat - Noroton Bay
Wait Listed Without Boat - Scott Cove
Wait Listed Without Boat - Waterfront Property
Wait Listed Without Boat - Ziegler's Cove
Waterfront Property Areas
Ziegler's Cove
Mooring
Inspection
Seasonal Status
Location
Club
Application Latitude/Longitude
Latitude
Degrees
Minutes
Seconds
Longitude
Degrees
Minutes
Seconds
Other
Desired Location
Attachments
Attach a paper copy of each attachment listed below:
Vessel Registration
Not Applicable
Acceptance
Terms and Conditions
I, the undersigned applicant, agree that all information provided in this application is true and complete to the best of my knowledge and belief and I agree that I have been presented with and will comply with all Harbor Manager requirements within the waters and harbors of Darien, CT.
I understand that any false or incorrect statement of mine may be grounds for [dismissal] rejection of this application or the revocation of an existing mooring permit at the sole discretion of the Harbor Master.
I will only use this mooring site for the vessel designated in this application.
I understand that I am completely responsible for the safe ownership, operation and maintenance of my vessel and my mooring hardware and tackle and any consequential damages caused by my vessel or the failure of my mooring hardware or tackle.
I also understand that I hold harmless and will defend any claim for damages against the Town of Darien caused by the conduct of my vessel or my mooring hardware and tackle.
I further direct my P&I insurer to waive any rights of subrogation against the town of Darien for any insured damage caused by my vessel, [or] my mooring hardware and tackle to another[’s] vessel, [or] property or person.
I have read and understand the Online Mooring
User Terms and Conditions
Signature
Date
Your Ad Here...