You are here: Pre Application  >  Application  Page Help  >  Attachments  >  Application Completion

Instructions

Please submit this form using any of the contact methods provided below.

Instructions
Provider Name
City of Groton CT
Provider Mailing Address
CT State Harbormaster Groton: Capt Jeff Dziedzic
295 Meridian Street
Groton, CT 06340
Provider Phone
860-460-1802
Provider FAX
Provider Email
harbormaster@cityofgroton-ct.gov

Application

Reference Number
NBIHNVGM
Application Status
Unknown
Application Phase
Application Type
Mooring Permit
Application Subtype
Please circle one of the following:

Marinas

Personal

Riparian

Yacht Club

Do You Currently Own A Boat?

Applicant

Mobile Phone
First Name
Middle Name
Last Name
Contact Information
Mailing Street
Mailing City
Mailing State
Mailing Zip
Primary Phone
Email Address

Vessel

Size
Length
  feet     inches
Characteristics
Vessel Make
Dinghy
Dinghy Present

Berth

Inspection
Inspection Date

Attachments

Acceptance

Terms and Conditions
- MOORINGS SHOULD HAVE ADEQUATE GROUND TACKLE, PENDANT(S), CHAFING GEAR AND SCOPE FOR THE AREA AND CONDITIONS EXPECTED. A VESSEL RIDING ITS MOORING MUST NOT INFRINGE ON OTHER MOORINGS. MOORINGS, BUT ACTION ON WIND OR CURRENT, SHALL NOT ENCROACH UPON NAVIGATION CHANNELS MAINTAINED BY THE CORPS OF ENGINEERS, OR INTERFERE WITH ESTABLISHED FAIRWAYS, WHARVES, DOCKS OR FLOATS.
- MOORING BUOYS SHALL BE WHITE WITH A CLEARLY VISIBLE HORIZONTAL BLUE BAND AROUND THE CIRCUMFERENCE OF THE BUOY CENTERED MIDWAY BETWEEN THE TOP OF THE BUOY AND THE WATERLINE.
- THE WEIGHT OF THE ANCHOR AND NAME OF THE PERMITEE SHOULD BE INDICATED ON THE BUOY.
- MOORED VESSELS SHALL COMPLY WITH INLAND NAVIGATION RULE 30 (LIGHTS FOR ANCHORED VESSELS).
- MOORING AND ANCHORING IS PROHIBITED OVER SUBMARINE CABLE
- MOORING PERMITS ARE VALID FOR A PERIOD OF ONE YEAR AND NOT TRANSFERABLE TO ANOTHER PARTY.

I have read and understand the Online Mooring User Terms and Conditions
Signature
Date