Login
Town of Nantucket, MA
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
Provider Name
Town of Nantucket
Provider Mailing Address
Harbormaster
34 Washington Street
Nantucket, MA 02554
Provider Phone
508-228-7261
Provider Email
marine@police.nantucket-ma.gov
Application
Reference Number
UDJGTLGJ
Application Status
Unknown
Application Phase
Other Public Access
Application Type
Mooring Permit
Planned Use
Permit Picked Up By?
Applicant
First Name
Last Name
Contact Information
Mailing Street
Mailing City
Mailing State
Mailing Zip
Local Street Name
Local City
Local State
Local Zip Code
Primary Phone
Mobile Phone
Work Phone
Email Address
If you would like more than one email to receive notifications, use a semicolon “;” to separate multiple email addresses. Example: me@any.com;you@any.com (Note: No spaces should be used before or after the semicolon).
Vessel
Reg or Doc #
Vessel Type
Size
Length
feet
inches
Draft
feet
inches
Characteristics
Year Built
Vessel Make
Vessel Color
Trim Color
Engine
Engine Model
Engine Horsepower
Engine Serial Number
Other
Vessel Service Provider
Vessel Photo(s)
(Maximum file size=10MB)
Wait List
Wait List Selection
Select up to 1 list(s):
List Name
26' and under
27' and over
Childrens Beach Under 26'
Hither Creek
Mooring
Location
Location
Application Latitude/Longitude
Latitude
Degrees
Minutes
Seconds
Longitude
Degrees
Minutes
Seconds
Attachments
Attach a paper copy of each attachment listed below:
Boat Registration
Expiration Date
Inspection Report
Expiration Date
Town Pier Slip Lease
Insurance Docs
Violations
Acceptance
Terms and Conditions
30%">
I hereby make application for a mooring (permit) location in the waters of Nantucket. My signature affixed below will attest that I have read, understand, and agree to abide by the bylaws governing the use of the wharves and waterways of the Town. I further understand that I have the responsibility for the care and maintenance of the tackle as per mooring bylaws and regulations. I will not increase the size of the vessel or use the mooring without the written permission of the Harbormaster
I have read and understand the Online Mooring
User Terms and Conditions
Signature
Date
Your Ad Here...