Town of Pembroke - Mooring Permit Application

Mooring Fees: $25 for Residents; $50 for Non-residents

Payment Received Date:

New Application: ☐ Renewal Application: ☐

NOTE: Permit is good for 2 years with renewal payment each year.

Mooring Owner:

Mailing Address:

Resident Address:

Telephone: Mobile Phone:

Type of Mooring: Weight:

Size of chains: Length of Chains: (top)

(Bottom)
Size of Pennant: Length of Pennant:

Water Depth (high Tide): Water Depth (low Tide):

Mooring Location: (name of Bay):

If not in mooring Field indicate Map and Lot # of shorefront property:

Proposed Mooring Field Coordinates:

Mark an x Date Moved to
beside your Swing Chain Proposed Proposed Proposed Location
mooring Mooring Radius Length Latitude Longitude
1 30 meter 70-79 ft 44.923790 -67.129816
2 30 meter 70-79 ft 44.923838 -67.129246
3 30 meter 70-79 ft 44.923838 -67.128668
6 49 meter 102-115 ft 44.923668 -67.131625
5 49 meter 102-115 ft 44.923789 -67.132566
7 49 meter 102-115 ft 44.923688 -67.130570
11 49 meter 102-115 ft 44.922780 -67.124267
10 49 meter 102-115 ft 44.923022 -67.125122
9 49 meter 102-115 ft 44.923143 -67.126035
12 55 meter 123-138 ft 44.923126 -67.129974
13 55 meter 123-138 ft 44.923295 -67.128952
8 49 meter 102-115 ft 44.923352 -67.126860
15 55 meter 123-138 ft 44.922671 -67.126746
14 55 meter 123-138 ft 44.922994 -67.127674
16 55 meter 123-138 ft 44.922487 -67.125742
17 55 meter 123-138 ft 44.922218 -67.124799
4 30 meter 70-79 ft 44.923757 -67.127580
Existing
mooring –
indicated on
attached
map
 
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Mooring  Description  (buoy  color  /  markings):                  
         
Name  &  Registration/Documentation#  of  Owners  Boat:                  
 
Name  &  Registration/Documentation#  of  Owners  2nd  Boat:                
 
 
As  the  Registered  Mooring  Owner  I  hereby  certify  that  I  have  read  and  understand  the  Pembroke  
Harbor  Ordinance,  as  amended  August  10,  2015:  
 
 
                           
Signature               Date  
 
 

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