Town of Ipswich, MA - Application Form

Town of Ipswich, MA

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Pre Application

Application Form

Application Completion

All
Instructions
Application
Applicant
Vessel
Berth
Acceptance

Instructions

Please complete the application, then click the "Save and Continue" button below. For help on any field, move the mouse over the field name.

Instructions

Fees: $6 per foot of Vessel Length

NO MOORING IS TRANSFERABLE.
NO MOORING IS ALLOWED TO BE RENTED OR BORROWED.
MOORING MUST BE PERMITTED EACH YEAR EVEN IF BOAT WILL NOT BE ON MOORING.
OWNER'S NAME MUST BE PRINTED ON MOORING BUOY AND MUST BE HIGHLY VISIBLE.

Provider Name

Town of Ipswich

Provider Mailing Address

Attn: Ptl. Matthew Bodwell
15 Elm St
Ipswich, MA 01938

Provider Phone

978-356-4343

Provider Email

mbodwell@ipswichpolice.org

Application

Reference Number

AWYNEJGR

Application Status

Unknown

Application Phase

Other Public Access

Application Type

Private Dock Permit

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

Home Phone (Summer)

Home Phone (Winter)

Mobile Phone

Work Phone

Email Address

Vessel

Reg or Doc #

Vessel Name

Hull ID

Vessel Type

Characteristics

Year Built

Vessel Make

Vessel Model

Vessel Color

Trim Color

Engine

Engine Make

Engine Horsepower

Other

Vessel Photo(s)

(Maximum file size=10MB)

Vessel Use

Dinghy Location

Dinghy Manufacturer/Reg#/Length

Berth

Size

Length of Dock

feet

inches

Location

Application Latitude/Longitude

Latitude

Degrees

Minutes

Seconds

Get current location from browser, if possible. If you have an attached GPS device, those coordinates will be used. If you are using a cell phone, your position will be triangulated from the nearest cell towers. Otherwise, an estimated location will be used based on your IP address.

Longitude

Degrees

Minutes

Seconds

Acceptance

Terms and Conditions

I will do my part to keep the Ipswich Waterways safe and clean. I understand that a mooring permit, if granted, will cover only the above described boat owned by me, and that it MAY NOT be assigned to any other person.

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

I have read and accept these terms

Configure

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