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

Instructions

Please complete the application, then click the "Next" 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 FAX
978-356-6625
Provider Email
mbodwell@ipswichpolice.org

Application

Reference Number
VPSRLFGY
Application Status
Unknown
Application Phase
Other Public Access
Application Type
Private Dock Permit

Applicant

Mobile Phone
First Name
Middle Name
Last Name
Suffix
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)
Work Phone
Email Address

Vessel

Reg or Doc #
If you would like to put a different vessel on this mooring during the Renewal process, the first step is to complete this application with the previous vessel information.  Once this permit has been approved, go to the My Applications page, click the More button, and click the "Vessel Change Request" option to fill out information about the new vessel.  You will be notified when the vessel change request has been approved or rejected.
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

Sticker Number
Location
Location
Application Latitude/Longitude
Degrees
Minutes
Seconds
Latitude
Longitude
Show/Hide Map
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.
Size
Length of Dock
  feet     inches
Other
Previous Sticker Number

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