Town of Ipswich, MA
 
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Instructions

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

Instructions
Application Fee: $10

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.
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
OJNIGWHG
Application Status
Unknown
Application Phase
Other Public Access
Application Type
Application Comments

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
Please circle one of the following:

Open

Power

Sail
Size
Length
  feet     inches
Characteristics
Year Built
Vessel Make
Vessel Model
Vessel Color
Trim Color
Engine
Engine Type
Please circle one of the following:

Motor

None

Row

Sail

Other (Please Specify)
Engine Make
Engine Horsepower
Other
Vessel Photo(s)
(Maximum file size=10MB)
Vessel Use
Please circle one of the following:

Commercial

Pleasure

Wait List

Wait List Selection
Select up to 3 list(s):
Priority
List Name
Back Beach
Clark Beach
Dinghy Dock
Eagle Hill
Eel Run
Grape Island
IBYC Dock
Ipswich Bay Yacht Club
Ipswich Harbor
Ipswich River - Lower
Ipswich River - Middle
Ipswich River - Upper
Little Neck Dingy Dock
North Ridge
Pavilion Beach
Private Dock
Sandy Point
Third Creek

Berth

Inspection
Seasonal Status

Acceptance

Terms and Conditions
I hereby certify that the information on this form is correct to the best of my knowledge and I understand that:

Mooring Wait List:
Wait List Applications are for persons who do not currently have a mooring permit to moor a vessel in the Ipswich waterways. An approved “moored vessel” is any vessel secured with approved bottom anchors and tackle. There is a $10.00 annual fee to be on this Wait List.

* PLEASE NOTE*
When you first Apply for a Mooring Permit, you will be asked to choose a Location and you will then be put onto a Wait List. The Location that you choose when you apply, will be the Location that you are assigned to when you are offered a Mooring. When you Renew your Wait List Application annually, you will NOT be able to change the Location.

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