Fillable 2021 Mooring Inspection Form 2021 MOORING INSPECTION FORM (Incorporated Village of Sag Harbor)

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2021 Mooring Inspection Form 2021 MOORING INSPECTION FORM (Incorporated Village of Sag Harbor)

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U.S.A. forms for Incorporated Village of Sag Harbor

BROWSE INCORPORATED VILLAGE OF SAG HARBOR (NY) FORMS

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Village of Sag Harbor
2021 Mooring Inspection Form
P.O. Box 660 · 55 Main Street · Sag Harbor, NY · 11963
Phone: 631-725-0222 · Fax: 631-725-0316
2021 MOORING INSPECTION FORM
DATE OF MOORING INSPECTION: _________________________________________
MOORING LOCATION: ___________________________________________________
BOAT OWNERS NAME: __________________________________________________
VESSEL NAME: _________________________________________________________
SIZE OF BOAT: ______________VESSEL TYPE: ________SAIL___________POWER
CONDITION OF MUSHROOM: ________________________SIZE (LBS.): __________
CONDITION OF BOTTOM CHAIN: ____________________ SIZE: _______________
CONDITION OF TOP CHAIN: _________________________ SIZE: _______________
CONDITION OF SHACKLES: __________________________SIZE: _______________
CONDITION OF SWIVELS: ___________________________ SIZE: _______________
CONDITION OF RINGS: ______________________________SIZE: _______________
CONDITION OF MOORING BALL: _____________________SIZE: _______________
CONDITION OF PENNANT LINES: _____________________SIZE: _______________
PENNANT LINE LENGTH: ________________________________________________
EXPLANATION OF WHAT WAS REPAIRED OR REPLACED: __________________________________________________
____________________________________________________________________________________________________________
This mooring and tackle comply with Village Mooring Guidelines
NAME OF CONTRACTOR: ______________________________________________________ DATE: _______________________
NAME OF INSPECTOR: _________________________________________________________ DATE: ______________________
Please return completed form to the above address. If a local marina is inspecting your mooring, please inform this office who
will be submitting the form.
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2021 Mooring Inspection Form 2021 MOORING INSPECTION FORM (Incorporated Village of Sag Harbor)

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Completed 19 January 2021

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