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2. First Name*
3. Last Name*
5. Phone Number
6. Email Address*
8. Vessel Name*
10. Names of all persons on board vessel*
12. Copy of Identifications (ie. passport, State ID, etc.)*
13. Registration numbers/ Documentation number for vessel*
15. Registration numbers/ Documentation number AND DESCRIPTION for dinghy*
16. Copy of actual boat registration or documentation *
18. Requested length/ date of proposed stay *
    Requested length/ date of proposed stay Start Date

    —

    Requested length/ date of proposed stay End Date
19. What body of Water are you anchored in?*

    1. Spa Creek
    2. Weems Creek
    3. Back Creek
21. Last port of Call*
23. Mailing Address*
25. City*
26. State
27. Zip Code*
29. Cell phone numbers aboard:
33. Marine Sanitation Devices
    City of Annapolis Waters are NO DISCHARGE ZONES
    NO DISCHARGE ZONES IN MARYLAND
    
35. Type of Marine Sanitation Device on your vessel: *

    1. Type 1
    2. Type 2
    3. Type 3
    4. Compost
    5. Other
36. Holding tank capacity: *
37. Date Last Pumped: *
    Date Last Pumped:

39. Permission to remain in Annapolis waters is contingent on pumping out every 2 weeks, at a minimum. You may call the ANNAPOLIS PUMPOUT BOAT on VHF-17 to schedule a visit to your boat on request seven days a week. You must be on board at the time of service. Violations will result in citation and probable eviction from City waters.

41. Policy understanding confirmation*

    1. I understand the Pump Out policies
45. ANNAPOLIS CITY CODE OF ORDINANCE- TITLE 15.10.080- ANCHORING

    15.10.080 - Anchoring.

    A. Anchoring is an act of navigation and must be done in conformity with City, State and Federal boating laws.

    B. Except in an emergency, a person may not anchor a vessel in City waters at any time if the vessel:

    1. Interferes with or obstructs navigation;

    2. Interferes with other anchored vessels;

    3. Is within three hundred feet of any bridge;

    4. Is in a designated and marked channel;

    5. Is within two hundred feet of any public mooring or pier;

    6. Is within seventy-five feet of any structure, shore or private mooring;

    7. Is in any designated and marked "no anchoring" area;

    8. Does not show appropriate lights at night;

    9. Poses a risk of collision to other boats already anchored;

    10. Is in a position or in a manner declared unsafe by the Harbormaster; or

    11. Creates an obstruction, security hazard, environmental hazard or other unlawful condition.

    C. A person who anchors a vessel in City waters shall pump out the vessel's holding tank at regular intervals, as determined by the Harbormaster. The person shall present evidence of such pumping to the Harbormaster.

    D. It shall be unlawful for any person to anchor any vessel in City waters for more than three days in any one-hundred-eighty-day period, unless the vessel and all persons on board register within three days of arrival and re-register every thirty days thereafter with the Harbormaster on a form provided by the Harbormaster.

    E. It shall be unlawful to anchor any housebarge in City waters.

    15.10.090 - Anchor watch.

    A vessel owner and operator shall maintain watch over the vessel while it is anchored or moored to a private mooring in City waters to prevent it from dragging or swinging and damaging the property of others.

    15.10.100 - Storage of vessels at anchor or at a public mooring.

    A vessel shall display its current registration in accordance with State law. Any unoccupied vessel, may not be stored at anchor, a public mooring or a street ending in City waters.

47. I understand the requirements listed in the sections of Title 15 provided: *

    1. Yes
Leave This Blank:


49. 1. Receive an email copy of this form.
50. Email address

    This field is not part of the form submission.

51. Submit

* indicates a required field