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Town of Westerly, RI
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Westerly Mooring Field Boundary Lines
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Application Form
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Instructions
Application
Applicant
Vessel
Wait List
Attachments
Acceptance
Instructions
Please complete the application, then click the "Next" button below
. For help on any field, move the mouse over the field name.
Instructions
Mooring permit applications are due by March 1st.
Provider Name
Town of Westerly
Provider Mailing Address
Tax Collector's Office -
45 Broad Street
Westerly, RI 02891
Provider Phone
(401) 714-4114
Provider FAX
Provider Email
krayner@westerlypolice.org
Application
Application Status
Unknown
Applicant
First Name
Last Name
Contact Information
Mailing Street
Mailing City
Mailing State
Mailing Zip
Use Same Address Below
Local Street Number
Local Street Name
Local City
Local State
Local Zip Code
Primary Phone
Mobile Phone
Work Phone
Email Address
Emergency Contact
Emergency Contact Name
Emergency Contact Home Phone
Emergency Contact Email
Additional Information
Resident?
No
Yes
Vessel
Vessel Type
Bow Rider
Cabin Cruiser
Catboat
Center Console
Cuddy
Daysailor
Deck Boat
Express
Fiberglass
Fiberglass Outboard
fish boat
Hard bottom inflatable
Inboard
Inboard Gasoline
Inboard/Outboard
inflatible
Ketch
Marshall Cat Sandpiper
Montauk
Motor
Motorboat
Open
Open cockpit Fisherman
Open Runabout
Out board
outboard
Overnighter
Picnic boat
Pleasure
Pleasurecraft
Pontoon
Power
Power Boat
Propulsion
RIB
Runabout
Sail
sailboat
Single Hull
Skiff
Small sail or pedal
Small sail, pedal or row
Sportfish
Trawler
Walk Around
Whitehall-Design Pulling Boat
Size
Length
feet
inches
Wait List
Wait List Selection
Select up to 1 list(s):
List Name
Colonel Willie Cove
Haversham East
Haversham West
Point Dock at Shelter Harbor
Riparian Permit (Waterfront Property Owner)
The Groves at Shelter Harbor
Watch Hill Cove
Weekapaug Cove
Attachments
Please provide attachments below, preferably in a PDF or image format. To convert a paper document to electronic format, take a photo of the document.
If we have a current copy on file, you will see a link to it. Update the attachment if it has changed, or if requested.
Proof Of Insurance
Filename
(Maximum file size=10MB)
Expiration Date
Acceptance
Terms and Conditions
30%">
Mooring Permit Application:
I certify that the information on this application is correct and that fees must be paid by credit card or Electronic Check. Fees associated with this application are non-refundable. I further understand that I must comply with all town mooring ordinances, or this permit may be revoked.
Moorings must be occupied as the primary berth for the vessel.
By checking this box and typing my name, I intend to electronically affix my signature, indicating that I have read, understand and affirm this attestation. *
Waiting List Application:
I certify that the information on this application is correct. I further understand that this is an application to be placed on a waiting list for a mooring and that this application is required to be renewed annually.
I have read and understand the Online Mooring
User Terms and Conditions
I have read and accept these terms
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