1. (a) Each applicant seeking a non-revenue mooring permit shall complete a non-revenue mooring application form provided by the division and hand deliver or mail the completed application to:

   Pease Development Authority

   Division of Ports and Harbors

   555 Market Street

   Portsmouth, NH 03801

2. (b) The applicant shall provide the division the following information utilizing the “Non-Revenue Mooring Permit Application Form”:

   1. (1) The applicant’s full legal name;

   2. (2) The applicant’s permanent address, including:

      1. a. Street and number;
      2. b. City or town;
      3. c. State; and
      4. d. Zip code;
   3. (3) The applicant’s mailing address, if different from the permanent address;
   4. (4) Which address the applicant requests be used as the correspondence address by the division, if different from the permanent address;

   5. (5) The applicant’s telephone number(s) for its contact person, including:

      1. a. Permanent telephone number;
      2. b. Emergency telephone number; and
      3. c. Cell telephone number, if different from permanent telephone number;
   6. (6) The mooring field, mooring subfield, or nearshore area for which application is made;
   7. (7) The applicant’s e-mail address, if the applicant has an e-mail address; and

   8. (8) The following information pertaining to each vessel(s):

      1. a. Vessel name;
      2. b. New Hampshire state registration number;
      3. c. Vessel LOA;
      4. d. Vessel draft;
      5. e. Vessel color; and
      6. f. Type of vessel.

3. (c) The applicant shall attach:

   1. (1) A copy of the current New Hampshire state registration(s) for the vessel(s) listed on the mooring permit application; and
   2. (2) The request for a non-revenue mooring as described in Pda 506.10(h).

4. (d) By signing the form, the applicant shall certify the following:

   1. (1) “I hereby certify that the applicant is an owner in full or in part of the vessel described in this application;” and
   2. (2) “I hereby certify that the statements and information in the enclosed documents are to the best of my knowledge and belief true, accurate and complete. I am aware that my mooring permit or placement on a mooring wait list may be withdrawn by the Pease Development Authority for submitting false statements or information or omitting required statements or information.”
5. (e) The applicant’s duly authorized representative shall sign and date the application.

Source. #7940, eff 8-23-03; amd by #8184, eff 10-1-04; amd by #8775, eff 12-16-06; ss by #9975, eff 8-20-11 (See Revision Note at chapter heading for Pda 500); ss by #12958, eff 12-24-19