Form LNR3-035 "Registration for Visiting Vessels" - Hawaii

What Is Form LNR3-035?

This is a legal form that was released by the Hawaii Department of Land & Natural Resources - a government authority operating within Hawaii. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 1, 2010;
  • The latest edition provided by the Hawaii Department of Land & Natural Resources;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form LNR3-035 by clicking the link below or browse more documents and templates provided by the Hawaii Department of Land & Natural Resources.

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Download Form LNR3-035 "Registration for Visiting Vessels" - Hawaii

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LNR 3-035 (3/2010)
HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES
DIVISION OF BOATING AND OCEAN RECREATION
INFORMATION ON VISITING VESSELS
PLEASE PRINT OR TYPE HARBOR
_________________________________________________________
(select from list on page 2)
OWNER OF VESSEL ____________________________________________________ DOB ________/________/________ (MM/DD/YYYY)
MASTER OF VESSEL ___________________________________________________ DOB ________/________/________ (MM/DD/YYYY)
VESSEL'S NAME ______________________________________ NATIONALITY _____________________ HOME PORT ________________
REG/DOC NO. ___________________________ LENGTH OVER ALL (LOA) _____ _____" PORT OF REGISTRY _____________________
BEAM _______________ DRAFT ____________ DATE OF ARRIVAL _______________ (MM/DD/YYYY) TIME ______________________
LAST PORT OF CALL ______________________________________ NEXT PORT OF CALL _______________________________________
EXPECTED LENGTH OF STAY IN THIS HARBOR _______________________ PURPOSE OF STAY ________________________________
IS THIS VESSEL FROM THE STATE OF HAWAII?
YES
NO
IF YES, WHAT HARBOR? ___________________________________
DOES THIS VESSEL HAVE A:
MSD?
HOLDING TANK?
OTHER? (DETAIL) _________________________________________
NUMBER OF PERSONS ARRIVING ABOARD YOUR VESSEL _______________ # LIVE ABOARDS _____________
(complete crew list on page 2)
NUMBER AND KINDS OF ANIMALS ABOARD ___________________________________________________________________________
DO YOU OWE MOORING FEES TO THE STATE OF HAWAII?
YES
NO
IF YES, AMOUNT $ ____________________________
WHAT STATE/PROVINCE AND COUNTRY ARE YOU FROM _ _____________________________________________________________
HOW LONG HAVE YOU BEEN IN THE HAWAIIAN OCEAN WATERS? _______________________________________________________
HAVE YOU CLEARED WITH HAWAII STATE AGRICULTURE? (1)
YES
NO
HAVE YOU CLEARED WITH U.S. CUSTOMS? (2)
YES
NO
DOBOR STAFF INITIALS ___________________
(show documentation)
All Foreign vessels and U.S. vessels returning from overseas must report to U.S. Customs.
IF YES TO ABOVE, AT WHAT HARBOR AND ISLAND? ____________________________________________________________________
YOUR MAILING ADDRESS ____________________________________________________________________________________________
PHONE NUMBER (home port) _____________________ Ph. (local) ____________________
YOUR POSITION ON THIS VESSEL _____________________________________________________________________________________
_____________________________________________________________
______________________________________________________
SIGNED BY
DATE
______________________________________________________________________________________________________________________
FOR DOBOR USE ONLY
PERMIT NO. _________________________________________ APPROVED BY __________________________________________________
MOORING FEES COLLECTED $ _______________________________ FOR PERIOD FROM _________________TO ___________________
DATE VESSEL DEPARTED (DATE) ____________________________ TIME ____________________ TO _____________________________
______________________________________________________________________________________________________________________
LNR 3-035 (3/2010)
HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES
DIVISION OF BOATING AND OCEAN RECREATION
INFORMATION ON VISITING VESSELS
PLEASE PRINT OR TYPE HARBOR
_________________________________________________________
(select from list on page 2)
OWNER OF VESSEL ____________________________________________________ DOB ________/________/________ (MM/DD/YYYY)
MASTER OF VESSEL ___________________________________________________ DOB ________/________/________ (MM/DD/YYYY)
VESSEL'S NAME ______________________________________ NATIONALITY _____________________ HOME PORT ________________
REG/DOC NO. ___________________________ LENGTH OVER ALL (LOA) _____ _____" PORT OF REGISTRY _____________________
BEAM _______________ DRAFT ____________ DATE OF ARRIVAL _______________ (MM/DD/YYYY) TIME ______________________
LAST PORT OF CALL ______________________________________ NEXT PORT OF CALL _______________________________________
EXPECTED LENGTH OF STAY IN THIS HARBOR _______________________ PURPOSE OF STAY ________________________________
IS THIS VESSEL FROM THE STATE OF HAWAII?
YES
NO
IF YES, WHAT HARBOR? ___________________________________
DOES THIS VESSEL HAVE A:
MSD?
HOLDING TANK?
OTHER? (DETAIL) _________________________________________
NUMBER OF PERSONS ARRIVING ABOARD YOUR VESSEL _______________ # LIVE ABOARDS _____________
(complete crew list on page 2)
NUMBER AND KINDS OF ANIMALS ABOARD ___________________________________________________________________________
DO YOU OWE MOORING FEES TO THE STATE OF HAWAII?
YES
NO
IF YES, AMOUNT $ ____________________________
WHAT STATE/PROVINCE AND COUNTRY ARE YOU FROM _ _____________________________________________________________
HOW LONG HAVE YOU BEEN IN THE HAWAIIAN OCEAN WATERS? _______________________________________________________
HAVE YOU CLEARED WITH HAWAII STATE AGRICULTURE? (1)
YES
NO
HAVE YOU CLEARED WITH U.S. CUSTOMS? (2)
YES
NO
DOBOR STAFF INITIALS ___________________
(show documentation)
All Foreign vessels and U.S. vessels returning from overseas must report to U.S. Customs.
IF YES TO ABOVE, AT WHAT HARBOR AND ISLAND? ____________________________________________________________________
YOUR MAILING ADDRESS ____________________________________________________________________________________________
PHONE NUMBER (home port) _____________________ Ph. (local) ____________________
YOUR POSITION ON THIS VESSEL _____________________________________________________________________________________
_____________________________________________________________
______________________________________________________
SIGNED BY
DATE
______________________________________________________________________________________________________________________
FOR DOBOR USE ONLY
PERMIT NO. _________________________________________ APPROVED BY __________________________________________________
MOORING FEES COLLECTED $ _______________________________ FOR PERIOD FROM _________________TO ___________________
DATE VESSEL DEPARTED (DATE) ____________________________ TIME ____________________ TO _____________________________
______________________________________________________________________________________________________________________
LNR 3-035 (3/2010)
DEPARTMENT OF LAND AND NATURAL RESOURCES
DIVISION OF BOATING AND OCEAN RECREATION
INFORMATION ON VISITING VESSELS
CREW LIST - PLEASE PRINT OR TYPE
NAME
POSITION ON VESSEL
NATIONALITY
_______________________________________________ ________________________________________ _______________________________
_______________________________________________ ________________________________________ _______________________________
_______________________________________________ ________________________________________ _______________________________
_______________________________________________ ________________________________________ _______________________________
_______________________________________________ ________________________________________ _______________________________
_______________________________________________ ________________________________________ _______________________________
_______________________________________________ ________________________________________ _______________________________
_______________________________________________ ________________________________________ _______________________________
_______________________________________________ ________________________________________ _______________________________
_______________________________________________ ________________________________________ _______________________________
_______________________________________________ ________________________________________ _______________________________
_______________________________________________ ________________________________________ _______________________________
Attach additional sheets to add crewmember names.
DOBOR FACILITIES
ISLAND OF
ISLAND OF
ISLAND OF LANAI
ISLAND OF MAUI
ISLAND OF
ISLAND OF OAHU
HAWAII
KAUAI
Manele Harbor
Kaanapali
MOLOKAI
Ala Wai Harbor
Honokohau
Hanalei Bay
Lahaina Roadstead
Hale O Lono Harbor
Haleiwa Harbor
Kailua-Kona
Kikiaola Harbor
Lahaina Harbor
Kaunakakai Harbor
Heeia Kea Harbor
Kawaihae Harbor
Kukuiula Harbor
Maalaea Harbor
Kahana Bay
Keauhou Boat Harbor
Nawiliwili Harbor
Kaneohe Bay
Milolii Landing
Port Allen Harbor
Keehi Harbor/Lagoon
Reed's Bay
Waikaea Canal
Maunalua Bay
Wailoa Harbor
Pokai Bay
Sand Island
Waianae Harbor
Waikiki Beach
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