Application for Remoor - Hawaii

This "Application for Remoor" is a document issued by the Hawaii Department of Land & Natural Resources specifically for Hawaii residents with its latest version released on June 1, 2011.

Download the up-to-date fillable PDF by clicking the link below or find it on the forms website of the Hawaii Department of Land & Natural Resources.

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APPLICATION FOR
REMOOR
Division of Boating and Ocean Recreation
Department of Land and Natural Resources, State of Hawaii
1. PERMIT INFORMATION
Date:
Mooring Account Number:
/
/
OFFICE USE ONLY
Date Received:
Island (
) :
q
Hawaii
q
Kauai q Lanai
q
Maui
q
Molokai q
Oahu
one
4
Location:
Current Berth:
Received By:
Requested Berth:
2. APPLICANT INFORMATION
Name (Last):
(First):
(M.I.):
Suffix:
Date of Birth:
Phone (business):
(home):
(cell):
/
/
q
q
Gender:
Female
Male
Email:
Mailing Address:
Apt #:
Country:
Address Line 2:
City:
State:
Zip:
3. VESSEL INFORMATION
Vessel Name:
Port of Registry:
q
Registration
q
Coast Guard Documentation
q
None
Documentation Type:
Registration or Doc. #:
Expiration Date:
/
/
Number of people residing on this vessel:
Length Overall:
(feet)
(inches)
Remarks:
Length Over Deck:
(feet)
(inches)
Draft of Vessel:
(feet)
(inches)
Beam of Vessel:
(feet)
(inches)
4. VESSEL TYPE AND PROPULSION
q
q
q
q
q
Vessel Type ( one):
Open Motorboat
Motor Vessel (more than 65)
Sailing Vessel
Houseboat
Runabout
4
q
q
q
q
Aux. Powered Sailing Vessel
Cabin Motorboat
Thrillcraft
Dinghy or Skiff
q
q
q
Barge
Platform
Other:
Principle Use ( one):
q
Pleasure
q
Charter Fishing
q
Commercial Fishing
q
Commercial Passenger
q
Charter Bare Boat
4
q
q
q
q
q
Dealer
Manufacturer
Charter Sail
Water Taxi
Other Commercial:
q
q
q
q
Primary Propulsion Type ( one):
Sail
Power
None
Other:
4
5. AGREEMENT & SIGNATURE
I agree to comply with the provisions of the Hawaii
Administrative Rules as promulgated by the Division of
/
/
Boating and Ocean Recreation applicable to this permit.
Signature of Applicant
Date
Remoor, Revised: 06/2011
Page 1 of
1
APPLICATION FOR
REMOOR
Division of Boating and Ocean Recreation
Department of Land and Natural Resources, State of Hawaii
1. PERMIT INFORMATION
Date:
Mooring Account Number:
/
/
OFFICE USE ONLY
Date Received:
Island (
) :
q
Hawaii
q
Kauai q Lanai
q
Maui
q
Molokai q
Oahu
one
4
Location:
Current Berth:
Received By:
Requested Berth:
2. APPLICANT INFORMATION
Name (Last):
(First):
(M.I.):
Suffix:
Date of Birth:
Phone (business):
(home):
(cell):
/
/
q
q
Gender:
Female
Male
Email:
Mailing Address:
Apt #:
Country:
Address Line 2:
City:
State:
Zip:
3. VESSEL INFORMATION
Vessel Name:
Port of Registry:
q
Registration
q
Coast Guard Documentation
q
None
Documentation Type:
Registration or Doc. #:
Expiration Date:
/
/
Number of people residing on this vessel:
Length Overall:
(feet)
(inches)
Remarks:
Length Over Deck:
(feet)
(inches)
Draft of Vessel:
(feet)
(inches)
Beam of Vessel:
(feet)
(inches)
4. VESSEL TYPE AND PROPULSION
q
q
q
q
q
Vessel Type ( one):
Open Motorboat
Motor Vessel (more than 65)
Sailing Vessel
Houseboat
Runabout
4
q
q
q
q
Aux. Powered Sailing Vessel
Cabin Motorboat
Thrillcraft
Dinghy or Skiff
q
q
q
Barge
Platform
Other:
Principle Use ( one):
q
Pleasure
q
Charter Fishing
q
Commercial Fishing
q
Commercial Passenger
q
Charter Bare Boat
4
q
q
q
q
q
Dealer
Manufacturer
Charter Sail
Water Taxi
Other Commercial:
q
q
q
q
Primary Propulsion Type ( one):
Sail
Power
None
Other:
4
5. AGREEMENT & SIGNATURE
I agree to comply with the provisions of the Hawaii
Administrative Rules as promulgated by the Division of
/
/
Boating and Ocean Recreation applicable to this permit.
Signature of Applicant
Date
Remoor, Revised: 06/2011
Page 1 of
1

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