D9_LNM_ENTRY_FORM(Nov2016).pdf

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Lorain Harbor Detached Breakwater Repair
Solicitation number
W912P417B0006
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D9 LNM Entry Form

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NINTH DISTRICT LOCAL NOTICE TO MARINERS GENERAL NOTICE ENTRY FORM

1. NAME OF COMPANY:________________________________________________________________________

2. TYPE OF OPERATION:________________________________________________________________________

3. LOCATION:__________________________________________________________________________________

4. COMMENCE DATE:____________________________COMPLETE DATE:_____________________________

5. HOURS OF OPERATION:__________________________TO_____________________

6. DAYS OF OPERATION:___________________________________TO__________________________________

7. NAME OF CONTACT VESSEL:__________________________________________________________________

8. VHF-FM CHANNELS MONITORED:_____________________________________________________________

9. SPECIAL

REQUIREMENTS/REMARKS:__________________________________________________________

10 FOR FUTHER INFORMATION, CONTACT:______________________________________________________

11 TELEPHONE #:___________________________________________

12 SIGNATURE:_________________________________________________DATE:_________________________

“ N O T E “

TEMPORARY MOORING BUOYS ARE REQUIRED TO BE WHITE WITH A BLUE HORIZONTAL BAND AROUND THE CIRCUMFERENCE OF THE BUOY CENTERED MIDWAY BETWEEN THE TOP OF THE BUOY AND THE WATERLINE. FOR MORE DETAILS CONCERNING REGULATIONS FOR MOORING BUOYS REFER TO 33 CODE OF FEDERAL REGULATIONS PART 66.10-45. A COLORED DEPICTION FOR A MOORING BUOY CAN BE FOUND IN LIGHT LIST VOL VII GREAT LAKES.

The enclosed form is provided for Marine construction operation conducted on the Great lakes that you would like to have published in the Ninth District Local Notice to mariners. We suggest you complete this form and forward it to our office at least two weeks in advance. If you have any questions feel free to contact the Local notice to Mariners Petty Officer T. Kelley at (216) 902-6069, D09‐DG‐District‐D9‐LocalNoticetoMariners@uscg.mil . Local reproduction of this from is encouraged.

**U.S. COAST GUARD NINTH DISTRICT (DPW-2) “LOCAL” FACSIMILE NO. (216) 902-6059**

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