2022 Vessel Inspection Report

This form should be filled out annually, by all slipholders, no later than 60 days after a marina agreement is signed. There can be a $100 administrative fee for late submissions. In any case, All forms must be submitted by June 1st or 2 weeks after notification of inspections, or within 15 days of slip agreement if agreement is signed after June 1st and before November 1st. If no form is on file at the time of a code Orange being declared, you will be required to evacuate the marina during a severe/named storm.

This online form uses most of the data from previoous form entries making it quicker to fill out on line.

Type your last name here to have the form auto complete most of the data where appropriate, Last Name is Case Sensitive. If this is a new form, skip this entry and completely fill out the form. Only previous submissions before 9/23/21 can be duplicated.

This is an original submission *

Yes This is duplicated from previous Inspection

Name of Vessel *

Vessel Make

Sail Power

First Name *

First Name

Last Name *

Last Name

Vessel Length *

Vessel Length

Vessel Width *

Vessel Width

Vessel Draft *

Vessel Draft

Are You On A Travel Lift *

Yes No

Dock *

Slip Number *

Address of Owner

*

Address

City *

Postal / Zip Code *

Email *

example@example.com

Phone Number *

Area Code Phone Number

Cell Phone Number

Area Code Phone Number

AP Resident *

Yes No

Vessel Documentation *

State Registry Federal Documentation

State of Registry *

State Registry Number *

Expiration Date *

Date

State Documented-Fed.

Fed. Registry Number

Expiration Date

Date

Has the Vessel had a CG inspecion *

Yes No

Date of Inspection *

Date

Condition of vessel *

Excellent Good Fair Poor

Comments on Condition Etc.

Marine Fire Extinquisher Guidelines

Classification Foam Carbon Dioxide Dry Chemical type & size	Foam Carbon Dioxide Dry Chemical type & size minimum gallons	Carbon Dioxide Dry Chemical type & size minimum gallons minimum pounds	Dry Chemical type & size minimum gallons minimum pounds minimum pounds
BI	1 1/4	4	2
BII	2 1/2	15	10

Vessel Length	No Fixed System	With approved Fixed Systems
Less than 26'	1 B-1	0
26' to less than 40'	2 B-1 or 1 B-II	1 B-1
40' to 65'	3 B-1 or 1 B-II and 1 B-1	2 B-1 or 1 B-II

Number Fire Extingishers on vessel *

ex 4

Fire Extinguishers Charged OK *

Yes No

Mooring Lines recommendations at AP

under 30 feet use 1/2" line
30 feet to 40 feet use 5/8" line
40 feet to 70 feet use 3/4" line
70 feet to 90 feet use 7/8" line
90 feet to 110 feet use 1" line

As a general rule, the length of bow and stern lines should equal two-thirds of your boat's overall length. Spring lines should be slightly longer, approximately the same length as your boat. Unless your boat is unusually heavy or will be subjected to severe conditions, a bow line, stern line, and two spring lines are recommended. If your permanent slip has outboard pilings as well, you will need an additional bow and stern line.

Mooring Lines - Size *

1/2 " 5/8 " 3/4 " 7/8 " 1 "

Mooring Lines - Condition *

New Good Fair Poor

Mooring Lines Number *

ex 9

Bilge *

Free of fumes and petroleum products Needs cleaning

Bilge pumps *

Yes No

AC Bilge Pumps # *

Ex 3

Any AC Bilge Pumps Automatic

Yes No

DC Bilge Pumps # *

Ex 3

Any DC Bilge Pumps Automatic

Yes No

Fuel *

Gasoline Diesel No engine

Fuel Lines Leak free *

Yes No NA

Other Oils - Leak Free *

Yes No

Ventilation - Gas Engine

Yes No NA

Propulsion Engines- Number *

One Two Three None

ALL Propulsion Engines- Operational and tested *

Yes No NA

Wiring Condition *

Good Poor

Steering Operational *

Yes No

Backup Captain *

Other than spouse

Phone Number *

Area Code Phone Number

Important consideration in determining whether you will Shelter In Place!

If you indicate that you will shelter in place, you have the option to evacuate.But if you indicate you will NOT shelter in place, you will be required to evacuate in a code Orange. You cannot change from evacuate to shelter in place after June 1st.

DO YOU PLAN ON SHELTERING IN PLACE IN A STORM - If yes you must fill out the SHELTER IN PLACE SECTION *

YES NO

Vessel Inspection for Albemarle Plantation in 2021 - 2022