Nautical Survey Report

ID0
United States Power Squadrons

Nautical Survey Report 2024

Revised 1/01/2024

Version 24.12
After 12/31/2024, you must use the 2025 form.
Date of Observation*

YearMonthDay
Date
* Indicates a required field
ID
If this is a resubmittal, enter the original report number.
Original Report
Click Here to go to the authorization request form.
Principal Observer
Certificate No.
Email
example@example.com
Name
Squadron
District
RD
OD
Reviewer ID
DChairEmail

Note: In addition to the upload requirements outlined below, you may also upload a chartlet or any other document that will clarify your report.
1st Report Item
ATON DiscrepancyATON VerificationATON InspectionBridge DiscrepancyBridge VerificationUSACE Chart DiscrepancyNOAA Chart DiscrepancyOther
Notify the Coast Guard and upload the following:
- A copy of the Coast Guard acknowledgement of your notification.
- A photograph of the aid containing position coordinates and date/time stamp.
Enter the Light List information for the ATON below OR upload a chartlet hightlighted if it is not in the Light List
Upload the following:
- A photograph of the aid containing position coordinates and date/time stamp.
Enter the Light List information for the ATON below OR a chartlet hightlighted if it is not in the Light List
Upload one of the following:
- An Excel or pdf file containing the chart number and ATON name for each aid inspected with chart number (if available), name and location of waterway.
- A copy of the light List page(s) or a chartlet with the inspected ATONs highlighted.
Notify the Coast Guard and upload the following:
- A copy of the Coast Guard acknowledgement of your notification.
- Photograph(s) of the bridge containing position coordinates and date/time stamp.
- Completed Form 7055
If the bridge is included in the Light List, enter the information below.
Upload a photograph(s) of the bridge containing position coordinates and date/time stamp.

If the bridge is included in the Light List, enter the information below.
Notify the USACE and upload the following:
- A copy of the USACE notification email.
- Photograph of the feature containing position coordinates and date/time stamp.
- A chartlet indicating the change to or absence of the feature.
Notify NOAA and upload the following:
- A copy of the NOAA notification email.
- Photograph of the feature containing position coordinates and date/time stamp.
- A chartlet indicating change of feature or absence of feature.
Information from the Light List (if required)
LL Volume
Aid No.
Aid Description
Comments
Upload Forms / Photos

Upload a File

Cancelof
Jump to last page when clicking on Next

2nd Report Item
ATON DiscrepancyATON VerificationATON InspectionBridge DiscrepancyBridge VerificationUSACE Chart DiscrepancyNOAA Chart DiscrepancyOther
Notify the Coast Guard and upload the following:
- A copy of the Coast Guard acknowledgement of your notification.
- A photograph of the aid containing position coordinates and date/time stamp.
Enter the Light List information for the ATON below OR upload a chartlet hightlighted if it is not in the Light List
Upload the following:
- A photograph of the aid containing position coordinates and date/time stamp.
Enter the Light List information for the ATON below OR a chartlet hightlighted if it is not in the Light List
Upload one of the following:
- An Excel or pdf file containing the chart number and ATON name for each aid inspected with chart number (if available), name and location of waterway.
- A copy of the light List page(s) or a chartlet with the inspected ATONs highlighted.
Notify the Coast Guard and upload the following:
- A copy of the Coast Guard acknowledgement of your notification.
- Photograph(s) of the bridge containing position coordinates and date/time stamp.
- Completed Form 7055
If the bridge is included in the Light List, enter the information below.
Upload a photograph(s) of the bridge containing position coordinates and date/time stamp.

If the bridge is included in the Light List, enter the information below.
Notify the USACE and upload the following:
- A copy of the USACE notification email.
- Photograph of the feature containing position coordinates and date/time stamp.
- A chartlet indicating the change to or absence of the feature.
- Notify NOAA and upload the following:
  
  A copy of the NOAA notification email.
  Photograph of the feature containing position coordinates and date/time stamp.
  A chartlet indicating change of feature or absence of feature.
Information from the Light List (if required)
LL Volume
Aid No.
Aid Description
Comments
Upload Forms / Photos

Upload a File

Cancelof
Jump to last page when clicking on Next

3rd Report Item
ATON DiscrepancyATON VerificationATON InspectionBridge DiscrepancyBridge VerificationUSACE Chart DiscrepancyNOAA Chart DiscrepancyOther
Notify the Coast Guard and upload the following:
- A copy of the Coast Guard acknowledgement of your notification.
- A photograph of the aid containing position coordinates and date/time stamp.
Enter the Light List information for the ATON below OR upload a chartlet hightlighted if it is not in the Light List
Upload the following:
- A photograph of the aid containing position coordinates and date/time stamp.
Enter the Light List information for the ATON below OR a chartlet hightlighted if it is not in the Light List
Upload one of the following:
- An Excel or pdf file containing the chart number and ATON name for each aid inspected with chart number (if available), name and location of waterway.
- A copy of the light List page(s) or a chartlet with the inspected ATONs highlighted.
Notify the Coast Guard and upload the following:
- A copy of the Coast Guard acknowledgement of your notification.
- Photograph(s) of the bridge containing position coordinates and date/time stamp.
- Completed Form 7055
If the bridge is included in the Light List, enter the information below.
Upload a photograph(s) of the bridge containing position coordinates and date/time stamp.

If the bridge is included in the Light List, enter the information below.
Notify the USACE and upload the following:
- A copy of the USACE notification email.
- Photograph of the feature containing position coordinates and date/time stamp.
- A chartlet indicating the change to or absence of the feature.
- Notify NOAA and upload the following:
  
  A copy of the NOAA notification email.
  Photograph of the feature containing position coordinates and date/time stamp.
  A chartlet indicating change of feature or absence of feature.
Information from the Light List (if required)
LL Volume
Aid No.
Aid Description
Comments
Upload Forms / Photos

Upload a File

Cancelof
Jump to last page when clicking on Next

4th Report Item
ATON DiscrepancyATON VerificationATON InspectionBridge DiscrepancyBridge VerificationUSACE Chart DiscrepancyNOAA Chart DiscrepancyOther
Notify the Coast Guard and upload the following:
- A copy of the Coast Guard acknowledgement of your notification.
- A photograph of the aid containing position coordinates and date/time stamp.
Enter the Light List information for the ATON below OR upload a chartlet hightlighted if it is not in the Light List
Upload the following:
- A photograph of the aid containing position coordinates and date/time stamp.
Enter the Light List information for the ATON below OR a chartlet hightlighted if it is not in the Light List
Upload one of the following:
- An Excel or pdf file containing the chart number and ATON name for each aid inspected with chart number (if available), name and location of waterway.
- A copy of the light List page(s) or a chartlet with the inspected ATONs highlighted.
Notify the Coast Guard and upload the following:
- A copy of the Coast Guard acknowledgement of your notification.
- Photograph(s) of the bridge containing position coordinates and date/time stamp.
- Completed Form 7055
If the bridge is included in the Light List, enter the information below.
Upload a photograph(s) of the bridge containing position coordinates and date/time stamp.

If the bridge is included in the Light List, enter the information below.
Notify the USACE and upload the following:
- A copy of the USACE notification email.
- Photograph of the feature containing position coordinates and date/time stamp.
- A chartlet indicating the change to or absence of the feature.
- Notify NOAA and upload the following:
  
  A copy of the NOAA notification email.
  Photograph of the feature containing position coordinates and date/time stamp.
  A chartlet indicating change of feature or absence of feature.
Information from the Light List (if required)
LL Volume
Aid No.
Aid Description
Comments
Upload Forms / Photos

Upload a File

Cancelof
Jump to last page when clicking on Next

5th Report Item
ATON DiscrepancyATON VerificationATON InspectionBridge DiscrepancyBridge VerificationUSACE Chart DiscrepancyNOAA Chart DiscrepancyOther
Notify the Coast Guard and upload the following:
- A copy of the Coast Guard acknowledgement of your notification.
- A photograph of the aid containing position coordinates and date/time stamp.
Enter the Light List information for the ATON below OR upload a chartlet hightlighted if it is not in the Light List
Upload the following:
- A photograph of the aid containing position coordinates and date/time stamp.
Enter the Light List information for the ATON below OR a chartlet hightlighted if it is not in the Light List
Upload one of the following:
- An Excel or pdf file containing the chart number and ATON name for each aid inspected with chart number (if available), name and location of waterway.
- A copy of the light List page(s) or a chartlet with the inspected ATONs highlighted.
Notify the Coast Guard and upload the following:
- A copy of the Coast Guard acknowledgement of your notification.
- Photograph(s) of the bridge containing position coordinates and date/time stamp.
- Completed Form 7055
If the bridge is included in the Light List, enter the information below.
Upload a photograph(s) of the bridge containing position coordinates and date/time stamp.

If the bridge is included in the Light List, enter the information below.
Notify the USACE and upload the following:
- A copy of the USACE notification email.
- Photograph of the feature containing position coordinates and date/time stamp.
- A chartlet indicating the change to or absence of the feature.
- Notify NOAA and upload the following:
  
  A copy of the NOAA notification email.
  Photograph of the feature containing position coordinates and date/time stamp.
  A chartlet indicating change of feature or absence of feature.
Information from the Light List (if required)
LL Volume
Aid No.
Aid Description
Comments
Upload Forms / Photos

Upload a File

Cancelof

Submit Report
Committee Review
National Review by
YesNoReturned for correction
Credits
Date

YearMonthDay
Reviewer's Comments
Reviewer
Reviewer's Email
Note:
Once the report has been reviewed, you will receive a confirming email from your reviewer giving you the status.

A VALID CERTIFICATE NO. IS REQUIRED. TRY AGAIN OR REQUEST AUTHORIZATION
Link to authorization form
Should be Empty:

1st Report Item

2nd Report Item

3rd Report Item

4th Report Item

5th Report Item

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