DEPARTMENT OF PLANNING AND NATURAL RESOURCES
APPLICATION FOR SHORT-TERM ANCHORING VESSELS
INSTRUCTIONS: 
THIS APPLICATION IS FOR VESSELS SEEKING TO ANCHOR LESS THAN 14 DAYS.
(First) 
Owner’s Name (Last)  
Home Address  
Current location of vessel to be anchored 
Zip Code  
Email Address
Name of Vessel  
Homeport  
Documentation No. 
Registration No.  
Make of the Vessel 
Builder/Manufacturer No. (H.I.N.) 
   Sail 
 
    Auxiliary  
   Power 
Type of Vessel (Check One): 
Physical Description: 
Length  
 
 
Width   
Draft 
ANCHORING LOCATION REQUESTED 
Bottom Type (i.e. sand, mud, etc.) 
Bottom Type (i.e. sand, mud, etc.)
Name of Anchorage 
Alternate Anchorage 
STATUS OF THE APPLICATION 
Original 
Approved  
Disapproved 
CONDITION OF PERMIT 
NO ANCHORAGE IN GRASSBEDS OR CORAL, CHANNELS OR FAIRWAYS.  ANCHORS SHALL BE PLACED 
WITHIN THE ANCHORAGE AREA SO THAT NO PORTION OF THE VESSEL, IT’S TENDER(S) OR RIGGING 
EXTENDED INTO A CHANNEL, FAIRWAY OR OTHER VESSEL’S MOORING OR ANCHORING AREA.  THIS PERMIT 
IS NON-TRANSFERABLE. 
I HEREBY CERTIFY that the foregoing information provided is true and correct; and further, I agree to fully 
comply with the statutes of the Virgin Islands and the Rules and Regulations of the department of Planning and 
Natural Resources related to Mooring and Anchoring in the United States Virgin Islands. 
Owner or Authorized Representative 
Date Approved:
 
Howard A. Forbes Sr.
Title:   Director___
M & AOVHB – 03/2002 
  LONG-TERM ANCHORING I 
Color of Vessel 
Holding Tank Capacity (gal.)
Telephone Number 
Date:
Relocation 
Fee Schedule: Monthly 
$2.00 (per foot)  Recreational    $3.00 (per foot)  Live-Onboard/Commercial
Payable by credit card, certified check, money order or cash, which is non-refundable.
Effective Date 
Location of Approved Anchoring: 
Approved by: 
Expiration Date 
Fee $ 
Attach current color photo of vessel and current registration
GPS Coordinates
GPS Coordinates 
 Length of stay: 
Arrival Date:
Departure Date: