LIMITED / D TAYLOR
LEISURE CO-ORDINATOR
PORTLAND HARBOUR
CASTLETOWN
PORTLAND
DORSET
DT5 1PP / Email:
DDial: +44(0) 1305 825 338
Tel: +44(0) 1305 824 044
FAX: +44(0) 1305 826 143
PERMIT TO USE A PERSONAL WATER CRAFT (PWC) IN PORTLAND INNER HARBOUR FOR 2017
SEASONAL & ANNUAL PERMITS ISSUED BY PORTLAND HARBOUR AUTHORITY
Please indicate below which pass you are applying for:
TICK / PASS / DURATION OF PASS / COST
Annual / Valid for one Year / £222.20
Seasonal / 1st April – 31st October / £109.00
I confirm and acknowledge that:
- I hold valid 3rd party insurance (£2M)
- The Data Tag number is displayed on both sides of my craft
- I will not permit any person under the age of 16 to use my craft unless that person is under my personal supervision or he/she is in possession of a recognised (e.g. RYA) certificate of competency
- I understand the areas of water that I can and cannot enter with my craft
- Current regulations are understood and will be complied with.
This permit is issued subject to compliance by the holder with the regulations of Portland Harbour Authority as laid down in General Direction No 1 of 2012, and the reasonable requests of their authorised staff to which this permit must be produced upon request. This permit is not transferable but is valid for other family members named or listed as immediate family on the insurance certificate.
CUSTOMER DETAILSName of Holder
Named Family Members if applicable
Vehicle Reg. no(s): / Data Tag no:
Address / Town
County / Postcode / Tel:
Signature / Date
Portland Harbour Authority Ltd Data Collection Statement
The Information you have provided on this permit will be used by us (PHAL) to assist in the monitoring and safety of Portland Harbour and Weymouth Bay, and may be communicated to outside bodies and agencies that may have an interest, particularly if the water safety regulations are contravened.
*****A Separate Permit is required for Weymouth Bay*****
Portland Harbour Radio operates on CHANNEL 74
Ver3 Jan 2017