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Get Cg 4423 Rev 10 06 Form

Department of Homeland Security US Coast Guard CG-4423 Rev 10-06 Date Submitted APPLICATION FOR APPROVAL OF MARINE EVENT INSTRUCTIONS This application must reach Sector Southeastern New England at least 135 days prior to a new event and 60 days prior to a recurring event. Have any objections been received from other interested parties If YES explain Vessels Provided by Sponsoring Organization for Safety Purposes number and description Please complete on a typewriter or print in black ink for reproductions. Attach a selection of a chart or a scale drawing showing boundaries and/or courses and markers contemplated Submit a copy of your entry requirements and any special rules pertaining to equipment regs or procedures 1 NAME OF EVENT DATE OF EVENT 3 LOCATION 15 Does The Sponsoring Organization Deem Their Patrol Adequate For Safety Purposes If NO explain 4 - TIME from to 5 NAME AND ADDRESS OF SPONSORING ORGANIZATION include phone and e-mail address 16 IS A COAST GUARD OR COAST GUARD AUXILIARY PATROL REQUESTED FOR CONTROL OF SPECTATOR AND/OR COMMERCIAL TRAFFIC If YES how many vessels do you recommend and why 6 NO PARTICIPANTS 17 PERSON S IN CHARGE 8 TYPES OF BOATS 7 SIZES OF BOATS 9 NO. SPECTATOR CRAFT 10 DESCRIPTION OF EVENT 18 WHERE WILL PERSON S IN CHARGE BE DURING THE EVENT 19 HOW CAN PERSON S IN CHARGE BE CONTACTED DURING THE EVENT VHF RADIO CELL PHONE PERSON TO BE CONTACTED FOR FURTHER DETAILS Name Address Zip Code 21 SIGNATURE The undersigned has the authority to represent the sponsoring organization 22 TITLE 11 WILL THIS EVENT INTERFERE OR IMPEDE THE NATURAL FLOW OF TRAFFIC If YES explain ADDRESS include Zip code and telephone number 12 WHAT EXTRA OR UNUSUAL HAZARD TO PARTICIPANTS OR NON PARTICIPANTS WILL BE INTRODUCED INTO THE REGATTA AREA TO Commander USCG Sector Southeastern New England 20 Risho Ave. Unit D East Providence RI 02914 The Coast Guard estimates that the average burden for this report form is 25 minutes. You may submit any comments concerning the accuracy of this burden estimate or any suggestions for reducing the burden to Commandant G-NAB U* S* Coast Guard Washington DC 20593-0001 or Office of Management and Budget Paperwork Reduction Project 2115-0017 Washington D. Have any objections been received from other interested parties If YES explain Vessels Provided by Sponsoring Organization for Safety Purposes number and description Please complete on a typewriter or print in black ink for reproductions. Attach a selection of a chart or a scale drawing showing boundaries and/or courses and markers contemplated Submit a copy of your entry requirements and any special rules pertaining to equipment regs or procedures 1 NAME OF EVENT DATE OF EVENT 3 LOCATION 15 Does The Sponsoring Organization Deem Their Patrol Adequate For Safety Purposes If NO explain 4 - TIME from to 5 NAME AND ADDRESS OF SPONSORING ORGANIZATION include phone and e-mail address 16 IS A COAST GUARD OR COAST GUARD AUXILIARY PATROL REQUESTED FOR CONTROL OF SPECTATOR AND/OR COMMERCIAL TRAFFIC If YES how many vessels do you recommend and why 6 NO PARTICIPANTS 17 PERSON S IN CHARGE 8 TYPES OF BOATS 7 SIZES OF BOATS 9 NO.

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