Form Dsss 41 - Application For Swim Line Permit - Department Of Safety - New Hampshire Page 2
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4UNLESS A SWIM LINE VARIANCE IS REQUESTED AND APPROVED, NO SWIM LINE SHALL
BE PLACED BEYOND THE POINT WHERE THE DEPTH OF WATER EXCEEDS 6 FEET OR FOR
A DISTANCE FROM SHORE OF 50 FEET, WHICHEVER OCCURS FIRST.
SWIMLINES NOT PLACED IN ACCORDANCE WITH THE TERMS OF THE APPROVED PERMIT
MAY BE REMOVED AND THE SWIM LINE PERMIT REVOKED
5. Please complete the following (check one):
a. Are you requesting a variance?
Yes
No
b. If you are requesting a variance, please clearly state the reason(s) for this request. You must
also descriptively state the water depth and distance from shore at the point where you are
requesting that the swim line be located (Saf-C 404.08).
4. Please provide a diagram / map which shows the following (The map must be accurate in relation
to North):
a. Your shore line and property lines (indicate feet).
b. Proposed location of swim line and depth of water in feet.
c. Length of swim line.
d. Locations, dimensions and distance in feet of moorings, docks, boat houses, breakwaters located
off your shorefront.
e. The shorelines and property lines of your abutters in feet.
f. Locations, dimensions and distances (in feet) of swim lines, moorings, docks, and
rafts located off your abutter’s waterfronts.
g. Unsigned applications will be returned.
Signature of Applicant
Date
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