Resident Renewal - Town Of Barnstable printable pdf download

BARNSTABLE

TOWN OF BARNSTABLE - SANDY NECK BEACH PARK

2016 BARNSTABLE RESIDENT AGREEMENT

ORV PERMIT # ____________

Is this a Camper (check if yes) ______ Chase # (to be assigned)______________

(Fee $ 85.00 or $ 25.00 sold after Labor Day)

Is this a Chase (check if yes)________ Camper # (to be assigned)____________

__________________________________________________

Email Address

_________________________________________________________

____________________________________________________

Last Name, First, Middle Initial

Cell Phone Number

__________________________________________________________________________________________________________________

Mailing Address - Street/P.O. Box

Town/City

State

Zip

__________________________________________________________________________________________________________________

Drivers License Number

State

Expiration Date

Date of Birth

___________________

_________

____________

_________________

_________

________

License Plate

State

Make

Model

Color

Year

I have received a copy of regulations that apply to the operation of over sand vehicles at Sandy Neck Beach, Barnstable. I understand that failure to comply with these regulations, by myself, my

guests or others operating my vehicle, will result in loss of beach privileges and/or a fine. I understand that Sandy Neck may be closed to off road vehicle permittees due to severe weather

conditions, extreme high tides, and as required by law to protect nesting shorebirds. NOTICE: Limitation of Liability: Entry upon or use of any of the property on Sandy Neck by any person shall

constitute a release by such person of the Town of Barnstable, its agent or servants from any and all claims for personal injuries or property damage sustained upon Sandy Neck and such release shall be

binding upon such person, his personal representatives, and all persons claiming through or under him.

______________________________________________________________________________________

Signature of Applicant

Date

-------------------------------------Please detach this application and return it with the required documentation outlined on the front-----------------------------

Town of Barnstable

Marine and Environmental Affairs Division - Sandy Neck Program

1189 Phinneys Lane, Centerville, MA 02632

Office 508-790-6272

Gatehouse 508-362-8300 (April – Nov.)

Required Equipment

All vehicles must carry the following equipment:

1. Spare tire—spare shall be the same tire and wheel size as the other four tires mounted on the vehicle

Exception: intermediate size spare tires may be acceptable at the discretion of Sandy Neck Staff and

two wheel drive motor homes and “dune buggies” must carry one spare tire of sufficient

height and aspect ratio to allow the vehicle to drive off the beach under its own power should any

of the tires mounted on the vehicle fail.

2. Tow device—minimum length 15 feet

rope - 3/4” diameter, or

strap - 6,800 lb. capacity, 1 1/2” wide, or

chain - 5/16” link, or

cable - 3/8” diameter, or

suitable vehicle mounted winch.

3. Jack—standard type jack or hydraulic jack.

4. Support board—minimum size 18” x 18”, 3/4” plywood or 1/4” thick steel.

5. Shovel—heavy duty, equal to military folding type or better.

6. Tire gauge—low pressure type, must register 10 psi or lower.

7. Sandy Neck Beach Park Regulations and current tide chart (both provided).

8. Self-contained vehicles must carry a measuring device that determines a 30-ft distance.

9. Self-contained vehicles must have a working carbon monoxide detector installed.

Note: It is recommended that all vehicles have a fire extinguisher and a first aid kit.

________________________________________________________________________________________________________________

Resident Renewal - Town Of Barnstable

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