Special Use Permit Application
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Event Date Type
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Single Day Event
Recurring Weekday Event
Event Start Date
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Event End Date
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Full Name of Organization
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Please use Full Organization Name
Waterbody
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Agawam Mill Pond
Alum Pond
Apponagansett Bay
Ashmere Lake
Ashumet Pond
Asnacomet Pond
Attitash Lake
Baddacook Pond
Bass River - Highbank Road
Bass River - Wilbur Park
Access
Bass River - Wilbur Park,Sportfishing Pier
Bass River - South Street, Fishing Pier
Benedict Pond
Big Pond
Blish Point-Barnstable Harbor
Buel Lake
Center Pond
Charles River - Brighton
Charles River - Dolan Recreation Center
Charles River - Waltham
Chauncy Lake
Chebacco Lake
Cheshire Lake
Cheshire Lake (Farnams Causeway)
Cochituate Lake
Congamond Lake - North
Connecticut River - Northfield
Connecticut River - Oxbow
Connecticut River - Sunderland
Connecticut River Bartons Cove
Connecticut River Chicopee - Medina Street
Connecticut River Kellog Hill Rd - Hatfield
Connecticut River -Syrek Street
Cook Pond
Eddy Pond
Farm Pond
Garfield Lake
Goose Pond
Great Herring Pond
Hamilton Reservoir
Hingham Inner Harbor
Horn Pond
Housatonic River - Great Barrington
Housatonic River - Lenox
Housatonic River - Pittsfield
Housatonic River - Stockbridge
Indian Lake
Johns Pond
Knopps Pond
Lagoon Pond
Laurel Lake
Little Long Pond
Long Pond Freetown
Long Pond Plymouth
Long Pond Rutland
Manchaug Pond
Mascuppic Lake
Mashpee Wakeby Pond
Merrimack River - Cashman Park
Merrimack River - Riverside Boat Ramp - Methuen
Merrimack River - Ferry Street - Haverhill
Merrimack River (Riley Park)
Merrimack River Chelmsford
Merrimack River Lowell
Nashawannuck Pond
Nashua River (Groton)
Nashua River (Pepperell)
Nippenicket Lake
Onota Lake
Otis Reservoir
Pequot Pond
Peters Pond
Plymouth Harbor
Pontoosuc Lake
Porter River - Popes Landing
Quaboag Pond
Quinsigamond Lake - Flint Pond
Quinsigamond Lake - North
Richmond Pond
Rock Pond
Rohunta Lake
Sabbatia Lake
Salem Harbor - Winter Island
Saquatucket Harbor
Scituate Harbor
Shaw Pond
Singletary Lake
Snipatuit Pond
South Pond Brookfield
South Watuppa Pond
Stockbridge Bowl
Suasco - A1 Site
Sugden Reservoir
Swift River
Taunton River
Taunton River - Waterfront Park
Taunton River Basin
Thousand Acre Pond
Tispaquin Pond
Upper Mystic Lake
Wallum Lake
Wankinco River
Webster Lake
West Monponsett Pond
Whalom Lake
Whitehall Reservoir
Whiting Pond
Whitmans Pond
Wickaboag Pond
Windsor Pond
Winthrop Harbor
Winthrop Lake
Permit Season:
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Summer
Winter
Number of Vehicles
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Must record at least 1 Vehicle
Number of Boats
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More than 25 vessels will require an Environmental Police Detail.
Number of ATV's/Snowmobiles
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More than 1 ATV or Snowmobile will require an Environmental Police Detail.
Number of Participants
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(WINTER EVENTS ONLY)
Public Welcome?
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Members Only Event
Open Event
Arrival Time
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Start Time
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End Time
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Type of Event
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Bass Fishing
Canoe/Kayak Event
Rowing Race/Regatta
Fishing Derby
Ice Fishing
Trout Fishing
Sailing Event
Other
If Other, Please Specify
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Event Information
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Contact Information
Firstname
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Lastname
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Mailing Address
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City
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State
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AL
AK
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
Zip Code
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Daytime Phone
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E-mail
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*In consideration of the use of the state boat launching facility aforementioned, the individual/organization responsible for this event herby releases the Commonwealth and the Managing Authority, it’s officers and employees, from all liability and claims of any kind arising out of the use of this facility for this event. FBA facilities are not maintained (plowed) in winter months. Winter use is at the risk of the Applicant and participants.
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