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Amount of coverage: Public liability, per person, per occurrence $ 1 million <br />Public liability, per occurrence $ 1 million <br />10. Security and policing of the jointly used dock and property is provided by (check applicable <br />items): <br />_____ fencing ____ security lighting ____ property owner's presence <br />contract security service X other (specify) nanbers of corporation plus one <br />ite'ber faces prooerty with telescone <br />and observes <br />DOCK INFOR.VIATION <br />11.List Dock Use Area Specifications: See attached and orior armlication <br />Width of shoreline: _________ft. Length of main dock from shore: _______ <br />Dock setbacks from side property lines at shore: _________ ft. and _______ <br />ft <br />ft. <br />12.Dock Construction (check applicable items). <br />- X . seasonal dock (relocated or replaced each year) <br />____ permanent piling with seasonal deck ____ permanent piling and decking <br />X wooden decking ____ metal decking <br />13. List Dock Accessories: <br />Number of fire extinguishen available at the dock 1 at each dock <br />Number of life preservers available at the dock none ___________ <br />0 <br />List number of slips in each category ("slips" includes be. lifts): <br />Transient (day use only) slips Transient (day use) off shore buoys <br />Permanent moorage slips______0 Permanent moorage off-shore buoys 0 <br />Dry .storage (rack) slips _______0 Maximum number of boats at the dock s 15 <br />List number of off-street parking spaces available for users of the Joint use dock. Parking, <br />if provided must not be separated from the dock by aiiy public road. n/a spaces. <br />EROSION AND SEDIMENTATION CONTROL <br />16. Shoreline is protected by (check applicable items): <br />___ stone rip rap ___ wood seawall ___ metal seawall ___ concrete seawall <br />___ grass and vegetation only X other (specify) larce stones plus vegetation <br />Page 3 of 5