Navy Buoy Moorage Activity Form

Barge Name

Please enter name of barge

Towing Tug

Please enter name of towing tug

Buoy to which barge was moored

Please check...North   Please check...East   Please check...South   Please check...West   Please check...Kits

Date

Month  Day  Year

Time

00:00Please check...AM Please check...PM

Please check...Arriving    Please check...Departing

Note: If Departing, information below not required

Barge LOA (ft or M)

Feet or Meters

Barge Condition

Please check...Loaded     Please check...Part Loaded     Please check...Empty

Are there more than 4 barges moored on this buoy?

Please check...Yes            Please check...No

Vessel or Dispatch contact number

Please enter contact number...

Notes

Include number and condition of lines and duration barge will be moored if known.

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