Regattas and Marine Parades

Marine Event Permit Application

U.S. DEPARTMENT OF
HOMELAND SECURITY
U.S. COAST GUARD
CG-4423 Rev. (10-10)

Page 1 of 3

OMB-1625-0008
Expires 9/30/2017

Application For Marine Event Permit

An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number. The
Coast Guard estimates that the average burden for this collection of information is 55 minutes. You may submit any comments concerning the accuracy of this
burden estimate or any suggestions for reducing the burden to: Commandant (CG-5521), U.S. Coast Guard, 2100 2ND St., SW, Washington D.C. 20593-7683 or
Office of Management and Budget, Paperwork Reduction Project (1625-0008), Washington, DC 20593.
I have read the Paperwork Reduction Act Notice

View Status / Finish Submission

PRINT BLANK CG-4423

FORM INSTRUCTIONS
1. Please complete either this online form or a paper CG-4423.
2. This application must reach the appropriate Captain of the Port (selected via dropdown box) at least 135
days prior to the event.
3. Attach a section of a chart or scale drawing showing boundaries and/or courses and markers contemplated.
Click "add attachment" to attach a document in one of the following file formats ( .jpg, .pdf, .ppt, .doc, .docx)
4. Submit a copy of your entry requirements, and any special rules pertaining to equipment, rigs or procedures.
5. * Denotes required fields.
6. After submission you will have the ability to print out a completed form.
1. Name of Event*:
2. Event Dates*:

From:

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Reoccurring :

Never

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Daily

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To:

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3. Location of Event (Be Specific: Waterway,
Lat./Long., etc.)*:

4. Time*:



Weekly

From :







To :





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5a. Sponsoring Organization Name*:
5b. Sponsor Address Line 1*:
5c. Sponsor Address Line 2:
5d. Sponsor City*:



5e. Sponsor State / Province / Region*:
5f. Sponsor Zip/Postal Code*:
6. No. of Vessels/Craft/Swimmers*:

7. Sizes of Participating Boats/Craft*:

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

8. Types of Participating Boats/Craft*:


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9. No. of Spectator Craft*:




10. Description of Event*:

Yes

No

If yes, briefly explain

11. Will This Event Interfere or Impede the Natural
Flow of Traffic*:




12. What Extra or Unusual Hazard (to participants or
non-participants) Will Be Introduced Into the Regatta
Area?*:

https://homeport.uscg.mil/mycg/portal/ep/marine_event/marine_event_form.jsp

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Marine Event Permit Application

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
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Yes

No

If Yes, Which Organization and Why?




13. Have any State/Local Authorities, Stakeholders, or
Interested Parties Objected to the Proposed Event? *:

Number
14. Vessels and/or Other Support Provided by
Sponsoring Organization for Safety Purposes (Do Not
Include Coast Guard Assets):

Description

Length

1
Add
Yes

No

If No, briefly explain




15. Does the Sponsoring Organization Deem their
Patrol Adequate for Safety Purposes? *:

Yes

No

If Yes, how many vessels do you recommend and why?




16. Is a Coast Guard Patrol Asset Requested (This is in
Addition to Vessels Provided/Required by Sponsor) *:

PERSON IN CHARGE
17. Person In Charge Name*:
18. How Can the 'Person In Charge' be Contacted
During the Event? Be specific and Provide Number and
or Channel*:
19. Where Will 'Person In Charge' be During the
Event?*:
20a. Person In Charge Address Line 1*:
20b. Person In Charge Address Line 2:
20c. Person In Charge City*:



20d. Person In Charge State / Province / Region*:
20e. Person In Charge Zip/Postal Code*:
20f. Person In Charge Phone*:

-

-

ext

20g. Email*:
The undersigned has full authority to represent the sponsoring organization.
Same as Person In Charge information.
21. Name*:
22. Title*:
23a. Address Line 1*:
23b. Address Line 2:
23c. City*:



23d. State / Province / Region*:
23e. Zip/Postal Code*:
23f. Phone*:

-

-

ext

23g. Email*:
24.

By submitting this application I certify that I have full authority to represent the sponsoring organization.

https://homeport.uscg.mil/mycg/portal/ep/marine_event/marine_event_form.jsp

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Marine Event Permit Application

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25. COTP Zone*:
26. Attachment 1 (chartlet required)*:

Browse...

27. Attachment 2:

Browse...

28. Attachment 3:

Browse...

29. Attachment 4:

Browse...

30. Attachment 5:

Browse...

View COTP Zone Map

Note: You must attach a section of a chart or scale drawing showing the boundaries and/or courses and markers contemplated. You also must
attach a copy of your entry requirements and any special rules pertaining to the equipment, rigs, or procedures.
Privacy Act Statement
Authority: 33 U.S.C 1233 authorizes the collection of this information.
Purpose: The Coast Guard will use this information to determine whether an event poses an extra or unusual hazard to the safety of life and whether or not, and
under which conditions, to permit the event on the navigable waters of the United States.
Routine Uses: The information will be used by and disclosed to Coast Guard personnel to evaluate the request. Additionally, the Coast Guard may share the
information with facility operators, law enforcement or other government agencies as necessary to promote public safety during the requested marine event.
Disclosure: Furnishing this information is voluntary; however, failure to furnish the requested information may delay or prevent the approval of the requested
marine event.
I have read the Privacy Act Statement
U.S. Dept. of Homeland Security, USCG, CG-4423, Rev. 10-10

https://homeport.uscg.mil/mycg/portal/ep/marine_event/marine_event_form.jsp

9/29/2016