The Dsss 41 form is an application used in New Hampshire to request a swim line permit for public bodies of water. This form is essential for ensuring safety and compliance with local regulations regarding swim areas. To get started on your application, click the button below.
The Dsss 41 form is an essential document for anyone looking to establish a swim line permit in New Hampshire, particularly on public bodies of water. This application is designed to ensure safety and compliance with state regulations, making it a crucial step for property owners, associations, and private groups. The form requires detailed information, including the type of swim area—whether it’s private, public, or owned by a town or the state. Applicants must provide their personal details, including contact information and the specific location of the swim line. Additionally, the form outlines important guidelines, such as the maximum depth and distance from shore for placing swim lines, which helps to maintain safe swimming conditions. If a variance is needed, the applicant must clearly state their reasons and provide accurate diagrams showing the proposed swim line location in relation to property lines and surrounding features. Completing the Dsss 41 form accurately is vital, as incomplete applications will be returned, potentially delaying the approval process. By understanding the requirements and adhering to the guidelines, applicants can successfully navigate the permit process and ensure a safe swimming environment for all.
State of New Hampshire
DEPARTMENT OF SAFETY
DIVISION OF STATE POLICE
MARINE PATROL
31 DOCK ROAD
GILFORD, N.H. 03249-7627
John J. Barthelmes
Commission of Safety APPLICATION FOR SWIM LINE PERMIT
(PLEASE TYPE OR PRINT)
NOTE: Swim Line Permits are required on ALL public bodies of water.
DIRECTIONS: Complete this form and return it to the address indicated above.
INCOMPLETE APPLICATIONS WILL BE RETURNED.
1.
Check One: This is a
NEW application
RENEWAL application
2.
Type of swim area for which permit is requested:
a.
Private / Individual
c.
Public:
Town Owned
b.
Private Group / Association
State Owned
Name of Association:
3. a. Property Owner:
DOB:
Day Phone:
Mailing Address:
Evening Phone:
Town:
State:
Zip:
b. Person completing application:
Day phone:
4.Swim Line Location:
a.Body of Water:
b.Shorefront Property Street Address:
c.Lot Number and Tax Map Number:
d.Name / address of abutters to your shore front property: 1.
DSSS 41 (Rev.07/12)
UNLESS A SWIM LINE VARIANCE IS REQUESTED AND APPROVED, NO SWIM LINE SHALL BE PLACED BEYOND THE POINT WHERE THE DEPTH OF WATER EXCEEDS 6 FEET OR FOR A DISTANCE FROM SHORE OF 50 FEET, WHICHEVER OCCURS FIRST.
SWIM LINES NOT PLACED IN ACCORDANCE WITH THE TERMS OF THE APPROVED PERMIT MAY BE REMOVED AND THE SWIM LINE PERMIT REVOKED
5. Please complete the following (check one):
a. Are you requesting a variance?
Yes
No
b.If you are requesting a variance, please clearly state the reason(s) for this request. You must also descriptively state the water depth and distance from shore at the point where you are requesting that the swim line be located (Saf-C 404.08).
4.Please provide a diagram / map which shows the following (The map must be accurate in relation to North):
a.Your shore line and property lines (indicate feet).
b.Proposed location of swim line and depth of water in feet.
c.Length of swim line.
d.Locations, dimensions and distance in feet of moorings, docks, boat houses, breakwaters located off your shore front.
e.The shore lines and property lines of your abutters in feet.
f.Locations, dimensions and distances (in feet) of swim lines, moorings, docks, and rafts located off your abutters water fronts.
g.Unsigned applications will be returned.
Signature of Applicant
Date
DIAGRAM:
N
With an arrow, please indicate North
FOR OFFICIAL USE ONLY:
Applicant:
Body of Water:
1. Field investigation notes:
2.Approval status recommendation: Approve as submitted.
Approve with the same conditions as prior years:
Approve with the following conditions:
Deny: Please provide reason for recommendation of denial.
Signed:
Date:
What is the purpose of the DSSS 41 form?
The DSSS 41 form is an application for a Swim Line Permit in New Hampshire. This permit is required for placing swim lines in all public bodies of water. The form ensures that swim lines are installed safely and in compliance with state regulations, protecting both swimmers and the surrounding environment.
Who needs to complete the DSSS 41 form?
Any individual or organization planning to set up a swim line in a public body of water must complete the DSSS 41 form. This includes private individuals, groups, and associations. It is essential for property owners and those responsible for managing swim areas to submit this application to avoid potential safety hazards and legal issues.
What information is required on the form?
The form requires detailed information such as the type of swim area, the applicant's contact details, the location of the swim line, and whether a variance is requested. Additionally, applicants must provide a diagram or map that accurately depicts the proposed swim line location, water depth, and surrounding property lines. Incomplete applications will be returned, so it is important to fill out all sections carefully.
What is a swim line variance, and how can I request one?
A swim line variance allows for exceptions to the standard regulations regarding swim line placement. If you believe your situation requires a variance, you must indicate this on the form and provide clear reasons for your request. Additionally, you should describe the water depth and distance from the shore where you want the swim line to be placed. This information helps the authorities evaluate your request appropriately.
What happens if my application is incomplete?
If your application is incomplete, it will be returned to you. To avoid delays, ensure that all required fields are filled out accurately and that any necessary diagrams or maps are included. Double-checking your application before submission can save time and help you receive your permit promptly.
How long does it take to process the DSSS 41 form?
The processing time for the DSSS 41 form can vary based on several factors, including the completeness of your application and the current workload of the Division of State Police Marine Patrol. Generally, it is advisable to submit your application well in advance of when you plan to set up your swim line to allow for any necessary reviews or approvals.
What are the consequences of not following the swim line permit regulations?
Failure to comply with the terms of the swim line permit can lead to serious consequences. If swim lines are not placed according to the approved permit, they may be removed by authorities, and the permit could be revoked. This can create safety risks for swimmers and lead to potential legal repercussions for the permit holder.
Where should I send the completed DSSS 41 form?
Once you have completed the DSSS 41 form, you should send it to the Division of State Police Marine Patrol at the address listed on the form: 31 Dock Road, Gilford, N.H. 03249-7627. Make sure to keep a copy for your records and consider using a trackable mailing option to confirm that your application has been received.
This form is required for all public bodies of water, including town and state-owned areas. Both private and public applications must be submitted.
Incomplete applications will be returned. It is essential to fill out every section of the form accurately to avoid delays.
Swim lines must adhere to specific regulations. They cannot be placed beyond the point where water depth exceeds six feet or more than 50 feet from shore.
A variance request must be clearly justified, and approval is not guaranteed. The reasons for the request need to be well documented.
A detailed diagram is required. It must accurately show property lines, proposed swim line location, and other relevant features.
Unsigned applications will be returned. A signature is mandatory for the application to be considered valid.
The form must be typed or printed as specified. Submissions that do not follow this guideline may be rejected.
Swim line permits are not permanent. They must be renewed regularly, and compliance with the permit terms is necessary to avoid revocation.
The process can take time, especially if there are issues with the application. It is important to ensure all information is correct and complete to expedite approval.
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