CATION.

NEW YORK STATEFINGER LAKES REGION

OFFICIAL ONLY;

Permit: 1st year in Marina

Date Processed.

Slip Assigned:

Pass #

Pass #

FINGER LAKES STATE PARKS, RECREATION AND HISTORIC PRESERVATIONMARINA SEASONAL SLIP APPLICATION

Seasonal marina slips are available at the State marinas in the Finger Lakes Region listed on the reverse side of this form. Anapplication is required annually. Applications With full payment must be postmarked or hand delivered to the park office from thefirst business day after January 1 to January 15 along With a stamped. self-addressed. legal size envelope. Drawings will be heldon or before January 30, and applicants will be notified Of results. Successful applicants are guaranteed annual renewals for up to fiveyears. Rental rates will be established annually. In the event that all slips of one size are filled at the time of the lottery, the applicationswill be placed on a waiting list. Applications postmarked after January 15th will be added to the waiting list on a first-come, first-servebasis. Be sure to include copy of boat registration showing the length over-all of boat.

NAME: PARK:

ADDRESS: CITY:

HOME PHONE: CELL PHONE:

STATE:

E-MAIL:

BOAT BOAT NAME:

COLOR: POWER OR SAIL:

ELECTRICITY REQUIRED: YES C] NO

NON-ELECTRIC SLIP ($42.00 per foot)

ELECTRIC SLIP ($52.00 per foot)

MAKE OF BOAT: YEAR:

LENGTH: FT. BEAM• FT. TRAILER PLATE

SLIP PREFERRED:

AMOUNT ENCLOSED $

AMOUNT ENCLOSED $

For boats 18' and under, the seasonal slip rate is $625.00 for non-electric service and $800.00 for electric.All boaters in an electric slip must pay electric fee and provide their own electric adapters.MAIL CHECK (made payable to NYSOPRHP), COPY OF BOAT REGISTRATION, STAMPED SELF-ADDRESSED ENVELOPEAND EQ.T_H COPIES OF APPLICATION TO THE PARK (ADDRESS ON BACK OF THIS FORM).Returned checks will result in cancellation of permit.

TERMS AND CONDITIONS

1. One marina vehicle pass will be issued to permit entrance to the park where slip is located without payment of the vehicle use charge. Use of facilitiesat other parks requires payment of appropriate fee at the park.

2. Boat trailer storage space is not available at Allan H. Treman State Marine Park, Taughannock Falls State Park or Lodi Point State Marine Park.Trailed space is available at Sampson State Park and Seneca Lake State Park. A permit to store trailers at these two parks is available from the ParkManager for a $60 fee. Off-season storage of boats is not available.

3. The region reserves the right to assign or re-assign slips in order to efficiently utilize all available slips.

4. In the event a boat is sold, Permittee will notify park and park will transfer slip to new owner. Any other assignment, subletting or transferring, directlyor indirectly, be the Permittee is prohibited. Any and all rights and privileges granted by this permit are for the sole use if the Permittee.

5. All boats must be removed from the marina by the fourth Monday in October. (Per night fee may be assessed for late removals).

6. Slips shall be kept neat and orderly. Runways and boardwalks must be kept clear at all times. Rowboats, dinghies and other accessory equipmentmust be kept within the confines of the assigned slip. Carpeting, tires, firehoses, TV antennas, bicycles, etc. are not to be attached to the piers,catwalks or piles. Painting, hanging clothes and laundry are prohibited. Heads (toilets) shall be dumped in designated on-shore dumping stationsonly.

7. Open fires will not be allowed in the marina basin. Any conditions aboard or around the boat that is deemed a fire hazard, in the opinion of the ParkManager, shall be removed immediately.

8. All park rules and regulations as well as applicable State and Federal rules and regulations will be observed. When rules and regulations relating topublic safety have been violated, the region reserves the right to reject any application for a slip, and to terminate without prior notice or refund, anypermit issued. Amplification of music or other sound is not permitted.

9. Marina users shall respect the rights and privacy of others and maintain quiet hours from 10:00 p.m. - 7:00 a.m.

10. Water and electrical accessories must be approved by the Park Manager. Water may not be available during early and/or late season. Modificationof park electrical equipment and supply is prohibited.

11. The Permittee assumes all risks related to this permit and shall be solely responsible and answerable in damages for all accidents or injuries to person

or property, and hereby covenants and agrees to indemnify and keep harmless the People of the State of New York; Office of Parks, Recreation andHistoric Preservation; their officers and employees; from any and all claims, suits, losses, damage or injury to person or property of whatsoever kindor nature, whether direct or indirect, arising out of the operation of this Permit, or the carelessness, negligence or improper conduct of the Permitteeor any servant, agent or employee thereof.

12. The Office of Parks, Recreation and Historic Preservation shall not be responsible for property damage or personal injury to the Permittee, or anyperson upon the premises at the invitation of the Permittee.

13. Pet owners must be able to show certificate proof of their pets' current rabies inoculation for pets on board. All pets are to be on a 6-foot maximumleash at all times. RABIES CERTIFICATE EXPIRATION DATE:

14. Special permits are required for commercial activities.

Signature of Applicant Date

COMPLETE AND RETURN BOTH COPIES OF APPLICATION WITH A STAMPED. SELF-ADDRESSED ENVELOPE

FLP-23

FLSPOIO (12/11)

SEASONAL SLIPS ARE AVAILABLE AT THE FOLLOWING PARKS:

Allan H. Treman State Marine Park c/o Robert H. Treman State Park (607) 273-3440

Lodi Point State Marine Park

Sampson State Park

Seneca Lake State Park

Taughannock Falls State Park

105 Enfield Falls Road, Ithaca, NY 14850

c/o Sampson State Park6096 Route 96A, Romulus, NY 14541

6096 Route 96A, Romulus, NY 14541

(607) 272-1460 (summer)

(315) 585-6392

(315) 585-6392

100 Waterloo-Geneva Road, Geneva, NY 14456 (315) 789-2331

2221 Taughannock Park Road, Trumansburg, NY 14886 (607) 387-6739(Limited to boats up to 22' in length. No electric is available. Height not more than 6 feet above water line.)

Seasonal dry slips are available at Allan H. Treman State Marine Park and Seneca Lake State Park at an annual fee of $450.00.

In addition to the above, transient slips area also available without electricity at the following parks:

Cayuga Lake State Park

Fair Haven Beach State Park

2678 Lower Lake Road, Seneca Falls, NY 13148

Route 104A, Fair Haven, NY 13064

Refund Policy for seasonal marina slip rentals:

For seasonal marina slip rentals, revenue credits may be issued as follows:

For cancellations prior to May 15th — 100% credit.For seasonal departure or cancellation prior to June 15th — 50% credit.For seasonal departure prior to July 15th — 25% credit.No credit after July 15th.

Applicable processing fees are to be deducted from the revenue credit.

(315) 568-5163

(315) 947-5205

Refund processing fee: $9.00.

For credit card payment please contact the park office during normal business hoursMonday — Friday, prior to the January 15th deadline.