(a) Where no other Load Line certificate is issued:

Load Line Certificate for a Special Service Coastwise or Inter-Island Voyage

Issued under the authority of the Commandant, U.S. Coast Guard, United States of America, under the provisions of the Coastwise Load Line Act of August 27, 1935, as amended.

[Seal]

Issued by
Certificate No.

This certificate is valid only for coastwise or inter-island voyages that are between the limits of _____ and _____ provided the vessel is engaged solely in the trade stated herein.

Ship
Official No.
Port of registry
Trade of vessel
Gross tonnage
Open Table
Freeboard from deck line Load line
Tropical (T) Above (S).
Summer (S) Upper edge of line through center of disk.
Winter (W) Below (S).
*Allowance for fresh water for all freeboards (except on the Great Lakes)

*Where seagoing steamers navigate a river or inland water, deeper loading is permitted corresponding to the weight of fuel, etc., required for consumption between the point of departure and the open sea.

The upper edge of the deck line from

which these freeboards are measured is

inches above the top of the__deck at side.

eCFR graphic ec01fe91.012.gif

This is to certify that this ship has been surveyed and the freeboards and load lines shown above have been found to be correctly marked upon the vessel in manner and location as provided by the Load Line Regulations of the Commandant, U.S. Coast Guard, applicable to vessels engaged on this special service voyage.

**This certificate remains in force until _________. Issued at _________on the ____ day of ______, 19__.

**Upon the expiration of the certificate renewal must be obtained as provided by the Load Line Regulations and the certificate so endorsed. Endorsement should also be made in the spaces provided on the occasion of each annual inspection required by the Load Line Regulations.

(Here follows the signature or seal and description of the assigning authority)

Notes: (1) In accordance with the Load Line Regulations, the disk or diamond and the lines must be permanently marked by center punch marks or cutting.

(2) The load line assignment given by this certificate necessarily assumes that the nature and stowage of cargo, ballast, etc., are such as to secure sufficient stability for the vessel. Accordingly, it is the owner's responsibility to furnish the Master of the vessel with stability information and instructions when this is necessary to maintenance of sufficient stability.

(On the reverse side of the load line certificate, the provision for annual inspection endorsement and for renewal of the certificate is to be the same as for vessels engaged in the foreign trade.)

(b) Where the Special Service Load Line Certificate is issued in addition to a Great Lakes Load Line Certificate, the wording of the Special Service Load Line Certificate is to be identical to that given in paragraph (a) of this section, but the markings indicated in the form shall be replaced by the following markings:

eCFR graphic ec01fe91.013.gif

(c) Where the Special Service Load Line Certificate is issued in addition to an Unlimited Coastwise or International Load Line Certificate, the wording of the Special Service Load Line Certificate is to be identical to that given in paragraph (a) of this section, but the markings indicated in the form shall be replaced by the following markings:

eCFR graphic ec01fe91.014.gif

[CGFR 65-50, 30 FR 16755, Dec. 30, 1965, as amended by USCG-2014-0688, 79 FR 58280, Sept. 29, 2014]


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