46 C.F.R. § 42.50-15
Coastwise Load Line Certificate
[FORM C1]
(Official seal of issuing authority.)
(Certificate No. ____)
Issued under the authority of the Commandant, U.S. Coast Guard, under the provisions of the Coastwise Load Line Act, 1935, as amended ( 46 U.S.C. 88-88g ), and the Load Line Regulations in 46 CFR part 42 :
By _______________________________
(INSERT FULL OFFICIAL DESIGNATION OF ISSUING AUTHORITY)
and duly authorized for assigning purposes under the provisions of this law for vessels engaging in coastwise and/or intercoastal voyages.
| Name of ship | Official number or distinctive letters | Port or registry | Length (L) as defined in 46 CFR 42.13-15 |
| Freeboard assigned as:1 | A new ship. | Type of ship:1 | Type "A". |
| An existing ship. | Type "B". | ||
| Type "B" with reduced freeboard. | |||
| Type "B" with increased freeboard. | |||
| FREEBOARD FROM DECK LINE | LOAD LINE | ||
| Tropical | ____ (inches) | (T) | ____ (inches) above (S). |
| Summer | ____ (inches) | (S) | ____ Upper edge of line at level of center of ring. |
| Winter | ____ (inches) | (W) | ____ (inches) below (S). |
| Allowance for fresh water for all freeboards | ____ (inches) | ||
(ALL MEASUREMENTS ARE TO UPPER EDGE OF THE RESPECTIVE HORIZONTAL LINES)
The upper edge of the deck line from which these freeboards are measured is ____ inches above or below the top of the ________ deck at side; i.e., freeboard1 deck.
* * * * * * *
Date of initial or periodical survey _______________________________
The following is a record of the restrictions applicable to the above named ship:
(LIST RESTRICTIONS. IF NONE, INSERT "NONE.")
This is to certify that this ship has been surveyed and that the freeboards have been assigned and load lines shown above have been marked in accordance with the Commandant, U.S. Coast Guard, Coastwise Load Line Regulations in 46 CFR parts 42 to 46, inclusive as applicable.
This certificate remains in force until ________,2 subject to annual surveys in accordance with applicable Load Line Regulations, and endorsement thereof on the reverse side of the certificate.
Issued at _______________________________
(PLACE OF ISSUE OF CERTIFICATE) (DATE OF ISSUE)
BY
(SIGNATURE OF OFFICIAL ISSUING THE CERTIFICATE)
[SEAL OF ISSUING AUTHORITY]
notes
1 The issuing authority is authorized to delete or change words inapplicable to a specific vessel and to arrange wording so appropriate word insertions may be made, which accurately describe the facts.
2 At the expiration of this certificate, applicable reissuance should be obtained in accordance with the Load Line Regulations.
(REVERSE SIDE OF COASTWISE LOAD LINE CERTIFICATE)
annual surveys
This is to certify that this ship has been surveyed on the dates indicated to determine in each case whether this certificate should remain in force for an additional 1 year and the survey has been completed to my satisfaction.
| (1) | |||
| Signature of Surveyor | Place | Date | |
| (2) | |||
| Signature of Surveyor | Place | Date | |
| (3) | |||
| Signature of Surveyor | Place | Date | |
| (4) | |||
| Signature of Surveyor | Place | Date |
extension of load line certificate
The provisions of the Coastwise Load Line Regulations of the Commandant, U.S. Coast Guard, being fully complied with by this ship, this certificate is extended under the authority of 46 CFR 42.07-45 and 42.09- 15 until.
| Place | Date | |
| (Name of issuing authority and signature of Surveyor) | ||
notes
* * * * * * *
_______________________________
Coastwise Load Line Certificate
[FORM C2]
* * * * * * *
| FREEBOARD FROM DECK LINE | LOAD LINE | |
| Tropical Summer Winter | ____ (inches) ......do ......do | Upper edge of line at level center of ring. Do. |
| Allowance for fresh water for all freeboards | ____ (inches). | |
(ALL MEASUREMENTS ARE TO UPPER EDGE OF THE RESPECTIVE HORIZONTAL LINES)
The upper edge of the deck line from which these freeboards are measured is ____ inches above or below the top of the ________ deck at side; i.e., freeboard1 deck.
* * * * * * *
Coastwise Load Line Certificate
[FORM C3]
* * * * * * *
The timber freeboards given in this certificate are applicable only when this ship carries a timber deck cargo and complies with the special requirements of the Load Line Regulations regarding timber deck cargoes.
| FREEBOARD FROM DECK LINE LOAD LINE | LOAD LINE | ||
| Tropical | ____ (inches) | (T) | ____ (inches) above (S). |
| Summer | ____ (inches) | (S) | Upper edge of line at level of center of ring. |
| Winter | ____ (inches) | (W) | ____ (inches) below (S). |
| Timber-tropical | ____ (inches) | (LT) | ____ (inches) above (LS). |
| Timber-summer | ____ (inches) | (LS) | ____ (inches) above (S). |
| Timber-winter | ____ (inches) | (LW) | ____ (inches) below (LS). |
| Allowance for fresh water for all freeboards other than timber | ____ (inches). | ||
| Allowance for fresh water for all timber freeboards | ____ (inches). | ||
(ALL MEASUREMENTS ARE TO UPPER EDGE OF THE RESPECTIVE HORIZONTAL LINES)
The upper edge of the deck line from which these freeboards are measured is ____ inches above or below the top of the ________ deck at side; i.e., freeboard1 deck.
* * * * * * *
1 The issuing authority is authorized to delete or change words inapplicable to a specific vessel and to arrange wording so appropriate word insertions may be made, which accurately describe the facts.
46 C.F.R. §42.50-15