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~ NORTHERN ~ TERRITORY ~.~'fl GOVERNMENT
DEPARTMENT OF INFRASRUCTURE, PLANNING AND LOGISTICS
Pilotage Exemption Certificate Application
Surname: Given Name(s):
Address:
Mobile: E mail:
Agent:
Agent contact: Phone: Email:
Please provide the following documents:
Medical Certificate:
Trip Record:
Certificate of Competency:
New PEC: Previous/Existing PEC number (if Applicable):
PEC Revalidation: Harbour Zones: Please circle applicable Zones
Vessel upgrade:
Zone upgrade:
Vessel and Zone upgrade:
1 LOA metres Vessel Names & LOA 2 LOA metres Up to four vessels can be
3 LOA metres nominated
4 LOA metres
Towage Requirements MAX LOA metres
Please confirm the type of payment:
Cheque: On Account:_______________________________________________
EFT:
Credit Card Name on Card:___________________________________________________
Card Number:_____________________________________ Expiry Date:____________________
Issue Date 18/10/2016 www.nt.gov.au Page 1 of 3
~ NORTHERN ~ TERRITORY ~.~'fl GOVERNMENT
DEPARTMENT OF INFRASRUCTURE, PLANNING AND LOGISTICS
Pilotage Exemption Zones Effective from July 2014
Zone A – Outer Pilotage Zone; Bounded by a line joining Charles Point and Lee point through a position 12˚18.2’S 130˚41.1’E, in the north, and a line joining Talc Head and Emery Point in the south.
Zone B – Port Junction Zone; Bounded by a line joining Talc Head and Emery Point, in the north, and a line joining Talc Head and eastern end of Stokes Hill Wharf, passing through Wickham Point, in the south.
Zone C – East Arm Zone; Bounded by a line joining Wickham Point and the eastern end of Stokes Hill Wharf, in the north and a NE/SW line passing through South Shell Island, in the south.
Zone D – Middle Arm Zone; That area of the port upriver of a line joining Talc Head and Wickham Point.
Zone E – Sadgroves Creek Zone; That area of the port north of a line from the eastern end of Stokes Hill Wharf to the entrance to Reichardt Creek.
Zone F – Hudson Creek Zone; That area of the port upriver of a line 200˚T from position 12˚29.6’S 130˚53.35’E at East Arm Wharf.
Zone G – Marine Supply Base; Connects Zone C to the Marine Supply Base (MSB) berths and is specific for
exempt seaman for these berths. The Zone is bounded by the navigation beacons B03 following the line of the
channel until immediately south, south west of B02 and then encompassing the Marine Supply Base beacons.
Issue Date 18/10/2016 www.nt.gov.au Page 2 of 3
~ NORTHERN ~ TERRITORY
~., GOVERNMENT DEPARTMENT OF INFRASRUCTURE, PLANNING AND LOGISTICS
Name: ___________________________
Existing PEC No: ___________________ (if applicable)
CANDIDATE FOR PILOTAGE EXEMPTION CERTIFICATE – RECORD OF TRIPS Trip No.
Date Time run
commenced From/Position
/Berth Zones
Transited Time run
completed To/Position/
Berth Day/ Night
Vessel Name LOA Pilot/Master Supervising
Pilot/Master Signature
1
2
3
4
5
6
7
8
9
10
Issue Date 18/10/2016 www.nt.gov.au Page 3 of 3