Port of Orange Berth Request and Contact Information

REQUEST FOR BERTH

ORANGE COUNTY NAVIGATION AND PORT DISTRICT 1201 Childers Road - P. O. Box 2410 Orange, Texas 77631-2410 Business:  (409) 883-4363 Fax:  (409) 883-5607 Gene Bouillion Port Director / CEO

Dated at Orange, Texas:
Vessel:						Flag:
Loading Ports:
Gross Registered Tonnage:								Tons
LOA:								Ft

Request is made for berth for the vessel named above. We agree to be bound by all rules, regulations, terms, conditions, and charges of the Port of Orange tariff, including those provisions under which the port may require a vessel to shift berth, vacate a berth, or work overtime.

Expected Arrival

Expected Sailing

Cargo to consist of the following:

Inbound

Weighing

Net Tons

(commodity)

Out bound

Weighing

Net Tons

(commodity)

Destination or Origin of Cargo:

If there is any change in above we will promptly notify you

For Port Use

Responsible Party

Assigned

Agency

Berth

Representative

Arrived

Mailing Address

Sailed

Phone

Fax:

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Port of Orange CONTACT SHEET Port of Orange Office 1006 Alabama Street Orange, Texas 77630 ORANGE COUNTY NAVIGATION AND PORT DISTRICT 1201 Childers Road - P. O. Box 2410 Orange, Texas 77631-2410 Business:  (409) 883-4363 Fax:  (409) 883-5607 Gene Bouillion Port Director / CEO Tommy J. Harmon Director of Administration and Finance   ROSS VROOMAN Port Maintenance Supervisor   Cell (409) 670-5241 (24-7) GENE BOUILLION Port Director / CEO Office (409) 883-4363 Cell (409) 670-5643 (24-7)   SECURITY SERVICES Office (409) 883-5697 (24-7)     EMERGENCY NUMBERS CITY POLICE  (409) 883-5654   SHERIFF       (409) 883-2612   FIRE  (409) 886-7431 EMERGENCY   FIRE (409) 886-1050 (NON-EMERGENCY #)   AMBULANCE (409) 883-6414   To Order Services**       Type of Service Company Name Connect Service New Service Repairs ELECTRICITY Entergy 1-800-368-3749 1-800-766-1648 1-800-987-1302 Dock#1 - Meter #9383558  800 AMP Disconnects Dock#3 - Meter #9412001  600 AMP Disconnects Dock#4 - Meter #9410249  800 AMP Disconnects   TELEPHONE SWB/AT&T 1-800-464-7928 1-800-464-7928 1-800-286-8313   LINE HANDLER Carlsen's Mooring & Marine (409) 962-5985 Contact - David Carlsen Cell# (409) 720-7555 LINE HANDLER CBH (409) 883‑3300 Contact - Ben Harrington PORT-A-POT C-Johnnie on the Spot (409) 724-6647    DUMPSTER Waste Management Services (409) 951-2923   Port Approved Dumpster Service POTABLE WATER Only Port personnel are allowed to make water connections (409)  670-5241 ROSS VROOMAN **Must have the following Application to Entergy must be completed at least (2) working days before service is needed by authorized per Must be an authorized person making call Billing Name and Address Invoice mailto Address (if different than above) Tax ID number You do not need a permit (if you are told you need a permit, call (409- 883-1070) City of Orange Permit Office (Mr. Tom Reynolds) will inform Entergy that a permit is not needed. Should additional information be needed, please contact our office.