EB2Gov POS

If you should need a copy, please contact the office directly at (603) 476-2347.

PLEASE NOTE: You may also submit your application via email, fax, or by mail.

townclerk@moultonboroughnh.gov | FAX: (603) 476-2778 | PO Box 15, Moultonborough, NH 03254

If you should need a copy, please contact the office directly at (603) 476-2347.

PLEASE NOTE: You may also submit your application via email, fax, or by mail.

townclerk@moultonboroughnh.gov | FAX: (603) 476-2778 | PO Box 15, Moultonborough, NH 03254

Aqua-Therm form

The fee is .50 cents per circulator. Each property must submit a separate aqua-therm permit.

First and Last name:

Winter Address:

Summer Address:

Contact Phone Number:

Name:

Phone Number:

Submission Method:

Body of Water:

Number of Aqua-Therm Units:

Type of Aqua-Therm (e.g. circulator, bubbler, etc):

Amount and area of ice to be opened:

Amount:

EB2Gov Fee:

Quantity:

Payment Amount:

Notes:

Upload Files:

image size limit is 4 MB, 5 images max

The fee is .50 cents per circulator. Each property must submit a separate aqua-therm permit.

Once your aqua-therm permit has been submitted, you will not receive anything in the mail. If you need to obtain copies, please contact our office.