3

NOTE
This form is designed mainly to guide in preparing accurate descriptions of new light-stations, but will be used also in describing those that have been long established, when required. Those blanks which cannot be filled by the officer preparing the description should be left blank, to be filled at the Lighthouse from data on file. Screw-pile structures and lights on keepers’ swellings should be fully described without reference to this form.

TREASURY DEPARTMENT,
OFFICE L.H. BOARD, Sept, 1871