Ocracoke Re-Entry Permit Application - Hyde County - 2014-2018 printable pdf download

Ocracoke Re-Entry Permit Application - Hyde County - 2014-2018

Hyde County Emergency Services

2014 / 2018 Re-entry Permit Application

(The issued permit will be valid through December 31, 2018)

Name__________________________________________________________________________

Ocracoke Physical Address/Legal Description: ___________________________________________

Mailing Address: __________________________________________________________________

Phone Number: ___________________________________________________________________

Were you issued an Ocracoke Re-entry Pass for calendar years 2014/2018? ☐ Yes ☐ No

a. If yes, please continue to question #2.

b. If no, please indicate the pass color(s)/re-entry level(s) requested and the number of passes

needed:

Note: The number of passes granted will be dictated by the number of licensed drivers in the household and the number

of road ready vehicles owned.

☐ Red/Emergency Personnel (applied for by agency)

x ______

☐ Yellow/Infrastructure (applied for by business)

x ______

☐ Green/Resident

x ______

☐ White/Non-Resident Property Owner

x ______

c. Please enclose the following:

i. A copy of the tax card/tax bill validating that the property is in your name or

documentation verifying any rental arrangements.

ii. A copy of a valid driver’s license for each member of the household (black out the driver’s

license numbers).

iii. A copy of a valid vehicle registration card for each road ready vehicle.

iv. A self-addressed and stamped envelope.

Do you still have the 2014/2018 Ocracoke Re-entry Pass in your possession? ☐ Yes ☐ No

a. If yes, please indicate pass number(s) (ex. D-0001) and pass color(s)/re-entry level(s)

(ex. White/NonResident):

Pass Number:_______________

Color/Re-entry Level:_______________

Ocracoke Re-Entry Permit Application - Hyde County - 2014-2018