PARKS AND RECREATION

Mailing Address:

COUNTY OF KAUAI
DEPARTMENT OF PUBLIC WORKS
DIVISION OF PARKS AND RECREATION
4444 RICE STREET
MO'IKEHA BUILDING, SUITE 150
LIHUE, HI 96766

REQUEST FOR CAMPING PERMIT

APPLICANT

Name:___________________________________  Phone No.(___)________________

Address:_______________________City:___________State:_____Zip Code:_____

OTHER CAMPERS

Name:______________________________ Name:_______________________________

Name:______________________________ Name:_______________________________

Name:______________________________ Name:_______________________________

TENTS:

Number of Tents: ___________  Approximate size of tents:________________

ALL CAMPERS MUST HAVE TENTS. Pavilions and other buildings situated on the camp grounds are not to be used for sleeping purposes. Campers should not camp within fifty (50) feet of pavilions and restrooms.

SELECTION OF SITE

Please indicate your preferred campsite(s). We require specific dates on locations. Mobile campers are allowed only at designated campsites marked with an asterisk (*). You are permitted to camp seven (7) days at each campsite. A limit of sixty (60) camping days in one year long period.

( X )  Example _January 1, 2, &3, 2000__________

(   )  Haena ______________________________________(38 miles from Lihue)
       (Closed on Mondays)

(   )  Hanalei ____________________________________(30 miles from Lihue)
       (Fridays, Saturdays, and Holidays Only)

(   )  Anahola ____________________________________(17 miles from Lihue)
       (Closed on Thursdays)

(   )  Anini ______________________________________(25 miles from Lihue)
       (Closed on Tuesdays)

(   )  Hanamaulu __________________________________(3 miles from Lihue)
       (Closed on Wednesdays)

(   )  Salt Pond __________________________________(18 miles from Lihue)
       (closed on Tuesdays)

(   )  Lucy Wright ________________________________(25 miles from Lihue)
       (closed on Mondays)

Note: Campsites will be open on all Holidays.