Bald Head Island Department of Public Safety
Internal Combustion Engine & Trailer Permit Application
ICE Permit Number
Your answer
Name *
Your answer
Company Name *
Your answer
Mailing Address *
Your answer
Points of Contact
Phone *
Your answer
Cell Phone *
Your answer
E-mail Address *
Your answer
Vehicle Registration Information
Type *
Your answer
Year *
Your answer
Length *
Your answer
Make *
Your answer
Model *
Your answer
Color *
Your answer
License Plate # *
Your answer
Insurance Carrier *
Your answer
Policy # *
Your answer
Proposed Use of the Vehicle on the Island?
Question1 *
Your answer
Why do you need an I.C.E. vehicle verses an Electric vehicle to be operated on the Island?
Question 2 *
Your answer
Are you applying for a fleet pass?
Question 3 *
Required
Why do you need a fleet pass?
Question 4 *
Your answer
Disclaimer *
For safety and environmental reasons, the Village of Bald Head Island requires by ordinance that internal combustion engine vehicles pass a State or Village inspection as part of the permitting process. A passing “grade” on any Village inspection shall in no way be construed as a warranty or as otherwise guaranteeing the safety or condition of any particular vehicle. As the owner of a vehicle subject to inspection, you hereby take full responsibility for the maintenance and safe operation of your vehicle(s) within the incorporated area of the Village of Bald Head Island.
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