Permit Number

Division of State Parks, Department of Land and Natural Resources(to be filled out by DSP staff)

Vessel Special Use Permit (SUP) - Commercial

KBSHPEXPIRATION: DEC 31, 2024
e/f/m:
Ins:

Kealakekua Bay State Historical Park (KBSHP)

Note: Required Information marked with (*). Any changes to your application information must be submitted to Hawaii- Blue numbers below correspond to those on the Page 2 instruction sheet.

District office with a NEW VESSEL SUP request.
1. Permit Status (click box )*New PermitRenewal

2. Permittee (owner or manager of business; name as shown on driver's license or official identification) *Name(First, Middle, Last)*
4. Registration #*3. Vessel Name

(if applicable)(if applicable)

5. Vessel Document Type:

7. Vessel Document #6. Vessel Type:*(if applicable, USCG reference #)(if applicable)(1 permit per vessel type)

8. Overall Vessel Length:*

10. Total Number of Vessels*

9. Vessel Passenger Capacity:*

Business Name:*(covered by permit)

Email Address:*

Mailing Address*

City*

State*

Zip Code*
Mobile Accepts Texts:

Mobile #*Business Phone #*Alternate Contact Name*Business Contact Name*(used only when needed)

FAX #The following permit conditions apply to those using the waters at Kealakekua Bay State Historic Park (KBSHP) (conditions subject to change):
1. This permit only applies to transiting the water. No tying off to any objects and/or mooring without a mooring permit.
2. No launching or landing of vessels at Nāpōʻopoʻo Wharf (Landing) is allowed unless authorized by separate DLNR written approval.
3. This permit is nontransferable to any other individual or party.
4. Vessels shall not be used to transport people to land at Kaʻawaloa Flats or to traverse any portion of Kaʻawaloa Flats, including the Captain
Cook Monument (See attached map) unless authorized by separate DLNR written approval.
5. No auxiliary vessels shall be launched from a permitted vessel. Swimmers are allowed in the water but shall not access the shoreline or land
at Ka'awaloa Flats unless authorized by separate DLNR written approval.
6. Motorized vessels are to operate at a "no wake" speed.
7. Only reef safe sunscreen, which does not contain oxybenzone, octinoxate, octisalate, avobenzone, octocrylene, homosalate, andnanoparticles, shall be allowed to be used by all visitors to Kealakekua Bay as stipulated under the MLCD rules below. It is encouraged thatthe wearing of sun protective clothing be utilized instead of sunscreen when practical. Commercial operators shall ensure that theircustomers follow these guidelines.
8. All motorized vessels shall have a self-contained human waste system on board their vessel for use by their passengers and will encourage
the use of the system.
9. Damaging live coral and tampering or interfering with other marine life and mammals is prohibited. Legal distances must be maintained
from marine mammals.
10.If an emergency landing is required within KBSHP, please notify the DLNR Hawaii State Park Office at 808-961-9540 within 24 hours of thelanding and report the nature of the emergency and the need to land.
11.This permit does not authorize any business operation related to soliciting for customers, renting equipment or otherwise promoting abusiness within KBSHP. Doing so is in violation of the following:
HAR §13-146-66 Business operations. No person shall engage in or solicit any business, except in accordance with the provisions of apermit, contract, license, lease, concession, or other written agreement with the Board or its authorized representative, or as allowed by
HAR Chapter 13-7.
HAR §13-146-68 Commercial activities. No person shall engage in commercial activities of any kind, without a written permit from theboard [Board of Land and Natural Resources] or its authorized representative.
Hawaii County Code §22-2.5. Commercial use of County streets. Except as otherwise permitted by law, no person shall use any portion of aCounty street for the purpose of displaying, vending, hawking, selling, renting or leasing any goods, wares, food, merchandise or other kindsof property. (2002, Ord. No. 02-67, sec. 2.) 22
12.The Permittee shall abide by these permit conditions and all County, State and Federal laws and regulations. Any violation of these laws
and regulations may result in immediate suspension of this permit and the permittee may be subject to civil and criminal penalties.
13.Please submit the following:- Current marine general liability insurance certificate for minimum of $1,000,000.00 per occurrence and$2,000,000.00 in the aggregate
naming the State of Hawaii, Department of Land and Natural Resources, as additional insured.
13a. Expiration* _______________(mm/dd/yyyy)-Current General Excise Tax (GET) License
14. License #*___________________________
I have reviewed, understand, and agree to abide by all the above special conditions and regulations:
Permittee Signature:*/s/________________________________________________(Please sign or type name above)

Date:*_________________(mm/dd/yyyy)

This application, when approved and issued by an authorized Department of Land and Natural Resources agent, shall serve as the official permit:
Division of State Parks Approval:/s/_______________________________________________
Administrator/Island Superintendent

Approval Date: __________________(Revised 7/20/23)