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Long Island Fishing Permit

  1. CCPRD
  2. Long Island Fishing Permit Application
  3. Valid March 1, 2023 - November 1, 2023

    Please complete this form, and submit in order to receive your fishing permit.

  4. Have you purchased your Virginia state fishing license?*

    A Virginia State fishing license is required; please indicate that you have received your Virginia license below.  

    If you have not purchased your Virginia state license, please visit: https://dwr.virginia.gov/licenses/ to do so online, or find a retailer near you.

  5. Please share your vehicle tag number so staff will be able to recognize your vehicle at the park.

  6. Disclosure

    A permitee shall be bound by all park rules and regulations as well as all applicable ordinances.

    The person to whom the permit is issued shall be liable for any loss, damage, or injury sustained by any person whatsoever by reason of negligence of the person or persons to whom such permit shall have been issued, and shall be liable for damage to park property and responsible for the removal of any waste, trash or litter generated by activities allowed under the permit.

    Your digital signature on this form indicates you have read and agree to the conditions disclosed.

  7. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

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  9. This field is not part of the form submission.