Common Forms (original) (raw)
Common Forms
Certain Common Forms are typically required to be submitted regardless of the type of permit you are seeking. For example, the Applicant Compliance Information Form may be submitted with some applications, including general permit registrations. If you have any questions regarding which forms must be submitted, please review the appropriate program fact sheet in theUser's Guide to Environmental Permits, or contact the Office of Innovative Partnerships and Planning (IPP) at DEEP.OPPD@ct.gov.
| Name | Forms | Instructions | Last Revised |
|---|---|---|---|
| Pre-Application Questionnaire | 07/01/2024 | ||
| Request to Change Company/Individual Name | Word, PDF | N/A | 03/08/22 |
| Request to Change Company/Individual Information | Word, PDF | N/A | 02/26/13 |
| Applicant Background Information Note: Do not use this form for solid waste facilities; use the form: Background Information (DEEP-SW-APP-101) | Word, PDF | 06/15/17 | |
| Applicant Compliance Information | 08/08/11 | ||
| Certification of Notice - Notice of Application | Word, PDF | 03/20/20 (instructions) | |
| Coastal Consistency Review Reference Guide to Coastal Policies and Definitions Connecticut Coastal Management Manual | PDF 07/03/2024 | PDF (03-2022) pending updates | |
| Request for Natural Diversity Data Base (NDDB) State Listed Species Review | PDF 12/7/22 | PDF 3/20/20 | |
| Latitude and Longitude | Word, PDF | N/A | 08/08/11 |
| Checklist for Solid Waste Disposal Areas (Including Leachate Parameters) | Word, PDF | N/A | 8/17/11 |
| Written Authorization Form RCSA Section 22a-174-2a(a) This form is to be completed by any municipality or corporation that is required to obtain approval of a duly authorized representative from the commissioner in accordance with RCSA sections 22a-174-2a(a)(1)(D) or 22a-174-2a(a)(2)(B). All other entities are not required to complete this form.For those affected entities, this form must be submitted and approved prior to submitting any affected air bureau documents. | Word, PDF | 10/19/23 | |
| License Transfer | Word | 03/24/20 | |
| Confirmation of Closing-After License Transfer Approval | Word, PDF | N/A | 8/31/12 |
Content Last Updated July 3, 2024