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 the User'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  PDF    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

PDF

06/15/17

Applicant Compliance Information

Word, PDF

PDF

08/08/11

Certification of Notice - Notice of Application

Word, PDF

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

PDF

10/19/23

License Transfer

Word, PDF

PDF

03/24/20

Confirmation of Closing-After License Transfer Approval

Word, PDF

N/A

8/31/12

Permits and Licenses


Content Last Updated July 3, 2024