Connecticut Department of Energy & Environmental Protection

LWRD Forms and Instructions

LWRD Regulatory Forms and Instructions

For any of the activities listed below, complete the transmittal form and one or more of the applicable forms (A through P) found under the Supporting Documents, as indicated. 

The transmittal and fee must be submitted before the application, however, do not submit the transmittal and fee until the application is complete. 

LWRD Transmittal Application (5/01/25) 

Instructions (08/16/21) 

Supporting documents: Attachments A, B, C, D 

Note: Do not use these applications for Consumptive Diversions and Section 401 Water Quality Certificates for Hydropower Activities. 

List of Supporting Documents:

Each application (LWRD Transmittal and Forms A-P) identifies which of the following supporting documents are required for each activity. 

Attachment A: Structures, Dredging and Fill fee calculation worksheet (if applicable) 

Attachment B: Co-applicant information sheet (if applicable)  

Attachment C: Written permission from land owner (if applicant is not the owner) 

Attachment D: Additional signature sheet (if applicable)  

Attachment 1: Public Notice of Application / Certification of Notice Form  

Attachment 2: Proof of Notification / (Certified Mail) 

Attachment 3: Adjacent Parcel Notification 

Attachment 4: Application Copy to Municipality 

Attachment 5: Water Company Notification 

Attachment 6: Harbor Management Notification 

Attachment 7: Executive Summary 

Attachment 8: Conservation or Preservation Restriction Information 

Attachment 9: Remediation Documentation

Attachment 10: Photographs showing existing conditions of the site 

Attachment 11: Photographic Documentation of pre 1939, pre-1987 (above MHW) and/or pre-1995 installation. 

Attachment 12: Facility Boundary Map 

Attachment 14: Project Plans, use Project Plan Checklist 

Attachment 15: Wetland Delineation Report 

Attachment 16: Water Resource Impact Table (XLSX) (PDF) 

Attachment 17: Mitigation Plan and Mitigation Consultation Form 

Attachment 18: Engineering Report Cover Sheet (Word) (PDF)

Attachment 19: Hydraulic Summary (Word) (PDF) 

Attachment 20: Natural Diversity Database Review 

Attachment 21: DEEP Wildlife Division – Osprey Consultation

Attachment 22: Dredging Consultation Form; Reference for Coastal/Tidal Dredging 

Attachment 23: Fisheries Consultation Form 

Attachment 24: Department of Agriculture/Bureau of Aquaculture Consultation Form (Word) (PDF) 

Attachment 25: Harbor Management Commission Consultation Form (Word) (PDF) 

Attachment 26: Shellfish Commission Consultation Form (Word) (PDF) 

Attachment 27: U.S. Army Corps of Engineers (USACE) Consultation Form 

Attachment 28: Copy of USACE Application (for PCN / 401projects) 

Attachment 29: Copy of USACE PCN Authorization Letter 

Attachment 30: Interagency Notes copy (for PCN w/DOT funding)

Attachment 31: Copy of 401 Cert or Copy of USACE SV Submittal 

Attachment 32: Copy of FMC License 

Attachment 33: Enforcement Order Actions 

Attachment 34: Remedial Action Plan 

Attachment 35: Building Permit 

Attachment 36: Explanation of flood and erosion control structure modifications 

Attachment 37: A copy of the previous authorization, including plans 
 
Attachment 41: Applicant Compliance Information (Word) (PDF) 
 
Attachment 42: Applicant Background Information (Word) (PDF)
 
Attachment 43: Other Information

 

Fact Sheets 
 
 
Coastal Permits Fact Sheet (Structures, Dredging and Fill & Tidal Wetlands)
 
 
 
 
 
 
 
Additional Guidance and Information
 
 
 
 
 
 
 
 
 
 
 
 

 

Content Last Updated April 17, 2026