DEEP: Common Forms

Common Forms

Certain Common Forms are typically required to be submitted regardless of the type of permit you are seeking. For example, the Permit Application Transmittal 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 our Permit Assistance Office at 860-424-3003.

Name Forms Instructions Last Revised
Request to Change Company/Individual Name
4 Pages
N/A
01/29/13
Request to Change Company/Individual Information
4 Pages
N/A
02/26/13
Permit Application Transmittal 02/10/12
Note: Do not use this form for solid waste facilites use the form Background Information (DEEP-SW-APP-101)
06/12/12
Applicant Compliance Information 08/08/11
Certification of Notice - Notice of Application
09/28/13
(instructions)
Coastal Consistency Review

Reference Guide to Coastal Policies and Definitions (PDF, 99 KB)
Connecticut Coastal Management Manual

02/06/14
Request for Natural Diversity Data Base (NDDB) State Listed Species Review
10 Pages
04/08/14
 
Latitude and Longitude

N/A

08/08/11
Checklist for Solid Waste Disposal Areas (Including Leachate Parameters)

N/A

08/17/11
Written Authorization Form RCSA Section 22a-174-2a(a)(2)(B)
Only Title V corporations identified in RCSA Section 174-2a(a)(2)(B) must complete and submit the Written Authorization Form. For those entities, this form must be submitted and approved prior to submitting any Title V documents as required by RCSA Section 22a-174-33.
 3 Pages
2 Pages

01/03/13

License Transfer
{Link to License Transfer Form (Word)}
8 Pages
9 Pages
08/31/12
Confirmation of Closing-After License Transfer Approval
 

N/A

08/31/12
Permits and Licenses