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 our Permit Assistance Office at 860-424-3003.
Name |
Forms |
Instructions |
Last Revised |
|---|---|---|---|
|
Request to Change Company/Individual Name |
N/A |
03/23/20 |
|
|
Request to Change Company/Individual Information |
N/A |
02/26/13 |
|
|
Applicant Background Information Note: Do not use this form for solid waste facilities; use the form: |
PDF |
06/15/17 | |
|
Applicant Compliance Information |
PDF |
08/08/11 |
|
|
Certification of Notice - Notice of Application |
PDF |
03/20/20 |
|
|
Coastal Consistency Review Reference Guide to Coastal Policies and Definitions |
PDF |
3/20/20 |
|
|
Request for Natural Diversity Data Base (NDDB) State Listed Species Review |
PDF |
03/20/20 |
|
|
Latitude and Longitude |
N/A |
08/08/11 |
|
|
Checklist for Solid Waste Disposal Areas |
N/A |
8/17/11 |
|
|
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. |
PDF |
05/21/19 |
|
|
License Transfer |
PDF |
03/24/20 |
|
|
Confirmation of Closing-After License Transfer Approval |
N/A |
8/31/12 |
Content Last Updated March 24, 2020.