Land and Water Resource Division LWRD Applications

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Land and Water Resource Division (LWRD) Applications

Includes the following activities:

Aquifer Protection
Coastal (Tidal)
Inland Wetlands and Watercourses
Flood Management
Non-consumptive Diversion
Section 401 Water Quality (Tidal and Non-tidal)
Tidal and Inland General Permits

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

For any of the activities listed above, complete the transmittal form listed below and one or more of the applicable forms (A through P) listed below. Review the LWRD License Application Transmittal Form for a summary of which forms must be submitted for each activity. A list of supporting documents, fact sheets and additional guidance are also referenced below in Table A.

Land Water Resources Division (LWRD) Applications

License Name	Form Name	Instructions	Supporting Documents: see detailed list in Table A below	Additional Info
LWRD Transmittal	Application Word, PDF 03/23/20	Instructions 03/23/20	Attachments A, B, C, D	N/A
Licenses for Activities in Aquifer Protection Areas
License Name	Form Name	Instructions	Supporting Documents: see detailed list in Table A below	Additional Info
Aquifer Protection Area Registration	Form A Application Word, PDF 03/23/20	Instructions 03/20/20	Attachments 2, 12, 38, 39	Model Form for Developing a Materials Management Plan for Regulated Activities in Aquifer Protection Areas Instructions for Developing a Stormwater Management Plan for Regulated Activities in Aquifer Protection Areas Aquifer Protection Stormwater Management Plan Supplement Form
Aquifer Protection Area Permit	Form B Application Word, PDF 03/20/20	Instructions 03/23/20	Attachments 2, 8, 12, 20, 38, 39, 41	Model Form for Developing a Materials Management Plan for Regulated Activities in Aquifer Protection Areas Instructions for Developing a Stormwater Management Plan for Regulated Activities in Aquifer Protection Areas Aquifer Protection Stormwater Management Plan Supplement Form
Licenses for Activities in Tidal Waters
License Name	Form Name	Instructions	Supporting Documents	Additional Information
Structures, Dredging & Fill; Tidal Wetlands; Section 401 Water Quality(Tidal)	Form C Application Word, PDF 03/25/20	Instructions 03/23/20	Attachments 1, 3, 4, 7, 8, 9, 10, 13, 14, 18, 20, 21, 22, 23, 24, 25, 26, 41, 42	Structures, Dredging and Fill & Tidal Wetlands 401 Water Quality
Certificate of Permission	Form D Application Word, PDF 03/26/20	Instructions 03/23/20	Attachments 6, 8, 9, 10, 11, 14, 18, 20, 21, 22, 23, 24, 41, 42	Certificate of Permission
General Permit for Coastal Maintenance DEEP-OLISP-GP-2015-02 Issued 10/26/2015 Effective January 1, 2016
Marina and Mooring Field Reconfiguration	Form E Application Word, PDF 03/26/20	Instructions 03/23/20	Attachments 6, 8, 10, 14, 20, 21, 24, 41, 42	Fact Sheet
Remedial Activities Required by Order	Form F Application Word, PDF 03/30/20		Attachments 6, 8, 10, 14, 20, 21, 23, 24, 33, 34, 41, 42
Residential Modification to FEMA Standards	Form G Application Word, PDF 03/30/20		Attachments 6, 8, 10, 14, 18, 20, 21, 35, 41, 42
Reconstruction of Permitted Structures	Form H Application Word, PDF 03/30/20		Attachments 6, 8, 10, 14, 18, 20, 21, 36, 37, 41, 42
General Permit for Minor Coastal Structures DEEP-OLISP-GP-2015-01 Issued 10/26/2015 Effective January 1, 2016
4/40 Docks/Access Stairs	Form I Application Word, PDF 03/30/20	Instructions 03/23/20	Attachments 6, 8, 10, 14, 20, 21, 41, 42	Fact Sheet
Non-Harbor Moorings	Form J Application Word, PDF 03/31/20	Instructions 03/23/20	Attachments 6, 8, 10, 14, 20, 21, 41, 42	Fact Sheet
General Permit for Dolphin Cove GP-LIS-95-001 Issued 12/07/95
Structures, Fill, Obstructions, or Encroachments in Dolphin Cove Lagoon, Stamford	Form K Application Word, PDF 03/31/20	Instructions 03/23/20	Attachments 10, 14, 20, 21, 41, 42	N/A
Licenses for Activities in Non-Tidal Waters
License Name	Form Name	Instructions	Supporting Documents see detailed list in Table A below	Additional Information
Section 401 Water Quality Certificate (Non-tidal); Pre-Construction Notification, USACE General Permits for CT; Inland Wetlands and Watercourses; Water Diversion Non-Consumptive	Form L Application Word, PDF 03/31/20	Instructions 03/23/20	Attachments 1, 5, 7, 8, 9, 10, 14, 15, 16, 17, 18, 19, 20, 23, 28, 30, 41, 42	401 Water Quality Army Corps of Engineers Application ENG FORM 4345 Army Corps of Engineers – New England District – Regulatory/Permitting Inland Wetlands and Watercourses Water Diversion
For State Agency Activity or Activities Conducted on State Owned/Controlled Lands Only: General Permit for Water Resources Construction Activities DEEP-IWRD-GP-013) Issued 04/02/14
Activities 1-4: Maintenance Plans	Form M Application Word, PDF 03/31/20	Instructions 03/23/20	Attachment 14	Water Resource Construction Activities
Activities 5-7: Infrastructure and Public Works Projects	Form N Application Word, PDF 03/31/20		Attachments 8, 9, 10, 14, 16, 18, 20, 23
Activity 8: Activities Authorized Under a Corps General Permit; Activity 9: Conservation Activities	Form O Application Word, PDF 03/31/20		Attachments 29, 31, 32
For State Agency Activity/Activities Receiving Funding Through a State Agency:
Flood Management Certification; Flood Management Certification with Exemption Request	Form P Application Word, PDF 03/31/20	Instructions 03/23/20	Attachments 8, 9, 10, 14, 18, 20, 23, 41, 42	Flood Management
Table A
Supporting Documents: (each application (Forms A-P) identifies which of the following supporting documents are required for each activity) 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 13: A-2, T-2 survey less than 5 years old Reference for Survey Requirements and FAQs Attachment 14: Project Plans, use Project Plan Checklist for requirements Attachment 15: Wetland Delineation Report Attachment 16: Water Resource Impact Table (XLSX) (PDF) Attachment 17: Mitigation Plan 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 (Word) (PDF) 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 (Word) (PDF) 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 38: A copy of the previous authorization, including plans Attachment 39: Materials Management Plan Attachment 40: Stormwater Management Plan and Aquifer Protection Supplement Attachment 41: Applicant Compliance Information Attachment 42: Applicant Background Information
Fact Sheets 401 Water Quality Certificate of Permission Coastal Jurisdiction Line (CJL) Flood Management Inland Wetlands and Watercourses Structures, Dredging and Fill & Tidal Wetlands Water Diversion Water Resource Construction Activities Additional Guidance Connecticut Coastal Management Manual Harbor Management Commissions Project Plan Checklist Reference for Coastal/Tidal Dredging Reference for Regulatory Jurisdiction in Tidal Waters and Wetlands Reference for Survey Requirements and FAQs Shellfish Commissions

Permits and Licenses

Content Last Updated March 31, 2020

Connecticut Department of Energy and Environmental Protection