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Notification of Change for Inland Wetland Agency Contact Information

The following form should be submitted whenever there is a change in a town's Inland Wetlands Agency contact information. Information submitted using this form will be available to the public unless otherwise noted in the comments section of the form. 

Use the tab key to move between fields.   Before submitting your request, please check your entries.
** Identifies Required Field)

Inland Wetland Agency Information

Agency Name**
(as shown on town regulations)
Street Number/Name and/or PO Box
Phone # 

Authorized Wetland Agent Information

Agent Name**
Agent Title
Agent Mailing Address
Street Number/Name and/or PO Box
Work Telephone**
Alternative Telephone
Fax #
Work Hours
(If you do not have an e-mail address, please enter Not Available)
 Please check your entries before submitting form.

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  2. Or, print this page, fill it out and mail it to:

IWRD / Water Protection and Land Reuse
79 Elm Street, 3rd Floor
Hartford CT  06106

Inland Wetlands and Watercourses

79 Elm Street, Hartford, CT 06106-5127 / Phone: 860-424-3000
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