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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

Municipality**
Agency Name**
(as shown on town regulations)
Street Number/Name and/or PO Box
Town/City    
State
Zip  
Phone # 

Authorized Wetland Agent Information

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

If your browser is unable to process this form:

  1. Email your updated contact information to: darcy.winther@ct.gov
  2. Or, print this page, fill it out and mail it to:

IWRD / Water Protection and Land Reuse
DEEP
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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