Permit Application for Use of Pesticides in State Waters - CT - ct 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin with Part I: Application Type and Description. Select whether you are applying for a single year or multi-year permit, and provide a brief description of your project along with the town where the site is located.
3. In Part II: Fee Information, note that an initial application fee of $200 is required. Ensure this fee is submitted with your application as it is non-refundable.
4. Proceed to Part III: Site Location. Fill in the name of the waterbody, street address, city/town, state, and zip code accurately.
5. Complete Part IV: Applicant Information by providing your name, mailing address, contact details, and applicant type. If applicable, include business registration information.
6. In Part V: Site Information, answer questions regarding coastal areas, endangered species habitats, aquifer protection areas, and provide details about the waterbody and proposed pesticide use.
7. Attach any necessary supporting documents as outlined in Part VI before finalizing your application.
8. Finally, sign and date the certification section in Part VII to validate your application before submission.

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