Sodium Chloride Runoff Damage Reporting

In compliance with PA 23-31, Sec. 19, Health Districts and Departments are required to collect information from homeowners or well owners regarding damages from sodium chloride run-off. Please complete this form if you have experienced damages associated with sodium chloride run-off. If you have questions about this form, please contact the Town of Bethel Department of Health at (203) 794-8539 or email us at bethelhealth@bethel-ct.gov. A link to the form can be found below:

https://www.cognitoforms.com/TownOfBethel/SodiumChlorideRunoffDamageReportForm