Broome County, NY · Broome County
Short Environmental Assessment Form
Applicants or project sponsors complete Part I to provide project details for environmental review of an unlisted action using this Short Environmental Assessment Form.
At a glance
- Issued by
- City of Broome County · Broome County, Broome County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- broomecountyny.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This form gathers project information for the environmental review of an unlisted action. The applicant or project sponsor completes Part I with details such as the project location, proposed action, land affected, zoning, and related permits or approvals. The lead agency completes the impact assessment and determination sections; the form directs users to the Full EAF in certain cases.
Who needs it
An applicant or project sponsor with a proposed unlisted action completes Part I, while the lead agency completes the assessment and determination sections.
How to submit it
Submit it to the county department named on the form; check the county website for current contact details.
About notarization
This document is signed and dated without a notary; the applicant or sponsor signs Part I, and no notarized attachment or sworn step is identified.
How to submit this form
- 1
Download the Form
Download the Short Environmental Assessment Form for an unlisted action.
- 2
Complete Part I
The applicant or sponsor provides project information, answers the listed questions, and signs and dates Part I.
- 3
Gather Supporting Materials
Add attachments or reference supporting materials if needed to explain the project or assessment.
- 4
Submit to the County
Submit the form to the county department named on the form; check the county website for current contact details.
Frequently asked questions
- What is the Short Environmental Assessment Form for?
- It collects project information for environmental review of an unlisted action. The applicant or sponsor fills out Part I, and the lead agency completes the assessment and determination sections.
- Who completes this form?
- The applicant or project sponsor completes Part I, including project details and a signature and date. The lead agency completes Parts II and III.
- Do I need a notary for the Short Environmental Assessment Form?
- No. This document is signed and dated without a notary, and it identifies no notarized attachment or sworn step.
- How do I submit the Short Environmental Assessment Form?
- Submit it to the county department named on the form; check the county website for current contact details.