Do I need a notary for the Short Environmental Assessment Form?

No. The form asks the applicant or sponsor to sign and date an affirmation; it does not require notarization.

Who completes the Short Environmental Assessment Form?

The applicant or project sponsor completes Part 1, answering all items using information currently available.

What information does the form ask for?

It asks for project and sponsor details and information about site acreage, land use, utilities, and potential environmental effects. You may attach additional pages.

Champlain, NY · Clinton County

No notary required

Short Environmental Assessment Form

Applicants or project sponsors complete this form to provide project details and environmental information for an application seeking approval or funding.

What this form is

Part 1 collects the project location and description, applicant or sponsor contact details, and information about land use, resources, utilities, and possible environmental effects. The applicant or project sponsor completes all items based on information currently available. Responses become part of an application for approval or funding and may be reviewed publicly or verified; additional pages may be attached.

Who needs it

An applicant or project sponsor completes Part 1 when providing project information for an application for approval or funding.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document is signed and dated without a notary; the signer affirms that the information is true and accurate to the best of their knowledge.

How to submit this form

1
Download The Form
Download the Short Environmental Assessment Form PDF.
2
Complete Part 1
The applicant or project sponsor completes all items using information currently available.
3
Gather Additional Pages
Attach a location map and any additional pages needed to supplement an item.
4
Submit The Form
Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the Short Environmental Assessment Form?: No. The form asks the applicant or sponsor to sign and date an affirmation; it does not require notarization.
Who completes the Short Environmental Assessment Form?: The applicant or project sponsor completes Part 1, answering all items using information currently available.
What information does the form ask for?: It asks for project and sponsor details and information about site acreage, land use, utilities, and potential environmental effects. You may attach additional pages.
How do I submit the Short Environmental Assessment Form?: Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Short Environmental Assessment Form doesn’t need a notary — but if you have another Champlain form that does, a commissioned online notary can help.