Chazy, NY · Clinton County
Short Environmental Assessment Form
Applicants or project sponsors complete Part 1 of this environmental review form for a proposed action seeking approval or funding.
What this form is
The form collects project and sponsor details and information about the site, proposed action, and potential environmental conditions. The applicant or project sponsor completes Part 1 as part of an application for approval or funding; the lead agency completes Parts 2 and 3. It asks about topics such as land use, traffic, water, wetlands, historic resources, and potential impacts, and allows supporting pages to be attached.
Who needs it
An applicant or project sponsor seeking approval or funding for a proposed action completes Part 1; the lead agency completes the remaining parts.
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 applicant or sponsor affirms the information is accurate, and no notarized attachment or step is specified.
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 Part 1 items using information currently available.
- 3
Gather Supporting Information
Attach a location map and any additional pages needed to supplement responses; include a narrative if the form instructions call for one.
- 4
Sign And Date
The applicant or sponsor affirms the information is accurate and signs and dates Part 1.
- 5
Submit To The City
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 applicant or sponsor signs and dates the form and affirms the information is accurate; the document does not specify a notarized attachment or step.
- 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.
- Who completes each part of the form?
- The applicant or project sponsor completes Part 1. The lead agency is responsible for completing Parts 2 and 3.
- What information does Part 1 ask for?
- Part 1 asks for project and sponsor information and details about the site, land use, infrastructure, natural resources, and potential environmental conditions.
Need something notarized?
This Short Environmental Assessment Form doesn’t need a notary — but if you have another Chazy form that does, a commissioned online notary can help.