Plattsburgh, NY · Clinton County

No notary required

Short Environmental Assessment Form Part 1 - Project Information

Applicants or project sponsors complete this form to provide project and site information for an environmental assessment submitted as part of an application for approval or funding.

At a glance

Issued by
City of Plattsburgh · Plattsburgh, Clinton County, New York
Notarization
Not required: file this form without a notary.
Official source
townofplattsburghny.gov
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

The applicant or project sponsor completes Part 1 with project and sponsor details, site acreage, land uses, and responses about environmental conditions and potential effects. The instructions state that the responses become part of an application for approval or funding and may be reviewed publicly or further verified. Complete every item using currently available information, and attach a location map and any additional pages needed.

Who needs it

An applicant or project sponsor seeking approval or funding for a proposed action completes Part 1 with information currently available about the project and its site.

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 true and accurate to the best of their knowledge.

How to submit this form

  1. 1

    Download The Form

    Download the Short Environmental Assessment Form Part 1 PDF.

  2. 2

    Complete Project Information

    The applicant or project sponsor completes every item using information currently available.

  3. 3

    Attach Supporting Pages

    Attach a location map and any additional pages needed to supplement responses.

  4. 4

    Sign And Date

    The applicant or sponsor signs and dates the affirmation.

  5. 5

    Submit The Form

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

Frequently asked questions

What is Part 1 of the Short Environmental Assessment Form?
Part 1 collects project and sponsor information, site details, and responses about environmental conditions and potential effects. Its responses become part of an application for approval or funding.
Who completes the Short Environmental Assessment Form Part 1?
The applicant or project sponsor is responsible for completing Part 1. The instructions say to answer every item using information currently available and to attach additional pages as needed.
Do I need a notary for the Short Environmental Assessment Form Part 1?
No. This document is signed and dated without a notary; the applicant or sponsor affirms the information is true and accurate to the best of their knowledge.
How do I submit the Short Environmental Assessment Form Part 1?
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 Part 1 - Project Information doesn’t need a notary, but if you have another Plattsburgh form that does, a commissioned online notary can help.