Ancram, NY · Columbia County
Agricultural Data Statement
The Agricultural Data Statement collects project and nearby farm information from applicants seeking specified permits in the Town of Ancram.
What this form is
Applicants use this statement to provide their contact information, the proposed project’s location and description, and the type of permit required. It asks whether the property is on a farm in an agricultural district or within 500 feet of a farm, and requests the name and address of nearby farm owners when applicable. Submit a tax map or survey map with the form.
Who needs it
Applicants for the listed permits complete this statement when their proposed project involves a property on or near a farm.
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 statement is signed and dated without a notary; the applicant also submits a tax map or survey map and mails notice to identified property owners.
How to submit this form
- 1
Download The Statement
Download the Agricultural Data Statement.
- 2
Complete The Form
Enter your contact information, project location and description, permit type, and answers about nearby farms.
- 3
Gather The Map
Include a tax map or survey map showing the proposed project and its relation to the properties listed.
- 4
Submit To The Town
Submit the form and map to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What information does the Agricultural Data Statement request?
- It asks for applicant and project details, the permit type, whether the property is on or near a farm, and nearby farm owners’ names and addresses when applicable.
- What must I attach to the Agricultural Data Statement?
- The form instructs applicants to submit a tax map or survey map showing the proposed project and its relation to the listed properties.
- Do I need a notary for the Agricultural Data Statement?
- No. The form calls for the applicant’s signature, not notarization; it also asks for a tax map or survey map and mailed notice to identified property owners.
- How do I submit the Agricultural Data Statement?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Agricultural Data Statement doesn’t need a notary — but if you have another Ancram form that does, a commissioned online notary can help.