Canaan, NY · Columbia County
Short Environmental Assessment Form
Applicants or project sponsors complete Part 1 to provide project information and environmental details for an application seeking approval or funding.
What this form is
The form collects information about a proposed action, its location, the applicant or sponsor, land use, and potential environmental effects. The applicant or sponsor completes Part 1 for an application for approval or funding; the lead agency completes Parts 2 and 3. The form asks about topics including traffic, water, wetlands, historic resources, and possible impacts.
Who needs it
An applicant or project sponsor completes Part 1 when providing 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 applicant or sponsor affirms 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 sponsor completes all items in Part 1 using currently available information.
- 3
Gather Attachments
Attach a location map and any additional pages needed to supplement your responses.
- 4
Sign And Date
Affirm that the information is true and accurate to the best of your knowledge, then sign and date 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
- Who completes the Short Environmental Assessment Form?
- The applicant or project sponsor completes Part 1. The lead agency is responsible for completing Parts 2 and 3.
- What information does the form ask for?
- It asks about the proposed project, its location, the applicant or sponsor, land uses, and potential environmental effects such as traffic, wetlands, and water.
- Do I need a notary for the Short Environmental Assessment Form?
- No. The document has no notary block; the applicant or sponsor affirms the information is true and accurate to the best of their knowledge and signs and dates it.
- 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 Canaan form that does, a commissioned online notary can help.