Clermont, NY · Columbia County

No notary required

Agricultural Data Statement Review

This form records a Town of Clermont review of a proposed project’s effects on nearby farm operations in an agricultural district.

What this form is

The Town uses the review to evaluate how a proposed development project may affect farm operations in an agricultural use district. The form covers projects requiring a special use permit, site plan approval, use variance, or subdivision when the property is in an agricultural district or within 500 feet of a farm operation there. It asks about the site, farming, land use, project details, and potential effects.

Who needs it

The reviewing Town official completes this form for a proposed project subject to agricultural data statement review.

How to submit it

The form lists the Town of Clermont at 1795 Route 9, Germantown, New York 12526. It does not specify a submission method or fee.

About notarization

This review form has no notary block; the official completing it records their name and date, and no sworn attachment is listed.

How to submit this form

  1. 1

    Download The Form

    Download the Agricultural Data Statement Review PDF.

  2. 2

    Complete The Review

    Record the reviewing board, official, project and site details, farming information, and potential project effects.

  3. 3

    Gather Project Information

    The form requests project details and information about farm operations within 500 feet; it lists no required attachments.

  4. 4

    Submit To The Town

    The form lists the Town of Clermont at 1795 Route 9, Germantown, New York 12526.

Frequently asked questions

What does the Agricultural Data Statement Review cover?
It records project and site details, nearby farm operations, land use, and potential effects on farm operations in an agricultural district.
Who completes this review form?
The form includes a field for the name of the official completing it and checkboxes for the Town Board, Planning Board, or Zoning Board of Appeals.
Do I need a notary for the Agricultural Data Statement Review?
No. The form has no notary block; the completing official records their name and date, and no sworn attachment is listed.
How do I submit the Agricultural Data Statement Review?
The form lists the Town of Clermont at 1795 Route 9, Germantown, New York 12526, but does not specify a submission method.

Need something notarized?

This Agricultural Data Statement Review doesn’t need a notary — but if you have another Clermont form that does, a commissioned online notary can help.