Livingston, NY · Columbia County
Short Environmental Assessment Form
Project applicants or sponsors complete Part 1 of this form to provide project details and environmental information for an approval or funding application.
What this form is
The Short Environmental Assessment Form collects project and sponsor details, site information, and answers about potential environmental effects. The applicant or sponsor completes Part 1, which becomes part of an application for approval or funding; the lead agency completes Parts 2 and 3. Part 3 provides space to explain potential impacts and the lead agency’s determination.
Who needs it
An applicant or project sponsor uses Part 1 when submitting information for a project approval or funding application reviewed by a lead agency.
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 certifies 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 fills in project and sponsor information and answers the Part 1 questions.
- 3
Gather Supporting Information
Attach a location map and any additional pages needed to supplement responses; attach a narrative if the form’s instructions call for one.
- 4
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
- What is the Short Environmental Assessment Form?
- It collects project and sponsor information and environmental details. Applicants or sponsors complete Part 1, and the lead agency completes Parts 2 and 3.
- Who completes this form?
- The applicant or project sponsor is responsible for Part 1. The lead agency completes Part 2 and, when needed, Part 3.
- Do I need a notary for the Short Environmental Assessment Form?
- No. This form is signed and dated without a notary; the applicant or sponsor certifies the information is true and accurate to the best of their knowledge.
- 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 Livingston form that does, a commissioned online notary can help.