Homer, NY · Cortland County

No notary required

Short Environmental Assessment Form

Applicants or project sponsors complete Part 1 of this environmental assessment form for a proposed action seeking approval or funding.

What this form is

The applicant or project sponsor completes Part 1 with project details and information about site conditions and potential environmental effects. The form says these responses become part of an application for approval or funding and may be subject to public review and further verification. The lead agency completes the impact assessment in Part 2 and the determination of significance in Part 3.

Who needs it

An applicant or project sponsor completes Part 1 for a proposed action that is part of 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 Part 1 information is true and accurate.

How to submit this form

  1. 1

    Download The Form

    Download the Short Environmental Assessment Form.

  2. 2

    Complete Part 1

    The applicant or project sponsor completes all Part 1 items using currently available information.

  3. 3

    Gather Supporting Information

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

  4. 4

    Sign And Date

    The applicant or sponsor signs and dates Part 1 and affirms the information is true and accurate.

  5. 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

What is the Short Environmental Assessment Form used for?
Applicants or project sponsors provide information about a proposed action, its location, and possible environmental effects. The responses become part of an application for approval or funding.
Who completes the different parts of the form?
The applicant or project sponsor completes Part 1. The lead agency completes the impact assessment in Part 2 and the determination of significance in Part 3.
Do I need a notary for the Short Environmental Assessment Form?
No. The applicant or sponsor signs and dates Part 1 and affirms the information is true and accurate; the form does not require notarization.
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 Homer form that does, a commissioned online notary can help.