Deposit, NY · Delaware County

No notary required

Short Environmental Assessment Form

Applicants or project sponsors use this environmental assessment form to describe a proposed action for review by the lead agency.

What this form is

The form records project and sponsor information, site conditions, and potential environmental effects. The applicant or project sponsor completes Part 1 for an action seeking approval or funding; the lead agency completes Parts 2 and 3 to assess impacts and determine significance. It asks about land use, resources, utilities, and other project effects.

Who needs it

An applicant or project sponsor seeking approval or funding for a proposed action completes Part 1; the lead agency completes Parts 2 and 3.

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. 1

    Download The Form

    Download the Short Environmental Assessment Form.

  2. 2

    Complete Part 1

    The applicant or project sponsor fills in project and sponsor information and answers the Part 1 questions.

  3. 3

    Review The Information

    Provide any additional information or pages useful to the lead agency; the form does not specify required attachments.

  4. 4

    Submit To The City

    Submit the form to the city department named on it; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the Short Environmental Assessment Form?
No. The applicant or sponsor signs and dates the form and affirms the information is accurate; the document does not require notarization.
Who completes the Short Environmental Assessment Form?
The applicant or project sponsor completes Part 1. The lead agency completes Parts 2 and 3, including the impact assessment and determination of significance.
What information does the form ask for?
It asks for project and sponsor details, site and land-use information, and responses about potential effects such as traffic, water, wetlands, historic resources, and hazards.
How do I submit the Short Environmental Assessment Form?
The form does not provide submission instructions or contact details. 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 Deposit form that does, a commissioned online notary can help.