Holland, NY · Erie County

No notary required

Short Environmental Assessment Form

Applicants or project sponsors complete this environmental assessment form as part of an application for approval or funding for a proposed project.

At a glance

Issued by
City of Holland · Holland, Erie County, New York
Notarization
Not required: file this form without a notary.
Official source
cdn.prod.website-files.com
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

The applicant or project sponsor completes Part 1 with information about the proposed action, its location, and possible environmental effects. Responses become part of the application for approval or funding and may be reviewed publicly or verified further. Complete every item using currently available information, and attach additional pages or a location map as needed.

Who needs it

An applicant or project sponsor seeking approval or funding for a proposed action completes Part 1 and provides information about the project.

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 form is signed and dated without a notary; the applicant or sponsor certifies that the information provided is true and accurate.

How to submit this form

  1. 1

    Download The Form

    Download the Short Environmental Assessment Form PDF.

  2. 2

    Complete Part 1

    Fill in all items using information currently available about the project and its environmental setting.

  3. 3

    Gather Attachments

    Attach a location map and any additional pages needed to supplement your answers.

  4. 4

    Submit To The City

    Submit the completed form 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 is Part 1 of an environmental assessment form completed by an applicant or project sponsor. It asks about the proposed action, its location, and environmental conditions.
Who completes Part 1?
The applicant or project sponsor is responsible for completing Part 1. The form says to answer every item using information currently available.
Do I need a notary for the Short Environmental Assessment Form?
No. The form is signed and dated without a notary; the applicant or sponsor certifies that the information provided is true and accurate.
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 Holland form that does, a commissioned online notary can help.