Harrietstown, NY · Franklin County
Short Environmental Assessment Form
Applicants or project sponsors complete this environmental assessment form with information about a proposed action for an application for approval or funding.
What this form is
The form collects project and sponsor details, site information, and answers about potential environmental effects. The applicant or project sponsor completes Part 1 for an application for approval or funding, and the responses become part of that application and may be subject to public review and further verification. It instructs applicants to answer based on available information and attach additional pages when needed.
Who needs it
An applicant or project sponsor completing Part 1 for a proposed action’s application for approval or funding needs this form.
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 signer certifies the information is true and accurate, and any supplemental pages are not identified as requiring notarization.
How to submit this form
- 1
Download The Form
Download the Short Environmental Assessment Form PDF.
- 2
Complete Part 1
The applicant or project sponsor completes all items using information currently available.
- 3
Gather Additional Pages
Attach a location map and any additional pages needed to supplement responses; include the narrative described if the action is legislative adoption.
- 4
Sign And Date
Enter the applicant or sponsor name, date, signature, and title, and certify that the information is true and accurate to the best of your knowledge.
- 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 use Part 1 to provide project, sponsor, site, and environmental information for an application for approval or funding.
- Who completes Part 1 of the form?
- The applicant or project sponsor is responsible for completing Part 1. The form asks for information about the proposed action and its location, along with answers to environmental questions.
- Do I need a notary for the Short Environmental Assessment Form?
- No. The document has no notary block; the applicant or sponsor certifies, signs, and dates it. Additional pages may be attached as needed and are not identified as requiring notarization.
- How do I submit the Short Environmental Assessment Form?
- The document does not give submission instructions. 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 Harrietstown form that does, a commissioned online notary can help.