Alexander, NY · Genesee County

No notary required

Short Environmental Assessment Form

Applicants or project sponsors complete this form to provide project details and environmental information for an application for approval or funding.

What this form is

The form records project and sponsor information, site conditions, and potential environmental effects as part of an application for approval or funding. The applicant or sponsor completes Part 1, including questions about land use, water, traffic, and natural resources; the lead agency completes the impact assessment and significance determination in Parts 2 and 3.

Who needs it

An applicant or project sponsor seeking approval or funding for a proposed action completes Part 1 of this environmental assessment form.

How to submit it

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

About notarization

This form is signed and dated without a notary; the applicant 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 provides project and sponsor information and answers the Part 1 questions.

  3. 3

    Gather Supporting Information

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

  4. 4

    Submit To The City

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

Frequently asked questions

What is the Short Environmental Assessment Form used for?
Applicants or project sponsors provide project details and environmental information for an application for approval or funding. The lead agency uses the information to assess potential impacts.
Who completes each part of the form?
The applicant or project sponsor completes Part 1. The lead agency is responsible for completing the impact assessment in Part 2 and the significance determination in Part 3.
Do I need a notary for the Short Environmental Assessment Form?
No. The form is signed and dated without a notary; the applicant affirms 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 and filing instructions.

Need something notarized?

This Short Environmental Assessment Form doesn’t need a notary — but if you have another Alexander form that does, a commissioned online notary can help.