Herkimer, NY · Herkimer County
Short Environmental Assessment Form Part 1
Applicants or project sponsors complete this form to provide project and site information for an application for approval or funding.
What this form is
The applicant or project sponsor completes Part 1 with information about the proposed action, project location, sponsor, site acreage, land uses, and environmental conditions. Responses become part of the application for approval or funding and are subject to public review and possible verification. Complete every item using information currently available, and attach additional pages or a location map where needed.
Who needs it
The applicant or project sponsor for a proposed action completes Part 1 as 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 information is true and accurate to the best of their knowledge.
How to submit this form
- 1
Download the Form
Download the Short Environmental Assessment Form Part 1 PDF.
- 2
Complete Part 1
The applicant or sponsor completes every item using information currently available.
- 3
Gather Attachments
Attach a location map and any additional pages needed to supplement answers.
- 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
- What is the Short Environmental Assessment Form Part 1?
- It collects project and sponsor information, site details, and environmental information for an application for approval or funding.
- Who completes Part 1?
- The applicant or project sponsor is responsible for completing Part 1 and answering all items based on information currently available.
- Do I need a notary for the Short Environmental Assessment Form Part 1?
- No. The 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 do I submit the Short Environmental Assessment Form Part 1?
- The form does not specify a submission department or method. Submit it to the city department named on the form and check the city website for current contact details.