Newport, NY · Herkimer County
Herkimer County Agricultural Data Statement
Applicants complete this statement for certain municipal land-use applications near farm operations in a certified agricultural district.
What this form is
This statement accompanies an application for a special use permit, site plan approval, use variance, or subdivision approval requiring municipal review when the property is within 500 feet of a farm operation in a certified agricultural district. It asks for applicant and owner details, the application type, project description and location, whether the parcel is farmed, and nearby farm operations. Attach a tax map showing the project site and identified farm operations.
Who needs it
Applicants seeking one of the listed approvals for property within 500 feet of a farm operation in a certified agricultural district must complete this statement.
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 and, if different, the owner sign the statement.
How to submit this form
- 1
Download the Statement
Download the Herkimer County Agricultural Data Statement PDF.
- 2
Complete the Statement
Enter the applicant and owner details, application type, project description and location, parcel ID, and whether the parcel is actively farmed.
- 3
List Nearby Farm Operations
List farm operations in the certified agricultural district within 500 feet of the parcel; attach extra sheets if necessary.
- 4
Attach a Tax Map
Attach a tax map showing the proposed project site relative to the farm operations identified.
- 5
Sign and Submit
The applicant and, if different, the owner sign the statement. Submit it to the city department named on the form.
Frequently asked questions
- Who needs to complete the Herkimer County Agricultural Data Statement?
- Applicants for a special use permit, site plan approval, use variance, or subdivision approval requiring municipal review must complete it when the property is within 500 feet of a farm operation in a certified agricultural district.
- What information and attachment does the statement request?
- It requests applicant and owner details, application and project information, the parcel ID, and nearby farm operations. Attach a tax map showing the project site relative to the identified farm operations.
- Do I need a notary for the Herkimer County Agricultural Data Statement?
- No. The document has signature lines for the applicant and, if different, the owner; it does not require notarization.
- How do I submit the Herkimer County Agricultural Data Statement?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Herkimer County Agricultural Data Statement doesn’t need a notary — but if you have another Newport form that does, a commissioned online notary can help.