Cape Vincent, NY · Jefferson County
Short Environmental Assessment Form
Applicants or project sponsors complete this form to provide project information and environmental details for an application seeking approval or funding.
What this form is
The applicant or project sponsor completes Part 1 with project details, site information, and answers about potential environmental conditions and impacts. The completed responses become part of an application for approval or funding and may be publicly reviewed or further verified. The lead agency completes Parts 2 and 3 to assess impacts and determine significance.
Who needs it
Applicants or project sponsors seeking approval or funding for a proposed action complete Part 1 of 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 applicant or sponsor affirms the information is true and accurate.
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 Part 1 items using currently available information.
- 3
Gather Supporting Information
Attach a location map and any additional pages or narrative information needed to supplement Part 1.
- 4
Submit The Form
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?
- The applicant or project sponsor provides project and site information for an application seeking approval or funding. The lead agency uses the information to assess potential impacts.
- Who completes the different parts of the form?
- The applicant or project sponsor completes Part 1. The lead agency completes Parts 2 and 3, including the impact assessment and determination of significance.
- Do I need a notary for the Short Environmental Assessment Form?
- No. The applicant or sponsor signs and dates the form and affirms the information is true and accurate; no notary is indicated.
- 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.