Champion, NY · Jefferson County

No notary required

Full Environmental Assessment Form

Applicants and project sponsors complete this environmental assessment form to help the lead agency evaluate a proposed action’s potential environmental impacts.

What this form is

The form gathers project and site information and guides the applicant and lead agency through reviewing possible environmental impacts and their significance. Complete Parts 1 through 3 as appropriate for the project; the document says the answers are considered as part of the application for approval and may be verified or reviewed publicly. It asks about project details, site conditions, approvals, and potential impacts.

Who needs it

Applicants or project sponsors proposing an action that requires approval complete Part 1, while the lead agency reviews the project impacts.

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 without a notary; the applicant or sponsor signs and dates it, and the lead agency’s responsible officer also signs.

How to submit this form

  1. 1

    Download The Form

    Download the Full Environmental Assessment Form PDF.

  2. 2

    Complete Project Information

    Complete Part 1, including the project description and site information. Answer each question and indicate when information is not applicable.

  3. 3

    Gather Supporting Information

    Attach information needed to clarify the project, including discussion of potential adverse impacts and measures to mitigate or avoid them.

  4. 4

    Submit To The City

    Submit the completed form to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What is the Full Environmental Assessment Form used for?
It helps applicants and agencies determine whether a proposed project or action may have significant environmental impacts. It collects project information and guides impact review.
Do I need a notary for the Full Environmental Assessment Form?
No. This document is signed without a notary. The applicant or sponsor signs and dates it, and the lead agency’s responsible officer also signs.
How do I submit the Full Environmental Assessment Form?
The document does not provide a submission address or contact details. Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

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