Lorraine, NY · Jefferson County
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.
At a glance
- Issued by
- City of Lorraine · Lorraine, Jefferson County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- townoflorraineny.us
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
The applicant or project sponsor completes Part 1, and the responses become part of an application for approval or funding. The form asks about the proposed project and site, land use, permits, environmental resources, utilities, and potential effects such as traffic, stormwater, or habitat impacts.
Who needs it
The applicant or project sponsor completes Part 1 for a proposed action being submitted 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 certifies the information and provides a signature and date.
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 information currently available.
- 3
Gather Attachments
Attach a location map and any additional pages or narrative descriptions needed to supplement responses.
- 4
Sign And Date
Provide the applicant or sponsor name, signature, title, and date.
- 5
Submit To The City
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 for?
- Applicants or project sponsors use Part 1 to describe a proposed action and provide information about its site, environmental resources, and potential impacts.
- Who completes Part 1?
- The document says the applicant or project sponsor is responsible for completing Part 1. Responses become part of the application for approval or funding.
- Do I need a notary for the Short Environmental Assessment Form?
- No. This document is signed and dated without a notary; the applicant or sponsor certifies the information and provides a signature and date.
- 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.
Need something notarized?
This Short Environmental Assessment Form doesn’t need a notary, but if you have another Lorraine form that does, a commissioned online notary can help.