Avon, NY · Livingston County
Short Environmental Assessment Form
Applicants or project sponsors complete this form to describe a proposed action and provide environmental information for an approval or funding review.
What this form is
The applicant or project sponsor completes Part 1 with project details and information about land use, resources, utilities, and potential environmental effects. The completed responses become part of an application for approval or funding and may be reviewed publicly or verified further. The lead agency completes Parts 2 and 3 to assess potential impacts and determine whether an environmental impact statement is required.
Who needs it
An applicant or project sponsor seeking approval or funding for a proposed action completes Part 1; the lead agency completes Parts 2 and 3.
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 affirms the information is true and accurate, then signs and dates it.
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 Supporting Information
Attach a location map and any additional pages or narrative information needed to supplement responses.
- 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 used for?
- Applicants or project sponsors use Part 1 to provide information about a proposed action. The lead agency uses the information to assess potential environmental impacts.
- Who completes the different parts of the form?
- The applicant or project sponsor completes Part 1. The lead agency is responsible for Parts 2 and 3, including the determination of significance.
- Do I need a notary for the Short Environmental Assessment Form?
- No. This form has no notary block; the applicant or sponsor affirms the information is true and accurate, then signs and dates it.
- 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 Avon form that does, a commissioned online notary can help.