Lima, NY · Livingston County

No notary required

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 Lima · Lima, Livingston County, New York
Notarization
Not required: file this form without a notary.
Official source
villageoflimany.gov
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 with project and sponsor information and answers questions about the site, land use, natural resources, utilities, and potential environmental effects. The form says the responses become part of an application for approval or funding and may be subject to public review and further verification. It requests a location map and allows additional pages to supplement answers.

Who needs it

An applicant or project sponsor provides this information for a proposed action seeking 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 affirms the information is true and accurate to the best of their knowledge.

How to submit this form

  1. 1

    Download the Form

    Download the Short Environmental Assessment Form PDF.

  2. 2

    Complete Part 1

    Enter the project and sponsor information, answer all items, and affirm the information with a signature and date.

  3. 3

    Gather Attachments

    Attach a location map and any additional pages needed to supplement your answers.

  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

Do I need a notary for the Short Environmental Assessment Form?
No. The form has a signature and date line and asks the applicant or sponsor to affirm the information is true and accurate; it does not require notarization.
Who completes Part 1 of this form?
The applicant or project sponsor is responsible for completing Part 1, including the project and sponsor information and the environmental questions.
What information does the form ask for?
It asks for project and sponsor details, site acreage, nearby land uses, and information about topics such as water, wetlands, traffic, habitat, and stormwater.
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 Lima form that does, a commissioned online notary can help.