Flower Hill, NY · Nassau County
Short Environmental Assessment Form
Applicants or project sponsors complete Part I of this environmental assessment form for a proposed unlisted action.
What this form is
This form gathers project information for the environmental review of an unlisted action. The applicant or project sponsor completes Part I with details such as the project location, proposed action, land affected, zoning, and permits or approvals. The lead agency completes the impact assessment and determination of significance in Parts II and III.
Who needs it
An applicant or project sponsor completes Part I for a proposed unlisted action being assessed under the State Environmental Quality Review process.
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 no sworn attachment or notarized step is listed.
How to submit this form
- 1
Download The Form
Download the Short Environmental Assessment Form PDF.
- 2
Complete Part I
The applicant or project sponsor fills in the project information and signs and dates the certification.
- 3
Gather Supporting Materials
If needed, prepare attachments or supporting materials referenced in the form.
- 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
- Who completes the Short Environmental Assessment Form?
- The applicant or project sponsor completes Part I with project information. The lead agency completes the impact assessment and determination of significance in Parts II and III.
- What information does Part I ask for?
- Part I asks for the applicant or sponsor, project name and location, proposed action, land affected, zoning and land use information, and permits or approvals.
- Do I need a notary for the Short Environmental Assessment Form?
- No. The applicant or sponsor signs and dates the form and certifies the information; no notarized step or sworn attachment is listed.
- 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 Flower Hill form that does, a commissioned online notary can help.