What is the Short Environmental Assessment Form Part 1?

It collects information about a proposed action, its location, the applicant or sponsor, and possible environmental effects as part of an application for approval or funding.

Who completes Part 1 of the form?

The applicant or project sponsor is responsible for completing Part 1. The form says to answer every item using information currently available and to attach additional pages as needed.

Do I need a notary for the Short Environmental Assessment Form Part 1?

No. This document is signed and dated without a notary, and it identifies no related attachment or step that must be sworn or notarized.

North Hills, NY · Nassau County

No notary required

Short Environmental Assessment Form Part 1

The Short Environmental Assessment Form Part 1 collects project and sponsor details and environmental information from applicants or project sponsors seeking city approval or funding.

At a glance

Issued by: City of North Hills · North Hills, Nassau County, New York
Notarization: Not required: file this form without a notary.
Official source: northhillsny.gov
Blank form: Download the PDF
Catalogued: Sep 28, 2026
Machine-readable: JSON record · about the forms index

What this form is

Applicants or project sponsors complete Part 1 as part of an application for approval or funding. It describes the proposed action and site, identifies the sponsor, and asks about land use, permits, natural resources, utilities, hazards, and potential environmental effects. Complete every item using currently available information; attach a location map and any additional pages needed to explain responses.

Who needs it

Applicants or project sponsors seeking approval or funding for a proposed action complete this form and certify that the information is accurate.

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 form does not identify any related attachment or step that must be sworn or notarized.

How to submit this form

1
Download The Form
Download the Short Environmental Assessment Form Part 1 PDF.
2
Complete Part 1
Complete every item using information currently available, including project, sponsor, site, and environmental details.
3
Gather Attachments
Attach a location map and any additional pages needed to supplement your answers.
4
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 Part 1?: It collects information about a proposed action, its location, the applicant or sponsor, and possible environmental effects as part of an application for approval or funding.
Who completes Part 1 of the form?: The applicant or project sponsor is responsible for completing Part 1. The form says to answer every item using information currently available and to attach additional pages as needed.
Do I need a notary for the Short Environmental Assessment Form Part 1?: No. This document is signed and dated without a notary, and it identifies no related attachment or step that must be sworn or notarized.
How do I submit the Short Environmental Assessment Form Part 1?: 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 Part 1 doesn’t need a notary, but if you have another North Hills form that does, a commissioned online notary can help.