Old Westbury, NY · Nassau County
Short Environmental Assessment Form
Applicants or project sponsors complete this form to provide project details and environmental information for an application seeking approval or funding.
At a glance
- Issued by
- City of Old Westbury · Old Westbury, Nassau County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- villageofoldwestbury.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, and the responses become part of an application for approval or funding. The form asks about the project location, proposed action, site acreage, land uses, and potential environmental effects, including traffic, water, wetlands, habitat, and stormwater. Complete all items using currently available information and attach additional pages or a location map as needed.
Who needs it
An applicant or project sponsor provides Part 1 information for a proposed action that is part of an application for approval or funding.
How to submit it
The applicant completes Part 1 as part of an application for approval or funding. 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 signs and dates the certification.
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 items using information currently available.
- 3
Add Supporting Information
Attach a location map and any additional pages needed to supplement responses.
- 4
Submit With Your Application
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 used for?
- Applicants or project sponsors complete Part 1 with project and environmental information. The responses become part of an application for approval or funding.
- Who completes Part 1?
- The document says the applicant or project sponsor is responsible for completing Part 1 and should answer all items using information currently available.
- Do I need a notary for the Short Environmental Assessment Form?
- No. This document is signed without a notary; the applicant or sponsor signs and dates the certification.
- How do I submit the Short Environmental Assessment Form?
- The applicant completes Part 1 as part of an application for approval or funding. 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 Old Westbury form that does, a commissioned online notary can help.