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 is true and accurate to the best of their knowledge; no notary is indicated.

Who completes Part 1 of this form?

The applicant or project sponsor is responsible for completing Part 1. The responses become part of the application for approval or funding.

What information does the form ask for?

It asks for project and sponsor details, site acreage, nearby land uses, and information about potential effects on resources such as wetlands, traffic, water, and habitat.

Plandome, NY · Nassau County

No notary required

Short Environmental Assessment Form

Applicants or project sponsors complete this environmental assessment form to provide project information for an application for approval or funding.

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 and site, nearby land uses, infrastructure, natural and historic resources, and potential environmental effects. Complete all items using currently available information, and attach additional pages if needed to supplement an answer.

Who needs it

An applicant or project sponsor seeking approval or funding for a proposed action completes Part 1 of this environmental assessment form.

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 is true and accurate to the best of their knowledge.

How to submit this form

1
Download The Form
Download the Short Environmental Assessment Form.
2
Complete Part 1
The applicant or project sponsor completes all items using information currently available.
3
Add Supporting Pages
Attach additional pages as needed to supplement any item.
4
Sign And Date
The applicant or sponsor signs and dates the certification.
5
Submit The Form
Submit it 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 applicant or sponsor signs and dates the form and certifies the information is true and accurate to the best of their knowledge; no notary is indicated.
How do I submit the Short Environmental Assessment Form?: The document gives no submission address or department. Submit it to the city department named on the form, and check the city website for current contact details.
Who completes Part 1 of this form?: The applicant or project sponsor is responsible for completing Part 1. The responses become part of the application for approval or funding.
What information does the form ask for?: It asks for project and sponsor details, site acreage, nearby land uses, and information about potential effects on resources such as wetlands, traffic, water, and habitat.

Need something notarized?

This Short Environmental Assessment Form doesn’t need a notary — but if you have another Plandome form that does, a commissioned online notary can help.