Annsville, NY · Oneida County
Short Environmental Assessment Form
Applicants or project sponsors complete Part 1 to provide project information for an application for approval or funding; the lead agency completes Parts 2 and 3.
At a glance
- Issued by
- City of Annsville · Annsville, Oneida County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- annsvilleny.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This form gathers information about a proposed action, its location, the applicant or sponsor, and potential environmental conditions and impacts. The applicant or project sponsor completes Part 1, which becomes part of the application for approval or funding; the lead agency completes the impact assessment and determination of significance in Parts 2 and 3. The form allows additional pages to be attached when needed.
Who needs it
An applicant or project sponsor uses this form to provide project information for an application for 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 without a notary; the applicant or sponsor affirms the information and signs and dates the form.
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 Part 1 items using currently available information and signs and dates the form.
- 3
Gather Attachments
Attach a location map and any additional pages needed to supplement responses; include a narrative if applicable to question 1.
- 4
Submit to the City
Submit the form to the city department named on it; check the city website for current contact details.
Frequently asked questions
- What is the Short Environmental Assessment Form for?
- It collects project and sponsor information and environmental details for an application for approval or funding. The lead agency uses the information to assess potential impacts.
- Who completes the Short Environmental Assessment Form?
- The applicant or project sponsor completes Part 1. The lead agency completes Part 2, the impact assessment, and Part 3, the determination of significance.
- Do I need a notary for the Short Environmental Assessment Form?
- No. This form is signed without a notary; the applicant or sponsor affirms the information and signs and dates it.
- 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.