Palermo, NY · Oswego County
Short Environmental Assessment Form
Applicants or project sponsors complete Part 1 to provide project information for environmental review by the lead agency.
At a glance
- Issued by
- City of Palermo · Palermo, Oswego County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- siteassets.pagecloud.com
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This form collects information about a proposed action, its location, the applicant or sponsor, and potential environmental conditions and impacts. The applicant or sponsor completes Part 1 as part of an application for approval or funding; the lead agency completes Parts 2 and 3 to assess impacts and determine significance. The form requests project details, site characteristics, and a signed affirmation.
Who needs it
An applicant or project sponsor seeking approval or funding for a proposed action completes Part 1 for the lead agency’s environmental review.
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 signs and dates Part 1, and the lead agency completes and signs its determination.
How to submit this form
- 1
Download The Form
Download the Short Environmental Assessment Form PDF.
- 2
Complete Part 1
The applicant or sponsor completes all Part 1 items using currently available information and signs and dates the affirmation.
- 3
Gather Supporting Information
Attach a location map and any additional pages or information needed to supplement responses.
- 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
- Do I need a notary for the Short Environmental Assessment Form?
- No. The applicant or sponsor signs and dates Part 1 without a notary; the lead agency completes and signs its determination.
- How do I submit the Short Environmental Assessment Form?
- The form does not give submission instructions. Submit it to the city department named on the form; check the city website for current contact details.
- Who completes each part of the form?
- The applicant or project sponsor completes Part 1. The lead agency is responsible for completing Parts 2 and 3.
- What information does Part 1 request?
- Part 1 asks for project and sponsor details, site acreage and land uses, and information about matters such as water, wetlands, traffic, habitat, and hazards.