Who completes Short Environmental Assessment Form Part 1?

The applicant or project sponsor is responsible for completing Part 1, using information currently available about the proposed action.

What information does Part 1 ask for?

It asks for project and sponsor details, the location and description of the proposed action, and information about site conditions and potential environmental effects.

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

No. The document is signed and dated without a notary, and it does not identify any notarized attachment or related step.

Pittsfield, NY · Otsego County

No notary required

Short Environmental Assessment Form Part 1 – Project Information

Applicants or project sponsors complete Part 1 to describe a proposed project and provide information for an application for approval or funding.

What this form is

Part 1 collects project and sponsor details, the project location and description, and answers about site conditions and possible environmental effects. The applicant or sponsor completes it as part of an application for approval or funding. The form asks about land use, acreage, permits, water and wastewater, wetlands, habitat, stormwater, and other project characteristics; attach a location map and any additional pages needed to supplement responses.

Who needs it

An applicant or project sponsor seeking approval or funding for a proposed action completes Part 1 and provides information currently available.

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 notarized attachment or related step.

How to submit this form

1
Download the Form
Download Short Environmental Assessment Form Part 1.
2
Complete Part 1
The applicant or project sponsor completes all items using information currently available.
3
Attach Supporting Information
Attach a location map and any additional pages needed to supplement an item.
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

Who completes Short Environmental Assessment Form Part 1?: The applicant or project sponsor is responsible for completing Part 1, using information currently available about the proposed action.
What information does Part 1 ask for?: It asks for project and sponsor details, the location and description of the proposed action, and information about site conditions and potential environmental effects.
Do I need a notary for Short Environmental Assessment Form Part 1?: No. The document is signed and dated without a notary, and it does not identify any notarized attachment or related step.
How do I submit 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 – Project Information doesn’t need a notary — but if you have another Pittsfield form that does, a commissioned online notary can help.