What information does Part 1 request?

It asks for project and sponsor details, site acreage, land uses, permits, utilities, and information about environmental conditions such as wetlands, habitat, and stormwater.

Who completes the Short Environmental Assessment Form?

The applicant or project sponsor is responsible for completing Part 1. Responses become part of the application for approval or funding and may be subject to public review and further verification.

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.

Patterson, NY · Putnam County

No notary required

Short Environmental Assessment Form Part 1

Applicants or project sponsors complete this form to provide project and environmental information as part of an application for approval or funding.

At a glance

Issued by: City of Patterson · Patterson, Putnam County, New York
Notarization: Not required: file this form without a notary.
Official source: pattersonny.org
Blank form: Download the PDF
Catalogued: Sep 28, 2026
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 effects. The applicant or project sponsor completes Part 1 for an application for approval or funding, answering based on information currently available. It asks about land use, acreage, permits, utilities, wetlands, habitat, and other environmental topics; attach a location map and additional pages as needed.

Who needs it

The applicant or project sponsor completes Part 1 for a proposed action that is part of 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 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 Part 1 PDF.
2
Complete Part 1
The applicant or project sponsor completes all items using information currently available.
3
Gather Supporting Materials
Attach a location map and any additional pages needed to supplement responses.
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

What information does Part 1 request?: It asks for project and sponsor details, site acreage, land uses, permits, utilities, and information about environmental conditions such as wetlands, habitat, and stormwater.
Who completes the Short Environmental Assessment Form?: The applicant or project sponsor is responsible for completing Part 1. Responses become part of the application for approval or funding and may be subject to public review and further verification.
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?: 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 doesn’t need a notary, but if you have another Patterson form that does, a commissioned online notary can help.