Grafton, NY · Rensselaer County

No notary required

Short Environmental Assessment Form

Applicants or project sponsors complete Part 1 of this form to provide project details and environmental information for an approval or funding application.

What this form is

The applicant or project sponsor completes Part 1 with project and sponsor details and answers questions about the site, proposed work, and environmental conditions. The form becomes part of an application for approval or funding and is subject to public review; the lead agency completes Parts 2 and 3 to assess potential impacts and determine their significance.

Who needs it

An applicant or project sponsor provides Part 1 for a proposed action seeking approval or funding, while the lead agency completes the assessment sections.

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 signs Part 1, and the lead agency signs its determination.

How to submit this form

  1. 1

    Download The Form

    Download the Short Environmental Assessment Form.

  2. 2

    Complete Part 1

    The applicant or sponsor completes all Part 1 items using currently available information.

  3. 3

    Gather Supporting Information

    Attach a location map and any additional pages needed to supplement responses; include a narrative if the proposed action is legislative adoption.

  4. 4

    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 Part 1, and the lead agency signs its determination; the form does not require notarization.
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.
Who completes each part of the form?
The applicant or project sponsor completes Part 1. The lead agency completes Part 2 and, when needed, Part 3.
What information does Part 1 request?
Part 1 asks for project and sponsor details and information about the site, proposed action, land uses, and environmental conditions.

Need something notarized?

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