Chestnut Ridge, NY · Rockland County

No notary required

Short Environmental Assessment Form

Project applicants or sponsors complete this form to provide information about a proposed unlisted action for environmental assessment.

What this form is

The form collects project details, location, land use, zoning information, and possible government permits or approvals. The applicant or sponsor completes Part I, while the lead agency completes the impact assessment and determination of significance. The form says to use the Full EAF if a Type I threshold is exceeded and identifies a Coastal Assessment Form step for certain state agency actions in the Coastal Area.

Who needs it

An applicant or project sponsor proposing an unlisted action completes Part I, and the lead agency completes the assessment and significance determination.

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 I, and the lead agency signs its sections.

How to submit this form

  1. 1

    Download The Form

    Download the Short Environmental Assessment Form PDF.

  2. 2

    Complete Part I

    The applicant or sponsor fills in project information and signs and dates Part I.

  3. 3

    Gather Supporting Materials

    Add supporting materials if necessary. The form also identifies a Coastal Assessment Form step for certain state agency actions in the Coastal Area.

  4. 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 information about a proposed unlisted action, including its location, project details, land use, permits, and possible environmental impacts.
Who completes this assessment form?
The applicant or project sponsor completes Part I. The lead agency completes Part II, the impact assessment, and Part III, the determination of significance.
Do I need a notary for the Short Environmental Assessment Form?
No. This document is signed without a notary. The applicant or sponsor signs and dates Part I, and the lead agency signs its sections.
How do I submit the Short Environmental Assessment Form?
The form does not state where to submit it. Submit it to the city department named on the form and check the city website for current contact details.

Need something notarized?

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