Campbell, NY · Steuben County
Short Environmental Assessment Form
Project applicants or sponsors complete Part 1 to provide project details and environmental information for a proposed action seeking approval or funding.
What this form is
The form collects project and sponsor information, site details, land uses, and answers about potential environmental effects. The applicant or sponsor completes Part 1 for an application for approval or funding; the lead agency completes Parts 2 and 3. The applicant should answer based on currently available information and may attach a location map, additional pages, or a narrative when requested by the form.
Who needs it
Applicants or project sponsors seeking approval or funding for a proposed action complete Part 1; the lead agency completes the remaining 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 form is signed without a notary; the applicant or sponsor signs and dates Part 1, and the lead agency signs its sections.
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 information currently available and signs and dates the form.
- 3
Gather Attachments
Attach a location map, additional pages as needed, and a narrative if required by an answer in Part 1.
- 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 records project and sponsor information and environmental details for a proposed action. The applicant or sponsor completes Part 1, and the lead agency completes Parts 2 and 3.
- Who completes the Short Environmental Assessment Form?
- The applicant or project sponsor completes Part 1 using currently available information. The lead agency is responsible for Parts 2 and 3.
- Do I need a notary for the Short Environmental Assessment Form?
- No. This form has no notary block; the applicant or sponsor signs and dates Part 1, while the lead agency signs its sections.
- 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 doesn’t need a notary — but if you have another Campbell form that does, a commissioned online notary can help.