Old Field, NY · Suffolk County

No notary required

Zoning Board Short Environmental Assessment Form

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

What this form is

This form collects information about a proposed project, its location, the applicant or sponsor, and potential environmental effects. The applicant or project sponsor completes Part 1, which becomes part of the application for approval or funding and may be subject to public review and further verification. It asks about land use, project acreage, utilities, habitats, wetlands, and other site conditions.

Who needs it

The applicant or project sponsor for a proposed action completes Part 1 and provides information currently available about the project and site.

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. 1

    Download the Form

    Download the Zoning Board Short Environmental Assessment Form PDF.

  2. 2

    Complete Part 1

    The applicant or project sponsor fills in all items using information currently available about the project and site.

  3. 3

    Gather Additional Information

    Attach a location map and any additional pages needed to supplement an item.

  4. 4

    Submit to the City

    Submit the completed form to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What is the Zoning Board Short Environmental Assessment Form?
It collects project and sponsor information, along with details about site conditions and potential environmental effects, for an application for approval or funding.
Who completes Part 1 of the form?
The applicant or project sponsor completes Part 1 using information currently available and may attach additional pages to supplement any item.
Do I need a notary for the Zoning Board Short Environmental Assessment Form?
No. The document has no notary block; the applicant or sponsor signs and dates it and certifies the information is true and accurate to the best of their knowledge.
How do I submit the Zoning Board Short Environmental Assessment Form?
Submit it to the city department named on the form; check the city website for current contact details, because the form gives no submission address or method.

Need something notarized?

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