What is the Short Environmental Assessment Form used for?

It records project and sponsor information and environmental review responses. The applicant or project sponsor completes Part 1; the lead agency completes Parts 2 and 3 as applicable.

Who completes the form?

The applicant or project sponsor is responsible for Part 1. The lead agency completes Part 2 and, when needed, Part 3.

Do I need a notary for the Short Environmental Assessment Form?

No. The applicant or sponsor signs and dates Part 1 without a notary; lead agency officials complete and sign Parts 2 and 3 as applicable.

Gardiner, NY · Ulster County

No notary required

Short Environmental Assessment Form

Applicants or project sponsors complete this form to provide project information for an environmental review associated with an application for approval or funding.

What this form is

The form collects project and sponsor details, site information, and answers about potential environmental impacts. The applicant or project sponsor completes Part 1, which becomes part of the application for approval or funding; the lead agency completes Parts 2 and 3 as applicable. It asks about land use, site conditions, resources, infrastructure, and possible impacts.

Who needs it

An applicant or project sponsor uses Part 1 to provide information about a proposed action for the lead agency’s environmental review.

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 lead agency officials complete and sign Parts 2 and 3 as applicable.

How to submit this form

1
Download The Form
Download the Short Environmental Assessment Form.
2
Complete Part 1
The applicant or project sponsor completes all Part 1 items using information currently available.
3
Gather Supporting Information
Attach a location map and any additional pages needed to supplement responses.
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

What is the Short Environmental Assessment Form used for?: It records project and sponsor information and environmental review responses. The applicant or project sponsor completes Part 1; the lead agency completes Parts 2 and 3 as applicable.
Who completes the form?: The applicant or project sponsor is responsible for Part 1. The lead agency completes Part 2 and, when needed, Part 3.
Do I need a notary for the Short Environmental Assessment Form?: No. The applicant or sponsor signs and dates Part 1 without a notary; lead agency officials complete and sign Parts 2 and 3 as applicable.
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 Gardiner form that does, a commissioned online notary can help.