Perry, NY · Wyoming County
Short Environmental Assessment Form Part 1
Applicants or project sponsors complete this form to provide project information and environmental details as part of an application for approval or funding.
What this form is
The applicant or project sponsor completes Part 1 with project and sponsor information, site details, and answers about environmental conditions and potential impacts. The form says these responses become part of an application for approval or funding and may be subject to public review and further verification. It asks the signer to certify that the information is true and accurate to the best of their knowledge.
Who needs it
An applicant or project sponsor seeking approval or funding completes Part 1 with information about the proposed action and its 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 and provides a signature and date.
How to submit this form
- 1
Download The Form
Download the Short Environmental Assessment Form Part 1 PDF.
- 2
Complete Part 1
The applicant or project sponsor completes all items using information currently available.
- 3
Gather Supporting Information
Attach a location map and any additional pages needed to supplement an item.
- 4
Sign And Date
The applicant or sponsor certifies the information, signs, and dates the form.
- 5
Submit To The City
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 Part 1?
- It collects project and sponsor information, site details, and answers about environmental conditions and potential impacts. Responses become part of an application for approval or funding.
- Who completes Part 1 of the form?
- The applicant or project sponsor is responsible for completing all items in Part 1, using information currently available.
- Do I need a notary for the Short Environmental Assessment Form Part 1?
- No. The form has no notary block; the applicant or sponsor certifies the information, signs, and dates it.
- How do I submit the Short Environmental Assessment Form Part 1?
- Submit it to the city department named on the form; check the city website for current contact details.