Perry, NY · Wyoming County
Short Environmental Assessment Form
Applicants or project sponsors complete this form to describe a proposed project and provide information for an approval or funding review.
What this form is
The applicant or project sponsor completes Part I with project and contact details, a description of the proposed action, and responses about the site and potential environmental effects. The form states that responses become part of an application for approval or funding and may be reviewed publicly or verified. It directs applicants to attach a location map and add pages when useful.
Who needs it
An applicant or project sponsor preparing information for an application for approval or funding completes Part I of this form.
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 and dated without a notary; it does not identify any notarized or sworn attachment, so the applicant or sponsor just signs and dates it.
How to submit this form
- 1
Download The Form
Download the Short Environmental Assessment Form PDF.
- 2
Complete Part I
The applicant or project sponsor provides project, contact, site, and environmental information based on what is currently available.
- 3
Gather Attachments
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 for?
- It collects project, sponsor, site, and environmental information for an application for approval or funding. The applicant or project sponsor completes Part I.
- Who completes Part I of the form?
- The applicant or project sponsor is responsible for Part I. The form asks for project and contact information, site details, and responses about potential environmental effects.
- Do I need a notary for the Short Environmental Assessment Form?
- No. The form has a signature and date line but no notary block, and it does not identify a notarized or sworn attachment; the applicant or sponsor just signs and dates it.
- 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.
