Middlesex, NY · Yates County
Short Environmental Assessment Form Part 1
Applicants or project sponsors complete this form with project and site information as part of an application for approval or funding.
At a glance
- Issued by
- City of Middlesex · Middlesex, Yates County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- middlesexny.org
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
The Short Environmental Assessment Form Part 1 records project and sponsor details and information about the proposed site and its potential environmental effects. The applicant or project sponsor completes it as part of an application for approval or funding. It asks about land use, acreage, zoning, natural and historic resources, utilities, traffic, stormwater, and other project conditions; attach a location map and any additional pages needed.
Who needs it
Applicants or project sponsors seeking approval or funding for a proposed action complete Part 1 using currently available information.
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; the applicant or sponsor certifies that the information provided is true and accurate.
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 Attachments
Attach a location map and any additional pages needed to supplement responses. If applicable, include the narrative described in item 1.
- 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 Part 1?
- It collects project and sponsor information, along with details about the site and potential environmental effects, as part of an application for approval or funding.
- Who completes Part 1?
- The applicant or project sponsor is responsible for completing Part 1. The form says to answer based on information currently available and complete all items.
- Do I need a notary for the Short Environmental Assessment Form?
- No. This form is signed and dated without a notary; the applicant or sponsor certifies that the information is true and accurate.
- 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.