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Facility Name and Address___ SHORT ENVIRONMENTAL ASSESSMENT FORM INSTRUCTION: (a) In order to answer the questions in this short EAT it is assumed that the preparer will use currently available information
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Start by reading the instructions provided with the short environmental assessment form.
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Fill out the basic information section which may include your name, contact information, and project details.
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Answer the questions or provide the requested information related to the environmental impact of your project.
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Who needs short environmental assessment form?

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Developers or project managers who are planning construction or development projects that could potentially impact the environment.
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Government agencies or environmental organizations that require information on the environmental impact of certain projects.
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The short environmental assessment form is a concise document used to evaluate the potential environmental impacts of a project or development.
Certain individuals or organizations undertaking projects that may have environmental impacts are required to file the short environmental assessment form.
The short environmental assessment form can be filled out by providing detailed information about the project, its potential environmental impacts, and proposed mitigation measures.
The purpose of the short environmental assessment form is to identify and assess the potential environmental impacts of a project and ensure that appropriate mitigation measures are in place.
Information such as project description, potential environmental impacts, proposed mitigation measures, and contact information for responsible parties must be reported on the short environmental assessment form.
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