Mid-Hudson Group Conservation Survey Form:

The Mid-Hudson Chapter of the Sierra Club offers support to groups of citizens who are working to address environmental issues of concern. To help our executive team better understand your needs and to expedite our ability to support you, we ask that you complete this brief survey.

  • Conservation Consultation Survey Form:
  • Complete

Conservation Consultation Survey Form:

Current date
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Please include your name, email and contact phone number.
The name of the organization that you represent, if applicable. If not, please enter "not applicable."
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Briefly explain the history of your opposition in terms of your time or the organization's time invested. It is perfectly fine to simply respond "one month" or "one year", or offer a bit more context.
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Enter the name of the organization involved in the development you are opposing.
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Enter a brief explanation regarding what is being proposed relating to the development that you are opposing.
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Enter detail relating to what type(s) of ecological areas currently exist on the property in question. If impacts extend to adjacent properties and/or waterways, please indicate this as well.
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In this text area, please describe the property in detail, including as many of the following descriptive elements:

What are the total number of acres
Are there wetlands on this property?
If so, what is the number and size of these wetlands?
Are there vernal pools on the property?
Are there other water resources, such as reservoirs found on the property?
What are the number of forested acres on this property?
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Briefly explain if light or noise pollution are a concern with this development.
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Briefly explain any concerns relating to air quality.
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Please list all endangered or threatened species located on the property, or potentially impacted by development of the property.
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Briefly explain what this impact would represent.
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Please include any additional aspects of this project not already captured on this form.
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Please discuss any application of SEQR associated with this project. Please be specific in terms of the current status.
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Please provide a yes/no answer, and if yes, indicate the name of your attorney and their firm's name.
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Please answer yes/no, and if yes, offer a brief explanation as to status.
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Please offer a brief explanation in response to this question. Has the community been pro development or have they been opposed?
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Please estimate the number of citizens opposed to the project, and if possible, the number of citizens who support the development.
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Briefly discuss whether you are working with a budget in terms of your opposition, and indicate any funds which have been raised to date.
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This question is asked to better understand your priorities in terms of reaching out to the Mid-Hudson Group of the Sierra Club. What keeps you up at night, and how can we help?