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.

  • Current Conservation Consultation Survey Form:
  • Complete

Conservation Consultation Survey Form:

Current date
Name and contact information of Person Completing form:
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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."
How long have you or your group been addressing this concern?
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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.
Name of developer, if applicable:
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Enter the name of the organization involved in the development you are opposing.
What is the developer proposing?
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Enter a brief explanation regarding what is being proposed relating to the development that you are opposing.
What ecologically significant areas would be impacted?
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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.
Please describe the land being considered for development:
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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?

Are there concerns about light or noise pollution:
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Briefly explain if light or noise pollution are a concern with this development.
Are there air quality concerns relating to this development:
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Briefly explain any concerns relating to air quality.
Please list any endangered or threatened species located on the site:
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Please list all endangered or threatened species located on the property, or potentially impacted by development of the property.
Indicate if the development would impact the community character in some way:
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Briefly explain what this impact would represent.
Additional Descriptions of Project:
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Please include any additional aspects of this project not already captured on this form.
Indicate the status of the SEQR process, if applicable:
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Please discuss any application of SEQR associated with this project. Please be specific in terms of the current status.
Have you or your organization engaged an attorney? If so, please indicate the name of your attorney and your attorney's firm.
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Please provide a yes/no answer, and if yes, indicate the name of your attorney and their firm's name.
Has an Article 78 been filed?
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Please answer yes/no, and if yes, offer a brief explanation as to status.
What has been the general reaction of your local community to this development?
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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?
Please indicate the projected number of currently engaged citizens who oppose this development:
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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.
Do you or your organization have a budget for your opposition efforts?
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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.
What is your greatest concern about this proposal?
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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?