Seneca, NY · Ontario County
Fill Dirt Request
Town of Seneca residents use this agreement to request fill material for a property and describe the desired fill type, amount, and delivery location.
What this form is
This request and agreement is for Town of Seneca residents seeking fill material for a Town property. It asks for the applicant and property details, fill type and amount, and signatures; it also describes the parties’ responsibilities and states that a new agreement is required annually for continued receipt of fill material.
Who needs it
Town of Seneca residents requesting fill material for a Town of Seneca property should complete this request and agreement.
How to submit it
Completed applications may be hand delivered to the Town Hall, mailed to the Town Hall, or emailed to [email protected] or [email protected].
About notarization
This agreement is signed and dated without a notary; the document does not mention a notarized or sworn attachment or related step.
How to submit this form
- 1
Download The Request
Download the Fill Dirt Request PDF.
- 2
Complete The Form
Enter the date, fill type and amount, owner/applicant details, delivery location, phone, and email.
- 3
Review And Sign
Review the agreement and sign as the owner/applicant.
- 4
Submit To The Town
Hand deliver or mail it to the Town Hall, or email it to either address listed on the form.
Frequently asked questions
- Do I need a notary for the Fill Dirt Request?
- No. The document has signature lines for the owner/applicant and Highway Superintendent, but no notary block or notarized attachment is mentioned.
- How do I submit the Fill Dirt Request?
- Hand deliver or mail the completed application to the Town Hall, or email it to [email protected] or [email protected].
- Who can request fill dirt?
- The document says the request is for Town of Seneca residents and that the property must be a Town of Seneca property.
- What information does the request ask for?
- It asks for the date, fill type, desired amount, applicant and delivery location details, phone and email, and signatures.