Patterson, NY · Putnam County
Fill Permit Application
The Town of Patterson Fill Permit Application is for applicants proposing to place fill on a property and must include a plan showing the fill location.
What this form is
Use this application to provide the property address, tax map number, applicant contact information, amount and type of fill, reason for placement, delivery date, and material origin. The form asks whether the fill will be placed in a wetland or watercourse controlled area; if yes, it says a Wetlands/Watercourse Permit is required. Attach a plan showing where the fill will be placed.
Who needs it
Anyone applying to place fill on a property in the Town of Patterson should complete this application and attach the required location plan.
How to submit it
Submit ten copies of the completed application and required plans to the Planning Department, P.O. Box 470, 1142 Route 311, Patterson, NY 12563.
About notarization
This document is signed without a notary; the applicant certifies the fill is clean fill and signs and dates the application.
How to submit this form
- 1
Download The Application
Download the Town of Patterson Fill Permit Application.
- 2
Complete The Form
Enter the property and applicant details, fill amount and type, reason, wetland or watercourse response, delivery date, and material origin.
- 3
Prepare The Required Plan
Attach a plan showing the location of the fill to be placed on the property.
- 4
Sign And Date
Sign and date the application to certify that the fill is clean fill as defined by Town of Patterson rules and regulations.
- 5
Submit Copies To The Planning Department
Submit ten copies of the completed application and required plans to the Planning Department at the address on the form.
Frequently asked questions
- Do I need a notary for the Fill Permit Application?
- No. The application has an applicant signature and date line, but no notary block. The applicant certifies that the fill is clean fill.
- How do I submit the Fill Permit Application?
- Submit ten copies of the completed application and required plans to the Planning Department at P.O. Box 470, 1142 Route 311, Patterson, NY 12563.
- What plan must accompany the application?
- Attach a plan showing the location of the fill to be placed on the property. The form requests ten copies of the application and required plans.
- What if fill will be placed in a wetland or watercourse controlled area?
- The form states that a Wetlands/Watercourse Permit is required in that case and can be obtained from the Planning Department.
Need something notarized?
This Fill Permit Application doesn’t need a notary — but if you have another Patterson form that does, a commissioned online notary can help.