North Salem, NY · Westchester County
Fill Permit Application
Property owners apply to the Town of North Salem for a fill permit when more than 250 cubic yards of fill will be delivered to one property in a calendar year.
What this form is
The Town of North Salem requires this application when more than 250 cubic yards of fill will be delivered to a single lot or property in one calendar year. It asks for owner, property, supplier, trucker, fill type, quantity, and source details. Applicants must also provide the listed plans and supporting documents, along with the $100 payment specified on the form.
Who needs it
Property owners arranging delivery of more than 250 cubic yards of fill to a single lot or property in a calendar year need this application.
How to submit it
Submit the completed application to the Town of North Salem Building Department with the required plans and supporting documents and $100 payable to the Town of North Salem.
About notarization
No notary is required for this application; the form shows a date field, and its listed attachments do not require a notarized or sworn step.
How to submit this form
- 1
Download The Application
Download the Fill Permit Application for the Town of North Salem.
- 2
Complete The Application
Provide the property owner, property, supplier, trucker, and fill type, quantity, and source information requested.
- 3
Gather Required Attachments
Include the tax map and contiguous-property details, required plans, proof of liability insurance, and $100 payment specified on the form.
- 4
Submit To The Town
Submit the completed application and attachments to the Town of North Salem Building Department.
Frequently asked questions
- When is a fill permit application required?
- The form says an application is required when more than 250 cubic yards of fill will be delivered to a single lot or property in one calendar year.
- What must accompany the application?
- The form lists a tax map and contiguous-property owner details, a plan prepared by a qualified professional, a sediment and erosion control plan, proof of liability insurance, and a $100 payment.
- Do I need a notary for the Fill Permit Application?
- No. This application does not require a notary; the form shows a date field, and its listed attachments do not require a notarized or sworn step.
- How do I submit the Fill Permit Application?
- Submit the completed application to the Town of North Salem Building Department with the required plans and supporting documents and $100 payable to the Town of North Salem.
Need something notarized?
This Fill Permit Application doesn’t need a notary — but if you have another North Salem form that does, a commissioned online notary can help.