Berryville, VA · Clarke County
Building Sewer Connection Reimbursement Agreement
Berryville property owners use this agreement to commit to sewer connection repairs and request reimbursement for eligible, documented work.
What this form is
The agreement records the Town’s inspection finding that a building sewer connection sends surface or ground water into the wastewater system and sets out required corrective work. The owner agrees to obtain any required plumbing permit, complete the work, arrange required inspections, and provide paid invoices and other documentation. The Town’s reimbursement is subject to the agreement’s conditions and its stated December 15, 2022 cutoff.
Who needs it
A property owner whose building sewer connection was identified by the Town as sending surface or ground water into its wastewater system may use this agreement.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
The Town and owner sign and date this agreement without a notary; the text does not require a sworn attachment or notarized step.
How to submit this form
- 1
Download The Agreement
Download the Building Sewer Connection Reimbursement Agreement PDF.
- 2
Complete The Agreement
Fill in the date, property information, work completion deadline, and reimbursement amount, then have the Town and owner sign and date it.
- 3
Gather Required Documentation
Include the attached scope of work and documentation of work costs and paid invoices; arrange the inspections required by the agreement.
- 4
Submit To The Town
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the Building Sewer Connection Reimbursement Agreement?
- No. The agreement provides signature and date lines for the Town and owner but does not require notarization. The text also does not require a sworn or notarized attachment.
- How do I submit the agreement?
- The document does not give submission instructions or contact details. Submit it to the city department named on the form; check the city website for current contact details.
- What does the owner agree to do?
- The owner agrees to complete the work in the attached scope, obtain any required plumbing permit, arrange required inspections, and provide documentation of costs and paid invoices.
- Does the agreement state a reimbursement deadline?
- Yes. It says no reimbursements will be made after December 15, 2022. It also says the Town will provide reimbursement by check within 30 days after the owner complies with the agreement.