Blackstone, VA · Nottoway County
Fill Dirt Request
This release lets a property owner give the Town of Blackstone permission to dump dirt on their property and release related claims.
What this form is
The document gives the Town of Blackstone permission to dump dirt on the signer’s property and releases the Town from claims resulting from placing dirt there. A property owner completes it when granting that permission. It states that the dirt is accepted as is and provides spaces for signatures and dates.
Who needs it
A property owner who wants to give the Town of Blackstone permission to dump dirt on their property should complete this release.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; the signer just signs and dates the release, which names no notarized or sworn attachment.
How to submit this form
- 1
Download The Release
Download the Fill Dirt Request release from this page.
- 2
Review The Permission And Release
Read the terms granting permission to dump dirt and releasing claims related to placing dirt on the property.
- 3
Sign And Date
Sign and date the release. The document does not name any attachments to gather.
- 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
- What does the Fill Dirt Request do?
- It gives the Town of Blackstone permission to dump dirt on the signer’s property and releases the Town from claims resulting from placing dirt there. The document says the dirt is accepted as is.
- Who should complete this release?
- A property owner who wants to grant the Town of Blackstone permission to dump dirt on their property should complete and sign the release.
- Do I need a notary for the Fill Dirt Request?
- No. The document has signature and date lines but no notary block or notarized attachment; the signer just signs and dates the release.
- How do I submit the Fill Dirt Request?
- Submit it to the city department named on the form; check the city website for current contact details. The document itself does not specify a submission address or method.
Need something notarized?
This Fill Dirt Request doesn’t need a notary — but if you have another Blackstone form that does, a commissioned online notary can help.