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2024-332Click Here To Search Our Public Records Database Before Submitting Request Forms Can Be Submitted via Email to lDmic�gue,cLntovva fwappingcmy.gov or Hrobinson��,townoRvat,)l>in!�erny.gov or in person/via mail to 20 Middlebus.h Rd Wappingers Falls, NY 1250 FOR INTERNAL, USE ONLY Received by: Joseph. P, Paoloni r] Lori McConologue Grace Robinson Date Received: FOIL Ser. ': c7 - DEPARTMENT:: :ASSESSOR'` ACCOUNTING CODE ENFORCEMENT FW HIGHWAY ❑ RECEIVER. OF TAXES RECREATION SUPERVISOR �] TOWN CLERK WA.TERJSEWER DOG CONTROL OFFICER TOWN ENGINEER u TOWN ATTORNEY [] Apication for Public Access to Records FOIL RE UE T \C Ort \V FOR DEPARTMENT USE ONLY Date Received by Dept _U_ /: / Department Head approval: (init) Date Applicant Contacted: H / 13 / Date FOIL fulfilled or denied. Closed by: Date: Notes: C o V C. &5. 712 no Amount Dud! — Pages for a total of ~°- Name: Kelly A Rankin Address: 781 Route 15 South, 2nd Floor Lake Hopatcong, NJ 07849 Agency or firm: EnviroSdences (of DE) Inc Telephone ##: ( 973 ) 398 - 8183 FAX ##: ( ) - Email address: krankinCa es%env.com check here if you are requesting that the records be mailed to this address. SPECIFIC DESCRIPTION OF RECORD: RE: 719 Sergeants Palmateer Way, Wappingers Palls NY _ Cablevision We are seeking all records pertaining to the potable well on this property including permits, well records, diagrams, plans, correspondence, violations, and original installation information. Please also provide property cards or original Certificate of Occupancy to verify the build datefor the purposes of a lead service Pune inventory that is required by the NY State DOH. FORMAT OF RECORD (if available) IH request to be notified when I can come to inspect the record(s) described above l request copies of the records described above and agree to pay the cast of such records in accordance with the fee schedule on the bacl of this application I request that the records be sent via e-mail to the address listed above I request that the records be taxed to the number listed above