145FOR TNTERNAL USF. ONLY
Reoeived by: Christine Fulton u ,
Jessica Fulton
Date Received: ~ 1 I '~
FOIL Sec. #: ._,..
DEPARTMENT:
ASSESSOR EJ
ACCOUNTING ~~
CODE ENFO1tCEM,BNT
ALANNING ~
ZONING
PIRE INSPECTOR LXJ
HIGkiWAY n
RECEIVER OF TAXES ^
RECREATION ^
SUPERVISOR ^
TOWN CLERK ~
WATERlSEWER
DOG CONTROL QFFICER ^
TOWN ENGINEER ^
TOWN ATTORNEY ^
2009-10-16 JC:M
TOE (~F '~V~APP7NCER.
Application for Public Access to R~corcls
FDIL .REQr1L'ST
FOR DEPARTMENT USE ONLY
Date Received by Dept ~ 1~71~~"
Department Head approval:
(init)
Date Applicant Contacted: _ I _ I
Date FOIL fulfilled Qr denied: I I ~,
Closed by:
D$te: ~ / ~I / ~
r
Notes. ~ ~ ~~~'
Amount Due; Pates for a total of $
Name: Ralph Simat ^ check here if you are
Address: 50 Millstone Rd B~ 3U0, ere Boa requesting that the records
Eastwindstx NJ, 08520 be mailed to this address.
Agency or Firm: waodard a ci,rran
Telephone #: (t;os ) aae -s11o ]FAX #: (sae ) aas - 8118
Email address: rsimon~woodardcurran.com
Wa re~,eet that your office provide any and aU applicebk' infomnstion rel2lsd to the tli6cloarre of known ur suspected, pas! or present, anvlronmentai concem5 for the prapen;r
boated at 151 Airport Drive (A.KJ+. 540 Airport Drive). Wapplnyers Fats, New York (parcel grid tD no.135tiB`Y6259~82.641673~OD00). Th6 ~lonne6on disclosed for the
~1~ ~ sftadd include, pet clot he Wrtited ro, ttaxardous substances, underground storage tank (UST- systems. areas ~ 6u, records of trisfwical enforcerrrent e~it>ns.
investigaf one Involvkrg Shc ~ndlor proundwdlar quakb~ntarnination,and the o~ environmental qualltY of the rile.
We vrotatd Ika to review records f-eld by the idlowdng brwt deparhrients,'rf ava~abla.
Town Gerk; Planning Board:
Fire btspeclor Departrnerat; Building bepartmrsnt;
Cade Enforcenranl; water ~ 5ewer Deparbnen~ and
Zanlrrg peparonent: Tax AsSeS~r Records ff'roper~r Tax Fik~IRecorded Land 71tle Racoras).
FORMAT OF RECQRD (if available)
^ 1 request to be natiferi when !can came to inspect the record(s) described above
^ 1 request copies of the records described above and agree to pay the cost of such records in
accordance with the fee schedule on the back of this application
® 1 request that the records be sent via a-mail to the address listed above 'Please advise il'there is a cost prior
^ I request that the records be faked to the number listed above to emailing records* -
ti01E0 3Jdd StiI88bb609 65~bZ ZtOZ/9Zf60
2{)09-10-1b JCM
The Town of Wappinger has designated the Town Clerk, by the adoption of Resolution No. a3 of 2002, as the Records
Management Officer (RMa). It is the responsibility of the RMO to ensure compliancE with the Freedom of information Law.
The Town clerk's Office houses many of the TOWn's records and maintains a subject file index of those records. Flowever, each
individual Department within the Town of Wappinger government maintains records specific to their office and tis designated
custodian of such records.
Active records are located at the Town Nall, 20 Middlebush Road, Wappingers Falls, NY, 12590. Naurs of operation for thEa
Town Hall are 8:30 AM to 4:00 PM, Monday through Friday, excluding holidays named at each Reorganization Meeting and other
times during which the Town Supervisor, or other authorized official, directs the Town Hall to be closed, such as for inclement
weather or other emergency. '
FOIL request forms are available at the Town Clerk`s Office- To make a request for access to records, fill out the
application to include the following:
• Name
• Agency or Firm (write °setf" if making the request for yourself}
• Address of applicant
• Telephone number of applicant
• Fax number of applicant
• Notate if you would like copies of the records or would only like to inspect the records
• A SPECiFIG description of the records being requested
FOIL requests can be faxed, emailed, mailed ar dropped off at the Town Clerk's Office. If records are being requested
from multiple offices, submit separate requests for each.
The cast for copies of records is $0.25 per page far paper Copies up to 9° X 14". Copies for most ether retards will be Che
cost of reproduction. Other Costs will be calculated in accordance with S87 of the Freedom of Information Law.
Upon receipt of a FOIL request, the RMO will assign the request a serial number. The request will then be entered into a
database and forwarded to the appropriate department. Within 5 days after the receipt of the request, the responsible departmer~t
will make such record available to the person requesting it, deny such request in writing or furnish a written acknowledgment of the
receipt of such request and a statement of the approximate date, which shall be reasonable under the circumstances of the request,
when such request will be granted or denied. The approximate date will be within 20 days of the date of receipt. if the request
cannot be fulfilled within 2p days, the department will provide the requester with an exact date that the record wilt, wholly or in
part, be provided or made available.
The RMO may require the requester of certain FOIL requests to sign an affidavit that information being provided will not bps
used for solicitation or fundraising purposes and that the requester will not Sell, give or otherwise make such information availabl+:~
to another person for the purpose of allowing that person to use the information for solicitation or fund-raising purposes.
A requester may ask that the Town Clerk certify records being requested. Such requests will require that the requester pa.y
the appropriate fee far certified copies as set forth in Chapter 122 of the Town Code of the Town of Wappinger.
If a request is denied by the RMO or appropriate custodian, the requester may appeal such denial within seven business
days of receipt of denial. Appeals must be submitted in writing and sent to the RMO.
The information provided here is posted to assist you with your FOIL request. It will be updated as needed, but is always to
be considered subordinate to the Freedom of Information Law and the Town Gode of the Town of Wappinger. If at any time, the
information posted here contradicts the Freedom of Information Law or the Town Code of the Town of Wappinger, the information
posted here is to be deemed invalid.
Rccord of Attempts to Contact Appticarlt
Notes & Comments
b0/b0 3Jkid SLtl38bb609 69 ~bT ZT0Z15Z/60