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Forge River Watershed Sewer Project Final Environmental Impact Statement Appendix C Town of Brookhaven, Suffolk County, New York June 2018 Prepared pursuant to the New York State Environmental Quality

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Town of Brookhaven Recovery is a form required by the Town of Brookhaven for reporting and recovering fees related to certain services or permits.

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Information such as the type of service or permit received, the fees associated with it, and any relevant dates must be reported on the town of Brookhaven recovery form.

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