OSWPCA: Sunshine / Final Warning from CRAHD's Engle, 16Feb12. [Exhibit A highlighting in original.]

Text facsimile


[Letterhead]
CONNECTICUT RIVER AREA HEALTH DISTRICT
455 Boston Post Road, Suite 7
Old Saybrook, CT 06475
Phone 860-661-3300 Fax 860-661-3333
Serving Old Saybrook, Clinton, Deep River

February 16, 2012

Joel R. and Judith M. Anderson
13 George Drive
Old Saybrook, CT 06475

RE: Notice of Entry into Old Saybrook Wastewater Management District Program: Phased Implementation. FINAL WARNING

13 George Drive
Property ID # Map and Lot 3/242

Dear Mr. and Mrs. Anderson,

On October 25, 2011 this agency sent you via certified mail a Notice of Entry letter into the Decentralized Wastewater Management District Program in accordance with §173-25.A.(3) and §173-25.B. of the Code of the Town of Old Saybrook (also known as the Decentralized Wastewater Management District Ordinance, the "Ordinance"). That letter, a copy of which is enclosed, required that you file the enclosed application with the Director of Health within thirty days. On January 3, 2012 the Office of the Water Pollution Control Authority sent you a second notice. To date your application has not been received. While we are aware that you are currently doing work on your property that involves the septic system, the Ordinance requires that you submit Exhibit A.

This letter shall serve as a final warning. Should the application for entry into the Decentralized Wastewater Management Program not be received by the Director of Health within thirty days of the date of this letter formal action will be taken as set forth in the Ordinance.

Please refer to the Notice of Entry letter for details regarding submission of the application.

Thank you in advance for your cooperation.

Sincerely,
(signed)
Mary Jane Engle, MPH, R.S.
Director of Health

Certified mail # 7009 2250 0003 4449 9314

Enclosures:
    Notice of Entry letter
    Exhibit A "Application Form




EXHIBIT A

Connecticut River Area Health District
166 Main Street, Unit 2 Old Saybrook, CT 06475
Phone 860-661-3300 Fax 860-661-3333
Serving Old Saybrook, Clinton and Deep River

APPLICATION FOR INITIAL INVESTIGATION
AND UPGRADE OF SEPTIC SYSTEM UNDER § 173-18 ET SEQ.
CODE OF THE TOWN OF OLD SAYBROOK AND
TITLE 19 OF THE PUBLIC HEALTH CODE

Date: _________________
Owners Name: _______________   Day Time Phone: ______________
Property Address: ___________________________________________
Mailing Address (if different from above)____________________
Email Address (optional): ___________________________________
Number of Bedrooms in the structure on your property: _______
You must submit the completed application, including any revisions to the information about your property, within thirty (30) days of receipt of this application form



YOU MUST CHECK ONE OF THE FOLLOWING BOXES REGARDING CLEAN WATER FUND PARTICIPATION. CHECKING BOX A MEANS YOU WILL ACCEPT CLEAN WATER FUNDS. CHECKING BOX B MEANS YOU WAIVE CLEAN WATER FUNDS.

    Box A.     [ ]   I accept Clean Water Funds to investigate and implement upgrades as necessary on my property. By signing and checking Box A you are giving the WPCA and its agents permission to access your property for the purpose of site evaluation and soil testing. Implementation of any necessary upgrades may require construction by the Town to meet Town Ordinance requirements. I understand an assessment will be made against my property in accordance with § 7-249 et. seq. of the Connecticut General Statutes.

    Box B.     [ ]   I decline Clean Water Funds to implement and pay for upgrades to my septic/sewerage system under Town Ordinances. I will undertake to pay for and implement all required upgrades. The Director of Health or the Water Pollution Control Authority will issue an order with a schedule to implement the upgrades, as applicable.
Applicant Signature: _____________ Date: __________

Print Name ________________________________________