HomeMy WebLinkAboutWAI2016-00090 - WAI General - 10/22/2016 �tec�
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PART 3: Health Department Evaluation(Staff Use Only)
IA. Type of Determination Required: l B. Type of On-Site Waiver(if applicable):
O Appeal )K Waiver ❑None required ❑Class A O Clans B 13 Class C
LOCAL
2. Identificaton of Specific Code/Standard/Detennination(include date of determination or latest
eode/standard revision): Z•{Le • Z1 Z k-o .t O T,cbt.t j u
3. Nature of Appeal:
ANIELA—
TD b .)ees..l\ V-jt-OM t00 fT bait.. ZSET.
4. Hearing Official:
13 Board of Health O Health Officer
❑Pollution Control Hearing Board 11 Health Services Director
❑ Certified Contractor Review Board .Aifxwironmental Health Manager
5 Mitigating Factors:
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6. 1 have reviewed this wnite/variance request t is complete and mitigation required by state and local
policy has b sub ed.
stall Date: !'a _
PART 4: Determination of the Hearing Official
the hearing official has determined that approval of this request will not adversely affect public health and
is hereby granted This decision is based on the following findings and conditions:
O The hearing official has determined that approval of this request could potentially have an adversely affect
public health and is hereby denied. This decision is based on the following findings:
Hearing Official Data_ii!z l I b_
HAWDATAURCHMEIWAtVEP AMP Updalt:rata 25.1997