HomeMy WebLinkAboutWAI Health Waiver - 2/27/2003 � I
On-Site Sewage Systems (Chapter 246-272 WAC)
Request For Waiver From State Regulations
SECTION t. 1 COA@fEl}D BY"PI W
Name:(1) 1_� llt r Q i n t� b Yam_. Local Health Department/District(2)
Address: S a21 — V 6* A U L
( a 0 6- 9 r5_ __ I
Telephon ,�e ? V3 -�/ja
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Property Identification:0)
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WAC Number:(4) WAC Requirement:(5) Waiver Sought:(6)
246-272- T )t
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JttsNfication(Mitlgatlo MeesurCJ m be rovid�: /Q n /SG¢m e i r p t f(t3 on ei r
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Review Criteria(8) Mitigation Measures(in addition to Om proposed):(9)
Comments/Conditions:(10)
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Neighbor Notification:(12) Iubedi Ya_No_ Ya_No_
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'This RrquenF Waira Fran SW Reaulaimslus been mkr a rdht9baieproVI$I=ofCLapta2Ad-272 WACOnSaq Sa VSYstmns^
The mI.W aikAa apptk4 a the mIbigtl meanua pmpmW utd/a reps d,have ban"abulod fa d.1,Willy k provide public"th
protealm�N/fart equal to that pmvided by Na dMpla WAC.
Y^ Approved l Granted-Subject to ell comments,conditions an requirements noted In Section Hand Ill.
❑ Denied 0 -�'7— 03'