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Home My WebLink About2025_07_17_BOH_Packet�e�ehson Public H Board of Health Meeting July 17, 2025 Jefferson County Board of Health Agenda Minutes Public H July 17, 2025 Regular Meeting Agenda Jefferson County Board of Health Thursday, July 17, 2025 @ 2:30 PM Jefferson County Courthouse — Commissioners' Chambers 1820 Jefferson Street, Port Townsend, WA This is a hybrid meeting: Virtual and In -Person Attendance You can join this meeting by using these methods: • Zoom Meeting: htts: us06w,1h 132378389363 This option will allow you to join the meeting live. You will need to enter an email address. If you wish to provide public comment, click on the hand icon at the bottom of the screen to "raise your hand." Participation will be up to the Chair and/or Clerk of the meeting. ■ Audio -only: Dial: 1-253-215-8782 and use Webinar ID: 823 7838 9363# This option will allow you to listen to the meeting live. If you wish to provide public comment, press *9 to "raise your hand." Participation will be up to the Chair and/or Clerk of the meeting. • In -Person: You are welcome to join the meeting in -person. In the event of technical difficulties, at least one of the methods above will be accessible to the public. Please try all methods first before calling 360-385-9100 to report any issues. Public comment will be accepted and can be emailed to: BOH&o jefferson.wa.us until 5:00 PM the evening prior to the start of the meeting. AGENDA CALL TO ORDER — Chair Grace I. Public Comment (10 mins.) Public Comment Periods are dedicated to listening to the public. Each person may address the Board one time during these periods. To ensure equal opportunityfor the public to comment, all comments shall be limited to 2 or 3 minutes per person, depending on the volume ofpublic in attendance. II. Approval of Agenda III. Approval of Minutes of May 15, 2025 Board of Health Meeting IV. Old Business and Information Reports 1. Jefferson County Public Health (JCPH) Report (Apple Martine) (15 mins.) AT A REGULAR MEETING, THE MEMBERS MAY ADD AGENDA ITEMS AND TAKE ACTION ON OTHER ITEMS NOT LISTED ON THIS AGENDA. Americans with Disabilities Act (ADA) Accommodations Provided Upon Request 2. Jefferson Healthcare Report (Dr. Kees Kolff) (5 mins.) 3. Infectious Diseases Update (Dr. Gib Morrow, Acting Public Health Officer) (10 mins.) V. New Business 1. Workshop: Amending JCC 8.65.090 and JCC 8.65.100 (Clean Water District) (Michael Dawson, Ariel Speser) (30 mins.) 2. Update on Current CHIP Planning and Progress (Lars Cittadini) (20 mins.) 3. JCPH Assessment Team Environmental Report and Dashboard (Lolinthea Hinkley, Alyssa Wyrsch) (20 mins.) VI. Future Potential Agenda Topics: Salish Behavioral Health Administrative Services Organization Olympic Connect, the Community Care Hub model Board of Health 101 Homelessness Public Health Impacts resulting from Federal Initiatives Rural Reproductive Health Emergency Fund for Public Health Strategic planning for the county The Child Development Center Sewer projects / wastewater VII. Announcements ADJOURNMENT BY: 4:30 p.m. Next Scheduled Meeting: August 21, 2025 2:30 — 4:30 PM Jefferson County Public Health Hybrid Meeting AT A REGULAR MEETING, THE MEMBERS MAY ADD AGENDA ITEMS AND TAKE ACTION ON OTHER ITEMS NOT LISTED ON THIS AGENDA. Americans with Disabilities Act (ADA) Accommodations Provided Upon Request REGULAR MEETING MINUTES Jefferson County Board of Health Thursday, May 15, 2025 @ 2:30 p.m. Jefferson County Courthouse — Commissioners' Chambers 1820 Jefferson Street, Port Townsend, WA Hybrid Meeting Board Members Greg Brotherton, County Commissioner, District #3 Heather Dudley-Nollette, County Commissioner, District #1 Celeste Dybeck, Tribal Representative Heidi Eisenhour, County Commissioner, District #2 Amanda Grace, Chair, Community Stakeholder Dr. Kees Kolff, Public Hospital District #2 Commissioner Monica MickHager, Vice -Chair, Port Townsend City Council Gabrielle Vanwert, Consumer of Public Health Staff Members Denise Banker, Community Health Director Dr. Allison Berry, Health Officer Lara Cittadini, CHIP Manager Michael Dawson, Water Quality Manager Carter Erickson, Environmental Health Manager Apple Martine, Public Health Director Pinky Mingo, Environmental Public Health Director Jenn Mitchell, Finance Manager Veronica Shaw, Public Health Deputy Director Chair Grace called the May 15, 2025 meeting of the Jefferson County Board of Health to order at 2:30 p.m. Members Present: Chair Amanda Grace, Members Greg Brotherton, Heather Dudley-Nollette, Celeste Dybeck, Heidi Eisenhour, Dr. Kees Kolff, Monica MickHager and Gabrielle Vanwert. Staff Present: Staff Members Denise Banker, Dr. Allison Berry, Lara Cittadini, Michael Dawson, Carter Erickson, Apple Martine, Pinky Mingo, Jenn Mitchell and Veronica Shaw. PUBLIC COMMENT Chair Grace called for public comment. Commenter spoke about the benefits of school -based health clinics, and provided an update on progress for the clinic at Blue Heron Middle School, scheduled for opening in autumn, 2025. APPROVAL OF AGENDA Chair Grace called for a motion to accept the agenda for May 15, 2025. The clerk announced a change to the agenda (New Business, item 2), as Salish Behavioral Health Administrative Services Organization was unable to attend the meeting (and will reschedule). This item was replaced by a discussion of Urban Rest Stops (which serve to address hygiene and other services in need by the unhoused population). MOTION: Member Eisenhour moved to approve the agenda as amended. Member Dybeck seconded the motion, which carried by a unanimous vote. Respectfully submitted Page 1 of 4 G. Gilbert APPROVAL OF MINUTES Chair Grace requested a motion to approve the minutes of the April 17, 2025 meeting. MOTION: Member Kolff moved to approve the minutes. Member Dudley-Nollette seconded the motion, which carried by a unanimous vote. OLD BUSINESS AND INFORMATIONAL ITEMS 1. Jefferson County Public Health (JCPH) Report Staff member Martine (on the road from Walla Walla, where she and staff member Mitchell attended a WSALPHO { Washington State Association of Local Public Health Officials) retreat) provided a brief update. (Reception was spotty and the update was often interrupted.) The update included federal and state funding for public health. There have already been some budget cuts; more will be known when the governor's budget is signed and released next week. Concerning emergency preparedness and response work, JCPH recently completed its Continuity of Operations Plan. JCPH recently participated in an intercounty public health convening with Island County, exploring shared strengths. 2. Jefferson Healthcare Report According to member Kolff, the hospital construction project continues on schedule and on budget. An August 24, 2025 open house is scheduled, offering the public the opportunity to tour the new facility. Dr. Kolff and Jefferson Healthcare CEO Mike Glenn recently travelled to Washington D.C. for the annual meeting of the American Hospital Association. They met with Senator Maria Cantwell and other legislators, lobbying for support for Medicaid and health -related legislation. While in DC, Dr. Kolff also met with a representative of the Pan American Health Organization (PAHO) to explore how Washington, as a state, could partner directly with the World Health Organization (WHO), since the federal government has withdrawn from membership in the WHO. 3. Public Health Legislative Update Member Eisenhour discussed (i) the reprocurement measure (Substitute House Bill 1813) concerning streamlining of funding for behavioral health services and improvements to administrative management of Medicaid funding, and (ii) the status of the recycling bill. Dr. Kolff provided additional information concerning hospital -related legislation and funding. Staff member Martine shared that Health Bill 1531 passed, assuring that state and local health officers rely on proven methods and the latest scientific research when responding to outbreaks of disease. She also provided a printed summary of the recent legislative session, distributed by WSALPHO, which enumerated bills passed and failed directly impacting public health 4. Infectious Diseases Update According to Dr. Berry, COVID is still present in the community, but there is far less activity. Pertussis is still active, particularly among school -age students and their families. Measles is circulating through the country, but only 5 cases have been identified in Washington state. She recommended staying up-to-date on all vaccines; discuss with primary care physicians or Public Health. Troubling news is coming out of the federal Health and Human Services department. The independence of scientific organizations is at risk, as politics blend with science. Budget cuts will affect both state and local health; the extent of cuts is still unknown. Avian influenza remains relatively stable, and mild in Washington. There is still some wild bird infection activity, but not in domesticated poultry and cattle. Respectfully submitted Page 2 of 4 G. Gilbert Dr. Berry will be on a leave -of -absence until August. Health officer coverage will be provided by Regional Health Officer Dr. Herbie Duber, with additional support by Kitsap Health Officer Dr. Gib Morrow. NEW BUSINESS 2. Urban Rest Stops, introduction and discussion 1 Anya Callahan, Harm Reduction Coordinator at JCPH, described the concept of the "Urban Rest Stop," intended to provide hygiene resources for those experiencing homelessness. Member Dudley-Nollette provided an overview of a recent exploratory meeting of the local behavioral health provider network, which reviewed the needs being addressed and brainstormed how services can be provided. Discussion ensued. 3. Overview of Transition Services for Students with Intellectual and Developmental Disabilities Bonnie Obremski, Intellectual & Developmental Disability (IDD) Program Coordinator at JCPH, described the work of the IDD Department and the programs it manages and monitors. Sam Touchie, Transition Coordinator at Cascade Community Connections, described IDD services provided by Cascade. 1. Status of Vacancy on the Board of Health t Staff member Martine announced that the search for candidates to fill the three-year term of the "Other Community Stakeholder" position on the Board of Health resulted in one application, submitted by the incumbent. Dr. Berry added that, though efforts were extended in order to gather a broad pool of applicants for the recently available "Consumer of Public Health" seat on the Board, she thinks it is somewhat different when you have a person who is currently serving on the Board who just wants to continue to serve in that position; she didn't feel that there needed to be a holding of the position while further attempts are made to find more applicants (i.e., continuing someone in their current Board position is a little different from recruiting someone new). MOTION: Following discussion, Member Dudley-Nollette moved "that the Board of Health recommend, to the Board of Commissioners, the reappointment of Amanda Grace as the Other Community Stakeholder member of the Board of Health." Member Eisenhour seconded the motion, which passed with 7 votes in favor and 0 votes against (Chair Grace having recused herself). No discussion. FUTURE POTENTIAL AGENDA TOPICS ANNOUNCEMENTS The Clerk noted that the next regular meeting is scheduled for June 19`h, which is the national holiday "Juneteenth," when county offices will be closed. Discussion ensued as to whether the June meeting should be rescheduled or cancelled. MOTION: Member Kolff moved to cancel the June meeting. Member Eisenhour seconded the motion, which carried by a unanimous vote. Clerk announced that this meeting is the first that Carter Erickson has attended as Environmental Health Manager. Congratulations abounded. 1 Order of New Business items was reordered due to Staff member Martine's remote attendance from the highway. Respectfully submitted Page 3 of 4 G. Gilbert AGENDA PLANNING CALENDAR The Agenda Planning Meeting for the next regular meeting of the Board will be held on July 10, 2025 at 10:30 a.m. The next regular Board of Health meeting will be held as a hybrid meeting on Thursday, July 17, 2025 from 2:30 p.m. — 4:30 p.m. ADJOURNMENT Chair Grace adjourned the May, 2025 Jefferson County Board of Health meeting at 4:28 p.m. until the next Regular Meeting or Special Meeting as properly noticed. JEFFERSON COUNTY BOARD OF HEALTH Amanda Grace, Chair Glenn Gilbert, Public Health Assistant Respectfully submitted Page 4 of 4 G. Gilbert Jefferson County Board of Health IV. Old Business and Information Reports Item 1 Jefferson County Public Health Report I I S M Public Healt July 17, 2025 Jefferson County Board of Health IV. Old Business and Information Reports Item 2 Jefferson Healthcare Report Min hnnel-nut] Public July 17, 2025 Jefferson County Board of Health IV. Old Business and Information Reports Item 3 Infectious Diseases Update fhln hnnd-OUtl ;ffmson Public H July 17, 2025 Jefferson County Board of Health V. New Business Item 1 Workshop: Amending JCC 8.65.090 and JCC 8.65.100 (Clean Water District) l O -d Public Healt July 17, 2025 -9 owl' LZX WN, Ila S 410 Board of Health Amendments to Clean Water District Ordinance Workshop July 17, 2025 Michael Dawson, Water Quality Manager Ariel Speser, Civil DPA 0 Clean Water District Proposed Amendments Agenda I Public Process Next Steps Questions Clean Water District July 17. 2025 • Shellfish Protection Districts rrf1T TnxMsi rq • Chapter 8.65 Jefferson County Code (JCC) • Clean Water District,�Q • Established 2007 "�"ADk"-K • District boundaries (8-65.040) Jefferson County • East Jefferson County Clean Water District City of Port Townsend �rr``LYr • Hospital District No. 2 • Annual fee 8.65.090) • Certain parcels exempt from fee 8.65.100) • Clean Water District Advisory Council • Created August 2011 ® Clean surface water to protect the public Meetings Quarterly July 17, 2025 4 IV JJUI JJWOV VI LI110 NIIpIJL61 10 LV■ (1) Create a shellfish protection district as required by Chapter 90.72 RCW. (2) Establish the boundaries of the district. (3) Establish a district name. (4) Adopt a water quality improvement plan for Jefferson County. (5) Adopt a nonpoint pollution plan for the Discovery Bay watershed. (6) Establish a fee to fund the clean water district. [Ord. 7-09 § 1; Ord. 8-07 § 11 *t July 17, 2025 5 VU111ii11ai y Vi M111ViIui�1011�ia LV uIUGII VVULVI U10Li 1%&L. • Ordinance 08-1017-07 (October 2007) — Establishes Clean Water District. • Ordinance 07-0810-09 (August 2009) — Establishes Annual Fee ($5 dollars per parcel). • Ordinance 03-0428-14 (March 2014) —Annual Fee Increase ($20 dollars per parcel). • Ordinance 11-1124-14 (November (Port Townsend, PLMPR, Timberla • Ordinance 06-1127-23 (June 2023 2014) — Clarifies 8.65.100 Exemption nd, Senior/Disabled). —Amends Annual Fee with chapter 3.80 JCC Revenue and Finance. for consistency July 17, 2025 6 Proposed Amendments July 17, 2025 Annual fee & Certain parcels exempt from fee At the time the Clean Water District was created, the only communities with public sewer systems were the City of Port Townsend and the Port Ludlow Master Planned Resort. Jefferson County Board of Health has determined that encouraging hook ups to public sewer systems throughout Jefferson County would promote public health and protection of the environment. Exemption in JCC 8.65.100 is referenced in chapter 8.15 JCC On -Site Sewage. The purpose of this ordinance is to amend sections 8.65.090 and 8.65.100 JCC to account for the addition of the new Port Hadlock Urban Growth Area Sewer System connection fee so those same Jefferson County property owners will not also be subject to the Clean Water District annual fee. Proposed amendments reflected in Appendix A attached to proposed ordinance. Public Process July 17. 2025 •Board of Health Workshop on July 17, 2025. • BoCC Consent Agenda for Public Hearing Notice July 21, 2025. • Publication in The Port Townsend & Jefferson County Leader on July 23, 2025. • See JCC 2.55.060(2) • BoCC Public Hearing on Monday, August 4, 2025. July 17, 2025 10 RCW 90.72.030 Shellfish protection districts —Establishment —Governing body —Programs. The legislative authority of each county having shellfish tidelands within its boundaries is authorized to establish a shellfish protection district to include areas in which nonpoint pollution threatens the water quality upon which the continuation or restoration of shellfish farming or harvesting is dependent. The legislative authority shall constitute the governing body of the district and shall adopt a shellfish protection program with elements and activities to be effective within the district. The legislative authority may appoint a local advisory council to advise the legislative authority in preparation and implementation of shellfish protection programs. This program shall include any elements deemed appropriate to deal with the nonpoint pollution threatening water quality over shellfish tidelands, including, but not limited to, requiring the elimination or decrease of contaminants in stormwater runoff, establishing monitoring, inspection, and repair elements to ensure that on -site sewage systems are adequately maintained and working properly, assuring that animal grazing and manure management practices are consistent with best management practices, and establishing educational and public involvement programs to inform citizens on the causes of the threatening nonpoint pollution and what they can do to decrease the amount of such pollution. The county legislative authority shall consult with the department of health, the department of ecology, the department of agriculture, or the conservation commission as appropriate as to the elements of the program. An element may be omitted where another program is effectively addressing those sources of nonpoint water pollution. Within the limits of RCW 90.72.040 and 90.72.070, the county legislative authority shall have full jurisdiction and authority to manage, regulate, and control its programs and to fix, alter, regulate, and control the fees for services provided and charges or rates as provided under those programs. Programs established under this chapter, may, but are not required to, be part of a system of sewerage as defined in RCW 36.94.010. July 17, 2025 11 Next Steps July 7, 2025 12 Dudr U VI Fltdl11 I U15VUJJIUI I ku I/ I I /LJ) • Public Hearing Notice on BoCC's Consent Agenda (07/21/25) • Publication (07/23/2025) • Public Hearing (08/04/25) • BoCC deliberations; if adopted, amendments to ordinance become effective. • Port Hadlock UGA Sewer System comes online 09/08/25 (*anticipated date). July 7, 2025 13 Questions? �J July 7, 2025 14 STATE OF WASHINGTON County of Jefferson In the Matter of Amending Sections 8.65.090 Annual Fee and 8.65.100 Certain Parcels Exempt From Fee in the Jefferson County Clean Water District, Chapter 8.659 of the Jefferson County Code (JCC) ORDINANCE NO. WHEREAS, Article XI, section 11 of the Washington Constitution, confers upon county legislative authorities the police power to adopt such local police, sanitary and other regulations as are not in conflict with general laws; and WHEREAS, Article XI, section 11 of the Washington Constitution is a direct delegation of the police power to cities and counties, and the power delegated is as extensive within their sphere as that possessed by the legislature; and WHEREAS, police power is that inherent and plenary power which enables prohibition of all things hurtful to the comfort, safety and welfare of society; and WHEREAS, the scope of police power is broad, encompassing all those measures which bear a reasonable and substantial relation to promotion of the general welfare of the people; and WHEREAS, on October 17, 2007, the Jefferson County Board of County Commissioners (BoCC) adopted Ordinance No. 08-1017-07, creating the Jefferson County Clean Water District, codified as chapter 8.65 JCC, as required by Chapter 90.72 RCW; and WHEREAS, pursuant to JCC 8.65.040, the legal boundaries of the Jefferson County Clean Water District include all lands in eastern Jefferson County, including the City of Port Townsend, as described by the Jefferson County Public Hospital District No. 2 boundary; and WHEREAS, on August 10, 2009, BoCC adopted Ordinance No. 07-0810-09, establishing a stable funding source for the Clean Water District as authorized by state law and to promote the general health, safety, and welfare of Jefferson County residents; and WHEREAS, JCC 8.65.090 authorizes the collection of an annual fee to support the work of the Clean Water District; and WHEREAS, on April 28, 2014, BoCC adopted Ordinance No. 03-0428-14, establishing a new basic fee for most parcels; and WHEREAS, on November 24, 2014, BoCC adopted Ordinance No. 11-1124-14 further explaining which categories of parcels are exempt from payment of the Clean Water District fee; and Page 1 of 6 WHEREAS, on November 27, 2023, BoCC adopted Ordinance No. 06-1127-23, amending 8.65.090 Annual Fee for consistency with chapter 3.80 JCC County Department Fee Requirements and Policies; and WHEREAS, JCC 8.65.100 has an exemption to paying the annual fee required by JCC 8.65.090, which recognizes that it is not fair for property owners who are hooked up to a public sewer system to pay the annual fee that supports the work of the Clean Water District because releases of contaminants from the operation of on -site sewer systems otherwise known as septic systems, are the primary cause of degradation of waters of the state; and WHEREAS, the exemption in JCC 8.65.100 currently only applies to property owners in the City of Port Townsend and the within the Port Ludlow Master Planned Resort; and WHEREAS, at the time the Clean Water District was created; the only communities with public sewer systems were the City of Port Townsend and the Port Ludlow Master Planned Resort; and WHEREAS, two new public sewer systems are contemplated, the Port Hadlock Urban Growth Area Sewer System, which is being built, and the Pleasant Harbor Master Planned Resort public sewer system, which is contemplated; and WHEREAS, the exemption in JCC 8.65.100 is referenced in chapter 8.15 JCC; and WHEREAS, Jefferson County Board of Health has determined that encouraging hook ups to public sewer systems throughout Jefferson County would promote public health and protection of the environment; and WHEREAS, Board of Health has determined the exemption currently in JCC 8.65.100 should be revised as reflected in Appendix A, which has been revised to mirror the exemption from on -site sewer systems in JCC 8.15.055(6); NOW THEREFORE, BE IT ORDAINED BY THE BOARD OF HEALTH OF JEFFERSON COUNTY, STATE OF WASHINGTON, AS FOLLOWS: Section 1. Whereas Clauses are Findings of Fact. The Jefferson County Board of Health hereby adopts the above "Whereas" clauses as Findings of Fact supporting this Ordinance. Section 2. Purpose. The purpose of this ordinance is to amend sections 8.65.090 and 8.65.100 JCC to account for the addition of the new Port Hadlock Urban Growth Area Sewer System connection fee so those same Jefferson County property owners will not also be subject to the Clean Water District annual fee. Section 3. Amendment to JCC 8.65.090 and JCC 8.65.100. Sections 8.65.090 and 8.65.100 JCC are hereby amended as reflected in Appendix A. Section 4. Severabilily. If any section, subsection, sentence, clause, phrase of this ordinance or its application to any person or circumstance is held invalid, the remainder of this ordinance or its application to other persons or circumstances shall be fully valid and shall not be affected. Page 2 of 6 Section 5. SEPA. Categorical Exemption. This ordinance is categorically exempt from the State Environmental Policy Act under WAC 197-11-800(19). Section 6. Effective Date: This ordinance shall take effect and be in full force upon passage by the Jefferson County Board of Health. (SIGNATURES FOLLOW ON NEXT PAGE) Page 3 of 6 APPROVED and ADOPTED this SEAL: ATTEST: Carolyn Gallaway, CMC Date Clerk of the Board day of , 2025. JEFFERSON COUNTY BOARD OF COUNTY COMMISSIONERS Heidi Eisenhour, Chair Greg Brotherton, Member Heather Dudley-Nollette, Member APPROVED AS TO FORM: Philip C. Hunsucker, Date Chief Civil Deputy Prosecuting Attorney Page 4 of 6 APPENDIX A Sections 8.65.090 and 8.65.100 JCC are amended as shown in the changes below: 8.65.090 Annual fee. Y! ��5 _ •� R i • i (1) There is hereby established for the clean water district a financing mechanism, specifically a fee per assessor's parcel number "APN" for all real property, except for parcels or lands described in JCC 8.65.100 as exempt from any obligation to pay the fee. (2) Fees for nonexempt real property are adopted by resolution, pursuant to Chapter 3.80 JCC. These fees shall be adjusted annually, as specified in JCC 3.80.030. (3) The annual fee shall be collected via the property owner's property tax statement to implement the_requirements of this chapter. (4) The director of the Department of Environmental Public Health and Water Quality shall provide the counly assessor and the coon treasurer sufficient information to collect the annual fee to implement the requirements of this chapter. The coordination required by this subsection shall occur at least once annually before the deadline that county department's proposed budgets shall be submitted for consideration by the board of coo , commissioners. 8.65.100 Certain parcels exempt from fee. NO ■ ■ (1) The following parcels shall be exempt from the annual fee required by JCC 8.65.090, provided the property owner can demonstrate that at least one of the following exemptions a-DRly to the satisfaction of the health officer: (a) The parcel is exempt from taxation pursuant to chapter 84.36 RCW, Page 5 of 6 (b) Theparcel is connected to an approved sewers stem with a National Pollution Discharge Elimination Permit (NPDES): (c) Parcels on forestland. as defined in RCW 84.33.035; (d) Parcels on timberland, as defined in RCW 84.34.020, and, (e) Parcels determined by the county assessor to qualify for a senior citizen or disabled persons properly tax exemption under RCW 84.36.381 on January 1st of the tax year. (2) Documentation supporting an. exemption xemption may be required by the health officer. (3) If any -portion of a parcel does not satisfy an exemption criterionspecified in this section then the parcel shall be subject to the fee required by JCC 8.65_090. (4) To receive an exemption authorized b this section: (a) The property owner shall submit to the department a completed application on a form approved by the department. if submitted by April 30', the exemption will be considered for the current year. If submitted after April 30t', the exemption will be considered commencing with the following_ year. (b) For the exemption in subsection (1N2), the property owner shall submit in addition to the application required by subsection (4)(a), a sewer bill for the property showing an account number and the sewer provider's contact information. There are no other changes to chapter 8.65 JCC. Page 6 of 6 JEFFERSON COUNTY ENVIRONMENTAL PUBLIC HEALTH FEE EXEMPTION APPLICATION Jefferson County makes every effort to maintain an accurate record of properties exempted from fees. If you believe that your property qualifies for an exemption, please complete and submit this form. The property owner shall submit to the department a completed application on a form approved by the department. If submitted by April 301h, the exemption will be considered for the current year. If submitted after April 30th, the exemption will be considered commencing with the following year. Form processing may take up to four weeks. Submit one form per tax parcel. Jefferson County tax parcel number/geo ID (9 digits): The parcel number can be found on your tax statement, or look it up at (�-isweb.jeffcowa.us/LandRecords). For questions regarding your tax parcel number, please contact the Assessor's Office at 360-385-9105 or visit.www.co.jelYersonwa.us/15 I/Assessor. :HECK ALL BOXES THAT APPLY TO YOU. ❑ I am applying for an Operation and Maintenance O&M Annual Fee Exemption pursuant to 8.15.055(7). ❑ a. The parcel is exempt from taxation pursuant to chapter 84.36 RCW; ❑ b. The parcel is connected to an approved public sewer system; Attached is a sewer bill for the property showing an account number and the sewer provider's contact information. ❑ c. The parcel is connected to a large On -Site Septic System (OSS) permitted by Jefferson County's Department of Health, provided all components to include septic tanks and pump chambers are managed and inspected by an approved third ply; Attached is the contact information for the third party managing and inspecting the large OSS. ❑ d. No structure on the parcel is connected to a water supply and the parcel is not capable of creating or discharging sewage; ❑ e. Parcels on forestland, as defined in RCW 84.33.035; ❑ f. Parcels on timberland, as defined in RCW 84.34.020; and ❑ g. Parcels associated with people who qualify for a property tax exemption under RCW 84.36.381, due to being a senior citizen or have disabilities, as determined by the Assessor's Office, on January 1 st of the tax year. ❑ 1 any applying for a Clean Water District Annual Fee Exemption pursuant to 8.65.100. ❑ a. The parcel is exempt from taxation pursuant to Chapter 84.36 RCW; ❑ b. The parcel is connected to an approved sewer system with a National Pollution Discharge Elimination Permit (NPDES); Attached is a sewer bill for the property showing an account number and the sewer provider's contact information. ❑ c. Parcels on forestland, as defined in RCW 84.33.035; ❑ d. Parcels on timberland, as defined in RCW 84.34.020; and, ❑ e. Parcels associated with people who qualify for a property tax exemption under RCW 84.36.381, due to being a senior citizen or have disabilities, as determined by the Assessor's Office, on January 1 st of the tax year. I understand that additional information may be requested in order to process my application. I declare under penalty of perjury under the law of Washington that the foregoing is true and correct. Signed on the day of (day) (month and year) at: (city or other location, and state or country) (printed name) (signature) If there are questions, please contact me at: Mailing address: Phone number: Email address: 2 - m7-_�`- Jefferson County Board of Health V. New Business Item 2 Update on Current CHIP Planning and Progress Public H July 17, 2025 it JCPH CHIP Program Update Lara Cittadini CHIP Program Manager �.� r low, I Objectives Definitions and Goals Process and Framework 1 /% M I I ^ 1 1 1 M n _ _ _..- _ C% l ._. . _ l . • •- - What is Community Health Improvement (CHI)? CHI is a strategic process for assessing community health needs, prioritizing the needs through community collaboration, and identifying resources for collective action f. • community- ownea ana ieci • Shared vision for collective health S y ! C Y•= -• mow. '+•tr�� - - �. �. +'1: �? _ .. •��r� � r.i' .-.i tee. _ . What is the Goal of Community Health Improvement? Health Equity The assurance of conditions for optimal health for all people. Assessment looks for gaps in outcomes across the community. CHIP invites community engagement and promotes collective action. Participatory process in prioritization and planning is foundational to equitable outcomes. Community Health Assessment (CHA) I I° Quantitative data: measures health and well-being across a range of indicators Qualitative data: provides context, makes meaning, fills in gaps in community story through community input - the collaboration begins here Community Health Improvement Plan (CHIP) W L An action plan created by collaborative community process. 1. Engage partners 2. Reflect on data 3.Identify priority issues 4. Develop a plan for collective action MAPP: Mobilizing for Action Through Planning and Partnership \3 u -,--7 A framework to support strategic, equitable development of a community -wide vision for health Created by National Association of County and City Health Officials (NACCHO). Widely used across the state and nation. Supports cross -sector partnerships, gathering community perspectives, and raising awareness of health equity. IL:0 Look at the data Evaluate and Assess Invest Resources Ask the Community for input PPTell community stories no Create a Community Health Assessment Select the priorities Collaborate = Create a Community Health nnn Improvement Plan Communications Team & Assessment Team Nested together as cross -cuffing services central to all aspects of JCPH. • Collect, synthesize and visualize data. • Facilitate community input and collaboration. • Report on CHI process and progress. • Develop and amplify key messages to support public health. JCPH CHA/CHIP Timeline FPHS Statewide Assessment Network • JCPH hires staff Epidemiologists • Statewide community of practice data modernization OM Post Pandemics Past CHIP Achievements • Immunization access • Youth mental health • Behavioral health network CHA Dashboard Launch • Educational sessions on dashboard navigation and data interpretation • Community survey Fall 2D25 MAPP 2.0 Integrated at JCPH • South County Community spotlights • Formation of JCPH CHIP Team Community engagement • Invite input on priority health indicators • Qualitative data collection to tell community stories Imagine that our community's health is a garden. CHI is the process of constantly tending to our community's well-being, in order to help the garden thrive. It's a cyclical process where we: • Gather fresh data: We use the latest information to understand the community's health needs. • Plant new seeds: Based on the data, we identify new priorities and strategies to address emerging health concerns. a Nurture existing growth: We build on past efforts and successful initiatives to strengthen the community's health foundation. • Dig deeper: We tackle the roots of health problems, addressing the underlying factors that negatively impact overall well-being. Thank you HealthyWhatcom.org t Thank you.' Lara Cittadini Iittadini@co.jefferson.wa.us 360-385-9448 Data & Assessment Webpage https://jeffei-soncountypublichealth.org/ 1749/Data-and- Assessment Jefferson County Board of Health V. New Business Item 3 JCPH Assessment Team Environmental Report and Dashboard Iffason Public H July 17, 2025 East Jefferson County Environmental and Climate Health Threats and Adaptation opportunities January 2025 Public Health VILLAGE f AC H r J Serendipity Form. Quikene. Photo credit: Emily Gibson, villogeReoch Report Authors Barbara Jones, Emily Gibson, Alysso Wyrsch, Lolinthea Hinkley. Julio Guerette, and Reggie Casonova-Perez. Acknowledgements We would like to extend our thanks to Jefferson County Public Health staff Michael Dawson, Tomi Pokorny, Emma Erickson, Laro Goosland- Tatro, Laura Tucker, Pinky Mingo and Apple Martine for their expertise, contributions and review. Additionally, we are deeply grateful to the subject matter experts who shared their time and knowledge during interviews, the 117 community members across East Jefferson County who generously shared their experiences through the community survey, and to the Jefferson County Library District and the Jefferson County Food Bank Association for their support. Health -Related Concerns in Threat Climate Driver Key Opportunities East Jefferson County Hotter fernperolslres; changing • Waikshaps: Frcwise proVoms:Air Mien pf Air Quality Poor Inceosiriy Poor air gvrdily wpr9ero mend hearth, t'no r+l.rnlal hCOIII%wpJwan, rear} rind lung d5P.o4k+f_ WrldR[CS rincsu7-mike rot h!}jn•:nx niuntbn( dnd sovrthly of wildIiles Can plolccllan 1yewr5i and Wildfires A leodkl tr] incrooses in wf.ine csnrl g [l fuleAn lxrnd c we kay Nlid&lk s g A i Ca levers iflresls. and cause k]nttslid.es AtivoGaty: Fxpoi+Cirsrj tpC4r+d and aeon air parficulote mollar tenlers Extreme Heal Eidfrlrrw h*Ot dnd coif eYents ary codi.Q 6; tlorr`ir Mftvs�i►e 0.0h cI ♦ }riot* rIIMQ enk pr�ojonged, and CrrQates rwrnar, A$Wth rrslri fair! tIIn lw Nah,* Arm and and Cold dam iie crone caw akQIffish Advoeagr: Wr,;Mwo F4 Wok" s evsatlat 10 [ro IiL•rna cad thlril eft • WMkBhbpr, Corrif;icahnp ns lirir re: Disrupted Food More wimme lenmetakites and DisWted Iood%nk&m could burden AtfvocaCy Su daft for un,.V Omrra la changes In Ulasprsol weatrEer notletrls IaGof ftrrtm and wOrsr3rr tocYd ksiaCYfliy smia" and package soccay. urowri faces: Systems and pruwirYq ygrzClr14 s� alfora tswDana ci=gna • Gammsrrdcarfan eompalprr Promisfir+q Womwr temperatures. and cariler Lass snowpock In itm Olympic av, lilO.7llily and access sa housenoki water ess Snowpack 6kL spring moll leaping to hg{ r spring Mo�ntains meoris less wafer Ing lamb rn><a and lower summer river flaws ovoiloblily in she region opovWalae-wrw slnla� "2trie"I Advor+oW Suppo habitat re3laraf Wn one nolu t or -green" IrilrosM4two prglbth. hScrc IF00upW of intense rdinlab old Carl t4usa ero5ron. domoge berm: + Workshops r_ xvnl-Nty reWuer-Lc ana Heavy Rain and sform events, and eAnier Slam( moll (as}:35. Iewdrs orsa.ter.hc systernL r='CterP-tns UgoprilI how risk. $etsSrC + Rivet Flooding Of gno'NpaC► waler SVi7i'iife S, buodo)gS. •Ind w IT'It- hablfals m,C Ienanre Adyckoc'r W0N14vj tpreshxe i rrr ra=MOt �ntr a'fdsrs: tksC:3n+q V.nd ere�i i'orsGQrirL Rising Sea levels lncrenvng gubak femperaluies ana Can floort coWal homes ana wo*zhops COrrsmvrstr rtl+vrKe old and Coastal ice melting oking wdh mtxe frequent at inlerrSe r: n•vD, cOmmunr1i4S, vsCMorse WOW po'$Vlior' f,r-nc oflnn:l f►ycxs tnk AdvoeaCy Svpport effCLTI lot UAIOAabsr Hooding ldfl artd Ikocct�ng 6+Y•nf5 ing Yents arssi darnaQe wildWe t'iabitsrls • ]t}nlClurC 1+J r:404(•t1 rifnEratsc V. _ rwrnrrOOl and eC"ll0MI Degraded Water rnrrer7s no Secs surface rCnSpCrotvre; 11C d+flCa}ices tsnsl wciirsaer wafer rsarrr,s • CommVnlc allen rampoly rt p_C re a14]tloi w JrC, s�iS'lj rino (.IionfjeS irs pnl$L: pp! I i7i kx i rind wildife and incleaw-s the ri* or w.00r AdvocaC sv r1 UT10,It IV ;5+010['I Irassl r Quality rurarr txlrn =Mn[ssses tar rarrrions [ titr.10.Utcesfor boltr V!crosellh Rn and NJ rrlisrr hearth These key climate change concepts may be referenced throughout the report. Mitigation Actions to lower the amount and rate of future climate change by reducing emissions of heat - trapping gases or removing greenhouse gases from the atmosphere.(1) Adaptation Actions that help reduce vulnerability to current or expected threats like weather extremes, sea -level rise, biodiversity loss, or food and water insecurity. Adaptation actions can reduce harmful effects or build on helpful opportunities. (1, 2) Climate Resilience The capacity of a community or environment to anticipate and manage climate impacts, minimize their damage, and recover and transform as needed after the initial shock.(2) Climate Justice Putting equity and human rights at the core of decision -making and action on climate change. Protection of the rights of certain groups, like children, older adults, low -wealth communities, and communities of color, that are less climate -resilient or face higher climate risks and therefore are more vulnerable to negative health effects of climate change.(2, 3) 11) Joy, AK., A.R. Crimmins, C.W. Avery, TA Dahl, R.S. Dodder, B.D. Homlington, A Lustig, K. Marvel, PA. M6ndez-Lazoro, M.S. Oster, A Terondo, ES. Weeks, and A. Zychermon, 2023: Ch. 1. Overview: Understanding risks, impacts, and responses. In: Fifth Notional Climate Assessment. Crimmins, A.R., C.W. Avery, O.R. Easterling, K.E. Kunkel, B.C. Stewart, and T.K. Moycock, Eds. U.S. Global Change Research Program, Washington, DC, USA hltos://doi.ora/ 10.7930/NCAS.2023.CH 1 (2) UNDP, The Climate Dictionary: An everyday guide to climate change (3) T. Brooks. Climate Change Justice. PS: Political Science d Politics. 2013;46:9.12 1,4 This projc6ct focusNd oil idontifyfng opporlunif i." to supporl populolions ni rf•k of n. galiv� hOalih impact: in tiie lace of cunLinl and future environmeriol It�reals, While man—q anoly%s tools @xisl to Nploi(� dcparlIAM, faced by dfferenf populolions r8aled io environmental Ihreal�, these loci; oflBn a=e r_enWs tracts as InL ullil of anNys?s vMicil is nol wnd sulled to undCe•tcnding rLral en•,"ir'onme�nls. Examples of these logs include: • the V1'oshinglon State Department of HeoPh*s fmdl Cser,isIL'" xs,iiir�s_vk;7 • The U.S. COW'C7 on Environmental Qunlil•fs Cfn;lCrl,•+ ❑nd €conomi<lusllce Screenino Tool Due to Jefferson Ccuni;"s Iafge geograpl•tic area and rela!fs'S�j stroll popuialion sizes, Ihcs^_^ Iccls can overlook nuohce•s ribt4JeWi diffeienl c3filrnwiitiAs v,Hn the some- census Tract, Differeni lovers in the some census had often hmle vos!I/ diflrbrenl woosuies to enRrenmentol 11'ri-ols and diffetenl doily experiences v?Herr it comes to housing silualior.s, incorr,e levels, and access to ailicol svVices 4h grocer-/ storL^s, pl�arrnacic5, rneadtical core, and emurp@ricy Se Nlcuc. Indigenous peoples have lived in the region now known as Jefferson County since time immemorial. The Olympic Peninsula is located on the ancestral homelands of many tribes, some federally recognized and others not, These tribes include the Chemakum, Makah, Quileute, Hoh, Quinaull, Queets, Jamestown S`Klallom, Port Gamble S'Klollam, Lower Elwha Klallom, Skokomish, Suquamish and Squoxin Island tribes,(]) f,scp shou-ing many of the Irit9As in the Of;•mpic P@nii'isula nf40i0n,(2) 111U30Arerer+Serrce.trtaM r igm.h!lprl.•r rw.lLnCapoWitmnlN�M1pil pfWn4+rr r(ie14 on M N:dl,k Coro D61I 0. 2024.1 rlpumall,u Imr. tat NO- Land bOmrs dxiomr wwf'- L1404" Lord iVld hwx !ha- rG 09 - of d w+Go�- rgrgeL lbw rc is ono then �ctw, . T1v Rw v 6*-0 OoWrwlt.. rlarrwd LN the Carla NMOM G hpageh y 4'0r n to kxkm�3kero.+'. JJ Wkw (Kd M4. %%� it dH Mt dun IP Ie[ne:e,i1 onkmy- a Ipid 60�1-tl011K" Gathering Data • SME Interviews and Desk Review Quantitative Data Community Pap Up Survey The community survey had 117 respondents from across East Jefferson County. 30 25 20 15 c, �``°; �o� 4 -�5 �{a er0 East Jefferson County's Unique Environment �� rs p,,. e p Food Systems i1 1 Air Quality So" bd sari Croon "*.Mied ma bad pmcducts Hsalth • Social }f by bMMVd l.nd — `f _ sm "dryslrom Irlldims iw / Services MO.. n hotw bad baeturlq. / ^' MoM babd InPat morKh I -. Tarweand RarMW Prwldw shms;s. Pohl WOrlmlaces In DrinId"S Mwwiwmrlr Cra1u[hd Water vMh cu loor an -00 IleiM burr 11eYant an crow pd Mew hom S. Caunly rMrS used M ZWW Pon Toi — •. �E jlfl Marine Natural Resource HabMtats MwH Groan ncrexon rid .dM4 Sanitation LANad Srww j Idrawrunva BKWW ho"poK W. [ails upuc rn� Housing ®� ' dwWmp Nr r.'1 tows 6wh V, �(�-- rtoedVU— I L �. FnvirenmAntai Threats Social Vulnerability refers to the demographic factors - such as poverty, lack of access to transportation, and crowded housing - that adversely affect communities that encounter hazards and other community level stressors In the map, a higher rating (indicated by the darker colors) mean that population is more vulnerable Eve p -I C Map showing the Social Vulnerability index ratings in Jefferson County Source; Washington Tracking Network Community Survey Of the 117 survey respondents: nnU7 are concerned about at least one of these /� key environmental threats right now are concerned about at least one of these O key environmental threats in the future TJ talk with their family and community /� members about "climate change" 7o are either "very interested" or "somewhat / interested" in attending at least one educational event or training to support adaptations to these key environmental threats Top Three Community Concerns about Environmental Threats Current J Future Wildfires, smoky days, and bad air quality Hotter and drier summers Disruptions to crops and available food Less snowpock in Olympic Mountains Sea level rising Heavy rain and river flooding Contaminated water in rivers and the Puget Sound 65% 52% 39% - 4D% 23% 130% &44% 47% 18% 21% 19% 19% 42% F&L— 36% 0% 20% 40% 60% 80% 100% The graph above shows a summary of community survey responses to two questions: • "Thinking about your neighborhood Light now, which of these threats are you most concerned about? Please choose up to three." • "Thinking about your neighborhood in 2030-years. which of these threats are you most concerned about? Please choose up to three." Across all respondents: Port Townsend Tri-Area talk with their family and 60% community members Marrowstone Island about "climate change" Quilcene Brinnon ® No 0 Yes 0% 20% 40% 60% 80% 100% -1'- Summary of community survey responses to the question: "Do you ever discuss the concept of'climate change' with your family or other people in your community? What kinds 14 of things do you talk about?" "We see and feel the warmer weather, and not sure what we con do about it. We try to recycle and be conscientious about water use, protect what we have. We live very simply." - Marrew3fone Island "Seems inevitable and too big to tackle, but we have emergency plans, long term in place including hypertocal food production and ` local fire prevention." 4 - Ouilcene "Yes, wildfires and the risk of Ding trapped by om" -Ovt cene \x "Yes... less rain, not enough housing, trees dying, hardly of snow and rivers drying up. Everyone is very worried!" -Brinnon Yes; how sad the situation is, sarcasm as a way of processing. How much impact will we be making if industries don't get any restriction. Industries are huge in creating pollution and emissions" -Port Townsend "Work. family and friends that share sentimenfs...heaf and wkMm srrwtce especialy, protections of dwelling% safety and resilience factors. Check on ekk* residents In neighborhood who hove fees means, check when it Is a hot day." - Port Townsend "All the time. We try to talk about available resources and problem solve what seems most immediate.' -&innon Of don't talc about it vAh kmT* I became Ry believe everyihir:g an the interrof lis true- YVe n vimble about N when there is extreme ` heat or cold." -TAAr" "No;1 don't talk to many "Not really; most people people. too many people somehow believe the with opposing poll icol narrative from social and Ideas." • mo nstream media" ar117Of -Ohikene -It doosri t exist" fort I&Affwrno "That it's not the red problem because it has been happening for millions of years and you cannot change it was put in motion for centuries.' -Mry on -The climate always changes, only a politician with an agenda would claim they could 'legislate the weather - .auks i IL PCor;, Al Qua!'` ,' C:'nd ��''� IId'Ires Extreme Heat and Cold �.. Disrupted Food Systems it Less Snowpack Heavy Rain c rnd Rive[ Floodif,c 40 .; , :. Rising Sea Levels and Coastal Flooding Degraded Water Quality M- Band on results from the survey, conversations with subject matter experts across the county and analysis of county -level data on key environmental and climate health Indicators, we developed a series of cross- cutting recommendations for JCPH. Conversations with community members highlight the importance, interest and receptivity to expanded community engagement activities related to addressing environmental threats across the region. We hope to use leamings from this project to build off the work already being done at JCPH, by advocating for additional resources and identifying opportunities for additional partnerships to make existing community engagement offerings accessible to more communifies across East Jefferson County. Approach • Build on a One Health approach to drnate change mitigation, recognizing that people, animals, and the environment are a I connected and rely on each other. • Seek opportunities to allow natura ecological change that improves chmote resiliency and community health. Partnerships • Buid stronger partnerships between JCPH and Tubes and collaborativety identify meaningful opportunities to support mitigation and adaptation strategies. • Expand on existing partnerships between JCPH and local community organizations to joinHy brig programs and educational materials to community members through existing events and gatherings_ Community Engagement ■ Imp ement a ca endar of community engagement activities to address priority focus areas re ated to climate change and environmental threats identified in the assessment. Focus on populations and geographic areas that may be at higher risk of exposure to threats and individucis who may have more invited resources to adapt. c Gt*ck wins: Over the next 6 months to year, identify opportunities to leverage available funding to enhance JCPH's existing efforts to strengthen community preparedness and engagement around environmental threats by expanding co loborations with local partners who have strong community presence. o Major projects: Over the next 3 years, identity funding sources to expand programming and increase service provision related to climate change adaptation and resilience for priority topics. Toni Pokorny Natural Resources Program Coordinator, Environmental Pubic Hedth Kees Kan • founder. Climate Action Committee; Hospital District Board. Jefferson Health Core Cindy Jayne Vice Choir, C imafe Action Committee, Member. loco 2M Mike Dawson water Quality MorxWr, Environmental Public Health Pinky Mngo Director, Environmental Health 3 water Ouaity, Environmental Pubic Health Lora Goosiond•Tatro - Environmental Health Soeciaist II. Environmental Public Health Louto Tucker • Emviormental Health Speoaist 11. Environmental PutAc Health; County RepreseNative, Climate Action Committee Brent Butler - Chief Strategy Officer. Comrnvnity DevelopmeW (DCD) Lora Cittodin Public Health Nurse 1, Coffwn pity Health Amanda ChronoHerson Grants Adminisholor, Jefferson Cax+ty. former Envvonmonrd Hea0h Specialist. Envircrenentai Public Health Emma Erickson Environmental Health Soeciakst 11. Environmental Public Health Commissioner Heidi Eisenhovrr - District 2 Covnty Commissioner Shelby Smith - Board of Directors. Conwwu ity wellness Project Crystie Kislcr - Board of Directors. Community wellness Project, Five Riser Farm b Ciderv, Chrnocum Vabey Gra"eery Amanda Grace Good Man Inc_ Board of Health Community Member Cint Cole - Ouicene National Fah Hatchery, U.S. Fish and Wildlife Service Chrc Llewefyn - Owner, Serendoily Farm Rocrel Covoutt - Manager, Red Dog Form Notaia Dwon - Outreach Cu-.-. .,jfof, JCIR Dashboard Demonstration Jefferson County Board of Health VI. Agenda Planning �ee.&son Public H July 17, 2025 Jefferson County Board of Health Announcements Public H July 17, 2025 Fi� Public H