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HomeMy WebLinkAbout2001-August File Copy Jefferson County Board of Health Agenda • Minutes August 16 , 2001 411 JEFFERSON COUNTY BOARD OF HEALTH Thursday, August 16, 2001 2:30 PM—3:30 PM Jefferson General Hospital Auditorium AGENDA I. Approval of Agenda II. Approval of Minutes of Meeting of July 19, 2001 III. Public Comments IV. Old Business and Informational Items 1. Provisional Certification Onsite Sewage 0 & M Specialists: Discussion of expedited rule • changes adopted 5/17/01 Larry/Tom (15 min) 2. Draft Policy Pertaining to Building Permit Repair Larry (15 min) V. New Business 1. Joint Resolution — Seawater Intrusion Monitoring Larry/Dave (15 min) VI. Agenda Planning 1. Future Agenda Topics VII. Adjourn (Joint Board Meeting follows immediately after BOH meeting) Next Board of Health Meeting: September 20, 2001, 2:30 —4:30 PM Jefferson County Health and Human Services Conference Room • JOINT BOARD MEETING Jefferson General Hospital District Board of Commissioners Jefferson County Board of Health Thursday August 16, 2001 3:30 PM—4:30 PM Jefferson General Hospital Auditorium Draft Agenda I. Approval of Agenda II. "Next Steps" Options for the Joint Board re: Health Care Access in E. Jefferson County Vic/Tom III. Joint Board Discussion 1. Health Care Access Improvement Options 2. Summit II ? • V. Adjourn O • JEFFERSON COUNTY BOARD OF HEALTH MINUTES Thursday,July 19, 2001 Board Member:: Staff1lember:: Dan Titterness, ,llemher- Counr' Commissioner District#1 Jean Baldwin. Nursing Services Director Glen Huntingford Member- County Commissioner District#2 Lam,Fay,Environmental Health Director Richard Wort,Member- County Commissioner District#3 Thomas Locke,MD, Health Officer Geot re,Math,Member-Port Townsend Citi Council Jill Buhler. Chairman -Hospital Commissioner District#2 DR Sheila Westerman, Vice Chairman - Citizen at Large (Ci)) Roberta Frissell-Citizen at Large (County) �� Chairman Buhler called the meeting to order at 2:30 p.m. All Board and Staff members were present. Member Masci moved to approve the agenda. Commissioner Huntingford seconded the motion, which carried by a unanimous vote. • APPROVAL OF MINUTES Member Masci moved to approve the minutes of June 21, 2001. Commissioner Huntingford seconded the motion, which carried by a unanimous vote. OLD BUSINESS Consumer Reports and WSMA Reports Articles on Vaccine Safety: This information was provided as a prelude to a follow-up study the Department of Health will conduct in October on school immunization exemption rates. Jefferson County has one of the highest exemption rates in the state at 8.9%. While it is believed this percentage can be improved, it is not expected to reach the statewide average of 3%. Dr. Tom Locke noted that in addition to efforts in the schools, nurses from the Health Department have provided information on a case-by-case basis. He also noted that there is currently an outbreak of pertussis (whooping cough). Member Frissell suggested that Dr. Locke rerun last year's Leader article on vaccinations before the school year begins. •Commissioner Huntingford asked what recourse parents of vaccinated children have against those kids without vaccinations who are nonetheless attending school. Dr. Locke said there is no recourse. Although it is often after the fact, once an outbreak reaches the school, unvaccinated kids are sent home. He said there are states that do not have an exemption; if you are not vaccinated, you are not allowed in HEALTH BOARD MINU fES - July 19, 2001 Page: 2 school. There is no vaccine that is 100% effective. His greatest concern is that parents make the decision • to sign exemptions based on misinformation. When asked about communication with home schools and how their compliance is tracked, Jean Baldwin said several contacts are made with home school parents through several groups. There is a statewide tracking system — Child Health Tracking—not funded by the legislature this year but will be funded by the Department of Health. While 50% of the records have been entered into the database, none of those records are currently available. Vice Chairman Westerman asked if there is communication with alternative care providers. Jean Baldwin said there is a lot of contact and information through events such as the recent Fact Night on pertussis. Senator Maria Cantwell Visit: The Department learned yesterday that Senator Cantwell is interested in meeting with the Board and others about health access problems. She will be at the Health Department at 4:00 on Saturday NEW BUSINESS Adult Diphtheria-Tetanus Vaccine Shortage—Jefferson County Response Plan: Dr. Locke reported that there will likely be a delay and shortage of flu vaccine again this year. The adolescent and adult • form of diphtheria/tetanus vaccine is also in short supply nationwide. The routine vaccination, which is recommended for all adults every ten years,will be inadequate to cover the U.S. population. Only one of two suppliers remains and it has decided to prioritize available stores and distribute only to emergency rooms and county health departments (at a rate of 30 vaccinations per month). Among the four priority groups—those traveling to counties having diphtheria outbreaks, those needing to complete their three dose series, pregnant women to prevent tetanus of the newborn, and management of tetanus-prone wounds and injuries— it is the last that is the biggest challenge. Vaccinations will be sold to local practitioners at cost, with the request that they restrict use to the four priority categories. The local goal is to have minimal disruptions of care patterns while not wasting vaccine. Community Indicators Workgroup Presentation: Jean Baldwin reported that the Data Steering Committee, working with Dr. Chris Hale, has been looking at Jefferson County health indicators. This group will identify issues and provide guidance on a data decision-making mechanism. Because $25,000 of the funding for this project was provided by the City for the law and justice study, there will be deliverables due to the City in two years. With the data that has been delivered to date, Members Masci and Frissell outlined the following issues that are beginning to surface and that we should stress in our outlook: economic development/housing/poverty, seniors, law and justice, substance abuse, policy/prevention, and mental health. Member Frissell said she finds it interesting, from the data received so far, that some of the assumptions made by different agencies are not correct. While some fascinating preliminary data exists, it is still raw data. Member Masci stressed that since the data has yet to be processed it should be used • cautiously. HEALTH BOARD MINUTES - July 19. 2001 Page: 3 • Dr. Hale talked about the unique demographics of the County. While the population has doubled in 20 years. births have remained constant. Despite the fact that the number of women in their oldest childbearing years (40s) has doubled. Jefferson County's fertility rate has not reached 2.1 since the early to mid 1990s. The County is aging rapidly not only because the total fertility rate is low, but because of an immigration of people 65 and older, with the most rapidly growing segment being 85 and older. She stressed that the 85+ group also consumes the largest share of healthcare resources. Dr. Hale then reviewed Jefferson County data compared to other area counties and to the State. Because Clallam and Jefferson have similar demographics and needs, they have agreed to share the staff resources of Hillary Whatcom for routine data analysis and updating. Regional issues that are surfacing are the rapid aging of the population and children born to older women are likely to be poor and suffer from a number of other disadvantages. She noted that this includes only civilian figures, not military data. Some 600 Jefferson County residents will complete the Behavioral Risk Factor Surveillance System (BRFSS) survey to help identify health risks of people who have been here a long-time versus those who have arrived in the past five years. She noted that because over half the births Jefferson County women are reimbursed out of the Medicaid Insurance system and many are on welfare. Jefferson County families are going to be disproportionately impacted by the implementation of welfare cuts. As this data is reviewed, the issues that remain on the table are persistent poverty, especially in families, and the large senior population. These two groups have very different demands for the use of public dollars. • Substance abuse (tobacco and alcohol) and suicide data are also running above State averages. There was significant Board discussion about mental health, poverty, and employment as factors in suicide rates. Dr. Hale said while there may not be able to be much gain in the biological health indicators, there is room for improvement on quality of life issues. Because of the unique age distributions, there are rich opportunities for putting together programs that work across generations and communities. Final BRFSS data will be ready to analyze at the end of January. It was suggested that a BRFSS update be listed on the Board of Health's October agenda. Policy Discussion—Required Connection to Community Sewer Systems: Larry Fay explained that this issue was triggered by an application for a subdivision in Port Ludlow. While the lots were large enough to support a septic system, the question is whether to require a connection to sewer service when it is available. When conditions were originally placed on these plats, the clear intention was that they would be connected to the sewer when service became available, but there was no formalized condition in the approval. Clear direction will be needed if these decisions come up in the future and he asked for input from the Board. He recognized that any time you consider a lot in isolation sewer service is expensive. However, every time a septic permit is issued, it creates one more obstacle to expanding sewer lines. The question is how to provide incentives for the community to pool its resources and develop the necessary infrastructure. He indicated that minimum land area requirements say that if sewer service is available, a waiver will not be issued. There is no utility policy that encourages people to make • the extensions. Chairman Buhler asked who would determine the practical distance to the sewer line under which a HEALTH BOARD MINUTES - July 19, 2001 Page: 4 connection would be required? • Vice Chairman Westerman questioned the County's role in what seems to be the job of the developer. "Available" service could actually be 300 feet away. She believes the Board could pick a fixed number rather than stating a range (e.g. 200-500 feet). She asked why the City's policy on this matter is not clear to the County? Commissioner Huntingford said if the line is within 100 feet but there are five-acre tracts on an elevation, he does not believe it is the intention to put them on sewer. He suggested that a countywide sewer or septic plan that the County and PUD are discussing might be an appropriate place to address this problem. Larry Fay said he is interested in initiating this discussion and its ties to planning policies. He will be reviewing any existing models or policies that at a minimum do not interfere with the desire to extend sewer lines. He questions how the County, through the utility, can get into a community process to create utility districts that allow them to access funding to finance the sewer extensions? Vice Chairman Westerman believes this is more a planning than public health issue. The utility provider appears to be willing to spend the necessary money to run the sewer lines. Commissioner Titterness said he believes the Comprehensive Plan says if sewers are available you will • connect. Commissioner Wojt said that, as a Urban Growth Area, Port Ludlow needs to provide the infrastructure to deal with sewer and water. The question for the Board of Health is whether they have the sewer available to them. The community itself has to answer questions about economic accessibility. Commissioner Huntingford believes it may be a land use issue. He agreed to take the issue back to the Port Ludlow Village Council to see if they want to seek a solution through the utility provider. Member Masci said the confusion with the City is that they are discussing the idea of a sewer levy to extend the lines. If enacted, people will be required to hook up because the City already has such an ordinance. Member Frissell said it is important for the Board of Health to make a commitment to sewers whenever possible. Perhaps a developer could be expected to bring the sewer distances greater than 200 feet from the existing line and factor the cost into the lots. In response to a question, Larry Fay explained that State law says that if a property within 200 feet of sewer service has a failed septic system it is required to connect to the line. Chairman Buhler said there are other factors involved in whether it is cost effective to put in a sewer outlet, such as elevation. She would not like to see an arbitrary 200-foot limit established without having • an appellate process in place. HEALTH BOARD MINUTES - July 19. 2001 Page: • Larry Fav said any time you have existing lots, densities, and marginal soil conditions sewers are desirable. Our policies should not create a disincentive. The County is getting increased pressure from people who want permission to build on lots that fall short of septic size requirements because they cannot afford sewer extensions. Commissioner Titterness commented that while it is to some degree a disincentive to allow a septic system to go in, it is not as large a disincentive as one might think recognizing the value of a Step system. Larry Fay responded that as a utility, Port Ludlow is not interested in a Step system. He agreed to place this item on the agenda next month after there has been a chance to collect more information. He understands that the County's minimum land area policy stands. Policy Discussion—Building Permit Applications with Existing On-Site Sewage Systems: Larry Fay introduced this item to see if this approach is acceptable to the Board. If so. he will take more specific comments with respect to the language. The goal is to find some predictability for staff and the public when processing a building permit. He believes the general policy statement being made is that if you have an existing, permitted on-site sewage system, it is highly unlikely you are going to be denied a building permit over sewage issues. Furthermore, the decisions made with respect to compliance are based on critical features in the installation of systems that protect public health. He agreed with • Commissioner Titterness that generally, a system does not exist that could not be enhanced to perform up to standard. Member Westerman suggested that "public health" be replaced with "public and environmental health." Member Masci asked about the Board's action to allow independent inspectors thereby eliminating delays in environmental health inspections? He believes the realty industry and homeowners continue to be confused about this issue. He suggested that a letter be sent immediately to the Realtors explaining the process and timeline. He also suggested that a sentence be added under the General Policy Statement specifying either Environmental Health, a licensed septic system designer or a registered professional engineer. Larry Fay agreed to make this change. He will meet next week with several independent contractors interested in being licensed inspectors. The program and training criteria are being established. Starting in August, it is expected that there will be at least two people authorized to do the inspection. The uncertainty relates to what that statement in the regulations means and how extensive an evaluation is required. Commissioner Huntingford expressed his continued concern that there is little evidence of a threat to public health from systems that may not meet current code but which met the code when installed. Even though a renovation such as a new roof may not affect the septic system, it may entail an upgrade to their septic system, marking out a reserve area, and waiting ten weeks for approval. If an upgrade is • unrelated to public health threat why should it be required? Member Masci said the County needs to get more information about Smart Coding. HEALTH BOARD MINUTES - July 19. 2001 Page: 6 • AGENDA CALENDAR / ADJOURN 2001 AGENDA ITEMS 1. CONTINUED STABLE FUNDING TO REPLACE MVET 2. ACCESS HEALTH CARE 3. PROGRAM MEASURES (Genetic Research and Public Health Implications) 4. METHAMPHETAMINE SUMMIT 5. PERFORMANCE STANDARDS & COMMUNITY ASSESSMENT 6. TOBACCO PREVENTION AND COALITION 7. FLUORIDE 8. TRANSIT AND PUBLIC HOUSING 9. BIOTERRORISM READINESS & PLAN 10. AGING POPULATION 11. WATER 12. MATERNAL CHILD PREVENTION GOALS (0-3) The meeting adjourned at 4:35 p.m. The next meeting will be held on Thursday, August 16, 2001 at 2:30 p.m. at the Jefferson General Hospital Conference Room. • JEFFERSON COUNTY BOARD OF HEALTH Jill Buhler, Chairman Geoffrey Masci, Member Sheila Westerman, Vice-Chairman Richard Wojt, Member Glen Huntingford, Member Roberta Frissell, Member Dan Titterness, Member • • Board of Health Old Business Agenda Item # IV. , 1 • Provisional Certification Onsite Sewage O&M Specialists August 16 , 2001 • Dear Honorable Geoffrey Masci • These are the initial changes that I feel are needed in the Jeffco Ord. 08-0921-00, 8.15 ON-SITE SEWAGE CODE, adopted September 21,2000. I will list the changes and give a brief overview on facts and my opinion. 1- Section 8.15.150(6)(c)- DELETE-"Existing Conventional" ADD-Owners of all"On-site Sewage Systems"(conventional and alternative systems),and proprietary systems after manufacturers training requirements(Glendon, Whitewater systems). This is really what had been proposed and passed at the June Health Board Meeting. Obviously Larry Fay changed the wording the mean"Conventional"systems only. So he needs to be told to do what he was originally told to do in the first place. This would not require any further discussion or vote. Better yet, look at the originally adopted ordinance and it included new OSS systems, including alternative systems.Larry took this as an opportunity to even delete this section. 2- Section 8.15.140(4)(b)- ADD-(V)Excavate for purposes of affixing sweeping 45 degree angle lateral ends and removable end Caps on manifolds and lateral lines,for purposes of maintenance, such as flushing,jetting and brushing. Section 8.15.140(4)(c)(1V) ADD-Except as stated in 8.15.140(4)(b)(V) Adding this language will allow O&M licenses to install"clean out"ends on laterals. This is done to clean • the plastic pipe and orifices from plugging. Larry said he felt this was needed for maintenance purposes. Makes sense, if you can't get to it you can't maintain it. The question of affects on the functionality from design is not really a valid question because designers are now adding these ends to their systems for purposes of cleaning and maintaining the system. JEFFERSON COUNTY BOARD OF HEALTH • MINUTES bR441 DIRaiThursday, May 17, 2001 Pr Board Member_:: Stnf'Memberr: Dan Titterness. Alember- County Commissioner District#1 Jean avail/in. Nursing Service:Director Gies, Huntingjora. Member- County Commissioner District #2 Lars,'Fa-,Environmental Health Director Richard [Foy:.Member- County Commissioner District#3 Thomas Locke.MD. Maaith Officer Geoljrev Masci.Member-Port Townsend Ciy Council Jill Bubier, Chairman - Hospital Commissioner District m2 Sheila IFesterman, Lice Chairman - Cititien at Large (City) Roberta Frissell- Cititien at Large (Count; Chairman Buhler called the meeting to order at 2:30 p.m. All Board and Staff members were present, with the exception of Jean Baldwin. Member Frissell asked for an update on the Linda Sexton case. arry Fay responded that there is no update on the Linda Sexton matter. Municipal Research Services � continues to investigate the feasibility of a uniform compliance procedure that applies to all rules and regulations adopted in the County. Member Masci moved to approve the agenda. Vice Chairman Westerman seconded the motion, which carried by a unanimous vote. APPROVAL OF MINUTES Member Masci moved to approve the minutes of the March 13, 2001 meeting. Member Frissell seconded the motion, which carried by a unanimous vote. Member Masci moved to approve the minutes of the April 19, 2001 meeting. Member Frissell seconded the motion, which carried by a unanimous vote. PUBLIC COMMENTS - None OLD BUSINESS Wn-site Sewage: As directed by the Board at the last meeting, Larry Fay reported that Staff amended ection 8.15.140(12), changing "may" to "shall." Even though the meeting about the expedited rule process was published in the newspaper, no public comments were received. HEALTH BOARD MINU i'hS - May 17, 2001 Page: 2 Member Masci moved to approve new sections 8.15.140(12) and 8.15.150(6)c with an effective date 4110 of May 26. 2001. Commissioner Wojt seconded the motion. During discussion of the motion, Chairman Buhler asked if Operation and Maintenance (O&M) is defined earlier in the Code and noted a typographical error in Section 8.15.150(6)c—the word "specialists" should be "specialist." The motion carried by a unanimous vote. Crawford Correspondence: Larry Fay reviewed the material included in the agenda packet regarding a Jefferson County resident's concerns about their neighbor's slow compliance to a septic system complaint. When asked whether there is a penalty for installing a system without a permit, Larry Fay said the systems often predate the permitting process. He noted that there are some confirmed violations that need to be corrected by this particular property owner and that a re-inspection for these should soon surface in the Department's tickler file. NEW BUSINESS Public Health Threats and Emergencies Act of 2000: Dr. Tom Locke briefed the Board on Federal legislation initially driven by America's lack of preparedness for even a minor bio-terrorist incident. The Frist-Kennedy Bill, which began as the Public Health Threats and Emergencies Act of 2000, ended up being called The Public Health Improvement Act of 2000. The bill would define and provide substantial federal funding to build a set of"reasonable capacities" in public health systems throughout the country. The bill acknowledges study findings that there are major deficiencies at the local level and that a Federal commitment to fund local systems to respond to significant public health threats is needed. He believes that planning and implementation will occur fairly rapidly. Chairman Buhler asked whether the Hospital Commission would collaborate on developing a local strategy and how the oversight of this legislation would occur? Dr. Locke responded that because the local responsibility will fall to agencies with the most capacity, oversight will vary among communities. Local jurisdictions may decide how best to spend available funds and he believes a minimum set of response capabilities will be defined. Also under development are airlift-ready container laboratories with which to distribute needed drugs and equipment. Member Frissell suggested that this topic be discussed at the Statewide Local Board of Health workshop. Commissioner Wojt said he believes this issue relates to access to care; a disease or outbreak could occur and not be immediately recognized if spread among citizens who are not regularly seen by doctors. Dr. Locke agreed this could be a bioterrorist strategy. He referred to bioterrorist scenarios played out in several cities to measure their response times. Vice Chairman Westerman asked for a better understanding of the distribution of funding. ; • DRAFT ��.r... c'�s flaL � Si7 / n 410 New Section 8.15.140(12) Provisional Monitoring Certificate Until such time as the Department has developed a valid Operations and Monitoring Examination, or equivalent examination options are available,the Department shall issue Provisional Monitoring Certificates. Individuals receiving Provisional Monitoring Certificates must meet all the requirements established for a Monitoring Specialist Certificate except that they need not have taken and passed a written examination. Holders of a Provisional Certificate are subject to all authorities and limitations of a Monitoring Specialist Certificate, including payment of fees, scope of practice,reporting,continuing education,bonding and insurance. A Provisional Certificate holder must take and pass the approved operations and monitoring written examination within 180 days of the exam becoming available. Provisional Certificate holders receiving a passing score on the examination will receive a Monitoring Specialist Certificate.Provisional Certificate holders not receiving a passing score on the examination will have their certificates revoked and no longer be authorized to conduct operations and monitoring inspections. • New Section 8.15.150(6)c Owners of existing conventional onsite sewage systems may obtain operations and monitoring inspections from a Certified Monitoring Specialists in lieu of the Health Division, Licensed Designer or licensed professional engineer for the following inspection: (i) Routine O&M (ii) The sale or transfer of a property (iii) The application for a building permit that is not classified as an expansion. (note: subsections c and d of the current rule become d and e) OSS o4-G! c- 4c-LO� t-eGt 'i ( Lt ( ot 4 . -14- (c) Multiple Requirements. If the manufacturer, patent holder, state, Health Division, and any other relevant body have differing recommendations or requirements for inspection and maintenance intervals for an OSS or any component of the OSS, then the owner shall follow the most frequent service interval. (6) Operations and Monitoring Agreement and Contracts. (a) The owner of a conventional OSS shall be subject to a permit condition requiring compliance with the inspection schedule specified in Table 1 beginning with the earliest of the following events: (I) The installation of an OSS. (ii) The repair of an OSS. (iii) The alteration of an OSS. (b) Owners of existing conventional systems shall obtain an initial inspection by the Health Division, Licensed Designer or licensed professional engineer and comply with the inspection schedule specified in TABLE 1 beginning with the earliest of the following events: (i) The sale of the property. (ii) The application for a building permit on the site. (iii) The use of an OSS as a community OSS. (iv) Identification that an OSS is in an Area of Special Concern as designated by the JCBOH. (v) Identification that a system has received a WaiverNariance from State or Local Code. (c) Owners of existing and new OSS generating waste water of greater than residential strength, including food service establishments shall be inspected annually by an approved monitoring entity. (d) Owners of existing and new alternative systems shall enter into a contract with an agency or entity approved by the Health Division for Monitoring of the OSS. Inspection frequency shall be completed consistent with Table 1. (7) Operation and Monitoring Requirements. (a) On-site Sewage Systems in Jefferson County shall be inspected and maintained as set forth in TABLE 1 JCC 8.15 by an approved monitoring entity that meets the standards set forth in 8.15.140. (b) Access Required. The owner of the system shall provide access to the system for inspection and maintenance/monitoring as follows: (i) Septic tank. Septic tanks shall be fitted with a pumping access risers to the ground surface over both compartments and over the outlet baffle, EXCEPT, as set forth in 8.15.090 (4). The risers shall have a means to lock or secure the lid against tampering and accidental access. (ii) Pump Chamber. Pump chambers shall have a riser to ground surface over the pump. The riser shall have a means to lock or secure the lid against tampering and accidental access. (iii) Proprietary Devices and Disinfection Equipment. Access shall be provided as determined by the manufacturer or patent holder and shall include access to ground surface for effluent sample collection, observation and inspection of the unit. (c) Fees for inspections and contracts shall be set by the service provider. (8) Inspection Report. The inspection report shall be submitted to the Health Division on Jefferson County Health and Human Services forms. The inspection report form shall be completed in full for an inspection to be considered valid. • Board of Health Old Business Agenda Item # IV. , 2 • Draft Policy Building Permit Repair August 16 , 2001 • • JEFFERSON COUNTY HEALTH AND HUMAN SERVICES ENVIRONMENTAL HEALTH DIVISION POLICY STATEMENT PROGRAM — On-site Sewage Disposal SUBJECT — Review of Building Permit Applications Effective this date the following procedure shall be adopted concerning review of building permit applications on properties where there is an existing onsite sewage system. PURPOSE Applications for building permits for properties served by on-site sewage systems shall be approved only when the on-site sewage system has adequate hydraulic and treatment capacity to accommodate the proposed construction and an adequate repair area is available. APPLICABILITY This policy applies to building permit applications for new structures that contain plumbing; alterations or remodels to existing structures that contain plumbing; and structures not containing plumbing when the placement of that structure may interfere with the performance of an existing onsite system or the ability to replace the existing system. GENERAL POLICY STATEMENT It is the policy of the Jefferson County Board of Health that all existing onsite sewage systems will be evaluated to determine whether the system has been installed with adequate vertical and horizontal separation, sufficient hydraulic capacity and reserve area to support the proposed development without compromising the public health or water quality standards before approval of building permits for new or replacement structures. Whenever feasible, the evaluation will be based on information obtained from permit records. However, when permit records provide insufficient information, field evaluation may be required. Field evaluations may be conducted by environmental health employees, Washington licensed professional engineers, or licensed onsite sewage system designers. Determinations will balance the expectations and commitments implicit in the permit record with the degree to which use of a permitted system may compromise the public health. in all cases public health protection is the highest priority. • Draft Policy Review of Building Permit Applications page 1 of 2 It is further policy of the Board that properties that have an installed onsite • sewage system that was properly permitted by Jefferson County will not be denied a building permit based solely on the adequacy of the system. However, the Board reserves the right to require that the system be upgraded in order to meet the public health and water quality protection standards. The exception to this policy is the case where use of an onsite sewage system would violate state laws. SPECIFIC STANDARDS • Existing systems with more than 1 foot of vertical separation, adequate hydraulic capacity, horizontal separation and sufficient reserve area will be considered to be in compliance but will be placed on an annual inspection frequency. • Existing systems with more than one foot but less than two feet of vertical separation that do not meet horizontal separation to wells or surface water will be required to install pretreatment unit capable of meeting treatment standard 2. • Existing systems on marine shorelines will be required to meet standards specified in Table VI of the State Onsite Sewage System Regulations. • Existing systems on lots where there is not sufficient reserve area, but otherwise meet the vertical and horizontal separation requirements and have sufficient hydraulic capacity will be required to install pretreatment units capable of meeting treatment standard 2. EFFECTIVE DATE This policy shall become effective on the date of adoption and remain in effect until amended or repealed by action of the Jefferson County Board of Health. Health Officer Date Chairman of the Board of Health Date • Draft Policy Review of Building Permit Applications page 2 of 2 • JEFFERSON COUNTY HEALTH AND HUMAN SERVICES ENVIRONMENTAL HEALTH DIVISION POLICY STATEMENT PROGRAM — On-site Sewage Disposai SUBJECT — Review of Building Permit Applications Effective this date the following procedure shall be adopted concerning review of building permit applications on properties where there is an existing onsite sewage system. PURPOSE Applications for building permits for properties served by on-site sewage systems shall be approved only when the on-site sewage system has adequate hydraulic and treatment capacity to accommodate the proposed construction and an adequate repair area is available. APPLICABILITY • This policy applies to building permit applications for new structures that contain plumbing; alterations or remodels to existing structures that contain plumbing; and structures not containing plumbing when the placement of that structure may interfere with the performance of an existing onsite system or the ability to replace the existing system. GENERAL POLICY STATEMENT It is the policy of the Jefferson County Board of Health that all existing onsite sewage systems will be evaluated to determine whether the system has been installed with adequate vertical and horizontal separation, sufficient hydraulic capacity and reserve area to support the proposed development without compromising the public health or water quality standards before approval of building permits for new or replacement structures. Whenever feasible, the evaluation will be based on information obtained from permit records. However, when permit records provide insufficient information, field evaluation may be required. Determinations will balance the expectations and commitments implicit in the permit record with the degree to which use of a permitted system may compromise the public health. In all cases public health protection is the highest priority. • It is further policy of the Board that properties that have an installed onsite sewage system that was properly permitted by Jefferson County will not be Draft Policy Review of Building Permit Applications page 1 of 2 denied a building permit based solely on the adequacy of the system. However, • the Board reserves the right to require that the system be upgraded in order to meet the public health and water quality protection standards. The exception to this policy is the case where use of an onsite sewage system would violate state laws. SPECIFIC STANDARDS • Existing systems with more than 1 foot of vertical separation, adequate hydraulic capacity. horizontal separation and sufficient reserve area will be considered to be in compliance but will be placed on an annual inspection frequency. • Existing systems with more than one foot but less than two feet of vertical separation that do not meet horizontal separation to wells or surface water will be required to install pretreatment unit capable of meeting treatment standard 2. • Existing systems on marine shorelines will be required to meet standards specified in Table VI of the State Onsite Sewage System Regulations. • Existing systems on lots where there is not sufficient reserve area, but otherwise meet the vertical and horizontal separation requirements and have sufficient hydraulic capacity will be required to install pretreatment units capable of meeting treatment standard 2. • EFFECTIVE DATE This policy shall become effective on the date of adoption and remain in effect until amended or repealed by action of the Jefferson County Board of Health. • Health Officer Date Chairman of the Board of Health Date • Draft Policy Review of Building Permit Applications page 2 of 2 • JEFFERSON COUNTY HEALTH AND HUMAN SERVICES ENVIRONMENTAL HEALTH DIVISION POLICY STATEMENT PROGRAM — On-site Sewage Disposal SUBJECT — Review of Building Permit Applications Effective this date the following procedure shall be adopted concerning review of building permit applications on properties where there is an existing onsite sewage system. PURPOSE Applications for building permits for properties served by on-site sewage systems shall be approved only when the on-site sewage system has adequate hydraulic and treatment capacity to accommodate the proposed construction and an adequate repair area is available. APPLICABILITY • This policy applies to building permit applications for new structures that contain plumbing; alterations or remodels to existing structures that contain plumbing; and structures not containing plumbing when the placement of that structure may interfere with the performance of an existing onsite system or the ability to replace the existing system. I. Building permit applications shall include an accurate, to scale, record of the site. The record shall show locations of existing and proposed buildings, driveways, wells, water lines, surface water, significant land features (steep slopes, drainage swales, rock outcrops) as well as the location of septic system components and reserve/repair area. When the onsite sewage system has not been installed, the locations of components shall be shown as portrayed on the approved design. II. Where there is sufficient information contained within the onsite sewage system permit file to verify -hat the system has adequate hydraulic capacity- designated reserve, and --,dequate vertical separation, the building permit may be issued. Generally, this means any system that was permitted after July 1 , 1983, and received approval from Environmental Health to • cover or received a final inspection, will be considered to be valid, except, that Draft Policy Review of Building Permit Applications page 1 of — those sites that do not have a dedicated reserve area established will be required • to identify a reserve area that complies with the onsite code in effect at the time of the building permit application before a building permit will be issued. Ill. Where there is a record of a permit having been issued and the system received final approval or was given approval to cover by Environmental Health, but there is insufficient information in the file to verify vertical separation or horizontal setbacks, an assessment of the onsite sewage system shall be required. System assessment may be performed by the Environmental Health Division, a licensed Designer or Professional Engineer licensed in Washington. A. All system assessments shall be submitted - to Environmental Health, shall include the following information • , be submitted on forms approved by Environmental Health and submit fees for review. 1 . Location of the septic tank and pump chamber (if present). 2. Location of the distribution box or beginning of the drainfield/distribution system. 3. Length, width and depth of drainfield/distribution system. 4. Depth of usable soil to restrictive horizon (compaction or water table). 5. Soils information to assess a reserve/repair area. A minimum of two (2) soil logs shall be provided in the designated area. S 6. Location and source of drinking water supply. 7. Location of structures, surface waters and drainage ditches. B. Where the site inspection verifies -hat there is adequate hydraulic capacity- 2. Horizontal setbacks conform to those established in Table I, WAC 246- 272 and 3. There is sufficient area and soil for a conforming reserve area 4. A minimum of three feet of vertical separation . -the building permit may be issued. _ _ _. .t_ conditioned upon an annual monitoring inspection schedule. The The annual monitoring inspection shall include a winter water table determination Draft Policy Review of Building Permit Applications page 2 of — • (during - February) in addition to the standard monitoring schedule. Winter water table monitoring shall be conducted in the following manner: 1 . Install two (2) monitoring ports on the contour and in the vicinity of the drainfield system to a depth of three (3) feet below the bottom of the drainfield. 2. The owner shall enter into a monitoring contract with an approved monitoring entity to monitor the vertical separation of ground water to the bottom of the system. 3. The system shall be monitored annually during the month of January or February (the wet season) 4. A minimum of 12" of vertical separation shall be required. If a system does not have 12" of vertical separation repair/upgrade to the system shall be required within 2 years unless surfacing sewage is present in which case repair is required within 90 days. IV. Non-residential structures that contain no plumbing shall be reviewed as • follows: A. Lots of five acres or less —An accurate record shall be established of the site and the existing onsite sewage system components, and a reserve/repair area that complies with the code in effect at the time of the building permit application will be evaluated. Record of the site and existing system shall meet the standards of IIIA. 1 — 7. B. Lots greater than 5 acres where there is a permit on record and no critical areas or surface waters exist within 200' of the onsite sewage system area shall receive an administrative/office review of the plot plan submitted. If the plan indicates no interference with the system and a reserve area can be designated on the plot plan the building permit may be approved. A field inspection may be required if it is determined to be necessary, based on best professional judgement, to protect public health. C. Lots greater than 5 acres where there is no permit record on file, or there is a permit record on file, and critical areas or surface waters exist within 200' of the onsite sewage system area, shall provide an accurate record of the following: 1 . Location of the septic tank . 2. Location and source of drinking water 3. Identify a reserve/repair area as described in III.A. 5. Draft Policy Review of Building Permit Applications page 3 of — IV. These procedures shall not be used to assess : systems that were • installed since 1970 when an onsite sewage permit was required. These systems were installed in violation of state and local codes and shall meet all onsite sewage code requirements at the time of building permit application. V. Approval will not be granted for a building permit where a failure of the onsite sewage system is identified until an appropriate repair is permitted for the site. V. This policy shall become effective on the date of adoption and remain in effect until amended or repealed by action of the Jefferson County Board of Health. Health Officer Date Chairman of the Board of Health Date H:\env_health\linda\gd\onsiteord\building permit application review3 • • Draft Policy Review of Building Permit Applications page 4 of — Board of Health New Business Agenda Item # V. , 1 Joint Resolution Seawater Intrusion Monitoring August 16 , 2001 1 STATE OF WASHINGTON County of Jefferson • In the Matter of Developing a Jefferson County RESOLUTION NO. Countywide Seawater Intrusion Monitoring Program Jefferson County Board of Health RESOLUTION NO. Jefferson County PUD No. 1 RESOLUTION NO. WHEREAS, Jefferson County has an obligation with respect to preserving the quality and quantity of water available for its citizens; and, WHEREAS, Jefferson County is the land use authority in regulating land divisions, building of structures, and appurtenances, and has no specific taxing authority relating to water resource management other than reliance on its already-strapped general taxing powers; and, WHEREAS, the Jefferson County Board of Health has a regulatory role in assessing that water supplies are safe for protection of public health, and has limited authority to generate revenues related to water resource management and protection; and, WHEREAS, the Public Utility District has authority for developing and managing water systems, and has limited taxing authority for undertaking water resource management and • protection; and WHEREAS, neither Jefferson County nor the Public Utility District (PUD) No. 1 • of Jefferson County has the authority to issue water rights, condition water rights, or change state law or policy regarding water rights; and, WHEREAS, both Jefferson County and the PUD No. 1 of Jefferson County believe that addressing seawater intrusion policy requires technical advice from the State Department of Health, State Department of Ecology, and cooperation with public water systems; and, WHEREAS, both Jefferson County and the PUD No. 1 of Jefferson County, along with Washington Department of Ecology, Washington Department of Health, and other interested governments and stakeholders are, pursuant to Chapter 90.82 RCW, participants in the WRIA 17 Planning Unit process which implement that state statute; and, WHEREAS, both Jefferson County and the PUD No. 1 of Jefferson County realize that the water resource issues being addressed in the WRIA 17 Planning Unit should include seawater intrusion; and, WHEREAS, both Jefferson County and the PUD No. 1 of Jefferson County do and will support inclusion of policies to address seawater intrusion in the final WRIA 17 Watershed Plan; and, WHEREAS, until the WRIA 17 Watershed Plan is developed, there is a need for coordination among the various local and state agencies that can impact, directly or indirectly, water management issues. • NOW, THEREFORE, BE IT RESOLVED, by the parties to this resolution that: 1. The PUD No. 1 of Jefferson County will be the lead agency for the development of a seawater intrusion monitoring program of public water systems and for owners of other non-public water supplies that voluntarily participate in the program, provided that the Washington Department of Ecology and Washington Department of Health provide technical input for the appropriate policies, standards and protocols. The PUD will provide staff support to serve as the lead agency. 2. Jefferson County will assist the PUD by providing staff support to work cooperatively with the PUD for the development of a seawater intrusion monitoring program. Jefferson County will also utilize the data collected for inclusion of policy recommendations in the WRIA 16 and 17 Watershed Plans to implement R.W. 90.82. 3. Jefferson County will assist the PUD in working cooperatively with other local and state agencies, including Island County, Island County PUD, San Juan County, and other interested parties to assess the best available technical information and legal issues. BE IT FINALLY RESOLVED, that all signatories to this Joint Resolution acknowledge and confirm their awareness that one or all of these municipal corporations or statutorily mandated Boards have and will continue to have fiscal restraints on the scope and quantity of their contribution to this joint effort. APPROVED AND ADOPTED this day of 2001. • SEAL: JEFFERSON COUNTY BOARD OF COMMISSIONERS ATTEST: Glen Huntingford, Dan Titterness, Richard Wojt, Chair Member Member Lorna Delaney, CMC Clerk of the Board APPROVED AND ADOPTED this day of 2001. JEFFERSON COUNTY BOARD OF HEALTH Jill Buhler, Chair APPROVED AND ADOPTED this day of 2001. SEAL: JEFFERSON COUNTY PUD NO. 1 BOARD OF COMMISSIONERS • ATTEST: Ken McMillen, Wayne King, Richard Shipman Public Utility District #1 Of Jefferson County • 10 September.2001 Board of Commissioners 1✓� L� C -Epp f '- ,ichard M. Shipman, District 1 V V� L� / ,enneth McMillen, District 2 L Board of Commissioners SEP 1 2 ayne G. King, District 3 Attn: Lorna Delaney 2��1 1820 Jefferson Street James G. Parker, Manager JEFFERSON COUNTY P.O. Box 1220 BOARD OF COMMISSIONERS Port Townsend Washington 98368 Dear Lorna: The purpose of this letter is to reply to your August 20th letter which included a Joint Resolution for the Countywide Seawater Intrusion Monitoring Program. At the 5 September 2001 PUD BOC meeting the Board of Commissioners reviewed your proposed Resolution 66-01. After a examination of all the whereas's, therefore's and finally resolved, the PUD BOC felt that such a voluminous resolution was confusing and unnecessary. If a resolution is really need they recommended that most of the original be dropped. Inclosed is a possible resolution that we, the PUD staff, is floating by our Commissioners for their review. • We have also included an outline that was developed by Bill Graham. We are looking forward to taking a leading role in this step to better protect the future of our water resources. Until we hear from you, we will continue to plan towards implementation of the monitoring plan. Your assistance is vital to the success of this program. As the County Government you are the conduit to cooperation with both DOE and DOH. Both of these agencies are essential, if our studies are to be more than just studies. Also your staff is well versed in the use of GIS, the joint PUD-County well log data base, GPS, water quality procedures, and existing county ordinances. We a wait your reply or comments. Gk r141.5 nager Enclosure 1. Sea Water Intrusion Monitoring Plan 2. Possible resolution • 230 Chimacum Road/P.O. Box 929, Port Hadlock,WA 98339 (360) 385-5800 FAX (360) 385-5945 STATE OF WASHINGTON County of Jefferson In the Matter of Developing a } Jefferson County RESOLUTION NO. 66-01 Countywide Seawater Intrusion } Monitoring Program } Jefferson County Board of Health RESOLUTION NO. 01-01 Jefferson County PUD No. 1 RESOLUTION NO. •• • • : •• . .. • . • :• ;..;rod, WHEREAS, the Board of County Commi.:•e • _ • _ : •e .._ . •. - • gulating Iaird-divissi-ow - .- :• _ - - . . , .ate-ices,-and-has-ne-speeifie-tax--ing-authority relating-to water—resource management-other than reliance on its already-strapped gPnPra1 taxing powess;.and, WHEREAS, the Board of Health has a regulatory role in assessing that water supplies are safe for protection of public health, . -• - • • •: •-• • • - ' • - . • ' • : •• : -resource managernent-and--preteotioni-and3 WHEREAS, the Public Utility District has authority for-developing-and-managing water- sys - - , . • : ..• •• •-t4hel-ity-for undue water resource management and protection; and • WHEREAS, the Jefferson County Beard-of Commissieiers, th.G Board-of-Health-, or_the Pub ie-Utility District (PUD)No. 1 of Jefferson County, do not have the authority to issue water-rights, condition-water rights,o -• : •:- _ . - e ,e •- e••: • . . • • WHEREAS,—the—Jefferson-Ce. • ::. t . . . •.• -•- ., =e: e s - -. • -ate-ihe PUT-No 1 of ieffercu t�..,all-.be ve--thaf . •• . :. • . . -- ' advice from-the-State i -e. ••-• e — _, • _ _ i .•. •• -• - _ _ . s:; -atien--wi-EI ublic water systems; and, WHEREAS,the Jefferson-Ceuory Board ef CerniniSSienetu, Board of Health and the PUD No. 1 of Jefferson-Cop t tong ith- -W shi gten-- e-Departmeet-ef-Ecology, Washington State - Department-of-f al-th--and-othe irtterested_-g e _ •• : .• e - • -•- - - • e - --• •�te---Chapte.r-9(1:82 RCW, partic;r.rt•• i the \V • • . . . _ . • • • • • 04 ,6 - • • and, WHEREAS,--the—Jefferson—County—Board-• _ _ .• ••- ••- :•- . • . FUD • 'WHEREAS, the Jefferson County-Board of Commissioners, Board of Health,and-PUD • a ' '•• • • • : I• . ••• . I • _ • •:! - 14t14151Onin-the- -• . • • 1 • • - ' . .. - Ile, . • Jefferson Co. Res. 66- 01 301-10solution No. 01-01 re:Developing a Countywide Seawater Intrusion Monitoring Program Page 2 of 3 .. - I - • -. . •- . . -ntred-for •-- - •. - -•_ •- . - -- a -• - - • - - _ • - , a -- - •e - - , • - NOW, THEREFORE, BE IT RESOLVED,by the parties to this resolution that: 1. The PUD No. 1 of Jefferson County will be the lead agency for the development of a seawater intrusion monitoring program of :.: . _ . _ _ _ _ _ . • e e - _ e e • . . . - - . . . . . . . . .. •- - . - - e •' e •e _e he • _ _ .'.- •. _ . ti - . . . 8 • . . . .. . . . . .'. . . . . 0 •' .. • • _ • . • • . . .• -. _ . . . • •. . - - . r. ' e '• _ - , . _ . ..e . • _-•• - . ., ency. 2. The Jefferson County Board of Commissioners and Board of Health will assist the PUD by providing staff support to work cooperatively with the PUD for the development of a seawater intrusion monitoring program. - - • . - . . • : :. e . __•• •• __•e • - : . " 1 ._ . ._: • : e.. . _- :_ _. e - ...t • e : :-: • .. • . . . A-I6 and 17 Watershed Plans to implement RGW 90-.82. 3. Jefferson County Board of Commissioners and Board of Health will assist the PUD in working cooperatively with other local and State agencies, including Island County, Island County PUD, San Juan County, and other interested parties to assess the best • available technical information and legal issues. .• a �, • - . . ' _ _ ; . I . o • $ . I • . : --- • - . . . . • - .. - .. -• -Ar . . . . . •. ::. . _ . • _ " . _ e •. ... .. ' . . .. .ad •O . . • 6 "4 "" 4. i . . . �o SK I Y C v tl w APPROVED AND ADOPTED this 13th day of August 2001. .�i • `� tea,-. � ' ------ c SEA.E. `l JEFFERSON COUNTY BOARD OFCOMMISSIO - c �� J/ E - V1tST,r , �i.1,,,44/- ! w� � _ _ (Excused Absence) // ��� / �. i •- ~/ V - f= Glen Huntingford, Dan Titterne � , Richard Wojt, •r 0 o p Chair Member Member -L.oi-ria'Delaney, CMC 4 Clerk of the Board • Jefferson Co. Res. 66-01 BOH Resolution No. 01-01 re:Developing a Countywide Seawater Intrusion Monitoring Program Page 3 of 3 • APPROVED AND ADOPTED this /b _ day of4.—c,c, 0,0t ,2001 JEFFERSON COUNTY BOARD OF HEALTH ' (c___-____,:2Th 0)i_, Ji Buhler, Chair APPROVED AND ADOPTED this day of 2001. SEAL: JEFFERSON COUNTY PUD NO. 1 BOARD OF COMMISSIONERS ATTEST: Ken McMillen, Wayne King, Richard Shipman Richard Shipman, Chair Member Member Secretary • • Sea Water Intrusion Monitoring Plan Outline • Prepared by Bill Graham 9/5/2001 Stage of completion U-Yet to start S- Started C- Completed Pre-planning—Information Gathering and Coordination S Gather existing studies on Marrowstone Island, Jefferson County and other related areas from USGS, Ecology and other sources. S Look to existing seawater intrusion monitoring programs in adjacent counties as models, particularly Island and San Juan. S Coordinate with county staff, State Dept of Ecology and Health for technical assistance, shared data management duties, etc. Scoping S Determine geographic scope of study(ie distance from coastline to which study will extend). Proposed scope is for 1 mile from tidewater from Eagle Creek to Triton Cove including all of Marrowstone Island. • S Determine density of wells per square mile desired for study by comparing with pervious studies. Ie 400 wells recommended for Island County study, which has roughly equally linear feet of shoreline as Jefferson County. S Determine which water quality parameters would be best used to monitor seawater intrusion. U Identify wells used in previous seawater intrusion monitoring studies within Jefferson County. Attempt to resurrect contacts with well owners. U Identify wells NOT included in previous studies within scope are requesting their participation in study. U Identify wells where digital logging devices can be emplaced for short intervals of time (ie to determine tide effects, transmissivity of aquifer). Database Development S Develop/refine database. May be able to use existing PGG/PUD well log database. Input existing seawater intrusion data from past studies, samples U Locate using GPS, map where a radius of influence of 1/2 mile outlines wells with seawater intrusion history. Input into county GIS. • S Determine(after parameters for assessing sea water intrusion have been chosen) • what methods, equipment and protocols need to be used/followed. U_Issue press release calling for help from local families to "volunteer"their wells for monitoring purposes. U Coordinate volunteers such as Watch Watchers to sound and sample wells. Wells to be sounded and sampled bi-annually. On-going ❑ Data management ❑ Annual Reporting (Press Release, Presentation to Commissions, Planning Unit) ❑ Expansion of well monitoring network ❑ Statistical and graphical analysis ❑ Develop scientific basis for policy recommendation for waterhed plan • • • September 5, 2001 The regular meeting of the Public Utility District No.1 of Jefferson County was called to order at 5:10 P. M. by the Vice President of the Board of Commissioners at the district office, 230 Chimacum Road, Port Hadlock, Washington. Commissioners and staff present were: Wayne G. King, Vice President 947/ , Richard M. Shipman, SecretaryJames G. Parker, Manager Wi lliam A. Graham� Resource Mana9er ✓ Thomas C. Neal, District Auditor Ronajean M. McConnell, Recording Secretary Kenneth A. McMillen, President was absent AGENDA -The agenda was approved after adding 'public facilities sales tax committee' to discussion items and moving the Kitsap PUD presentation before action items. MINUTES • MOTION: To approve the minutes of the regular meeting of August 15, 2001. The motion was made and seconded by Commissioners Shipman and King respectively. Motion carried unanimously. Commissioner McMillen was absent. VOUCHERS MOTION: To approve warrants numbered 4656 through 4711 in the amount of$33,904.21. The motion was made and seconded by Commissioners Shipman and King respectively. Motion carried unanimously. Commissioner McMillen was absent. ITEMS FROM THE FLOOR- NOT INCLUDED ON THE AGENDA Brad Kemp—Sprint Communications—asked if the Board felt they were under an artificial deadline to sign up with NoaNet for the K-20 network by October 20, 2001. The Board answered no, they felt that the schools would be served by other entities if need be. Jay Levine —stated he was disappointed with the Board for not taking immediate action to collect the money owed the PUD by the City for the Kah Tai property. The Board decided to wait several weeks for the City to respond. Guy Rudolph—asked if the PUD was getting test reports for the Tri-Area wells and will the PUD develop a water budget for the Tri-Area?The answers were yes and the PUD would hope to develop a water budget in the future provided the correct studies had been done to do so. Earl Gibson —asked when the PUD receives the money from the City for the Kah Tai property • what can it be used for?The answer was to be put into the general fund; there are no encumbrances against it. COMMISSIONERS REPORTS The Board attended a telecommunications workshop with NoaNet representatives on August 28, 2001 —No decisions were made. Commissioner King attended a growth management steering committee meeting. He asked if the PUD would like to be a member of this steering committee?The decision was made not to become a member but ask to be notified when water issues were to be presented so a PUD representative could attend. DISCUSSION ITEM / , /&' A. Kitsap PUD Presentation—Telecommunications /d/,�/ David Jones discussed Kitsap PUD's telecommunications network progress, goals, funding, learning process, and costs. David explained some of the differences between Kitsap and Jefferson County's economic bases and similarities of PUD operations including the possibility of • developing LUD's for telecommunications. He invited the Board to attend a Kitsap EDC presentation on telecommunications October 20, 2001. ACTION ITEMS A. Ed Ulrich —Request to Waive Late Fees From J. C. Treasurer's Office— LUD#5 The Manager explained the history of Mr. Ulrich's segregation and assessment. Mr. Ulrich asked the Board to waive the,penalties on his assessment because he thought he was not to pay for the assessment until he began using the community drain field. MOTION: To waive the penalty for Mr. Ulrich's overdue assessment, after he pays the total now due the Treasurer. The motion was made and seconded by Commissioners Shipman and King respectively. Motion carried unanimously. Commissioner McMillen was absent. B. Resolution No. 01- 036 Developing a Countywide Seawater Intrusion Monitoring Program After considerable discussion, the Board felt this resolution was premature and needed significant revision. • • TABLED: Resolution No. 01-036 tabled at this time. The Board asked William Graham to draft a substitute resolution. DISCUSSION ITEMS - Continued B. Public Facilities Sales Tax Committee MOTION: To authorize the Manager to write a letter requesting PUD participation in the Public Facilities Sales Tax Committee. The motion was made and seconded by Commissioners King and Shipman respectively. Motion carried unanimously. Commissioner McMillen was absent. C. USGS Proposal to WRIA 17 William explained that the USGS proposal was different than the original scope-of-work, that it did not include the study of the deep aquifers. The Board asked that he continue to push for the proposal to include the study of the deep aquifers. D. Rate & Fee Changes (New Service Installation Requiring a Road Crossing) • The Manager explained revisions to the proposed rates for 2002- 1) increase charge for road crossings due to increased costs 2) including the proposed rate schedule for the Tri-Area Guy Rudolph—asked what the base fee charges would be for i.e. mobile home parks in the Tri- Area. The Manager explained that would have to be determined. OLD BUSINESS/MANAGER'S REPORT The Manager went over old business and upcoming events. STAFF REPORTS Auditor Report—None CORRESPONDENCE - None ADJOURNMENT-The time was 8:40p.m. 75 1\, • Board of Health Media Report • August 16 , 2001 • • Jefferson County Health and Human Services JULY — AUGUST 2001 NEWS ARTICLES These issues and more are brought to you every month as a collection of news stories regarding Jefferson County Health and Human Services and its program for the public: 1. "Mental health providers near services pact"— Peninsula Daily News. July 13. 2001 2. "Color blooms in Discovery Bay" — Peninsula Daily News. July 17. 2001 3. "Jefferson survey show 2 different populations" — Peninsula Daily News. July 22. 2001 4. "Cantwell visits Port Townsend" — Peninsula Daily News. July 22. 2001 5. "Two Worlds: Statistics show affluent retirees, young families at or near poverty Ill line" — P.T. LEADER. July 25. 2001 6. "Jefferson mental health gets new contract, funding" — Peninsula Daily News. July 30. 2001 7. "Congress may help local docs stay, says Cantwell" — P.T. LEADER. August 1. 2001 8. "Cooking outside this summer? Tips on avoiding bacteria"—P.T. LEADER. August 1. 2001 9. "Home births doubled: Medicare reimbursements may boost numbers higher" — P.T. LEADER. August 1. 2001 • j • PENINSULA DAILY NEWS Mental health providers near servicespact Agreement seems tract. Commissioners also ordered imminent after two mediation sessions. "There was a change in atti- tude in Jefferson tude on everyone's part," Goodrich said. "It was very BY STUART ELLIOTT useful to spend two days face to PENINSULA DAILY NEWS face and it's important to keep PORT TOWNSEND — personal lines of communica- tions After two mediation sessions, tions open." Jefferson Mental Health and In the past, Support Net • the regional organization that Fork had cited the organiza- tion contracts its services appear to tion for several "quality and agree on a contract. compliance issues"that needed On Wednesday, Peninsula to be resolved, Administrator Regional Support Network Anders Edgerton has said. offered Jefferson Mental on-site review in May by Health a contract through the state Department of Social and end of June 2002. Health Services called for the The board of the mental organization to resolve 19 health organization will likely issues, including providing approve the contract at its around-the-clock crisis services meeting on Monday, board and conducting more at-home President Quentin Goodrich visits. said. "We think we have an agree Complaints resolved ment," Goodrich said. "My The organization has since understanding is if we sign it, taken step to resolve the com it's a done deal for the next plaints, including adding a new year." crisis services worker,Jefferson Dispute arises Mental Health director Laurie Strong had said. The dispute began in May And last month, the organi- over the extent of services Jef- zation got high marks during a ferson Mental Health Services state licensing exam, receiving could provide given its funding, 98.5 out of a 100 points — its leaving the future of mental license was renewed for health services in Jefferson another year. County in limbo. Goodrich said there was County commissioners from more understanding on Sup- throughout the Peninsula port Network's behalf about • stepped in June 8 and stipu- what the organization could lated a two-month interim con- accomplish given its funding. 7--/3-c� N � " t,• .. z • Aiè \ s r t. \ 1 t zr,,,:‘),• , :.,,,,t 1 .14,c,,e,Iiipk !,,. ,1 , g w.,,.. k -.:,10:,',.,itl k,' l',..!1,091 qi, '‘' ' 1 2 it r 1 1 •i si SD ! gy�pp)) q cn R • 1 tEt•,It i' t 4;�'�` ! yy* " J y 11 }. 10 y 0 -y c 't7 O15 O �"' .c + O ��• ;141 i1 ' •/ E ' C L t= 10 0 ,v . 1 -1 �1,�`, N1, ' 1j,'f Y) . O 4 °.' b 4 4 J ,,„ DD C ..-,:c-k...7-.1•..//,.APk;.aF l'+''114,I' `) `t 1 R 1 ' C G. s ,0 O '=• I.. o y ^ M• O �O '� o c 3 E .... c 44 >1 , 7 ' 'C Z 'C7 O ^JV q.E y i!'.. Cyp p '� O ^p ., :J y c qo w 03L> 2J 8.. L'0y .. 7 _ U ..i t. c ..CO � y s roO J yC ,�- pa :73 1:3 aa E ;-o Wc • Oc a \ v '..4. cb E 0•0 , y /omok ,s . �, - :O b -0 Jq'T4 z. �f 0 .1w _ . J L1 .Dy 'JJ C � • OfcAm F. P�� 3c c T _ z 16. >. =' n � `o tx m \ E ^ O c O ^O ., `d T.. O 1 a n ,- c c.); y ^c•^ O -C •0 s c C .Q 3 y L �n ai n = O cn O C ▪ q = J y• c q o L �, rn c n T r . 0 -cam >� = E. L9c�� ' ^ 7- oma _ G to - 3 • gy3 � c VJ � Q � o ? E - ,. C = T ? m —' ,-_' yam, c 0 3' 0 c-�:3 � 1.' J n = n E 3 - J9X 24 -^.,. > O Id E.d! f t E 3 Z i 'P O .c J c t* j• g ..° 8 g'''!.-6-E. -74 E ° ? ... o g:1 J �9'- ._-. '4 b = , . c E- y 3 •°F,�.* 1 r o c q o � n�o o�'r o .[7° Zy _ w y ' - y -4 -�0� Q q =Dir. y ons (13 o y^ yc a "C._ _ c g E F..7•J _7-...C-")) >C.- of 9 0t L.Y i m 0 .� C CDn 074 ?J c^ = j "y • - n•^v O c ^ ..',..� O c Ems- ,...)..L.-— 0Mo s zc -= y cc E,. cy4 c y EZ � � �' U� 3 rO ® —< ,,,, , ,,.. ._..,.. .. „..,__: E� 3 L- c J roCc. �¢r ro. .n„ v 3J `0'.E. u, a 3 a3 c rb�b ...... y -,-o ❑.a e.. U= cn E-c..UEal 1... J f - . C O. O . 0 •,. .� ..r q y 'O i't c E �. 3Z ti ,„,a, _ b .= E IA ��^ r ..7 << :i too.-, mdO M �++J C y,O U .� J C O - a .5 C . >wE n3c° GP 'v -. l T s f V cv uci _ y =. .n yz s �yyc �r SO S f ^ Q m� q q— y >k.9 fin. 0 .... E I E•o", 1 PENINSULA DAILY NEWS '7 / - 2 2_-U 1 • Jefferson survey shows 2 different populations Tenure of residents, money mark Peninsula counties also shared the same aging popu- disparities among county residents lation trend caused by peo- ple moving into the country from other areas, many BY Pxn.rp L. WATNESS concurrent with drug prob- from Seattle and King PENINSULA DAILY NEWS lems. County. PORT TOWNSEND "What's beginning to Unwed pregnancies Alcoholism, depression, sui- become clear is that this is a cide, poverty and unwed Young, poor women are regional issue," she said. pregnancy having babies out of wedlock "Your county is rapidly Those words apply to at a rate greater than the aging because you have an some Jefferson County resi- statewide average-even immigration of seniors and dents. when King County is taken declining fertility rates." Affluence, health, invest- out of the mix, Hale said. Hale said that despite the ments and leisure. Those Approximately one-third doubling of the population words apply to other Jeffer- of the children are born to during the past 20 years, the son County residents. unwed mothers in Jefferson fertility rate—births per Dr. Chris Hale, an epi- County. women ages 15 to 44—has demiologist analyzing Jef- ` More than half the chil- decreased to about half the • ferson County health data, dren are born into house- statewide average. sees two distinct population holds that qualify for viedic Jefferson County women groups emerging from an aid,she said gave birth to 220 children in ongoing telephone survey. "Women who are having 1999, five fewer than in There's also a disparity children are likely to be 1980. between long-term residents poor," she said. However, the population and newer immigrants. Incidents of suicide and jumped from 15,965 in 1980 depression are also cause for to 27,738 in 1999. 'Two worlds' concern, though seven other 'Poverty is an issue' "If I wrote a book about Western Washington corn- it, I'd call it The Two munities show higher rates "Poverty is an issue, par- Worlds of Jefferson County," of suicide, depression, ticularly among young peo- Hale said. unwed pregnancies and alto ple," Hale said. • "One is the world of peo- holism than the rest of the "But you will soon have state, she said. one of every four people 65 ple who grew up here and "There's a group of nine Years old and above. The stayed here. needs of the The other is the world _ counties characterized by young and old of people who came from similar indicators with large are very different." �, increases in childbearingbyHale said she has data the outside. le whoeo 211 Hale briefed the Jeffer- unwed women and suicides frompeople son County Board of Health by males ages 20 to 34," she answered intimate and said. detailed questions regarding on Thursday about the raw All of the nine counties data that are still being col- their behavior including the once thrived on fish and use of drugs/alcohol, ciga- lected. lumber—including Clallam, rettes, health histories, and She said that although Grays Harbor, Mason, more data need to be gath- other information. pacific and Jefferson coun The survey will eventu- ered and that current data ties. ally contact 600 people from needs to be analyzed, some throughout Jefferson clear patterns are already IIIThe human costs County to provide scientifi- emerging. cally supportable data on Drugs and alcohol abuse "What we are looking at the health of its citizens. are as bad as people think is the human costs of our Hale said she hopes they are, she said. But more environmental decisions," everyone called will importantly, depression and she said. patiently and honestly mental health problems run She said North Olympic answer the questions. , .) • Cantwell visits Port Townsend .' Jefferson County tion. Medicare reimbursements co-payment caps of up to $50 are also not uniform from state per month. asks for more to state, they said. Other issues Cantwell said, "We are well aware that she plans to focus on include medical funding rural areas have tremendous women's health care issues and challenges," said Cantwell in legislation concerning identity: BY STUART ELI= her first visit to Jefferson theft. The forum was part of a', PENINSULA DAILY NEWS County since defeating Slade slate of activities in Port Gorton during last year's elec- Townsend on Saturday for PORT TOWNSEND — Jef- tion. Cantwell. 0 ferson County health officials In addition to stopping by and physicians meeting with Gathering information the Low Tide Fest at the: rJ U.S. senator Maria Cantwell on Cantwell, D-Mountlake Ter Marine Science Center at Fort: ,v Saturday sent her back to race, said her staff is gathering Worden State Park, she: Washington, D.C., with numbers on reimbursement attended the Democratic requests for more medical fund- rates and is looking at estab- Party's "Fish Feast" after the ing. lishing a pilot program to health care discussion. Reimbursement of medical address the issue. Earlier in the day,she visited: costs by Medicare was at the Cantwell also addressed con- Island County as part of a: top of a list of pressing needs cerns about the high cost of pre- schedule of visits that will take mentioned by Jefferson County script' on drugs, citing proposed her to all of Washington's 39 health care providers at the legislation that would institute counties in the next year. meeting, which attracted about • 25 people. The problem is especially acute, health care providers said, because of Jefferson County's large elderly popula- • • Lu E 1.) 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E-• •- - • Jefferson mental health 1 gets new contract , funding BY STUART ELLIOTT they are providing delivery of PENINSULA DAILY NEWS They do recognize that their services. Peninsula Regional sup_ some of the administrative Goodrich says work on the port Network, the organiza- requirements for smaller plan, which is due in 90 days, tion that contracts out for agencies cost as much as will be a drain on the small mental health services in Clal- mental health organization, a lam and Jefferson counties, for a big agency. fact that Peninsula Regional has approved a new long-term QUENTIN GOODRICH has taken account of in the contract with Jefferson Men- president of Jefferson Mental Health new contract. tal Health Services. The contract, which is set would provide for more fund- State-wide issue to run until June 30 of next ing than previous contracts, year, puts an end to a dispute Goodrich said. "They do recognize that that began in May over the some of the administrative amount of services Jefferson Exact amount unknown requirements for smaller Mental Health could provide agencies cost as much as for a given its funding. The exact amount of the The dispute left the future contract is not yet available big agency," said Goodrich. of mental health services in because Peninsula Regional is Goodrich said the dispute • Jefferson County in limbo as a in the process of negotiating a between Jefferson Mental current contract between the new agreement with the state Health and Peninsula two parties was set to expire. Department of Social and Regional ties into a larger "This pretty much takes Health Services, Goodrich state-wide issue, with the care of the problems we've said. Department of Mental Health had," said Quentin Goodrich, Part of the increased fund- setting forth more administra- board president for Jefferson ing will go toward developing a tive requirements and asking Mental Health. "quality management plan", a for more services, like crisis The new contract, approved new state requirement that care, to be provided, without Friday at Peninsula Regional's calls for mental health organi- providing an increase in fund- board meeting in Chimacum, zations to demonstrate how ing. . �7� ,ki 7-30 -01 • • Congress may help local d oes stay, saysCantwell U.S. Sen. Maria Cantwell ap•;', budget impact. However, she told a room full of local added that staffers have dis- healthcare providers that Con- cussed launching a pilot project gress may provide some relief r '" t ‘kt..i. '* in a rural area like the Olympic for doctors whose federal reim= Peninsula that could demonstrate bursement level currently °r:, e ,�•—, whether higher reimbursement makes it hard to stay in busi- ness. '"' rates made a difference in Hess. f b ,� healthcare quality. Cantwell was in Port "� *. ' , F F "I hear that they [local physi Townsend July 21, where she '' ar' , " dans] love being here but it's strolled through the Low Tide <� hard to make ends meet,"she said Fest and had a fish feast with 'after the meeting. Jefferson County Democrats. i.; On a different issue,Cantwell Jefferson County is one of only �;. recalled her early intentions as five counties that gave a major rg F prime sponsor of the Washington try vote to Cantwell in last year's '4'a= ,... State Growth Management Act • upset election against Sen.Slade U.S.Sen.Marla Cantwell listened (GMA),which she drafted while Gorton. "The Sweet Five!" she to the concerns of healthcare pro- fessionals while in Port Representatives over a decade 1-5 corridor counties. Townsend July 21. ago.Lawmakers made a deliber- In between more social Photo by Scott Wilson ate effort to make it a "bottom events,she met with healthcare up"approach that let local areas providers and local officials in father's physician in Pennsylva- decide their own land use future, a crowded room at the Jeffer- nia is reimbursed 84 percent.The she said. son County Health Department disparity is making it harder and "We basically said [to the offices. harder for committed physicians counties],'Send us a plan!Here's The newly elected Demo- to maintain a viable practice in a framework, but we're not go- crat from Mountlake Terrace Jefferson County, she said. ing to tell you what your plan spent most of her time listen- Reform of the nation's reim- should say,"'she said. Critics of ing, as healthcare profession- bursement system should be at the law argue that the appellant- als led by Dr. Melanie the top of Congress'agenda,said level hearings boards have in- McGrory told her how hard it McGrory. stead imposed rules that make the is for physicians who rely Her thoughts were echoed in GMA process a"top-down" ap- heavily on federal reimburse- the meeting by Dr.Claus Janssen proach. ment for Medicare and Medic- and others.Janssen said he's see- aid patients to survive ing an increasing percentage of economically in rural areas like patients whose medical reim- Port Townsend. bursements won't even cover the "For 11 years I have been overhead of operating a medical struggling to maintain a small practice.He loves his patients,he private practice here in East said,but cannot sustain the prac- Jefferson County,"McGrory told tice at these reimbursement lev- Cantwell in written remarks. els forever. "While it has been rewarding,it In response, Cantwell said • has not been easy."McGrory said that changing the federal reim- _ Medicare reimburses her care for bursement levels for Medicaid I - (_t / LI c seniocitizens at 70 percent for and Medicare won't happen the same charge for which her soon, because of the enormous -i- G Cooking outside this summer? • TI son p avoldln bacteria By Janet Huck warms up enough to allow the bac- vomiting.The more deadly E.coli Leader Staff Writer teria to start growing and multi- can appear too. plying. At the end of two hours, Recent outbreaks of food poi- At a 1999'potltick at the. the cold food must be popped back soning around the country are Chimacum Fire Hall, a sneaky, into the refrigerator and cooled to coming from new and unusual little-known food-borne illness 45 degrees or cooler. sources. struck down 70 of the 110 Cooked hamburgers and other "We are all worried about po- party-goers. meats have two hours too. They tato salad,but there are other dan- "It helped the community learn must be cooked at a high tempera- gers,"Ficheisen said. about food-borne illnesses, ture and are best maintained at Cantaloupe has been contami- though."said Dana Fickeisen,the temperatures of 140 degrees or nated with salmonella. The environmental health specialist higher.That keeps the meat out of cantaloupe's skin picks up salmo- who handles the food program for the "food temperature danger nella-infested manure in the fields the Jefferson County Department zone"where bacteria can grow. where it is grown. of Health and Human Services. "The clock starts ticking when "When you cut the cantaloupe. During the hot summer you take something out of the re- you can introduce salmonella to months, people often need a re- frigerator or off the grill,"she cau- the inside," cautioned Fickeisen, minder about the dangers of mis- tinned. "so use a scrub brush on the out- handling food.Fickeisen says the If foods are kept out longer side under running water and then best basic rule is allowing a two- than two hours, bacteria like sal- refrigerate the cut cantaloupe to hour window. Once the potato monella and bacillus cereus start prevent the growth of salmonella." salad is taken out of the refrigera- growing, causing eaters abdomi- The food safety officer also rec- tor, it has two hours before it nal pains, diarrhea, nausea and ommendsrinsingvegetables,lettuce and sprouts under running water. Ice is another new culprit. Norwalk virus, which likely caused the outbreak at the Chimacum Fire Hall,can survive on ice. Fickeisen says one of her jobs is to check grocery and con- venience stores to make sure the bagged ice came from an ap- proved water source. Port Townsend city water is safe. Norwalk is carried on hands after using the toilet, and that is how it gets on the foods. Fickeisen suggests minimizing bare-hand contacts with ready-to- eat food."At potlucks where food is served out of big containers, people can pick up contamination from somebody else who used their hands to serve themselves," she said."Use serving utensils." Fickeisen also has some rec- ommendations for cooking on the barbecue. Chicken can't be properly cooked on a barbecue • because the flames can't raise the internal temperature to the nec- 2:3- - L D ('2. essary 165 degrees.So Fickeisen suggests precooking the chicken / in the kitchen and finishing it on the barbecue. Home births doubled Medicare reimbursements may boost numbers higher By Janet Huck midwives had no liability insur- ance,Staff Writer ance,no quality assurance and an inadequate transportation plan to Home births in Jefferson send mothers in crisis to the hos- County have soared. pital. In 2000,the number of births Within a year, these concerns at Peninsula Midwives doubled were addressed. In 1993, the from 12 to 24.This year,Penin- Washington State Legislature sula Midwives' owner expects passed a law mandating liability the number of home births to in- coverage for birth centers and li- crease again, so she decided to censed midwives. A quality as- take a partner after 15 years of surance program was developed, solo practice. and the Midwives Association "Now I•can go on vacation worked with primary care phy- sometime,"said Kathy Luch. sicians and obstetricians to de- Home births may continue velop guidelines for consultation, to increase,due to the decision referral and transportation to a by the Washington State De- hospital, said Luch. partment of Social and Human "It just sat there until 1996," Services (DSHS) to reimburse said Luch. pregnant women for deliveries DSHS formed another task at home. As of Jan. 1, 2001, force in 1996 when Jane Beyer, DSHS began paying for home assistant secretary of the Medi- births. Seven of Luch's home cal Assistance Association, births since January have been which administers Medicaid. paid by Medicaid. wrote an enthusiastic letter about "Now it's financially fea- how many low-income women in sible for low-income women," Washington wanted a home birth said Luch."They can have their but couldn't afford to pay out of baby in the hospital for free or pocket. they can have their baby at For a year and a half,the task • home for free. It's fantastic." force members studied the prob- It took nearly a decade to lem and finally recommended convince DSHS officials to reimbursement once again, said make the change. "The Mid- Luch,who participated.As presi- wives Association was watch- dent of the Midwives Associa- dogging them," said Luch, tion, Luch got a letter in who, as president of the Mid- November 1998 that Medicaid wives Association in the mid- would begin reimbursements in 1990s, worked on the issue. 1999. "We kept knocking on the door, "What happened was noth asking when it was going to ing,"said Luch. happen." It didn't happen in 1999 or in A 1992 DSHS task force rec- 2000—but finally in 2001,it did. ommended that the agency reim- "Now women don't have to burse home births,but Medicaid pay out of pocket to get the kind - officials decided to deny the rec- of birth they want at home,"said ommendation because licensed Luch. -(— U