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HomeMy WebLinkAbout2002- June File Copy • Jefferson County Board of Health Agenda • 6( Minutes June 13 , 2002 • • JEFFERSON COUNTY BOARD OF HEALTH Thursday, June 13, 2002 2:00—4:00 PM Main Conference Room Jefferson Health and Human Services AGENDA I. Approval of Agenda II. Approval of Minutes of Meetings of May 16, 2002 III. Public Comments IV. Old Business and Informational Items 1. Abatement of Public Health Nuisances-- Policy Options David Alvarez Larry • 2. BOH Policy 96-02 Reconsidered—Required Connection To Existing Public Water Systems Larry 3. Jefferson County Board of Commissioners Resolution #31-02 (Information Item) V. New Business 1. Vaccine Shortage Update Tom 2. Community Assessment Activity Update Jean VI. Agenda Planning VII. Next Meeting: July 18, 2002, 2:30-4:30 PM Main Conference Room,JHHS • JEFFERSON COUNTY BOARD OF HEALTH MINUTES °R RAFT Thursday, May 16, 2002 A� Board Members: Sta9'Members: Dan Titterness,Member- County Commissioner District#1 Jean Baldwin,Nursing Services Director Glen Huntin ord,Member- Court?' Commissioner District#2 Larry Fay,Environmental Health Director Richard W'ojt,Member- County Commissioner District#3 Thomas Locke,MD,.Health Officer Geofr y Masci, Vice Chairman-Port Townsend City Council Jill Buhler,Member-Hospital Commissioner District#2 Sheila Westerman, Chairman- Citizen at Large (CO) Roberta Frissell,Member-Citizen at Large (County) Chairman Westerman called the meeting to order at 2:37 p.m.All Board and Staff members were present, with the exception of Vice Chairman Masci and Member Buhler. APPROVAL OF AGENDA •.At the suggestion of Mayor Kees Kolff, Dr. Tom Locke invited the Board to view after the meeting today or at a future time a video from the Centers for Disease Control called "Health Affects of Sprawl." Chairman Westerman instead suggested that the video be shown at the end of the June meeting for those who wish to stay. Member Frissell moved to approve the Agenda. Commissioner Wojt seconded the motion, which carried by a unanimous vote. APPROVAL OF MINUTES Chairman Westerman questioned whether the reference to "low risk families" on Page 8, paragraph 2 should instead be "high risk families?"The sentence said: "Also in doubt were two contracts with the Department of Health that provide home visits for low risk families that have been screened for child abuse risk." Ms. Baldwin noted that they are low risk to the Depai talent of Child Protective Services, but high-risk community families. Chairman Westerman asked this to be clarified in the minutes. Commissioner Tittemess moved to approve the minutes of Thursday, April 18, 2002 as amended. Commissioner Wojt seconded the motion, which carried by a unanimous vote. Member Frissell commented that the requested change to the March minutes was not corrected as directed by the Board in April. (A review of the referenced minutes following the meeting confirmed the changes were made as directed). • HEALTH BOARD MINUTES - May 16, 2002 - Page: 2 OLD BUSINESS AND INFORMATIONAL ITEMS Environmental Health Survey: Larry Fay reported that two telephone pilot surveys are now complete. Staff found that although the survey instrument works well, using the telephone as a method of conducting the survey was inefficient. They are now piloting a mail out survey and if successful, a larger mailing would follow in the next few weeks. Survey data may be available by next month. To Member Frissell's suggestion that Staff investigate whether sociology students at WSU might be willing to take on or assist with the project, Mr. Fay said this might be possible once the pilot is complete. Results on BRFSS Environmental Health Questions: Jean Baldwin said she asked Dr. Chris Hale to expand on the report last month of the Environmental Health data. Before making the following comments and observations, Dr. Hale reminded the Board that this module is not a standard part of the BRFSS, but an experimental module. When Jefferson County made the decision to include environmental health questions, they drew on the experience of Kitsap County's 1998 study. No comparable national data is available. • Fig. 10— Source of home drinking water. Far more people in this county are dependant on private wells and community systems than in Kitsap, which is not surprising for a rural county. Dr. Hale noted that in 1900, life expectancy in the U.S. was about 48 years. Today, this figure is • about 78 years. However three-quarters of that improvement had been made by 1917 due to the separation of drinking water from wastewater. • Fig. 11—Source of home drinking water by zip code. Eighty percent of those in the 98368 zip code are on City water. Outside that area, about half the households are on private wells. • Fig. 12 and 14—Well testing. There were no significant differences between Jefferson and Kitsap responses to the question if well water has ever been tested or whether well testing indicated the presence of contaminants. • Fig. 13 —Well testing within the last three years. There were significantly fewer Jefferson County residents (54%) reporting having had their well tested within the last three years, as opposed to 71% of Kitsap County. Kitsap also has an active survey, outreach and education program. However, Fig. 17 shows that the rates at which households are maintaining their septic systems are better in Jefferson than Kitsap County—63% as opposed to 49%. Dr. Hale said this data reveals an opportunity for public education. People may not be aware of the need to ensure that their wells are tested within a three-year period and that their water quality is maintained. There is also a higher rate of Giardia(waterborne parasite) in Jefferson than in neighboring counties. She noted that there has been a lot of attention recently to nuclear power plants, but the greatest vulnerability is in the water systems, particularly the smaller community systems and wells. Commissioner Wojt noted that as individuals from urban areas move into this rural county, often they do • not realize it is their responsibility to maintain safe water. Larry Fay said he suspects most of those HEALTH BOARD MINU 1'ES - May 16, 2002 - Page: 3 • households testing within the last three years were tested because of refinancing, sale or building permit, not necessarily for their own knowledge and information. He noted there has been an active outreach effort in the on-site sewage program off and on over the last 12 years and the results to the related questions appear to reflect the benefit to those education programs. Member Frissell said there appears to be an inordinate number of individuals with autoimmune diseases in this county (fibromyalgias, multiple sclerosis, arthritis). Recently published papers talk about the role of giardia in causing autoimmune diseases. She said it would be interesting to ask the medical community to ask patients with autoimmune diseases what type of water system they have. Regarding the high rates of giardia, Dr. Hale said that although the figures are small, if there were a rolled average over a five year period, Jefferson County would be one of the top three to five counties in the State for giardia. The reason is unclear. Ms. Baldwin said five years ago, there was a GIS overlay of all giardia, which pinpointed it to contaminated drinking water in a geographic location. Mr. Fay added that there was a strong association with the City surface water supply. After the City made significant changes in the operation of the water system the association between the giardia cases and the city distribution system disappeared. Dr. Hale agreed with the critical observation that people coming from urban environments with highly predictable water supplies do not understand their personal responsibility in this county. She noted that indications in the BRFSS, now confirmed by last week's release of the detailed census data, show that • almost one third of the people living in Jefferson County did not live here five years ago and the major source of in-migration was King County. Chairman Westerman suggested that Staff encourage Clallam County to include the environmental health module in their BRFSS. She believes this information, which is based on reality rather than perceptions, will be invaluable in public education and in setting policy and priorities. Dr. Hale agreed that the study was a valuable investment. Larry Fay mentioned that the information collected through the BRFSS is consistent with planning figures in the Comprehensive Solid Waste Management and Coordinated Water System Plans. He suggested the Board consider questions specific to Jefferson County for which we might seek data. Dr. Hale noted the U.S. Census removed two questions from the 2000 census, which had been on the census since 1940—What is your source of drinking water? What is your method of sewage disposal?—because they felt they were unnecessarily intrusive and would not yield much information. Not having that census data makes this data all the more valuable. PUBLIC COMMENT Charles Chase asked for an update on the nuisance property on Egg and I Road. Although he checks and maintains his water system and encourages his neighbors to do the same, because he is on a shared well, • he is still very concerned that his neighbor is not complying with on-site sewage requirements. Larry Fay said he does not believe there is any argument that the neighbor is in violation of the health code and there are potential health impacts associated with that. A notice of civil infraction was filed with the HEALTH BOARD MINU I'hS - May 16, 2002 - Page: 4 court today and they will in turn serve the infraction on the individual. The individual may pay the fine, • but if the situation were not rectified, the County would write another ticket. If he does not respond to the ticket, the situation would go before Judge Huth. Staff is anxious to see how the individual responds to the infraction and hopes to report back on the situation by early July. Chairman Westerman indicated that the Board discussed the status of this situation at the last meeting and invited Mr. Chase to stay for the discussion about abatement procedures. Mayor Kolff suggested the County consider writing a ticket each day until the problem is corrected, to which Mr. Fay responded that Staff would first see what response there is to this infraction. Commissioner Huntingford then asked if Staff has worked with the individual to encourage them to file for a permit to get the work done and to resolve the issue? If so,why the Health Board would not use its authority to remove someone from his or her property until the situation is resolved. Mr. Fay said he would have more information on this during the discussion of abatement. He supported this type of approach on the Linda Sexton matter, but the Prosecuting Attorney's office was not supportive because of the significant resources involved. He noted that Pierce County recently launched an intensive and well publicized effort to clean up a number of large nuisance properties. Their County Administrator dedicated four prosecutors to work on a dozen cases, a huge commitment of resources of the legal staff. He added that municipal governments have a clear pathway on abatements, but counties do not. Since there currently are no guidelines on this issue he is sorting through the law and the efforts of some other • counties to see just what can be accomplished. As he sees it, the sequence of responses is: issuance of a notice of violation, staff consultation with the offender, issuance of an infraction and, finally, removal of the offender from the property. Commissioner Wojt asked about the possibility of the individual filing suit against his neighbor for damages or potential damages to his well? Mr. Fay said he believes he would have to demonstrate he has been harmed. He is uncertain that the complainant could convince a court that the actions - even though they have the potential to harm him - resulted in demonstrable monetary damage. While Gaikowski has unpermitted structures, it is uncertain what he is doing with his sewage, Staff has not been allowed on property and has not seen even the kind of surfacing sewage that you typically see with a failing drain field. Although Mr. Chase said Staff could go on the property with a search warrant, Mr. Fay said there has to be probable cause for a search warrant. Mr. Chase said he has sought legal advice and received a similar opinion. After a lawsuit, he could still end up with a bad well. Mr. Fay said he believes working to get Gaikowski in compliance is the best option. Mr. Chase said he agrees that the efforts taken so far are appropriate. Member Frissell said the Board is frustrated over situations such as this and has searched for a process that could provide a positive result. Castle Hill Space Reallocation: Jean Baldwin announced that the County has purchased the Castle Hill building, from QFC to the end of the building where the Permit Center is now located, including the • DSHS site and the grassy knoll. In response to continual frustration in both the Health Department and Planning Department over space issues, an architect will investigate optimization of the uses of existing HEALTH BOARD MINUTES - May 16, 2002 - Page: 5 • and new spaces. Improvements to ventilation and various maintenance activities are also necessary. Mr. Fay added that another goal in this space consolidation and redesign is to integrate Environmental Health and the Department of Community Development processes. Combining the interdepartmental functions of land development and environmental health issues in a single location will, hopefully, expedite development approvals while better safeguarding the public's health. Member Frissell asked what implications this might have for the Health Department? Ms. Baldwin said the goals of this space addition are to improve the use of space, flow of information, working conditions and updating the infrastructure and technology. There is also a need for a larger community meeting room. Commissioner Titterness asked about the expected timeline? Larry Fay said that while no timeline has been set, actual work might be able to begin in the spring. Ms. Baldwin mentioned it would be necessary to do the project incrementally because staff will remain in the space during construction. Chairman Westerman asked how the space reallocation and expected efficiencies would affect the number of personnel housed in the facility? She has a growing appreciation for the connection between Community Health and Environmental Health and would be concerned if they were separated. Commissioner Titterness responded that although the long-range plan is to move Public Works to a iCounty-owned facility, the additional space in this building is, at this point, intended to be used for the people that are currently housed here. Chairman Westerman said it seems a good idea to have Public Works next to Community Development. Mr. Fay said Environmental Health is an integral part of Public Health and basic sanitation is intertwined with land development and building permits There is a need to facilitate the process that an applicant or developer has to go through when dealing with multiple departments co-housing people working on activities directly tied to plan development/land approvals will ensure they mesh. Dr. Locke said no matter where it is sited, the authority for Environmental Health activities would remain with the Board of Health and the Health Officer NEW BUSINESS Proposed Budget Cuts: Jean Baldwin explained that the Board received a memo and spreadsheet from County Administrator David Goldsmith regarding Department budget cuts. In response to confusion about the lack of reference to the Health Department, she explained that because the Health Department is an outside budget fund the spreadsheet only reflects a belt-tightening of$78,000 under"Operating Transfers," which relates to the Health Department. The packet also included a staff survey,which was a fact-finding exercise. She indicated that some Staff were not receptive to the survey, however Commissioner Titterness expressed that the information collected was helpful. iMr. Fay went on to explain that of the $3 million Health Department budget for 2002, $750,000 came from the general fund. When Public Works Director Gary Rowe asked the department to cut $150,000 of the operating transfer, this figure was based on not filling the Health Director position as well as a HEALTH BOARD MINUTES - May 16, 2002 - Page: 6 general fund savings due to increased Environmental Health fees. Given the delay in adopting the fee • structure, the $150,000 target was met in a number of other ways, as shown on the portion of the spreadsheet specific to the Department of Health. Health and Human Services Budget Administrator Mary Ann Preece explained that aside from the $68,000 cut from unfilled positions, there were $78,000 in real cuts. For 2003, there will be a smaller base budget, less the same $68,000. In her opinion, these cuts are not sustainable without cutting services or programs. Next year, however, the fee increase should permit the Department to reduce the general fund operating transfer by about $90,000. She then explained that the reference to "MRC activities" on page one of the summary, should in fact read "Weed Board." There was discussion about impacts to the health officer services and travel expenses ($1,984 and $5,500 respectively). Ms. Preece clarified that $5,000 is "director-related,"while $500 is directly related to Dr. Locke. Member Frissell asked whether the removal of the health director funds from the 2003 budget means that the need for a Director has vanished? Ms. Preece said no, this is what she means by not sustainable. There is a need for more analysis of services and programs to see what is sustainable. Ms. Baldwin added that without a health director, there is high a staff to management ratio and issues and concerns related to quality assurance, supervision, and scheduling. The management need will not • go away. She also noted that there were program cuts in January. Commissioner Huntingford said although there is a desire to keep matching grant funds and the programs they support, rectifying problems in the 2003 budget will likely require a reduction in or cutting of programs because there is not the money or the staff. His concern is that continued cuts will make it difficult to do all programs well. Chairman Westerman felt that at some point we have to enter, as a community, into the discussion of increasing taxes. She would like to be a part of that dialogue instead of witnessing the County Commissioners get condemned and lose community support as it attempts to increase revenues. Her recommendation is that the Health Board come out in support of the services that we have achieved and educate the public about the increasing cost of delivering those services. Commissioner Huntingford said it is apparent that using even the banked capacity and any cash carryover,would provide only a short-term fix of 1 to 1-1/2 years. There is just not enough taxing authority. It may be that the legislature could give more taxing authority for health issues,but even if the County takes the full amount it has banked, the cost of doing business is growing faster than any ability to generate revenue. Since you cannot do everything, the question is how to figure out what the public wants to support. Member Frissell said she sees the need for education on what exactly is the county portion of a tax bill and what it provides. The fear is that a County increase would affect their entire tax bill. She added that • few people relate their vote on I-695 to the $22.50 they pay for a round-trip ferry ride. HEALTH BOARD MINUTES - May 16, 2002 - Page: 7 • Commissioner Wojt mentioned that we choose not to talk about the reality of what Initiative 695 did to Motor Vehicle Excise Tax (MVET). The legislature got tired of cities and counties bickering over what they paid for regional health services. They gave MVET monies to the Counties and said the Cities do not have to pay any more because this covers their share. Now the City is getting a free ride and although there is an argument that City residents are also County residents, the tax distribution is different. When you look at the expenses— 1/3 of the people getting 2/3 of the services—that argument does not hold a lot of water. Mayor Kolff said he believes the City and County need to enter into serious dialogue to solve the public health funding problem in the County. Commissioner Huntingford said it has been a difficult process for the County and they have attempted to make it as fair for everyone as possible. It has been an interesting process in getting departments heads together and talking about each other's problems. Jean Baldwin said she is most concerned about productivity, morale and turnover. A lot of care needs to be taken, because of the price we are paying to get to the bottom line. Policy 96-02 Consideration: Larry Fay explained that the main principle in Policy 96-02 is the requirement to connect to a public water system, where public water is available, in a timely and Ask reasonable manner. In the packet were several letters from Cordell Burke, who has particular interest in the adopted policy because he would like to drill a well, but is prohibited from doing so due to the proximity of a water purveyor. Mr. Fay said he believes there is some merit to Mr. Burke's concerns. He explained that through the Coordinated Water System Plan, there was interest in establishing an appeal process for those who felt that a utility was imposing unreasonable conditions. This process was not adopted in the final plan, largely because an appeal board would be a subcommittee of the Water Utility Coordinating Committee and the City did not believe it was appropriate for them to give up their governance and their responsibility for their water supply. Instead of a countywide appeal process, there is a strictly voluntary mediation process. Mr. Fay pointed out that while "timely"has been defined, "reasonable"has not. In listing possible amendments to Policy 96-02 (as follows), he attempted to identify some clear-cut conditions under which someone would be required to connect or by which connection becomes optional. His recommendation is to find a better definition of reasonable. He referred to several Policy Options as drafted, but solicited other recommendations. A. Policy Amendment—The Board of Health could amend policy statement 96-02 to include guidance as to what constitutes reasonable conditions. The policy would attempt to balance the public health risk and necessity with the cost associated with connection. On a high-risk site, it might be reasonable to accept a much higher cost for connection compared to drilling a well than on a low risk site. This could be tricky and there do not appear to be any existing models from which to work. B. Include a Waiver Provision—Since the Board of Health has adopted the only County HEALTH BOARD MINUTES - May 16, 2002 - Page: 8 policy, exceptions to the requirement to connect could be considered on a case-by-case • basis by means of a formal waiver application. The burden of proof would fall on the applicant to show that the terms and conditions of connection to the public water system were unreasonable. Decisions by the Health Officer could be appealed to the Board of Health. C. Repeal Policy 96-02 and Limit Water Well Construction—Within recognized water service areas, allow water well construction only when the lot on which the well is being constructed meets the land area requirements for a well and septic. Outside water service areas, allow well construction only when the site meets land area requirements as established in Policy Statement 97-02. Chairman Westerman asked for the definition of a "high risk site" under Policy Amendment. She suggested clearly defining these and other terms such as "recognized water service areas" so that during the Board's review it will be clear what we are reviewing. Under Repeal Policy 96-02, she asked to understand the difference in the two statements. Mr. Fay said the policy he drafted follows Option A. He recognized the need for definitions and said copies of the water service area maps might have also been helpful. He said his first definition of a high-risk site is anything less than an acre. Member Frissell asked whether the water service area was designated before or after Mr. Burke bought his property? Mr. Fay said the designation of the water service area occurred prior to the time Mr. Burke applied to drill a well. However, the Department does not have as a matter of record information that a piece of property is contained within a particular water utility service boundary. There is also no convenient way through a property title search to obtain this information. The information is available if you know to ask for it. Chairman Westerman asked whether a bank would want to know about a water service area before approving a loan? Mr. Fay said the bank might not require it and most individuals do not know to ask the question even though the information is available. He went on to explain that water service areas are simply a declaration on behalf of a purveyor that they are going to sell water in a particular area. They are not approved, but merely acknowledged by the County. The whole idea with designated water service areas is to avoid conflicts and overlapping service so utilities can then provide for rational delivery of water within a particular area. Part of the problem with the process is that most people assume that water development is taking place by larger utilities, such as the PUD. There was no real mechanism for a person like Mr. Burke to know that someone had decided to deliver water to the south end of the Coyle Peninsula and for him to vote whether or not he wanted to be in that water service area. This is part of the process in the Coordinated Water System Plan, which is outside of the Board's scope. Chairman Westerman asked if there is an approval process for purveyors? Mr. Fay explained that the Coordinated Water System Plan states that after the utility makes a declaration they have a year to submit their plan to the State Department of Health. The referenced water system has an approved plan and design. Commissioner Titterness asked who would determine if it is unreasonable? Mr. Fay said that without a • person or entity of authority to make that determination, it would have to go to court to decide. Dr. HEALTH BOARD MINUTES - May 16, 2002 - Page: 9 • Locke said that under a new policy, the Health Officer would make a determination that could be appealed to the Board of Health. Mr. Fay said this would at least provide a framework for assessing this situation, but there is the potential for problems in other situations. Member Frissell said she couldn't imagine how a person could buy a piece of real property without asking a question about water. Either it was or was not disclosed. Commissioner Titterness said if the Department is the decision-making authority at this point and if it is the opinion that requiring connection is unreasonable, then the purveyor could appeal to the Health Board. Mr. Fay said he is asking the Board to try to create a policy that anticipates at least some examples of"reasonable" and "unreasonable" circumstances. Commissioner Titterness said there is good argument for that, but what we find, as in this case, every time you try to write a regulation, there is another circumstance that creates another issue. It becomes nearly impossible to continually clarify a regulation. So, in writing a regulation, less is better. He expressed support for utilizing the policy in existence. Member Frissell said the policy might need to be revised if it is inadequate. Commissioner Titterness said that inasmuch as Mr. Fay has the authority and has indicated his feelings about what is unreasonable, he believes he can make this call. Member Frissell said there appear to be two issues: one • is the specific case and the other is the policy question. Commissioner Wojt said one of the discussions in the Water Utility Coordinating Committee about setting up the water purveyors is that if someone moves into a water district and requests water and the water purveyor cannot provide it or cannot provide it within a reasonable period of time, that removes the individual from the service area. He said the purveyor must provide water to your property line. Mr. Fay said you can either write policy to anticipate the circumstances or you need to correct the process. He suggests that if he, in the Department, has the authority to do the process, then there still should be an amendment of Policy 96-02. He also noted that the designation of reasonableness is appealable and that there should be some timeframe with required notification to the purveyor before a person can start to drill a well. Chairman Westerman then asked how new construction and expansion of structures for which potable water is required fit under the "applicability" standard? She asked whether there should be a square footage specified? Commissioner Titterness explained that a structure might contain more than one tenant and therefore more than one unit, which may have to be metered separately. Mr. Fay said this language comes from a 1992 policy on water availability and implements RCW 19.27.97, which says that anybody applying for a building permit for a building that requires a source of potable water has to prove that they have an adequate supply of potable water. The policy goes on to list exclusions. When adopted in 1992, the policy followed the RCW and expansions were viewed similarly •to septic expansions. This language could be clarified, although he would be inclined to eliminate it rather than try to refine it. The standard is 400 gallons. Unlike the septic, which is designed for the size of the house, their standard for potable water supply is one number. He would be inclined to specify new HEALTH BOARD MINUTES - May 16, 2002 -Page: 10 construction and to keep a narrow focus. • Chairman Westerman said she believes that is fine. Under the general policy statement, "Reasonable shall mean that the requirements for connection shall be consistent with the standards specified in the utilities water system plan. The requirements are the same as they would be for any other applicant requesting similar service, costs shall be consistent with capital costs of improvement as well as the industry standard for waterline extension and there is a compelling public health interest in requiring the extension." She asked if this is the language on which Mr. Fay would base his judgment? Mr. Fay said this is the struggle: How badly as a public health agency and Board of Health do we want to go to battle for a utility that might want to sell water on 10-acre lots? There may not be a compelling public health interest in doing that. That is why he said, "...and there is a public health interest"— generally, the higher the density, the greater the public health interest. What we would work on in policy is trying to create a matrix. Chairman Westerman said it appears that if Mr. Fay determines that there is not a compelling public health interest, then a hookup is not going to be required,which is a decision more appropriate to the Health Board. Dr. Locke said that is the whole basis of a Board of Health's involvement in this kind of issue. Otherwise, the Board is straying into marketplace decisions. Chairman Westerman said that an appeal based on the claim that there is no compelling public health • interest would be a much better case to come before the Board. This would also allow Mr. Fay to say I do not see the health interest here. Mr. Fay said he believes there are some places where there is a compelling public health interest and that is the relationship with the on-site sewage code. Referring to the General Policy Statement of the draft policy, he noted that Number 4 deals with a specific situation where there is a compelling public health interest in requiring a connection. When the lot does not meet the siting criteria for well and septic we are dealing with a situation where it is much more fair to require the connection. He believes this is a good situation to state in a policy. He will continue to tweak the policy and clear up some of the process around appeals. Mayor Kolff suggested that the last part of the sentence that starts with"there is a compelling public health interest"be moved to the first part of the policy. Chairman Westerman suggested Mr. Fay rework and refine the policy based on the input received today and provide it to the Board again at the next meeting. Mr. Fay said he would try to frame it as an amendment to 96-02 rather than a whole new policy. He also agreed to provide 96-02 and 97-02. SB 6588/Restaurant Association: Mr. Fay distributed a response article on SB 6588 from the May issue of the Restaurant Association newsletter. • HEALTH BOARD MINUTES - May 16, 2002 - Page: 11 • AGENDA CALENDAR/ADJOURN Joint Board Meeting: A Joint meeting of the Health Board/Hospital Board is scheduled for Wednesday, June 5, 2002 from 3:00-5:00 p.m. in the Hospital Auditorium. June Agenda Topics: Abatement of Public Health Nuisances—Policy Options. The meeting adjourned at 5:00 p.m. The next meeting will be held on Thursday, June 13, 2002 at 2:30 p.m. at the Jefferson County Health and Human Services Conference Room. JEFFERSON COUNTY BOARD OF HEALTH (Excused) Sheila Westerman, Chairman Jill Buhler, Member (Excused) •Geoffrey Masci, Vice-Chairman Richard Wojt, Member Glen Huntingford, Member Roberta Frissell, Member Dan Titterness, Member • Board of Health Old Business Agenda Item # IV. , 1 Abatement of Public Health Nuisances Policy Options June 13 , 2002 • Solid Waste abatement program Results of initial program 2001-2002 Since the inception of the compliance/abatement program for Solid Waste under the auspices of the Environmental Health Department, the following cases have been handled by the department: A total of 84 cases have been reported to the department. The current status breakdown is: Of the 84 cases, • 9 were illegal dumping complaints investigated and abated. This number does not include the on-going illegal dump cleanup program administered and operated by the Juvenile Services Department. • 4 were community sponsored cleanups: • *DNR Dabob Bay cleanup *Chimacum Creek cleanup, Marine Science Center *Quilcene Community Cleanup • *Duckabush Round-up • 15 violation investigations and/or mitigation are on-going. • 56 cases were abated and closed. Of the 56 abated cases, several have signed up for garbage service. When appropriate, disposal receipts for self-hauling were requested and received by the department. Additionally, ten (10) "No Dumping" signs have been placed at historical problem sites. Molly Pearson Environmental Educator i Y • Juelanne Dalzell 0 („...4, ,,„ ____, JEFFERSON COUNTY PROSECUTING ATTORNEY ' IM Courthouse—P.O.Box 1220 c' '' 1 ` , Port Townsend,Washington 98368 �1 ;'c; i `'� ! Telephone(360)385-9180 FAX(360)385-0073 µ4 E p' R i' * -1;_ Jill Landes,Deputy Prosecutor Michael Haas,Deputy Prosecutor JEFFERSON COUNTY SEAT-PORT TOWNSEND•WASHINGTON David W.Alvarez,Deputy Prosecutor Tracey L.Lassus,Deputy Prosecutor MEMORANDUM To: Jefferson County Board of Health From: David Alvarez, Chief Civil Deputy Prosecuting Attorney Date: June 4, 2002 Re: Enforcement Questions, which includes "abatement" The closely-related questions of enforcing local Ordinances and abating the consequences left by persistent violators have recently been brought to this author's attention by, respectively, • the three County Commissioners and the seven-member County Board of Health. The general issue of enforcement is similar to a memory game, because the tools that are available to enforce and abate are seemingly placed in random locations within the state statutes, provide different powers to different local officials and require much "dotting of i's" and "crossing of t's"by an attorney to achieve the goal desired: compliance. Here are some "Frequently Asked Questions"that may assist you in your analysis. What original source grants counties the right to create health and welfare ordinances? The original source is found in the Washington State Constitution. We must look to the State Constitution because only the state government holds the authority to create and empower the local government (or municipal corporation) we know as Jefferson County. The applicable provision of the State Constitution is Article XI § 11 entitled "POLICE AND SANITARY REGULATIONS," which states that "Any county, city, town or township may make and enforce within its limits all such local police, sanitary and other regulations as are not in conflict with general laws." III 110 Do statutes arise from theowers outlined in Article cle XI, §11 of the State Constitution? That provision of the state constitution encourages the State Legislature and the Governor to provide powers of enforcement and abatement to the local governments. Legislatures have used this power sporadically since at least 1854, well before Washington became a state. Thus, the list of statutes that may apply in circumstances when local governments wish to enforce or abate is a long one and I will discuss below only the most prominent ones. Are there state laws specifically empowering the Board of Health and its Health Officer? Yes, they are, respectively, RCW 70.05.060 and RCW 70.05.070. The local Board of Health is authorized to "supervise the maintenance of all health and sanitary measures for the protection of the public health," enact any necessary local rules that benefit or promote public health, prevent and control the spread of contagious diseases and "prevent, control and abate .. nuisances detrimental • to the public health." The Health Officer has the same powers although he or she cannot enact local rules since that is an action only a legislature and not a person can undertake. It is these state laws that would allow the County Board of Health to enact an enforcement and/or abatement ordinance if it chose to do so. Such statutes are dwarfed in number by the number of statutes found, by way of example, in Title 70 RCW which declare that certain acts or omissions rise to the level of a violation, be it civil or criminal. For example, if a person commits a certain act (dumping solid waste without a permit), then, to follow out that example, a civil infraction has occurred pursuant to RCW 70.95.240. Do the County Commissioners have any parallel or similar authority? Yes. Pursuant to RCW 36.32.120(7), the County Commissioners can make and enforce "all such police and sanitary regulations as are not in conflict with state law" for the unincorporated portions of the County. That same state law allows the County Commissioners to make a violation of a properly enacted "health and safety" Ordinance either a misdemeanor or a civil violation subject to a monetary penalty. It is this broad so-called police • Alvarez memo on Enforcement/Abatement June 4, 2002 Page 2of11 • power which validates most, if not all, of the Ordinances the County Commission enacts and further buttresses any sanitary regulations that County Commission may have enacted when the 3-member County Commission also served as the County's Board of Health. So what exactly are the regulations found "on the books" in this County? This author believes the following items are the most oft-used regulations and rules in this County. The regulations used in this County include, but are not limited to: 1. Applicable RCW and Washington Administrative Code ("WAC") provisions, such as those found at Chapter 246-272 WAC governing on-site septic systems. 2. The Uniform Building and Fire Codes; 3. Section 8.15 of the Jefferson County Code, which governs on- site septic systems; and 4. Section 10 of the Unified Development Code, our GMA-derived development regulations, which speak to enforcement of zoning and land use violations. • Others in the County will have more information on the daily utilization of these or other regulations with respect to citizens who either apply or appear to be in violation of a WAC provision or Ordinance What is the enforcement process this County undertakes now? The current enforcement process in Jefferson County begins with the appropriate department or agency, usually either Community Development (f/k/a the Permit Center) or Environmental Health, and ends, only as a last resort, with assistance from the Prosecuting Attorney's Office, specifically this author. This author does not learn of the potential violation cases that are resolved solely through the work of County staff, but presumes that successful resolution occurs through the mailing of form letters that provide gentle reminders of what must be done to achieve and remain in compliance. Larry Fay and Dr. Locke can better speak to that. The names of the more recalcitrant offenders, typically those who have ignored one or more letters from the department asking them to comply, letters often sent via certified mail, are sent to this author's attention by the departments. Our office has a form letter that threatens criminal prosecution • Alvarez memo on Enforcement/Abatement June 4, 2002 Page 3 of 11 • [the relevant Ordinances allow the County to deem a violation of that Ordinance to be a misdemeanor as is permitted by RCW 36.32.120(7) and each day is a separate violation/misdemeanor] if they do not comply. Having waved that powerful stick, the letter also contains a carrot: it urges them to speak to the nice people at DCD or Environmental Health to remedy the problem, the implication being that the County knows honest mistakes occur and it is not eager to jail its citizens. The letter on Prosecuting Attorney's Office letterhead is successful at least 9/10ths of the time. Often the offender simply let his or her permit lapse, was an absentee landlord who thought his tenant would take care of the problem, is elderly or did not understand that there are no exceptions to the PUD inspecting on-site septic systems. If the letter on Prosecuting Attorney's Office letterhead is not successful, then nothing else is undertaken, because litigation would be unwise, since the cases have not typically been prepared in a way that would lead to successful litigation and because the PA's office has extremely limited resources, i.e., this author, who is the entire Civil Department. • These remaining offenders typically have a "come and get me" attitude based in part on libertarian political beliefs or hermit-like attitudes and ignore the letter this author sends. They are the hardcore offenders that we could be more proactive about. What, if anything, is missing from this County's regulatory toolbox? I will take this opportunity to again strongly argue that this County needs an enforcement officer, perhaps an officer who can handle enforcement actions for both Environmental Health (septic, solid waste) and planning (junkyards, setbacks, illegal structures). If it was one person's job to write the tickets, prepare the factual underpinnings for a court action, testify in court, handle follow-up, encourage and monitor voluntary compliance, then enforcement would settle into a routine and there would be continuity since the enforcement actions would all cross a single desk. Current county staff has expressed their reluctance to add enforcement duties to their already long list of duties. Of course, I understand that Jefferson County does not have at present the $50,000 or more it would take annually into perpetuity to pay for an enforcement officer. But the hiring of such a person should be high on the • Alvarez memo on Enforcement/Abatement June 4, 2002 Page 4 of 11 • wish list when times get better. Are there any legal limits that might prevent creation of an proactive enforcement program? Yes, and the problem arises in the difference between the powers granted to a law enforcement officer, commissioned to prevent and detect crime, and the powers granted to a county employee asked to prevent and detect health, safety or zoning violations. Generally, Washington state case law states that a police officer can intrude on private property to the same extent that a Postal Service letter carrier or UPS driver can, i.e., they can go past "no trespassing" signs and proceed up a driveway. The same does not hold true for a county employee who has the job of enforcing local ordinances. The local code enforcement officer would arguably be obligated to obey a sign indicating "no trespassing,"but could ignore that sign if he or she wished. However, if the property not only was marked "no trespassing," but there was also a locked gate across the driveway, then the occupant's obvious intent to not have strangers enter his property would prevent the code enforcement officer from entering the property, but not necessarily the police officer. Thus, some code • enforcement investigation must be done from the neighboring yard or from the street. A second limit on enforcing the provisions of local ordinances is the decision of the Washington State Supreme Court to abolish so-called "administrative search warrants." The published decision that abolished this type of search warrant is entitled Seattle v. McCready, 124 Wn. 2d 300 (1994). Challenged in the McCready case was an ordinance enacted by Seattle that allowed that city to conduct random searches for building code violations based solely upon the age, size and neighborhood of a particular multi-family dwelling. In other words, if a building was old enough and in a certain neighborhood it was likely that building violations were occurring there. When certain residents and owners of a building that met this "old, thus decrepit" profile objected to the searches, the State Supreme Court invalidated the Seattle ordinance as a violation of the 4th Amendment to the US Constitution. The State Supreme Court ruled that before a search could occur, there had to be probable cause that a specific building contained a specific building violation, not merely the suspicion that a building, based on its age, was likely to be in violation. Thus, the bottom-line effect of McCready is to require the probable cause be present • Alvarez memo on Enforcement/Abatement June 4, 2002 Page 5 of 11 • in order to obtain a search warrant for a code infraction, the same probable cause that must be present to obtain a search warrant during a criminal investigation. The practical effect of the McCready decision is that search warrants are and will be extremely difficult, if not impossible, to obtain in the context of attempting to enforce local civil ordinances and this County will need to continue to rely upon Neighbor Smith complaining about the mess that Neighbor Jones is making. However, we all know that neighbor v. neighbor disputes are often simultaneously petty and ugly. What about using civil infractions for enforcement against the most recalcitrant offenders? This would require giving the alleged violator a ticket [formally known as a "notice of civil infraction" or "NOCI" pursuant to RCW 7.80.050(1)] akin to those a police officer `writes' when he alleges an automobile driver has committed a traffic violation. Chapter 7.80 RCW would control and the matter would be heard in District Court. This is the process: • a) an enforcement officer, someone authorized to enforce the provisions of the ordinance or regulation that was allegedly violated, witnesses the violation or concludes he has reasonable cause to believe a violation has occurred and writes the NOCI on a quadruplicate and standardized form; RCW 7.80.040, RCW 7.80.050(3) and 7.80.150 for the standardized forms b) the NOCI is either immediately handed to the alleged violator or if that is not possible the NOCI is filed with District Court within 48 hours and served on the defendant by the District Court; RCW 7.80.050 c) the NOCI equates with a determination that the violation occurred UNLESS it is contested by the defendant within 15 days. RCW 7.80.070 and .080(3) d) at the time of the hearing held with respect to any contested NOCI, the defendant may hire a lawyer and the County's DPA is not required to appear, although this author assumes that County staff would certainly want the County's DPA present at the adjudication; RCW 7.80.090 e) the hearing held with respect to any contested NOCI is a so-called "bench trial," i.e., the District Court Judge has sole power to make decisions on factual and legal issues and there is no jury involved RCW 7.80.100; f) the burden of proof at the hearing on the contested NOCI rests with the State of Washington (the County) and the County must "establish the commission of the civil infraction by a preponderance of the evidence." The • Alvarez memo on Enforcement/Abatement June 4, 2002 Page 6 of 11 • legal term of art "preponderance of the evidence" has been interpreted to mean that the evidence presented makes it more likely than not that the violation which is alleged did occur; RCW 7.80.100(3) g) if the Judge determines that the infraction did occur, then the defendant must immediately pay monetary fines that can range from $25 up to $500 per infraction, depending on the seriousness of the infraction, and this County's District Court is authorized to use a collection agency to collect unpaid fines; RCW 7.80.120 h) in the circumstances where a Judge has determined that the infraction did occur and yet the defendant is indigent and cannot pay the fine then the Judge can either reduce the fine or order the defendant to do community service, the defendant will work off his fine at the rate of the state's current minimum hourly wage; RCW 7.80.130(2) i) a defendant who fails to either pay the fine or perform the required community service can be found to be in contempt of court; and [RCW 7.80.160(3)] j) the prevailing party may seek to have the losing party pay its attorney's fees, although with our most stubborn offenders that may be the equivalent of attempting to obtain blood from a stone RCW 7.80.140. Civil infractions are well and good for punishment, but what about abatement? Generally, if the citizen's action complained of constitutes a "nuisance," as that term of art is defined in state law, then that nuisance can be abated. However, the term "abatement" appears 151 times in state law and can refer to the abatement (closure) of a place where liquor is illegally sold [RCW 66.36.040], seizure of a residence where illegal drugs were manufactured [RCW 7.43.080], abatement of excessive noise by the State DOE [RCW 70.107.060] or abatement of a public nuisance by the Sheriff, since a public nuisance can rise to the level of a criminal misdemeanor pursuant to RCW 9.66.030. What, then, is the definition of a nuisance? There are numerous definitions of nuisance found in state law. While nuisance is defined in several portions of Ch. 7.48 RCW, the broadest definition of a nuisance is found at RCW 7.48.010, which defines a nuisance i Alvarez memo on Enforcement/Abatement June 4, 2002 Page 7 of 11 as "[t]he obstruction of any highway or the closing of the channel of any stream used for boating or rafting logs, lumber or timber, or whatever is injurious to health or indecent or offensive to the senses, or an obstruction to the free use of property, so as to essentially interfere with the comfortable enjoyment of the life and property." A roughly similar definition of nuisance is found at RCW 7.48.120. Thus four distinct actions or omissions can constitute a nuisance: a) obstructing a highway, b) closing a channel or stream used for boating, c) anything injurious to health or offensive to the senses or d) an obstruction to the free use of property. Clearly, it is items (c) and (d) previously described that are most relevant to the analysis found in this memo. But there are additional definitions of nuisance in Ch.7.48 RCW. A "public nuisance" is defined at RCW 7.48.130 as "one which affects equally the rights of an entire community or neighborhood, although the extent of the damage may be unequal." RCW 7.48.140 then lists nine specific actions or omissions which, if committed, constitute a public nuisance. While some seem unlikely to occur (manufacturing gunpowder, fermenting alcoholic beverages), others • may apply to our 21' century reality, specifically #1 ("to cause or suffer any offal, filth or noiseome substance to be collected, deposited or remain in any place to the prejudice of others") and#2 ("to throw or deposit any offal or offensive matter, ..... in any watercourse, stream, lake, pond, spring, well or common sewer, street or public highway, or in any manner to corrupt or render unwholesome ..... the water of any such spring, to the injury or prejudice of others.") These statutes allow a person to sue a local government for permitting or creating a nuisance [Miotke v. City of Spokane,101 Wn.2d 307, 678 P.2d 803 (1984), overruled on other grounds, sub. nom. Blue Sky Advocates v. State, 107 Wn.2d 112, 727 P.2d 644 (1986)] and for a local government to use the public nuisance statute affirmatively pursuant to City of Burlington v. Kutzer, 23 Wn. App. 677, certif. denied 92 Wn. 2d 1036 (1979) (city can bring civil nuisance suit against individual operating bingo hall in a residential neighborhood in violation of the relevant zoning code.) What can the local government do when it finds a nuisance? RCW 7.48.200 informs us that the potential remedies against a public nuisance • Alvarez memo on Enforcement/Abatement June 4, 2002 Page 8 of 11 • are to 1) file a criminal information pursuant to RCW 9.66.030, 2) pursue a civil action in a manner that conforms with RCW 7.48.010 to RCW 7.48.040 or 3) abate the nuisance. The right to abate a public nuisance rests with any public body or officer authorized thereto by law, according to RCW 7.48.220. The "criminal information" route will not be discussed here because the burden of proof upon the State (county) in a criminal matter is so substantial that it would make this process too cumbersome. The second and third routes below overlap and will be jointly discussed. What happens if a civil action is undertaken? The party files the civil action and would generally ask for three forms of relief, i.e., that 1) the act or omission of the defendant does constitute a public nuisance and must be remedied in a manner prescribed by the Judge, 2) for a judicial Order entering and creating a Warrant of Abatement asking the Sheriff to abate the nuisance at the expense of the offending party, i.e., the defendant • and 3) money damages that arose as a consequence of the existence of the nuisance. RCW 7.48.020 and RCW 7.48.030. Only Superior Court and not District Court can issue a Warrant of Abatement, according to RCW 7.48.260. The County would normally not ask for money damages as we do not suffer any consequential damages. Why? Because the County Sheriff is authorized to recover the costs that the County would incur when the Sheriff abates and reports the cost of the abatement. RCW 7.48.280. Of course, the defendant may not have any money or any items of value to pay the County either the fines or the cost of the abatement. Separately, does the Sheriff have the resources or the knowledge needed to undertake abatements? Can the defendant (the offender) slow down this process? Absolutely. The defendant can file court papers to stay (delay) the execution of the Warrant of Abatement so that the defendant can cure or remove the nuisance. The Warrant of Abatement will only be stayed if the defendant gives "bond to the plaintiff in a sufficient amount with one or more sureties, to the satisfaction • Alvarez memo on Enforcement/Abatement June 4, 2002 Page 9of11 • of the court or judge thereof, that he will abate it within the time and in the manner specified in such order." If the defendant cannot remedy the problem within the time he or she asked for then, the Warrant of Abatement is issued and abatement by the Sheriff takes place. RCW 7.48.040 and RCW 7.48.270. Also, the bond is forfeited if the defendant cannot remove or cure the public nuisance within six months, pursuant to RCW 7.48.270. What papers would have to be filed to undertake a civil action against a public nuisance? The Civil DPA would have to file 1) a Verified Complaint signed by the county staff person with personal knowledge of the violation, e.g., "on May 1, 2002 I saw the following violation at parcel #123 located on Center Valley Road." 2) a notarized Declaration of that same county staff person attaching any documents or photos that the staff person generated when investigating the alleged violation, 3) a Notice of Issue mandating that the defendant come to court and "Show Cause" why the alleged violation does not rise to the level of a public nuisance that can and should be abated pursuant to Ch. 7.48 RCW, which would include a date when the defendant must "Show Cause," and 4) • proof that the defendant/offender received notice well before the date for the "Show Cause" hearing of that date and the purpose of the hearing. Items #1 and #2 listed above in response to this FAQ would need to be specifically tailored to each circumstance and the relevant facts and thus they would require careful editing and organizing as well as high levels of cooperation between the DPA and county staff. The other documents could and would be standardized. Again, can the defendant slow down this process? Absolutely. Initially, the defendant might need some time to retain an attorney. Once an attorney has stated his or her intent to represent the defendant, then that defense attorney can use all the tools of civil discovery, including Interrogatories (questions), depositions (questions asked of a witness under oath), requests for production of documents, the retention of experts etc. The defendant's attorney can file motions, seek dismissal of the lawsuit and/or simply ask for continuances (adjournments) of the case. In other words, there is no guarantee that using Ch. 7.48 RCW would be easy or quick. Nor is there any guarantee that a defendant would have the money to • Alvarez memo on Enforcement/Abatement June 4, 2002 Page 10 of 11 • 0 • • reimburse this County for the costs the County incurred. Are there certain activities that can never rise to the level of a public nuisance? Yes. Agricultural and forest practices, as defined by RCW 7.48.310, as well as any act expressly authorized by a statute, can never constitute a nuisance. CONCLUSION: Of course, in an ideal world the goal of the County would be compliance not the collecting of fines and penalties or, in a worse case scenario, assuming ownership of the property where the violation occurred. This memo could not be shorter because this is a complex topic that will require much further debate. • Very truly yours, David Alvarez, Chief Civil Deputy Prosecuting Attorney Alvarez memo on Enforcement/Abatement June 4, 2002 Page 11 of 11 • Memorandum To: Jefferson County Board of Health From: Larry Fay, Environmental Health Director Date: Ma31, 2002 Re: Amendments to BOH Policy Statement# 96-02, Utility Service Review Attached with your packets are two documents derived from our May Board meeting. Attachment "A" is a line in, line out version of policy 96-02 that attempts to capture the spirit of the discussion from the meeting. Essentially it modifies the original policy • significantly by imposing the requirement to connect to public water to only those circumstances where there is a compelling public health interest to do so and goes on to define compelling public health interest. This is a much simpler approach that should still address the original problem. Attachment "B"is a copy of BOH policy 97-02 dealing with minimum land area requirements for issuing an onsite sewage system. This policy clarifies existing requirements contained with WAC 246-272 regarding septic permitting and the relationship between type of sewage treatment (onsite vs. public sewer), water supply (individual vs. public) and land area. This policy serves as the basis for the amendments to 96-02. Page 3 of 3, Certification of Water Utility Service ii Nk_ //11 • JEFFERSON COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH DIVISION Policy Statement 96-02 t , Program: Drinking Water Subject: Certification of Water Supply Utility Service for Building Permits Chapters 19.27.097 and 18.104.043 RCW The 1990 Growth Management Act includes provisions requiring proof of an adequate supply of potable water for the intended purpose(s) of the building before a building permit can be issued. The law(Chapter 19.27.097 RCW) also indicates that counties may impose conditions on building permits requiring connection to an existing public water system where the existing system is willing and able to provide safe and reliable potable water. The Water Well Construction Act, Chapter 18.104.043 RCW, allows the Department of Ecology to delegate portions of water well construction program through a Memorandum of Agreement with the local governing body. This policy is intended to adopt the following guidelines to implement the Memorandum of Agreement, and to create guidelines to implement a utility service review procedure. • Effective this date, the following policy shall be adopted concerning procedures that shall be followed to request from Jefferson County a review of water service and inspection of individual water well construction if water well is to be constructed. I. General Requirements. A. Every land owner shall be required to submit an application for Certification of Water Supply Utility Service. If water service is available from an approved public water system in a reasonable and timely manner, and there is a compelling public health interest in requiring connection to public water, then the lan =::landowner shall be required to connect to the public water system. B. If a water well is to be drilled, the land owner or representative shall submit the application for Certification of Water Supply Utility Service at least three (3) days in advance of commencing construction of the well. Jefferson County may observe construction of the surface seal, to assure compliance with WAC 173-160. II. Utility Service Review A. The land owner, or the land owner's designated representative, shall • submit to the Jefferson County Permit Center a completed"Request for M • • • r Page 3 of 3, Certification of Water Utility Service • Certification of Water Supply Utility Service". Upon receipt of the request, Jefferson County will determine the potential availability of public water systems to the area in question. Where potable water is available from an approved public water system in a reasonable and timely period, which is defined as 120 days in ESSB 5448, and there is a compelling public health interest in requiring connection to the public water system, the property owner shall be required to connect to the ç available public water system if capacity exists. For the purposes of this policy it shall be deemed to be in the public health interest to require connection when the development being proposed will utilize an onsite Qsewage system and the building site is smaller than the minimum necessary to support a well and onsite system. (See Policy Statement 97- �` 02) B. Proof that water is not available from the existing public water system must be in the form of a letter from the water purveyor indicating that capacity does not exist and/or service cannot be provided in a timely manner. C. For individual wells, proof of water adequacy for the purpose of obtaining a building permit shall be valid for thirty-six (36)months form the date of completion of the water supply well. After 36 months, the land owner will be required to re-establish proof of an adequate supply of potable water in order to obtain a building permit. D. If the property owner constructs a water supply well and is also required to connect to an existing water system, the public water supply system shall be protected from cross-contamination in accordance with the purveyor's backflow prevention plan or program. III. Water Well Construction Notification Procedure A. The land owner, or the land owner's designated representative, shall submit to the Jefferson County Permit Center a completed "Request for Well Inspection"now fewer than three days and no more than one- hundred and twenty(120) days before the commencement of work on a well. If after 120 days the well has not been constructed, the land owner will be required to submit another request for utility certification. No additional fees will be collected for the submission of the new request form. B. The land owner, or the land owner's designated representative, construction or decommissioning a water well shall follow procedures outlines in 18.104.048 RCW, Prior notice of water well construction, • Page 3 of 3, Certification of Water Utility Service • reconstruction and abandonment, and 18.104.050 RCW, Reports of water well construction or alteration. C. Water well contractors shall be responsible for notifying Jefferson County Environmental Health by telephone at least 24 hours prior to commencing construction on any well, following procedures established by the Director of Environmental Health. IV. Water Well Inspection A. Jefferson County Environmental Health shall inspect construction of wells, in accordance with the Memorandum of Agreement between dIf > Jefferson County and the Washington Department of Ecology. Well construction shall follow procedures outlined in WAC 173-160 for well �N(` tagging, construction, and decommissioning of water supply wells. B. Water samples are to be drawn by the land owner, or the land owner's representative, and tested at a state certified lab for all parameters required for compliance with 19.27.097 RCW and Jefferson County Policy (No. 93-02). Chloride shall be measured in accordance with the Critical Areas Ordinance (Nos. 05-0509-94 and 14-0626-95), which charges Environmental Health with developing a system for receiving and analyzing dew data in order to continually assess the condition of the aquifers (Section 7.301.9). At a minimum, the land owner shall test for total coliform, nitrate-nitrogen, and chloride. Lab results shall be submitted to the Environmental Health Department within 30 days of the completion of the water supply well. V. Fee Schedule A. The Environmental Health fee schedule shall follow the fee schedule listed in Jefferson County Ordinance No. 03-0205-96, as amended. B. The adoption of this policy shall include a procedure for Certification of Water Supply Utility Service, which incorporates into one fee,paid to the Permit Center: the determination of water adequacy, well site inspection, and water service review. This policy shall remain in effect until amended or repealed by the Jefferson County Board of Health. • Page 3 of 3, Certification of Water Utility Service • Health Officer Date Chairman of the Board of Health Date ‘tC %%11* • • facii nh., i3 • JEFFERSON COUNTY HEALTH& HUMAN SERVICES ENVIRONMENTAL HEALTH DIVISION POLICY STATEMENT NUMBER 97-02 PROGRAM: Onsite Sewage SUBJECT: Minimum Land Area Requirements Effective this date the following policy shall be adopted concerning the minimum land area that is necessary for the approval of an application for an onsite sewage permit. I. When there is an inconsistency between onsite sewage system regulations and county or city zoning or other land use or development regulations, the more restrictive regulation shall apply. II. The minimum land area required for approval of an onsite sewage system permit shall be determined by either Method I or Method II as established in Chapter 246-272-20501 WAC. When a Method II analysis is being performed the analysis must be conducted for an area of at least 100 acres. If the project site is less than 100 acres, the area surrounding the site shall be included so that a minimum of 100 acres is analyzed. When conducting a Method II analysis, the area to the centerline of a road or street right-of-way may be 411 included in the minimum land area application if the dedicated road or street right-of-way is along the perimeter of the development and is dedicated as part of the development and land area is at least 12,500 square feet in area and the property can be served from an approved public water supply. HI. Applications for permits for sites not meeting minimum land area requirements, whether determined by Method I or Method II, shall be approved only when a waiver from minimum land area requirements has been approved by the Health Officer. A. General Land Area Waiver Provisions. 1. Applications for waivers must be submitted on forms prescribed by the Health and Human Services Department and appropriate fees must be submitted before a waiver will be considered. 2. The waiver application shall include a justification describing how the requested waiver is consistent with the purposes and objectives of protecting the public's health. Justification may be in the form of the "standard land area waiver" described below or may be specific to the proposed development. 3. Applications for waivers from minimum land area requirements will be reviewed • by the Health Officer or his designee within thirty (30) days of receipt of the waiver application. The Health Officer must provide written findings that the 1 4 • waiver is consistent with the standards and intent of the onsite sewage system • regulations before the waiver may be approved. 4. The Health Officer may establish monitoring, sampling, inspection or other appropriate requirements as a condition of the waiver. B. Waiver Limitations. Waivers to minimum land area requirements will not be approved if any of the following conditions exist: 1. The proposed project is within a Vulnerable Aquifer Recharge Area, or is within a Special Aquifer Protection Area and susceptible aquifer recharge area as identified in the Jefferson County Interim Critical Areas Ordinance, unless Critical Areas BMPs have been adopted allowing development on smaller parcels. 2. The proposed system requires any other waivers from onsite sewage system regulations. 3. The land area under contiguous ownership on which the development is being proposed can accommodate an onsite sewage system without a land area waiver. 4. Sewer service is available in a timely and reasonable manner. C. Standard Land Area Waiver Conditions. A standard waiver may be approved if the following circumstances have been met: 1. The ownership pattern of the land area on which the development is being proposed was established prior to the effective date of this policy, and; 2. The land area available for the proposed development can be justified by means of an analysis using unit volumes of sewage per unit land area, for example: Parcel size = 9,800 square feet Public water Soil type = Type 3 Minimum land area per Table VII = 15,000 square feet 9,800 sq ft x 450 gpd/sewage unit = 294 gpd volume 15,000 sq ft/unit sewage volume The parcel could support a two-bedroom home with a waiver; or • 2 I • 3.Land area averaging when an off-site drainfield or well is proposed. The aver land area of the sites encumbered by the onsite sewage system and/or well average equal to or greater than the minimum land areas specified in Table VII, for example: Adjacent building sites, 0.5 and 3 acres Individual water supply Minimum land area per Table VII= 1 acre Off-site drainfield on adjacent 3-acre site 3 acres + 0.5 acres = 1.75 acres average 2 1.75 acres > 1 acre from Table VII Waiver may be approved. or 4. The waiver is conditioned upon providing an advanced level of treatmen disposal and neither 2 nor 3 above are feasible. t prior to • a. A one-level step up in treatment allows approval o minimum land area requirement. PP al of a waiver to 75/o of the b. A system providing treatment standard 1 performance prior to disposal allows approval of a waiver to 50% of the minimum land area requirement. D. Appeals to decisions regarding waiver applications may be made by filing a written request with the Jefferson County Board of Health within fifteen (15) days of the decision. IV. This policy shall remain in effect until amended or repealed by action of the Jefferson Cou oard of Health. 41116 Health Officer Date Chairman of th ' ` - 7 7 rd of Health Date • 3 2:4BLE VIf • Minimum Land Area Requirement Single Family Residence or Unit Volume of Sewage e :defined >section ttOd1 It s hapter) 1A, 1B 2A, 2B t 3 4 5 6 0.5 acre' Public 12,500 15,000 18,000 20,000 22,000 2.5 acre' sq• ft. sq. ft. sq. ft. sq. ft. sq. ft. Individual, 1.0 acre' on each lot -1 acre 1 acre 1 acre 2 acres 2 acres —� 2.5 acres2 TABLE V Maximum Hydraulic Loading Rate For Residential Sewage' - • .e IA Very gravelly' coarse sands or coarser, Varies according to extremely gravelly3 soils. system selected to meet Treatment Standard 2 1B Very gravelly medium sands, very gravelly fine sands, Varies according to very gravelly very fine sands, soil type of the non- very gravelly loamy sands. gravel portion $ 2A Coarse sands (includes the ASTM C-33 sand). 1.2 2B Medium sands. 1.0 3 Fine sands, loamy coarse sands, loamy medium sands. 0.8 4 Very fine sands, loamy fine sands, 0.6 loamy very fine sands, sandy loams, loams. 5 Silt loams that are porous and have well developed 0.45 • structure. 6 Other silt loarns, sandy clay foams, clay foams, 0.2 silty clay foams. TABT,F IS FROM WAC 246-272 • Board of Health Old Business Agenda Item # IV., 2 • BOH Policy 96-02 Reconsidered June 13 , 2002 • • Board of Health Old Business Agenda Item # IV. , 3 • Jefferson County Board Of Commissioners Resolution 31-02 June 13 , 2002 • At • JEFFERSON COUNTY STATE OF WASHINGTON IN THE MATTER OF } RESOLUTION NO. 31-02 HEARING NOTICE: PROPOSED BUDGET } REDUCTIONS FOR VARIOUS } GENERAL FUND DEPARTMENTS } WHEREAS, the 2002 General Fund budget was adopted on December 24, 2001, per Resolution No. 99-01, in which appropriations of expenditures were made for the various departments funded by the General Fund, and WHEREAS, the State of Washington has reduced state shared revenues to support the local criminal justice system by eliminating I-695 replacement funds, and WHEREAS, local economic conditions have been in decline resulting in lower revenue receipts for various revenue sources including sales and use tax, timber excise tax and investment income, and WHEREAS, expenditures approved in the 2002 General Fund budget exceed projected revenues by approximately $930, 000, and WHEREAS, future forecasts for revenues are not expected to increase to a level to sustain the current authorized expenditure levels, and WHEREAS, available reserves would be depleted if expenditures are not reduced during the 2002 budget year, and WHEREAS, the Board of Commissioners finds that the aforesaid conditions • constitute and emergency that could not have been foreseen or contemplated at the time of preparing the General Fund budget for 2002 . NOW, THEREFORE BE IT RESOLVED That an emergency exists and that the following identified departmental budgets within the General Fund are to be reduced by the amount shown on Attachment A. BE IT FURTHER RESOLVED, that a public hearing be held on the said emergency budget reductions and that said hearing be held in the County Commissioners Chambers, Courthouse, Port Townsend, Washington on the 29th day of May, 2002 at the hour of 2 :00 p.m. and that said notice of said hearing be published in the official newspaper of Jefferson County, and that at said hearing those interested may appear and be heard for or against the budget reductions for such alleged emergency. APPROVED this -13th day of May, 2002 . FFERSO -,UNTY ' t i . , BOARD OF COM 1 SIONER . 1 ' .r Af , SEAL: / I �� III 1 , � 1 �� mrd Wojt, airi Alingsuisow ATT T: q Dan Titterness, Me' •er 1111 AA• / Lorna Delaney, CMC / ,,;9 / Clerk of the Board ( Glen Huntingford, M4ter u ATTACHMENT A • Reduction Revised 2002 Budget Budget Assessor 555,706 11111"11546,483 Assessor 359, 341 Auditor 150, 251 Elections County Administrator 280,282 1111111111111111111111111 (10, 028) County Commissioners 1111111111111111 _®Board of Equalization (1, 360) 3, 803 Civil Service Commission 4,208 (405) Commission 10, 123 ' Planning 123, 437 1111111111131 1111111111111111 (2°' 550) � (20, 550) Public Safety 179 806 Cooperative Extension 188,270 MOM District Court 111110211111115111111111111111511111 212, 504 Animal Services 223, 390 (10, 887) III iiiiiiiiiMININIIIIIIIII parks & Recreation 390, 534 (20,245) 370,289 Community Development 586, 505 Prosecuting Attorney IllaillilliMalli22, 350 23,450 (1, 100) Coroner 2,461,410 NEIIIIIIIIIIIINNIIIMIN®�� 360, 596 Superior Court 410, 552 MEM 221608, Operating Transfers 1, 1,208, 334 Non-Departmental 1, 310, 079 (101, 745) Grand Total 12, 178, 360 (908 , 604) III May 29, 2002 • Community Health, Environmental Health, Natural Resources & Human Services Presented by Jean Baldwin, Director Community Health, Health & Human Services Public health structure is a compilation of National and State systems that rely on local jurisdictions to provide services to each community. Funding for those services is a shared responsibility of Federal, State and local agencies. Health&Human Services provide essential core public health services to Jefferson County through the competent management of local public health funds. For over a decade we have been able to provide professional services to Jefferson County that have ensured a decrease in communicable disease and family violence while implementing services that allow development while preserving water quality. In this, the third year of declining public health funding, we are no longer able to reduce programs and services while maintaining outside revenues that are leveraged by local dollars. Those programs have enabled Health&Human Services to generate $5 in public health funds through fees, grants and partnerships for every one-dollar received through County General • Funds. These funding practices and management systems allow us to provide essential core public health services to our community such as immunization clinics, assessment, and prevention services. Prior to this budget revision Community Health had already cut $90,000 from program budgets and reduced staff by 1.5 FTE. Additionally these July budget revisions cut a further$147,267 from the HHS budget. These further cuts mean that the general fund support to HHS are at about the same level as 1996. Funding priorities are set by local needs and decisions are directed at core services and measured by performance standards. This reduction in General fund support rolls back the public health support to the lowest level since pre 1997 with the expectation that services will meet the community health needs of 2002 and beyond. While we are able to tighten our belt for the next 6 months, we must sustain key and essential public health service to our community. We implore the board of commissioners on behalf of the citizens of Jefferson County to maintain funding to public health services at a level that assures a safe and healthy community for our children and seniors today and in the future. • • Board of Health New Business Agenda Item # V. , 1 • Vaccine Shortage Update June 13 , 2002 • 411F- RESPONSE TO HEALTH OFFICER INQUIRY: REASONS FOR VACCINE SHORTAGES • Reasons for the Shortages Overall The nation has been experiencing shortages of several of the routine childhood vaccines since mid 2000. Although there are some differences in the underlying causes of shortages among the various vaccines, there are several over-arching factors that are applicable to the vaccine shortages in general. They include: 1. Decreased or limited numbers of manufacturers producing and supplying vaccines. 2. Removal of thimerosal containing vaccines from the supply. 3. Production changes due to the removal of the preservative thimerosal in some childhood vaccines. 4. Temporary or periodic discontinuation of production to allow for production practice changes or upgrades, due to external or internal audit of production practices. 5. Pricing differentiation between the public sector and the private sector that leads to manufacturers' selecting in some cases to provide a greater amount of the shortage vaccines to the private sector than to the public sector. Reasons for the Shortages by Vaccine DTaP and Tetanus Related Vaccines -- The nation has been experiencing shortages of several • vaccines since mid-2000. The earliest shortage was in Tetanus and tetanus related vaccines, such as DTaP, Td, T, DT, and DTaP/HIB, for which tetanus is the limiting factor. This shortage stemmed from several key factors: 1. In late 1999, public concern over the use of the preservative thimerosal in childhood vaccines lead to the removal of thimerosal containing vaccines from the market, and revamping the manufacturing process for those vaccines, effecting the production of DTaP, DTaP/HIB, and other vaccines. 2. The number of manufacturers of tetanus and tetanus related vaccines decreasing from 4 to 1 over a period of about 3 years. In 2000, a manufacturer that had previously produced 32 percent of the national product need for diphtheria and tetanus products discontinued production of Td, leaving a single national producer of Td. Shifting shares of the market, changes in production activities, and the length of time needed to grow the tetanus virus have all limited the availability of tetanus and tetanus related vaccines. 3. There also has been some discrepancy in the availability of DTaP vaccines for the public sector, which purchases the vaccine at a lower cost, versus the private sector. All of these factors have contributed to the current shortage problems. As we begin to see the resolution of the Td shortage, the shortages for other tetanus containing vaccines, such as DTaP, will begin to resolve as well. Just recently, there has been some improvement in the Td supply. Although the restrictions for Td vaccination continue, the vaccine will be made available to the private sector for routine immunizations in the summer of 2002. The DTaP shortage is anticipated to be resolved by the end of 2002. • RESPONSE TO HEALTH OFFICER INQUIRY: REASONS FOR VACCINE SHORTAGES • PCV-7 (pneumococcal conjugate vaccine 7 valiant) Vaccines --Nationally, the shortage of pneumococcal conjugate vaccine has been felt equally in both the public and private sectors. Key factors contributing to the availability of PCV-7 include: 1. A single manufacturer producing the vaccine. 2. Unanticipated rapid implementation in the public sector, and high demand for the vaccine, resulting in a demand that exceeded manufacturing projections and supply. 3. Manufacturer experiencing need for re-vamping some manufacturing practices due to audits by the Food and Drug Administration. The manufacturer indicates that production for 2002 will soon meet the demand though inventory build-up may not be sufficient to return to the "routine schedule"before fall 2002. Varicella Vaccine -- The Varicella supply was primarily affected by delays caused by updating production practices. This is also a vaccine with a single licensed supplier in the United States. 1. Both public and private providers in all states have experienced critical shortages. 2. States that have included Varicella vaccination as part of their requirements for childcare and/or school attendance are advised to consider options for allowing conditional entry until the vaccine is available to update the child's immunizations. 411 3. ACIP has recommended that routine Varicella vaccinations be delayed from 12-18 months of age to 18-24 months of age (see MMWR, March 8, 2002). Providers may be able to return to recommended schedule by early summer 2002. Measles, Mumps, Rubella(MMR) Vaccine -- The MMR supply was primarily affected by delays caused by updating production practices. This is also a vaccine with a single licensed supplier in the United States. 1. The MMR supply is rapidly improving nationally; in Washington State, we have been virtually unaffected by this short-term shortage. 2. Nationally, ACIP has recommended that providers suspend the second dose of MMR if their supply is insufficient (MMWR, March 8, 2002). • • Vaccine shorts e Washington State Departmer2t of g update Healtha June 4, 2002 (The following is an editorial submitted by Washington State Health Officer Dr. Maxine Hayes to the Yakima Herald-Republic for publication on June 5, 2002): The mission of the state Department of Health is to protect and improve the health of people in Washington State. Vaccination is one of the most important things the department does to accomplish that mission. The department works closely with the policy-setting state Board of Health on such issues, and both agencies are committed to taking measures to protect public health despite the current national vaccine shortage. The shortage is making this work very difficult. Our state buys thousands of doses of vaccine every year and provides them to children at no cost, however in some ways, we are just like any other consumer: The product must be available before we can purchase it. That is where the problem lies. There is just not enough vaccine being made right now. Fewer manufacturers • producing vaccine along with changes in manufacturing practices have contributed to the lack of vaccine availability. There have been several types of vaccine in short supply over the past few years. Currently, the shortage of the vaccine for diphtheria, tetanus and whooping cough (DTaP) is the one that health care providers are most concerned about. Next week at its June 12 meeting, the Washington State Board of Health will consider allowing me to temporarily adjust state immunization requirements when a vaccine shortage exists. This would be a temporary rule change, in effect for 120 days, to ensure that children who delay receiving a DtaP booster will still be able to attend school or licensed childcare this fall. The Yakima Herald-Republic recently ran an editorial against this plan, but I believe it was a position taken without a clear understanding of the issue. The state Department of Health and the state Board of Health are working with local health departments, doctors, nurses and clinics to do our best to continue to protect children against vaccine-preventable diseases. DTaP is usually provided in a series of five doses to children between the ages of two months and four to six years. The initial three doses provide strong protection when a child is most vulnerable to the severe consequences of diseases. The last dose is a booster needed to ensure immunity through the primary school grades. Unfortunately, there is just not enough vaccine available to provide five doses to every child in our state right now. That is why during this shortage the National Advisory Committee on Immunization Practices is recommending children receive the initial three doses of DTaP, defer • the fourth dose, and if necessary the fifth dose. • This plan is allowing children at highest risk to be immunized on schedule. I want to make it clear: Immunization standards have not changed. It is essential for all children to be fully immunized. Many of these diseases can still result in potentially devastating consequences, including death. That is why we in public health are taking measures to assure as many children as possible are vaccinated with this limited supply. We continue to distribute vaccine throughout the state as soon as it arrives. All indications are that the national supply of most vaccines should be back to normal by late this year. We shouldn't punish kids by keeping them out of school because they have not received their DTaP boosters. By managing the vaccine supply carefully, we should have enough to adequately protect children and allow them to attend school. The state Department of Health and the state Board of Health are working with local health departments, health care providers, and schools to track children who must delay booster doses now so they can be vaccinated when the supply returns to normal. Additionally, the state is collaborating with local and national partners to help resolve current shortages and prevent future ones. In the meantime, we must all work together to effectively manage this situation so we can continue to protect and improve the health of people in Washington State. Dr. Maxine Hayes, State Health Officer Washington State Department of Health • • • Board of Health Media Report • June 13 , 2002 •