Loading...
HomeMy WebLinkAbout2003-July • Board of Health Old Business Agenda Item # IV., 1 • Cruise Ship Waste Discharge Draft Letter Follow-UP Report July 17, 2003 • • Memorandum Date: 7/10/03 To: Jefferson County Board of Health From: Larry Fay Re: Norwegian Sun Sewage Release This memo is a follow up to the public comment offered during the June meeting of the Board of Health regarding the May 3rd sewage release from the cruise ship Norwegian Sun. I have had the opportunity to review the DOE order#DE03WQNR-5538 and to discuss the incident with Kevin Fitzpatrick, Water Quality Manager for the DOE Northwest Regional Office and author of the order. We discussed the regulatory framework for marine discharges from vessels, the DOE role with respect to pollution of waters of the state, normal practice and the specifics of this incident. 110 • Federal law administered by the Coast Guard regulates marine discharges from vessels. The law specifically pre-empts any local authority to regulate discharges. In general terms the Coast Guard establishes and enforces onboard treatment and water quality requirements before waste-water is released from the vessel. Kevin reports that vessels engaged in the Alaska trade are normally required to treat waste water to a 20/20/20 (BOD,TSS,FecalColiform) standard before discharging. • Although DOE does not have direct regulatory authority over vessel operations, DOE has the authority to take regulatory action against anyone causing pollution of waters of the state. The State of Washington as a policy matter considers Puget Sound and the straights to the border to be jurisdictional waters. In this case, DOE's northwest office handled the investigation and enforcement since the Norwegian Sun is home ported in Seattle. DOE has recognized the risk with increased cruise ship activity and is working on an MOA with the major cruise lines working from Seattle in order to cooperate in more preventive role. • It is normal practice for outgoing vessels to begin discharging treated effluent about four miles out in the Strait of Juan de Fuca and for inbound vessels to stop discharging four miles out. • The Norwegian Sun was outbound on May 3, 2003. About 4 miles out the engineer in charge opened what he thought was the effluent tank but in fact was the sewage holding tank. The operational error was identified and corrected within about 32 minutes. The operational error was a result of modifications made 41111 to the waste water treatment system that the engineer was not fully versed in. The error resulted in the release of about 15,000 gallons of sewage. DOE investigated and ordered a number of corrective actions aimed at reducing the possibility of future accidents of the same nature. • In light of a review of the facts I think that it is important to note a number of issues. 1. Although that regulatory framework is somewhat clouded, DOE is well aware that there has been and will continue to be increasing cruise ship activity off our shores. The Department has taken steps to work with the industry to reduce the risk accidental or deliberate unauthorized discharges. Whether the agency's actions will be effective remains to be seen. 2. The location of the Norwegian Sun release was not unusual. The vessel was in the area where discharges normally commence. The unusual event was the operator error. According to Mr. Fitzgerald this is the first unauthorized cruise ship release that he is aware of in the area. 3. The location and magnitude of this release would have had a negligible impact on public health. The important thing is to assure that steps are being taken to assure that this does not become regular practice. 4. Norwegian Cruise Lines, who appear to have cooperated in the investigation, reported the release. Fining them at this stage might discourage them from reporting future releases. At the direction of the Board, I have drafted a letter in response to the Norwegian Sun release directed to DOE. The letter focuses more on a programmatic response to potential water quality threats from the increase cruise ship activity rather than the particular event. . I am suggesting that the Board review the letter, offer suggestions for possible edits and issue a final copy for signature. • • July 7, 2003 Megan White D 1 1 E T Water Quality Program Manager WA DOE Olympia, WA. Re: Norwegian Sun Sewage Release Dear Ms. White, The Jefferson County Board of Health is writing to express its concern over the sewage release from the cruise ship"Norwegian Sun"in waters off Jefferson County on May 11 this year. Jefferson County Health and Human Services has worked diligently over the years to develop rules,policies and actions that serve to protect the water quality in the coastal areas surrounding our community. We have worked closely with the county Board of Commissioners and the Depaitnient of Community Development to assure that land use and planning policy reflect a high regard for the quality of our environment and work to protect and enhance our natural resources. We are troubled when we learn of releases of raw sewage in waters off our shores from entities that have no particular stake in our community and over whom we have no regulatory authority. • We are further concerned when this type of release occurs at a time that the Port of Seattle is actively soliciting the cruise industry to home port more vessels in Seattle and the Puget Sound. Indeed, large cruise vessels are now virtually a daily occurrence in Admiralty Inlet and the Straits during the summer season. We depend on the Coast Guard and the Washington Depth tinent of Ecology to perform the necessary oversight of cruise ship operations in our waters. We are pleased to see the Order#DE 03WQNR-5538 that was issued against,the Norwegian Cruise Lines following the May release but question whether the cruise ship industry has a track record that instills confidence that the order will result in compliance. We urge the Department to employ all the tools available in your arsenal, including levying fines against polluters like Norwegian Cruise Lines and ask that DOE notify the Jefferson County Health and Human Services Department in the event of any future releases. Please feel free to contact me or any other Jefferson County Board of Health member if you have any questions. Sincerely Geoff Masci Chair, Jefferson County Board of Health • cc. Tom Fitzsimmons File Copy i Jefferson County Board of Health Agenda Minutes July 17, 2003 1 JEFFERSON COUNTY BOARD OF HEALTH Thursday,July 17,2003 2:30–4:30 PM Main Conference Room Jefferson Health and Human Services AGENDA I. Approval of Agenda II. Approval of Minutes of Meetings of June 19,2003 III. Public Comments IV. Old Business and Informational Items 1. Cruise Ship Waste Discharge—Draft Letter Follow-Up Report 2. Threatened Shellfish Area–Jefferson County 3. State Budget Summaries • V. New Business 1. Washington State Board of Health and Local Boards of Health Partnership Initiative–Don Sloma,Executive Director and Carl Osaki, Environmental Health Representative 2. Appeal Hearing–Peterson/Roberts Violation SEP85-00045 (Filed by Dr. David Green) 3. Child Death Review: 2003 Committee Recommendations, DOH Budget Decision, and Future Planning VI. Activity Update 1. Civic Engagement/Critical Health Services Project Update 2. Opening of the Child & Family Resource Center–August 21,2003 from 5:30 pm–8:00 pm VII. Agenda Planning VII. Next Meeting: August 21,2003, 2:30-4:30 PM Main Conference Room,JHHS I s JEFFERSON COUNTY BOARD OF HEALTH IIII DR T MINUTES Thursday,June 19, 2003 DRAFT Board Members: Staff Members: Dan Titterness,Member-County Commissioner District#1 Jean Baldwin,Health&Human Services Director Glen Huntingford,Member-County Commissioner District#2 Larry Fay,Environmental Health Director Vacant-County Commissioner District#3 Julia Danskin,Nursing Services Director Geoffrey Masci, Chairman-Port Townsend City Council Thomas Locke,MD,Health Officer Jill Buhler,Member-Hospital Commissioner District#2 Sheila Westerman,Member-Citi<en at Large(City) Ex-officio Roberta Fussell,Member-Citizen at Large(County) David Sullivan,PUD#1 Chairman Masci called the meeting to order at 2:35 p.m.All Board and Staff members were present with the exception of Commissioner Huntingford.There was not a quorum until the arrival of Commissioner Huntingford at 2:45 p.m. PUBLIC COMMENT Catherine Robinson was present for the discussion of the Cruise Ship Waste Discharge agenda item. She provided information to Larry Fay about an EPA grant program,the deadline of which is June 30.The grant is for ogram development and implementation for microbiological testing and monitoring of coastal recreation Waters,beaches, etc. Forest Shomer also spoke about the health aspects of the cruise ship discharge issue. With the possibility for 200 cruise ship transits through the Strait over the next four to five months, there is a potential for other grey-water— if not black-water—releases in the lane between Whidbey Island,the San Juan Islands and Port Townsend.He understands that the Depaitment of Ecology is working on an agreement with the cruise ship industry, which would permit them to discharge grey water in this area.He has also spoken with the County Commissioners and other agencies about this topic. If the Health Board agrees that this is a significant issue,he would urge them to submit a letter to Depai trnent of Ecology and other relevant agencies. OLD BUSINESS AND INFORMATIONAL ITEMS Cruise Ship Waste Discharge: Larry Fay noted that information on this topic was in the agenda packet.He offered to do additional research, including looking for opportunities for comment,but he believes the matter is under the jurisdiction of the Coast Guard and Dep.'tiuent of Ecology. Chairman Masci asked whether the Board might be interested in submitting a"placeholder"letter of interest for the grant? Member Buhler suggested partnering with Clallam and other counties. iiiember Westerman,referring to her understanding that no fine was levied for the accidental black water scharge,expressed support for writing a letter of concern about the discharge and the potential for such incidents due to increased cruise ship traffic in the Strait. She wonders why they cannot dump in the open ocean? HEALTH BOARD MINUTES - June 19, 2003 Page: 2 Chairman Masci reviewed what he understood to be options for the Board: 1)a letter to Department of Ecology, inquiring why no fine was levied and why the ships could not discharge in the ocean(and copying Clallam),2) • letter to other counties(Island, San Juan, Clallam,possibly Mason)regarding how this affects all of us and stressing the need to impress upon Department of Ecology the need for a ban on future discharges(with copies to the City of Victoria). Dr. Locke noted that the Board's jurisdiction in this matter relates to the human impact and exposure. Recognizing the difficulty in identifying direct human impacts in marine waters,he said most would be indirect, through contamination of fish or shellfish or to divers, swimmers and kayakers. Referring to a study of the Sequim Bay outfall,he said that having data would strengthen the case. There was further discussion comparing the volume of treated discharge from the Cities of Sequim and Port Townsend to that dumped by the cruise ship. It was noted that the City of Port Townsend wastewater discharge is roughly 800K pounds a day. Recognizing this as a serious issue, Commissioner Titterness said he trusts Department of Ecology is addressing this and cautioned the Health Board against spending staff time and energy on a matter that is beyond the Board's jurisdiction. Based on his experience, Chairman Masci was not confident that the matter is being adequately addressed by Department of Ecology. Since the matter directly affects Jefferson County,he believes there is merit in sending letters. Commissioner Huntingford noted that in response to Forest Shomer's presentation on Monday to the County Commissioners,the County is drafting a letter to the State expressing their concerns. Member Westerman said her concern with Depai t,iient of Ecology establishing an agreement with the cruise • ships to dump grey water is that it invites potentially similar situations/accidents.Her suggested approach in a letter would be to express concern on behalf of the health of the Board's constituents. Member Frissell spoke about Alaska's negative experiences with cruise ship discharges. She does not want to see that happen here. Member Buhler spoke about the fragility of the Puget Sound ecology,which this dumping does not help. Member Westerman moved to write letters to the Department of Ecology(with copies to Clallam,Island and San Juan Counties) expressing the Health Board's concerns about grey water discharges in the Strait of Juan de Fuca. Commissioner Huntingford seconded the motion which carried by a unanimous vote. Commissioner Huntingford suggested Health Department Staff might contact the Commissioner's staff to coordinate the drafting of similar language. Forest Shomer provided a copy of Department of Ecology's Immediate Action Order sent to the cruise line.He recommended the Board copy its letter to the legislative committee in Olympia. APPROVAL OF AGENDA Member Frissell moved to approve the Agenda as presented. Commissioner Huntingford seconded the motion,which carried by a unanimous vote. • HEALTH BOARD MINUTES - June 19, 2003 Page: 3 1111 APPROVAL OF MINUTES Commissioner Huntingford moved to approve the minutes of May 15,2003. Member Westerman seconded the motion,which carried by a unanimous vote. OLD BUSINESS AND INFORMATIONAL ITEMS(Continued) "Deadly Strains"on Public Health System: Dr.Locke noted that in the packet was an article from a national magazine about the dilemma facing health depar tuients,who are gearing up their surveillance for infectious diseases. Summary of May 13 Data to Action Summit: Jean Baldwin noted that the agenda packet contained a summary of the summit evaluations,which were very positive.Although the intent was for groups to reconvene within two months, Staff has not been available to coordinate these meetings. Chairman Masci, speaking for the Board, recognized the significant effort needed to put the summit together and the Board's understanding of the need for more time. In response to a suggestion by Member Frissell, Staff agreed to contact participants with an update. NEW BUSINESS Public Health Funding and Legislative Wrap Up: Dr.Locke noted that the packet included a summary of the budget highlights.Under close observation was the $49M continuation of core local public health funding, 98% Sof which($48M)ended up in the final budget.This is thought to be a big achievement, and indicates that state and local public health programs scored high in the Governor's budget priorities.Basic Health was reduced from 135,000 slots to 130,000 and would essentially not be taking any new enrollments. The Medically Indigent Program was eliminated and no longer benefits trauma hospitals and county jail programs. Counties would now have to bear this expense. The fees for copies of death certificates would be raised to cover the costs of developing a web-based death certificate system. There would be additional funding for conducting hearing screening on all newborns. Jean Baldwin said it is not yet known how a reorganization of the maternity support program by Department of Social and Health Services would impact the Health Department's program,which is currently about a$250K project. Communicable Disease Reporting and Control—Provider Initiatives: Jean Baldwin reported that the recent in-service to Jefferson General Hospital by Dr. Locke was so well received that they asked him to return every three to four months.Dr. Locke thanked Jean Baldwin,Dennis Langois, and Lisa McKenzie for helping with the presentation.He then reviewed materials the Board received in the agenda packet: 1)Centers for Disease Control Updated Interim Case Definition for Severe Acute Respiratory Syndrome(SARS)and Information for Clinicians on West Nile Virus Infection; 2)Updated Procedures for Communicable Disease Reporting and a recent version of"Notifiable Conditions and The Health Care Provider,"from the State Depar tnient of Health; 3) Chlamydia Update; and 4)Emergency Contraception Fact Sheet and Information. In response to questions from Chairman Masci,Dr. Locke spoke further about the recent spike in Chlamydia cases,which has nearly tripled inexplicably in the first four months of 2003.He said the screening efforts have focused on people in their first decade of sexual activity,which is often characterized by higher risk behaviors, such as multiple partners. In this County,roughly 28 of the 32 Chlamydia cases are in these identified risk groups (age or multiple sexual partners). *Chairman Masci expressed concern about cases that go undiscovered in the middle-aged more vulnerable in terms of disability and economic loss.He asked whether thoard hould suggest hat is physicians also screen for Chlamydia when screening for RA.Dr. Locke recognized the potentially life- HEALTH BOARD MINUTES - June 19, 2003 Page: 4 threatening complications from undiagnosed or untreated cases of Chlamydia.To reduce rates,they are trying to • encourage much greater use of new diagnostic testing and screenings based on risk factors,universal screening of certain populations, and automatic rescreening of every positive Chlamydia case three months later.The critical issue is that every case has a contact, so it is important to do contact tracing and follow up. Member Buhler asked if the Health Information Protection Act(HIPA)laws effect being able to do the anonymous partner notification. Staff responded that public health has broad exemptions from HIPA, especially in terms of things necessary for the control of communicable diseases. Member Westerman asked to hear more about the discussion among the providers regarding emergency contraception. Jean Baldwin reported that they discussed who stocks it,how it is prescribed,the lack of side effects of"Plan B"contraceptive pills and where it is available without a prescription(QFC in Hadlock and the Health Depait,iient).There was interest among the providers in further investigating why other pharmacies did not carry it. Jean Baldwin agreed to follow up with the medical staff that seemed to be willing to send a letter to pharmacies that do not stock it.Dr. Locke said he assumes that the issues surrounding not carrying it relates to a perceived lack of demand. On-site Sewage Operation: Larry Fay noted that the purpose of this presentation was to provide a status report since the Board's adoption of the Onsite Sewage Regulation in 2000,the major change of which was the ramped- up operation and maintenance program. Jodi Holdcroft, an Environmental Health Specialist in Kitsap County,reported on her master thesis project, which involved entering and analyzing the Jefferson County PUD inspection reports from 1987 to 2001.In May, she presented this information at a conference of her peers. Project goals were to figure out causes of system • failures and to utilize this information to educate the public about operating and maintaining their septic systems more effectively. She reported that of 2,001 inspections, 1,600 had installation dates. Being able to determine the age of a system is important since a major factor in system failure is age. She reviewed problems that can be discovered from inspection forms and noted that systems that had problems tended to be the ones where it was the same owner,instead of a new owner. Out of 855 inspection sites,there were only six failures,compared to an average failure rate according to EPA of about 10%. She noted that access was an issue.The first,most likely, problems to occur would be electrical.Larry Fay noted that even electrical problems, if they are identified and corrected,do not necessarily lead to a failure. Ms.Holdcroft noted that the message she tried to deliver to her colleagues was that this is one of the few places that she knows of in Washington State that collects this information. This sort of early warning system for septic systems can prevent massive failures and is needed on a wider basis. She pointed out several aspects of this project that were important: accurate data entry,quality control,careful interpretation and collaboration. She noted that Terry Hull of the Puget Sound Water Quality Action Team spoke with her about the Action Team's desire to find funding for local jurisdictions to collectively gather O&M information. Chairman Masci referred to several of the problems occurring in the period between 3-5 years,which could be viewed as human errors rather than system problems.Ms.Holdcroft agreed to the usefulness of a brochure explaining the risk factors and the need for a system"physical,"which would check the status of the system and provide an interpretation of what was found during the inspection,including identifying risks. Linda Atkins reported on the implementation of the regulations,which began in January 2001, and on what Staff has learned over the last two years of data collection. One of the goals of adopting the ordinance was to increase homeowner education and improve contact with homeowners.The 14 workshops held last year involved 400 • participants. She also gave presentations on the O&M program,and on-site septic systems in general,to all real estate offices and is following up with a brief survey regarding the usefulness of these presentations.The feedback so far has been positive and will guide future work. HEALTH BOARD MINUTES - June 19, 2003 Page: 5 •The requirement for an inspection at the time of sale applied to any system not already being inspected on a egular basis. In large part, systems being monitoring by the PUD were not included in this set. This list targeted conventional systems not yet inspected by or systems part of the PUD monitoring schedule but which were no longer under the monitoring contract requirements.The general method by which systems would be brought into the inspection program is through an application for building permit. Staff is utilizing its database for this scheduling and the PUD would send out inspection reminder notices. Inspections since implementation of the O&M program showed that 42%of the systems needed to have their tank pumped and reported problems in 150(26%) of the 574 systems.Approximately 55%required actual tank repair, 16%had evidence of a system malfunction.There were several systems with sogginess or standing water in the drain field area and they have written less than a dozen notices of violation. Only 1%were in substantial noncompliance. Inconsistencies with the permit record were present in 27%of the systems. These systems might still be functioning fine,but the buyer must be aware that if a permit is presented to replace a non-compliant 3- bedroom mobile with another 3-bedroom mobile, they would need to upgrade that system to meet the needs of the newer structure. Ms. Atkins noted that, at the request of the realtors,the County sends out a monitoring certification,which tells them that the inspector's report has been received and acknowledged.Records did not exist for 54 of the systems inspected—they were either installed prior to 1970 when permits were first required or simply installed without permits. This group also had a higher number of reported problems, age of the system being a factor. Electrical components were present in 54 of the systems and 24% of these reported problems. Breaking up the data by planning area showed that areas of higher population have more problems. Data collected by the PUD over the past year reflected results similar to the County's. Of the 638 inspected systems, about 155 indicated a problem, 22%of those were electrical. Assessor's records of improved properties indicate that there were about 9,000 .county residents using on-site sewage disposal.Having inspected about 10% of systems in use to-date, they stimate it will take about two years to finish the rest. Staff is pleased with the results and feels it gives them an opportunity to interact with and educate system owners. Commissioner Huntingford noted that more problems might exist further south in the County because of the increase in the amount of rainfall.Ms. Atkins noted that many of the system problems were issues of general maintenance. Interaction with owners might also have contributed to the level of reporting. Jean Baldwin expressed interest in how many of these are primary, versus secondary,residences?Linda Atkins said this element could easily be added to the application,but it would only show the information at the time of application. Larry Fay reminded the Board that the next phase of implementation would bring systems into the inspection program through building permit applications. Commissioners Huntingford and Titterness asked that there be further discussion of what permits require an inspection,the potential increase in workload on County Departments, the time needed for permit approval, as well as the expected increase in fees.Mr.Fay said the Board previously discussed a policy that would address what type of permit applications trigger an inspection. The fee is set and if Staff conducts the inspections,they would receive the money to offset costs.There is also a second private individual as well as three designers who can perform inspections. He agreed to bring this policy forward in August for discussion. The Board commended Staff for their significant efforts in providing helpful information to citizens.There was Board support for issuing a press release with an executive summary of this presentation reflecting the success of the onsite sewage inspections. HEALTH BOARD MINUTES -June 19, 2003 Page: 6 ACTIVITY UPDATE/OTHER ANNOUNCEMENTS • Civic Engagement and Critical Health Services Project Timeline: Dr. Locke reminded that this ongoing project would be reported to the Board in August. AGENDA PLANNING/ADJOURN August Meeting Topics: Civic Engagement and Critical Health Services Project Timeline and Discussion of Policy Related to Building Permits and Inspections of On-site Sewage Systems. The meeting adjourned at 4:34 p.m. The next meeting will be held on Thursday,July 17 at 2:30 p.m.at the Jefferson County Health and Human Services Conference Room. JEFFERSON COUNTY BOARD OF HEALTH Geoffrey Masci, Chairman Jill Buhler,Member Glen Huntingford,Member Sheila Westerman,Member • Dan Titterness,Member Roberta Frissell,Member (Vacant) Commissioner District#3 • - 0 .ta1eM aoe3insvv sse10 a sr pals!'s!gang ap oaf J01!sns au •ucauNseM 3o aegis ail Io siamm noej.ms ioj spisputeis,Ugenb jai@M sags!lgelsa 0dM vT 0Z'£L1 =Imo •uo1$ulgsgm 3o aims 341 Jo uono!Ps!.mc 3q1 u!tp!nn s35jn031:21EM e 1 s'slats&punoa8iapun'sialgM puetui'suisans . pt.g siaignn=elms ia4to us P ue,SaaieM � 'spuod'sjanu`s0Vl 211n301311!se 4Z018V06 utau:MD11 Pouliot)s! „aegis NIP&M/W, 'iaidBua s!gi u!p3p!nold se'ivauuuedap aep Jo uopeutuuatap od 3S1! 3 01 uai]o asneo tee wpm=o!ugs1ou! a4t ca$u!paor�g sjatgM vans;o uoncttt P so otus8jo Aye Si 2EM 041 a1u!pa setlaslp as!Mjagio j0 daas 01 Pa bus ue ielp'U I 41uA01 p ag of jams JO 1luuad asneo 0110 aegis s!1113o=IVA a413 lliegis astnu3gto io'utu'u e p`Mo.up of uosaad'Cue so;tnjAsturi s!1!WV saps 08011'''06 M02I •saSjggas!p Sunanpuoo gels jo Su!ureu jo vial pus`Sutlage!0d!d Pus sSol'quo= •aieM1}os ucaisds jaindeuoo atlu Suptydn lou papnlaa!Sewn=a ntiosiP age loJ suosea.Z a 41 'M 9'8S oZZI apcti!suol pus N£'Z1 o$t,3P11il1ei re wB 11:£ie paddols pa$le4os!p 34,1 'M SZ`£S 0ZZ1 apntt$uol pug N ZI ost apt upe!le tus 6£:Z le paouauiutoo a&egas!p 7 . at agpnis demos jo as.te43s!p aeli pauuguoo psis awl os!nja uu?SannioN -Ataiendas 1 �- � uo!ie$!isanue1uo!ioadsu!us palanpuoo pasn0 ZseoQ alp pus,{Sot0o'3 30 luauiii1daQ- a ,�=oils :RP'£00Z 11 AEIAI u0 'a1] S tuo.J e�is$ty 01 auto.'ua sem(Ns as!nio panel l asgosls ago salttu isanrtgu it uequ aa1�3o uonea0l a ie sem pug S�nuU 1Z 32paleiu4 !P atu. -gang op uunr 301 ns aye OIu!spgos 1a=BM.�l�iq P was ze pug.iatWM�tosiq;a sum 05-04 3o&S.ramp a 2oloa3 JO iu3LuuaedaQ IP of Pa d!qs as!tuo uns uet2OMjoM a413o a ]deD`sogs31e3 soupuelsuo0'£00Z`£AEN uo 0 • :mei Sutanotlo3 age uo pang Si 13pj0 s!ttl, •aiellaM ao 4lleaq a!tgnd aelu ioaioid of fuessaaau s!!1101122 3 $ �3 30 2 4t sauluuaiap 11 janau34M aoue!idutoa 2uutnbai.12p10 uonoV alelpaWWI us anss!1uauxuedaU 3113 sazuowie Q4Z•sty-06 Moll •r,maq paq!insap axe gown suopoe u!euao Supiea 4q `,Oolong Io luauttreda(*to 33 suonetnsa'pus sap ocn pug uol t!1S A L Jo.'POJ PS!Aau st'06 nidey0 gum,Ctdtuon 01 au!Z asnup ugt8a'nxoN 3111 Suwnbai is ao ua!1oV=Tatum ug s!still, . 9ZT EE 14'llueMi anpi aaiva0 augjothoD S99L awl astns0 u0arnioN 3031.310 01‘9117ax3 33193 Plre 1u1P!Ssd 401laA utto0 lik :o1 ( auf as!ni0 uglSaMjoN �3.SIdI�fJ�' 8£SS'2iNbhlS.£0 3Q 'o1�I � 119C111.0 N0a3V aLVIQ 2I3tx?Io ( NV dO 2I LLVW 3}LL NI A0010a3 3©:I.N Z ''13Q N0.LONTHSVAA 30 ai-VIS • . . COOZ A9070afl dO Mad•d 9604 6 9 SEU %Vd iZ:Zt £0/ZO/9O } t?Rl.i f R/. 902— ------ — 3AldP1 d9fr :60 E0 IT une. • -aaeld ui sasnpaawd peutUel-Ida pue sa.Inseatu pano1dds asap 2n511o1 awl()spit Jo 1dtazas;o 218p WOIJ SALT 06 pue traoloa3 3o ivattuzedaQ gip qUM u0Ja uotn utp1ooa stip aruapun 01 Iap10 site 3o=dtaaaz 3o alep atp tuouu&Cep 0£set{aurZ asuuD ueidanuoN aqj •ailleaS;o uod P PFJ lsg°D S'fl ag1'a1eig uatguigseM ui 2u11eiado null asirua iatpo atp;o azotu atm twin uoueladooa ui ualeuapun aq Aetu uo;;a uopeuipiooa spa •aur f asuu,uelamioj.,j aq1 iCq pal ado JO/pue pauMO Siassan usoa;s3a1eM ams ualliumeM olid paliet4aSfp lou ase`a$eMa3 JO tumuli=alp w01;alelftuaaoe 1541 sptios atp pile a$eMas pawaiuln W41 Sa3u8Insse AJessaaau y1EM 2otoag Jo luawuedaa ag1 award galgw•sanipaowd ieuope.tado put sae-meow 'A2otoo3;o luatuutdac atp wo,3 ienoudde put;tpLM uopeuip000 it!gsilgels3 •L •uotieuuo;uI luauprad i p10 due pug`sa&eiiasip moq lti`dcl,Sup icue }o uotlenlasgo must,'3o uopuluatunoop•aauaJinaal tuanatd o1 wart sdats`pauuuld Jo/pus uaXT:1 1104o5 241aau00`uoiluio!n ag13o anueu at 1 aquosap pings Modal atm•aliegostp atp;o skup S uppim noiopa Jo ivatuuedaQ aqi o1 nodal uauUM paptiap t i tugns pub -066g'8SZ(0O8) #1uawuedaa fuer il3At s,uotslnir luawaSeueyq,CauaSJatug Z66S-£5L(09£)4 Jnoq 17Z tIreacud 4s3II04S s,421g0HJo ivaWUudaQ 0006-6179(5Z17) 414-47Z 031_40 Ie noi2a111satAtiuoN S ACBotoa3 jo ivawueda j :ZutMot io;ag11E itpalsipawtut luatuued9Q:Cte2gr -uotstn!Q zuawa llU51S Aaua$Iatug aril pue`utt>$otd gsyjpoIS-4pIeaH 3o ivausuadac alp'iCBolon33o luawuedac atp101 orris atp;o slam% alp a2uE spoor mem pue Ia1eMa15eM pales un;o a31e4asip Cue vodag •9 •palaidwoa uaaq seg*nogg alp jo lis 15th ant.usuousap of dolaag;a luawuedaG ag1 xq Surpreoq Jo;014el Ag mos NHIDDiW 1ON a41 oxgw 4£0OZ 49+Clnt inoge 20 up •S Iaprp sail Sutniaaa1 Jo sap 0£unp!M aaWO peuograg 1saM4UON nopaa ;o luauruedac 04101 s1uawnaop ampaaoid Suiuttrl lgugns pue tuaisCs„dgisusas.. Mau 041 ip1M VOA.%Imp. ens tis Io3 sa.Inpaoo1d 8ututesi luaumaop pus lonpuo0 p •Iap2O s!tl1 Suintaoai Jo sdep of utg1EM walsCs ..dEgsueaS..Mau 042 42!M aptoutaa o1 sluawnxtp20420 Pug'splo='s2ol tig 0TePdn '£ 'I0p20 sg0 2UlA10301;o S1(5p Q1 ui4I!M tuajsAs Atlsueas„Moil alp giii apputoa o1 saAplA pug sadEd;o 2ullaqut UE altpdfl 'Z • 'mato still Sutntaaau Jo step L utgltA+wanks,dlgsueas„Mau agi.Io;a.I8M1;os wars(s Yalndusoo aqi alspdn •1 :suopoe Supbollo;0410X51 anti asltup uegiamzoN 0411541 Q31I3(E O Si ll 817'06 dl302I qPM aaueproaae LI!4S11QL '080'817'06 NiD111:001giolA mg mutt morin*uet2aNIoN aqi 25141 pautttualap se4 CSopoa3p luatuvedaQ at()`suoseal asatil log puno.I8xaeg iano DIN S 3o et20240 XtpigInl Pug 1w00I/saWuoloo 17139 ss0ox0 ut uuo;lloo Ito*;.io;spispusis iCivIsna aaiglltl OvM Vi OZ-ELT laidego saleto!A/Clam{Isom uns UT:1BaMioN 041 wot3 pa31egastp salsa/paltailun atp;o artlleu pus sopsualas1ega otu, '1C11pIq.In1 pus uuo;II03 ma; SJa1T3M auuetu.IO;e!tall.Ia i(l4penb Ja2etwin4P ` • E 3°Z abed 8E95-10ME°3Q ON lap•LO Poo 21 AD0700I d0 ,I41343 8802. 6P9 Mt XYd TZ:ZT £0/Z0/90 4'8 -d 66LT 68/. 902 3AUP1 d2. , :60 CO TT unC „ Jun 11 03 09: 48p WAVE 206 783 1799 p. 9 06/02/03 12:22 FAX 425 649 7098 _ DEPT OF ECOLOGY r�006 0 Order No DE 03WQNR-5538 _ Page 3 of 3 Failure to comply with this Order will result in the assessment of a civil penalty by the Department of Ecology in accordance with RCW 90.48.144. Further,the Department of Ecolcgy reserves the right to assess an additional civil penalty under RCW 90.48.144 for the unlawful release of pollutants into waters of the state on or about May 3,2003 by the NORWEGIAN SUN should be Norwegian Cruise Line fail to comply with this Order. This Order may be appealed. Your appeal must be filed with the Pollution Control Hearings Board,P.O.Box 40903,Olympia,Washington 98504-0903 within thirty(30)days of your receipt of this Order. At the same time,your appeal must also be served on the Department of Ecology,Fiscal Office,P.O.Box 47615,Olympia,Washington 98504-7600. In addition,please send a copy of your appeal to the Enforcement Coordinator.Department of Ecology,Northwest Regional Office,3190— 160th Avenue,Bellevue,Washington 98008-5452. The notice of appeal shall contain a copy of the order or decision appealed from.end if the order or decision followed an application,a copy of the application. Your appeal alone will not stay the effectiveness of this Order. Stay requests must be submitted in accordance with RCW 43.213.320. These procedures .. are consistent with Ch.43.2 LB RCW. DATED OW oti..k 2-1 2-1:-'‘' II ,at Bellevue,Washington • _ ,. • £npa '4,11.--<-1 Water Quality Manager Northwest Regional Office • S . Jun 11 03 09: 49p WAVE — 206 783 1799 _ ip. 1* REQUEST FOR PUBLIC RECORD ""`"""`"' REQUESTER:Please Car>tptete form and sutura%!to )41a1T0101 01 ---- E t Q t DG Y 'Pubtic Disclosure Moor*of ttte stole egeow ldor+t� d. r3nrL OP hEOUESr 194.OF FIECILICST11110 tow of sraTT ticcrvcY DEPARTMENT QF ECOLOGYiD7-6aaa Post Wilco Box 4760g,Olympia,WA 965134 760 (360) rtEO13ESrEO by PIBLIC RECORDS OR INFORMM 0 REQUESTED REQt1F61ER MAD Anna SIGN «.•'- --.--- Istxi�vn�vGrkSErn OI Mount" s understand that it a usl a tnekvlduats is provided me by O.CF CTEO OY AGENCY PIrOtItiT DISCLOsuRe COOFtEnt4 TOR t I,u O.stand t t of Ecology.h wC1 ntdth i 04 used to DATE OF RECfd'T Rg promote the election of an olticlat or prom tc er oppose a • NO.OF�PaF:, RFCENEt} ballot prop03itbn as pronbiled by ROW 42.11.100 nor for commerce:I purposes or Ivo or ptotrido access to matorMt nn=RECORD+OFFICER RECIPIe4rS StGNAftlitE to stators for Commercial psipo:os as prohibited by ROW 42.17.260(9). _ i understand that I wit be charged cents par copy -as AWN 1F AGitdf;Y aS taarMLF.rOCOL1>74Y for cit standard Iattcr Slja GOpiss 1 Over"and that othor she pint are a vallabla at cost. Ecology+saurErlualOpportunity acrdAJGrmatrvottcliopEmployer. For vocal atCCinn,Odahonsneods r WEs7ETtSSGPIATUr:t conracr Ma Public Oicctosure On co at(380 4107.6640. The TOO=tow ht.(350)407.6006. CCY 010,370e)026+.SW) • 0 • Whidbey Discharge Site Island P Protection Island IIIPort Townsend 7 I • 0 2 4 8 Miles I I I I I i I i I • • Board of Health Old Business Agenda Item # IV., 2 • Threatened Shellfish Area July 17, 2003 • • Memorandum Date: 7/10/03 To: Jefferson County Board of Health From: Larry Fay Re: Threatened Shellfish Areas The Washington State Department of Health has released its annual report that identifies shellfish growing areas that are threatened from pollution. For the first time a growing area in Jefferson County has been identified as threatened. Station 40, the threatened area is located off lower Hadlock. A map identifying the sample locations in Port Townsend Basy is enclosed. The Department of Health created the Shellfish Early Warning System as a tool to highlight areas that meet national shellfish sanitation program (NSSP) standards but have • demonstrated water quality that approaches the upper limits of the standard. The NSSP system establishes a fecal coliform limit of 43/100m1 based on a statistical analysis of a number of water quality samples. Waters exceeding 43fc/100m1 will be restricted to harvest. The state's early warning system identifies threatened areas as those with water quality results between 30fc/100m1 and 43fc/100m1. Station 40 is reported at 30fc/100m1. At this time we do not know the cause of the pollution. Possible sources include stormwater runoff, sewage discharges, or boaters. The raw data needs to be further reviewed and the shoreline in the vicinity of the sample location needs to be assessed to determine probable sources. Once we know what to look for a specific action plan can be put into place. A reconnaisance type inspection has been scheduled with DOH shellfish staff and Jefferson County EH and natural resources staff in August. If water quality were to decline further and shellfish harvest restrictions were put in place the county would be forced to establish a shellfish protection district to finance remediation. • Threatened Shellfish Area Widespread Page 1 of 2 • Al H1 if hPUGET SOUND ACTION TEAl'vI You are here:DOH_Home » News Releases Home » 03-117 Search I Employees For Immediate Release: July 7, 2003 (03-117) Contacts: Wayne Clifford, Shellfish Programs, Dept. of Health 360-236-3307 Bob Woolrich, Shellfish Programs, Dept. of Health 360-236-3329 Mary Getchell, Puget Sound Action Team 360-407-7312 Deanna Whitman, Communications Office, Dept. of Health 360-236-4022 Threatened shellfish areas widespread OLYMPIA—The Department of Health has identified 20 threatened shellfish areas in a record number of 12 counties, according to this year's Early Warning System. Almost every county that grows oysters or clams has at least one area, or part of an area, that is threatened with closure," said Bob Woolrich, Growing Area Section Manager. "This is the first time San Juan and Jefferson Counties have had a threatened shellfish growing area." • The Early Warning System identifies areas that are on the verge of failing public health standards, or water quality is clearly deteriorating, so that problems can be addressed before shellfish harvesting is restricted. Potentially 44 of the state's 314 currently licensed shellfish companies could be affected if closures occur. Pollution sources threatening the areas include runoff from farm animal waste, sewage systems and wildlife. The threatened growing areas are: • Annas Bay at the elbow of Hood Canal in Mason County • Birch Bay in Whatcom County • Buck Bay in San Juan County • Burley Lagoon near Purdy in Pierce County • Dungeness Bay in Clallam County • Eld Inlet in Thurston County • Grays Harbor in Grays Harbor County • Henderson Bay in Pierce County • Henderson Inlet in Thurston County • Hood Canal–Lynch Cove in Mason County • Filucy Bay in Pierce County • Willapa Bay -Nahcotta in Pacific County • Naselle River growing area in Pacific County • North Bay in Mason County • • Oakland Bay in Mason County • Port Gamble Bay's Cedar Cove in Kitsap County • Port Townsend Growing Area in Jefferson County http://www.doh.wa.gov/Publicat/2003_News/03-117.htm 7/10/2003 Threatened Shellfish Area Widespread Page 2 of 2 • Portage Bay in Whatcom County • Rocky Bay in Pierce County • South Skagit Bay in Island and Snohomish Counties • "This is sad news for Puget Sound. We need to stop the pollution from getting into these shellfish growing areas before we get to the point of closures," said Brad Ack, chair of the Puget Sound Action Team. "This is a call to action for all those involved with protecting our valuable shellfish resources." Ack highlighted a series of actions to stop manure and bacteria from getting into Puget Sound where shellfish resources are now being threatened. These include homeowners and business owners making sure their septic systems are working properly, managing storm water runoff from developed land and carefully managing farmlands to keep manure from getting into nearby streams. Washington is the second leading producer of oysters and clams in the nation and the leading producer of farmed oysters and clams. Clean water is critical for both the industry and the public who enjoy harvesting shellfish. Since 1997, three shellfish growing areas that had been listed as threatened have been completely closed due to pollution and no longer appear on the list. For more information on the state's strategy to protect Puget Sound area shellfish areas, visit the Puget Sound Action Team's Web site (http://www.psat.wa.gov/). A map of the threatened shellfish areas is posted on the Department of Health Web site (http://www.doh.wa.gov/ehp/sf/Pubs/Threatareas02.pdf). ### •DOH Horne I Access Washington I Privacy Notice I Disclaimer/Copyright Information Washington State Department of Health gTesswashinglon 1112 SE Quince Street, P.O. Box 47890 Olympia, Washington, 98504-7890 Last Update : 07/07/2003 09:29 AM Send inquires about DOH and its programs to the Health Consumer Assistance Office Comments or questions regarding this web site? Send mail to the Webmaster . • http://www.doh.wa.gov/Publicat/2003_News/03-117.htm 7/10/2003 WASHINGTON STATE DEPARTMENT OF HEALTH OFFICE OF FOOD SAFETY AND SHELLFISH PROGRAMS ANNUAL GROWING AREA REVIEW • PREPARED BY: Jerry Lukes,Environmental Specialist AREA: Port Townsend YEAR ENDING: December 31,2002 CLASSIFICATION: Approved,Prohibited,Unclassified ACTIVITIES IN THE GROWING AREA IN 2002: Samples were collected from each station in the growing area 6 times during the year using the systematic random sampling method. WWTP closure zone was evaluated and established for the Port Townsend Paper Mill. A new station(175)was established at the end of 2002. ANALYTICAL RESULTS OF WATER SAMPLES: Table#1 summarizes the results of all samples collected from the area. This summary shows that all stations in the area pass the NSSP water quality standard. Sample station number 40 is approaching the upper limits of the standard and is considered threatened. CHANGE IN ACTUAL POLLUTION SOURCES THAT IMPACT I'HE GROWING AREA: We currently have no information indicating that the area has new sources of pollution. CLASSIFICATION STATUS: ❑ Well within the classification standards ❑ Meets standards but some concerns Meets standards but threatened with a downgrade in classification ❑ Fails to meet classification standards REMARKS AND RECOMMENDATIONS: Table#1 shows that all stations meet the NSSP water quality standards for approved classification and the area is correctly classified The shoreline near station 40 should be examined for potential pollution sources. • Nt\' • SUMMARY OF MARINE WATER DATA(SRS) SUMMARY OF MARINE WATER DATA(SRS) Growing Area: PORT TOWNSEND • Classification: Approved,Prohibited,Unclassified From 11/04/1997 To 11/05/2002 FECAL COLIFORM ORGANISMS/100 ML Station Classification Number Geometric Est.90th Number of Samples Range Mean Percentile Meets Std. 33 Approved 31 1.7-17.0 2.8 6.0 Yes 34 Approved 31 1.7-4.5 1.8 2.0 Yes 35 Approved 30 1.7-4.0 1.8 2.0 Yes 40 Approved 31 1.7-540.0 5.0 30.0 Yes 38 Prohibited 31 1.7-23.0 2.5 6.0 Yes 39 Prohibited 31 1.7-22.0 3.1 8.0 Yes 32 Unclassified 31 1.7-79.0 2.7 9.0 Yes 36 Unclassified 15 1.7-4.5 2.1 3.0 *N/A 37 Unclassified 19 1.7-2.0 1.7 1.0 *N/A (.' • 41 Unclassified 18 0.2-7.8 1.7 4.0 *N/A 42 Unclassified 25 1.7-4.5 1.8 2.0 *N/A 43 Unclassified 25 1.7 -1.7 1.7 1.0 *N/A 44 Unclassified 20 1.7 -4.0 1.8 2.0 *N/A 45 Unclassified 20 1.7 -2.0 1.7 1.0 *N/A All tides information is presented The standard for approved shellfish growing waters is fecal coliform geometric mean not greater than 14 organisms/100 ml and an estimate of the 90th percentile not greater than 43 organisms/100 ml.The above table shows bacteriological results in relation to program standards. *N/A-SRS criteria require a minimum of 30 samples from each station.* • -- 1 { - , . . . . li \ ''..i:!? A 1 It' 1 �•/y!0 41 .- &Ian Point I • 1 IL . • Vi ,4tJ• 7'♦ '� s� a i ,•••,. E • ::!.!:,;•',C... :. ' .,';.':.,-•::?..!;;:•: `1.)4'* '- ' .....,...-‘• •,.....-,likk. • .. 1'lyi .....:.:,...,.,‘:::..:•,:i!..:,...,....,.::::,..,..,:... .,.....,:.,.t,.....,:: • '` f ' f •t.. �: *44.4. 4jr 1 Point . .. ... ) f 7 �_ :'_:7- , .. - - - , -. ''. -BEH ,I -, FS x (...,,\ 4:... :.:,4,4i-j'4:44't 4.T.,_..r.„1 , ,..,„ ..,,,,,,4 i r...'.:11,1:1.;*. :..i::'.'iA::.e77'U;I:If. e -. .,.n .,•y . ' .t • - c2- "3• ; ff v.. s 'ti iEEI .• : . , i 3 ila v i - Y_,'7%,01-7 .:r: ra ".."1!:::;:j.:!:;:=: 7' l a +ff ,� `) , r1p1 l :_ i �=om -.C�y,...........,•"".ro d47771 •A1 �'sty ox T. • x 1g.� _ 7O ii j3 �d , t \� xJ s "R 61 A 3 .74 Y 'Ai i s } 5" x t. + 's R-44.- as • 1 . S• ±NI a• i '''.: rt,,, ,0:4 g . ) s •--. ,...—Sr th �` l . Y� CY. rt A g ' f o :� ' � .� �j� ,d� y } � ft tiO •.714.- .- 4 F�.• �•4."!.... ..11. ..,,,;•-.• .'� \�,? '°_'T ,t«xs�� �p��.;,�yp � ,.,Y�gyp ' �`�'' F `��,sPrr. � \ • , wt •$ I. % Y:it+�•Z i ,g �` a ti, ti. Erik tr 1/4 is de..g ii'''''' N glii •„AI: iftifiragibitt„.-. ---:.:',.,:.,..-3,..,..a.14,6: ,, . / .,,i,..., -0,44 - 1/18/0 t�DO FEp7 0 V34 1430 METERS A.._.a..1 C_.TrYT)!'\!/A�Wy'1\T_a:__.l/'.___--.•L:_iT_l3:___/.__��- -.\ • Board of Health Old Business Agenda Item # IV., 3 • State Budget Summaries July 17, 2003 • r c izi::— aa:p %9iir • � FE9� STATE OF WASHINGTON WASHINGTON STATE BOARD OF HEALTH 1102 SE Quince Street • PO Box 47990 Olympia, Washington 98504-7990 July 9, 2003 To: Washington State Board of Health From: Don Sloma, Executive Director Re: OVERVIEW OF MAJOR HEALTH AND MEDICAL CARE PORTIONS OF THE 2003-05 BIENNIAL OPERATING BUDGET SUMMARY According to Governor Locke's budget proposal released last December,the recession, slow economic recovery and soaring health care costs resulted in expected revenue for the coming two years falling short of expected expenditures by some $2.4 billion in state funds. The Governor called for balancing the budget without a general tax increase by identifying the results that people expect from state government,raising the bar for scrutiny of all state government activities, and using no more than currently anticipated revenue to fund that subset of current services that most directly contribute to the results. To determine these services,the Governor used a process he described as "Priorities of Government"or POG. On June 5, the Legislature approved a spending plan for the 2003-05 biennium. The Legislature made several adjustments to the Governor's assumptions in preparing the budget, rejected some proposed reductions in DSHS programs,reduced the size of the cuts in the Basic Health Plan, made several new additions to the health and human services budget and shifted the funding of some programs between state general funds, federal funds and state health services account funds in ways that render simple and direct comparisons risky at best. The final budget for health and human services is generally consistent with the Governor's Priorities of Government in that it contains fewer reductions in public health and social service programs for vulnerable children and adults than in programs providing medical care. These reductions were accomplished by applying one or more of the following reduction methods to many programs: • tighter eligibility requirements, • increased verification of those requirements, • higher patient co-pays,deductibles,co-insurance and other cost sharing requirements, • lower enrollment targets, (including some absolute enrollment caps), • assumptions that many will opt out of subsidized care rather than pay a now increased share of total costs, and/or • expanded use of fees for certain public health and other services. • It is also notable that the health and human services budget was helped into balance by redirecting new tobacco tax revenues raised under Initiative 773 and earmarked for expansion of the BHP to other health-related spending. Washington State Board of Health July 9,2003 Page 2 of 6 • In addition,the final budget reduced the state share of public employee health benefits significantly through the combination of greater employee cost sharing and reductions in assumed inflation. Despite several increases in specific programs,the final legislative budgets for the Departments of Health(DOH),Department of Social and Health Services (DSHS), and the Health Care Authority(HCA) appear to fall some$585 million in total state and federal funds below the Maintenance Level' identified to keep current programs and services operating as mandated under laws on the books as of last January. This figure does not include an estimate of savings resulting from reducing assumed inflation and reducing the state share of public employee health benefits. Still,these three state agencies will provide some $19.4 billion over the next two years for our state's medical, social service and public health economy. That amounts to some 43%of the state's total spending of funds it receives from all sources. BACKGROUND AND DISCUSSION The following table summarizes the legislatively approved 2003-05 state operating budget prior to Governor Locke's final action. 2003-05 Omnibus Operating Budget---Conference Report (Dollars in Thousands) FTEs GF-S Total Legislative 828.3 129,628 136,394 • Judicial 578.4 78,492 162,179 Governmental Operations 7,434.6 411,400 2,726,735 Other Human Services 15,273.2 1,328,153 3,617,616 DSHS 17,762.2 6,605,069 15,841,747 Natural Resources 5,764.4 297,097 1,091,562 Transportation 764.3 48,834 123,957 Public Schools 282.6 10,107,136 11,909,095 Higher Education 43,803.4 2,667,245 7,400,550 Other Education 20.8 39,932 99,594 Special Appropriations 0.0 1,347,715 1,642,651 Total Budget Bill 92,811.9 23,060,701 44,752,080 Appropriations in Other Legislation 2.6 1,000 95,515 Statewide Total 92,814.5 23,061,701 44,847,595 1 The"Maintenance Level"is calculated by finding the cost of current programs adjusted for expected changes in the price,intensity and caseload demand for existing services. In the DSHS Medical Assistance budget for example, "Maintenance Level"included many important assumptions such as a 13%increase in the intensity of services to be provided owing to the aging of the population and an increase in medically necessary treatments available as well as • a 70,000 person increase in the number of persons eligible for the program under current law. Inflation adjustments were not assumed in the Maintenance Level,but were added as separate adjustments in the budgeting process. They are discussed in the body of this memo. Washington State Board of Health July 9,2003 Page 3 of 6 Governor Locke's Proposed Budget--- The Priorities of Government According to Governor Locke's budget proposal released last December,the recession, slow economic recovery and soaring health care costs resulted in expected revenue for the coming two years falling short of expected expenditures by some $2.4 billion in state funds. His solution was to propose a biennial budget that limited spending in the state's $24 billion state fund budget by $2.4 billion, including reductions of$2.1 billion in the state's General Fund and$275 million in the Health Services Account. The Governor called for balancing the budget without a general tax increase by identifying results that people expect from state government,raising the bar for scrutiny of all state government activities, and using no more than currently anticipated revenue to fund that subset of current services that most directly contribute to the results. To determine these services, the Governor used a process he described as"Priorities of Government"or POG. The Governor's Priorities of Government in health and human services included preserving the safety net for vulnerable children and adults, and strengthening the public health system,but eliminating health care programs less critical in ensuring the health and safety of people most at risk. He suggested that revenue from higher tobacco taxes mandated by a recently enacted citizens initiative to expand enrollment in the Basic Health Plan be used instead to prevent even more severe reductions in that program. The Governor's resulting health and human services budget would have spent$7.5 billion in state funds,but would have saved$543 million in state funds required to maintain current services. . Final Legislative Budget—The Disposition of Government Priorities On June 5,the Legislature approved a spending plan for the 2003-05 biennium. The legislature made several adjustments to the Governor's assumptions in preparing the budget,rejected many proposed reductions in DSHS programs,reduced the size of the cuts in the Basic Health Plan, made several new additions and shifted the funding of some programs between state general funds, federal funds and state health services account funds in ways that render simple and direct comparisons risky at best. Legislative budget documents identify the health and human services component of the legislatively approved budget at some $7.9 billion in state funds. When combined with federal matching funds,the resulting appropriation is some$19.4 billion in total funds. This represents some 43%of total state spending for the coming two-year period.2 The following are some highlights of the health and human services portions of the budget. The health and human services portions of a Senate Ways and Means Committee document, "2003- 05 Operating Budget Highlights"is attached for more detail on the items listed below. Also attached are the House of Representatives agency summaries of the budgets for DOH,relevant divisions within DSHS, and HCA. The Big Picture In the main,the Governor's Priorities of Government were reflected in the budget approved by the Legislature. Despite several notable increases,the final legislative budgets for the DOH, • 2 The material summarized below is drawn the following state agency sources: http://leap.leg.wa.gov/leap/Budget/Detail/2003/o0305highlights 0604.pdf http://www.leg.wa.gov/house/oor/apo/03/0604rs.pdf http://wwwl.dshs.wa.gov/budget/dhhmain.shtml ti Washington State Board of Health July 9,2003 Page 4 of 6 • DSHS and HCA appear to fall some $585 million in total state and federal funds below the Maintenance Level identified to keep current programs and services operating as mandated under laws on the books as of last January. This figure does not include reductions from"Maintenance Level" funds required for public employee health benefits. The final budget for health and human services contains smaller reductions in public health and social service programs for vulnerable children and adults than in programs providing medical care to some of these same populations. These reductions were accomplished by applying one or more of the following reduction methods to most major programs: • tighter eligibility requirements, • increased verification of those requirements, • higher patient co-pays, deductibles, co-insurance and other cost sharing requirements, • lower enrollment targets, (including some absolute enrollment caps), • assumptions that many will opt out of subsidized care rather than pay a now increased share of total costs, and/or • the expanded use of fees for certain public health and other services. Finally,the health and human services budget was helped into balance by the redirecting of tobacco tax revenues earmarked under the terms of Initiative 773 for expansion of the BHP to other health related spending. Public Health _ Secretary Selecky will address the Board at today's meeting on the public health portions of the 111 budget. These items will not be reviewed here. Some Program Enhancements In addition to restoring dozens of proposed program reductions in the health and human services area, the budget contained several new program initiatives. They included: • A$.75/hour wage increase for Home Care Workers at a cost of$44.9 million in state and federal funds in long-term care programs and$17.3 million in developmental disabilities programs. • A total of$91.7 million in state and federal funds for a 3 percent increase in non-capital nursing home payments,raising the weighted average payment to$147.43 in FY 2005. • A total of$848,000 in state and federal funds for the cost of Medicaid patients to receive the five new State Board of Health recommended newborn screening tests. • A total of$18.6 million in federal funds for Regional Support Networks that identify new sources of qualifying local matching funds. Reductions in DSHS Medical Assistance One of the major thrusts of the budget was to reduce medical assistance payments for the poor and disabled. Some$278 million was reduced from the$2.7 billion state funds required to continue current medical assistance programs in the coming biennium.3 This will mean that 3 Additions and reductions are calculated from the"Maintenance Level"budget identified in the Legislative Summaries attached. This level is calculated by fmding the cost of current programs adjusted for expected changes • in the price,intensity and caseload demand for existing services. In the DSHS Medical Assistance budget for example,"Maintenance Level"included many important assumptions including that of a 13%increase in the intensity of services to be provided owing to the aging of the population and an increase in medically necessary treatments available as well as a 70,000 person increase in the number of persons eligible for the program under Washington State Board of Health July 9,2003 Page 5 of 6 • some $337 million in total funds will be reduced from the $7.6 billion in total state and federal funds required for current DSHS Medical Assistance Administration operations. The largest of these reductions included: • Replacing the state-funded Medically Indigent Program with two smaller, federally matched programs of direct payments to hospitals • Reducing inflationary increases in payments to managed care plans to 3.3 percent for each calendar year of the biennium • Requiring payment of a share of premiums for Medicaid coverage of families with children whose incomes exceed$1,300 per month for a family of three • Reducing by some 25,000 adults and children those receiving medical assistance through increased efforts at eligibility verification. • Consolidating drug purchasing across state agencies, increasing use of generics and negotiating greater discounts with manufacturers. • Reducing the scope of adult dental care by 25 percent. • Reducing payments for Durable Medical Equipment by 5 percent in the second year of the biennium. Reductions in The Basic Health Plan A second major thrust was to reduce the cost of the Basic Health Plan(BHP),while redirecting new revenue from a citizen approved initiative that raised tobacco taxes to expand BHP. These changes account for virtually all of the reductions in the Health Care Authority's budget from a Maintenance Level of$916 million to $538 million for the 2003-05 biennium. This was • accomplished primarily by the following means: • Repealing Initiative 773's requirement to increase enrollment to 160,000, and immediately capping enrollment at 120,000 • Amending Initiative 773's requirements to maintain a minimum BHP enrollment using existing state funds and to increase that with new tobacco tax revenues to 175,000 by July 2005 • Further reducing BHP enrollment by attrition to 100,000 by January 2004 • Reducing the value of BHP covered benefits to 82 percent of their current value by increasing enrollee cost-sharing. Reductions in Other Health and Human Services Programs Other significant reductions in health and human services programs included: • Eliminating some$19.8 million in state and federal funds that had been proposed but was rejected by the court to settle a lawsuit brought by ARC on behalf of the developmentally disabled. • Saving some$11.8 million in state and federal funds by reducing the spousal resource retention limits to increase the proportion of personal funds some 500 seniors will have to pay for long-term care services before becoming eligible for Medicaid services. • Saving some $15.8 million in state and federal funds by limiting enrollment in the COPES program to a level that is expected to exclude some 700 people who would otherwise received help from that program. • Saving$5.2 million in state and federal funds by not providing in-home personal care services to some 475 people. • current law. Inflation adjustments were not assumed in the Maintenance level,but were added as separate adjustments in the budgeting process. They are noted in the text of this memo. Washington State Board of Health July 9,2003 Page 6 of 6 • Saving$13.7 million by increasing scrutiny of those receiving General Assistance- • Unemployable (GA-U)to be sure their medical or mental condition has not improved. • Saving $4.2 million when mentally ill children's families with incomes in excess of 100%of the poverty level opt out of the program rather than pay the newly required premium • Saving an additional $4.2 million when mentally ill children's families are found ineligible for the program due to increased scrutiny of eligibility. • Saving$4.6 million by reducing funding for substance abuse treatment through the Treatment Alternatives to Street Crime program,while preserving Drug Courts. • Saving$2.0 million by no longer providing substance abuse treatment for the gravely disabled. Public Employee Health Benefits Notwithstanding earlier speculation that premiums for state,K-12 and higher education employee health insurance benefits might increase by as much as 20%per year,the Legislature's final budget assumed an increase of 15.5 percent per year in 2003-05. The state's cost of this increase was partially offset by: (1)increasing office visit co-pays from$10 to $15; and(2) requiring employees to pay an average of 16 percent of the cost of the benefit, compared to 14 percent this calendar year. At the 16 percent employee share,the state's share will increase to $592 per month during CY 2005 for the average employee's individual and family health benefit coverage, compared to an average of$482 this year. During calendar year 2005, the average employee will pay $111 per month, compared to an average of$72 per month now. The K-12 allocation for monthly employer contribution rates is increased from$457.07 in the 2002-03 • school year to $526.03 in the 2003-05 biennium,consistent with the increase in state employer contribution rates per employee. The budget materials used to compile this summary displayed no specific dollar amounts reflecting the"Maintenance Level"funding required for public employee health benefits, and some dispute continues about the appropriate assumptions to use in estimating inflation. However, speculation is that the final budget reduced the state share of public employee health benefits by as much as two hundred million dollars or more for the biennium through the combination of greater employee cost-sharing and reductions in assumed vs. actual inflation. • • Board of Health New Business Agenda Item # V., 1 WA State Board of Health • & Local Boards of Health Partnership Initiative July 17, 2003 • Don Sloma, M.P.H., was selected as the Board's Executive Director in October 1999. • Prior to his appointment to that post, Mr. Sloma was a Deputy Commissioner in Health Policy for the Washington State Office of Insurance Commissioner, where his special interest was cost-effective consumer education and treatment approaches in managed care, including public health and social support system collaboration. Mr. Sloma served for ten years as Staff Director for the Washington State Senate Health &Long-Term Care Committee. For the decade prior to his Senate experience, he was a Principal Management Auditor and Staff Coordinator for the Legislative Budget Committee, the Washington State Legislature's equivalent to the General Accounting Office. In addition to his current duties, Mr. Sloma serves as clinical faculty in health policy topics at the University of Washington Department of Health Sciences in Seattle. Address: 1102 SE Quince Street PO Box 47990 Olympia Washington 98504-7990 Telephone: (360) 236-4102 Fax: (360) 236-4088 Email: don.sloma@doh.wa.gov Carl S. Osaki, R.S., M.S.P.H, was appointed to the Board in September 1997. He has worked in the field of public health for over 30 years. He is retired from the Seattle-King • County Department of Public Health where he was Chief of the Environmental Health Division. He was the 1997-1998 Chair of the Washington State Association of Local Public Health Officials (WSALPHO) and is a Clinical Associate Professor for the School of Public Health and Community Medicine at the University of Washington. Mr. Osaki resides in Seattle. Address: 3520 NE 189th Place Seattle Washington 98155 Telephone: (206) 365-1633 Fax: (206) 365-1633 (Call First) !Email: Icsosaki@aol.com • 4 I " What is the Board's Mission? The Board's mission is to develop policies to promote, protect, maintain, and improve the health of Washingtonians. How Does the Board Fulfill Its Mission? The Board is assigned by statute to serve as the focal point for professional and citizen health concerns and to gather these concerns into a coherent policy. Several ways the Board works to develop and establish policies are as follows. The Board: all Solicits diversified information about health concerns by holding its monthly meetings, sponsoring public forums, and conducting citizen surveys in a variety of locations throughout the State. Works with interested parties to develop and assess rules and regulations based on health-related legislation rand Board policy. a Responds to citizen inquiries and requests for deviation from regulations or policies through waivers and exemptions, rule development, and rule revision. Issues the biennial State Health Report, which reports on the people's health status and recommends priority health goals for state government. Advises the Secretary of the Department of Health on health policy issues pertinent to both the agency and the State. Reports annually to the Governor and proposes suggestions for legislative action. ll Approves contracts for sale or purchase of services between local health departments/districts, political jurisdictions such as cities, and individuals. Reviews and comments upon proposed applications for regulations concerning health professions as requested by the Legislature. Assists health research by adopting rules related to the assessment of health databases and explores ways to improve the health of the citizenry of the State. State Board of Health 1102 SE Quince St. sboh(adoh.wa.gov - P.O. Box 47990 Olympia,WA 98504-7990 www.doh.wa.gov/sboh (360) 236-4100 (360)236-4088(fax) -.*eassivastiblina /if of : .Yeatq • • Board of Health New Business Agenda Item # V., 2 • • Appeal Hearing Peterson/Roberts Violation SEP85-00045 July 17, 2003 Jefferson Couniy Health 6'Human Services T 1 ) 615 SHERIDAN • PORT TOWNSEND,WA 98368 • FAX 360-385-9401 Memorandum Date: 7/10/03 To: Jefferson County Board of Health From: Larry Fay Re: Green Appeal-Peterson/Roberts SEP85-00045 Almeta Peterson and Eugene Roberts have built a deck on their property located ate 574 Beckett Point Road. The deck is located over their existing drainfield in violation of the Jefferson County Onsite Sewage Code. Environmental Health has issued a notice of violation and order to correct with the consequence of the failure to correct being a possible restriction on future building permits. Dr. Green has filed an appeal essentially requesting that the department order the removal • of the deck or at least those portions over the drainfield. Enclosed are Dr. Green's letter411 requesting the appeal and a report from Tillman Engineering commissioned by Dr. Green. The purpose of the hearing is to review the facts of the case and determine whether staff actions are consistent with the regulations adopted by the BOH. Possible Board actions include upholding the appeal and remanding to staff, upholding the appeal and ordering the removal of the deck or denying the appeal. • S COMMUNITY ENVIRONMENTAL NATURAL DEVELOPMENTAL SUBSTANCE ABUSE HEALTH HEALTH RESOURCES DISABILITIES &PREVENTION 360/385-9400 360/385-9444 360/385-9444 360/385-9400 360/385-9400 O • • • • • JAL.- 1- .' e erson Cour Health &'Human Services . • _. \ 615 SHERIDAN • PORT TOWNSEND,WA 98368 • FAX 360-385-9401 • Almeta Peterson September 25, 2002 Eugene Roberts p �n 574 Beckett Point Rd. DIC E 1I U E Port Townsend, Wa. 98368 Re: Notice of Violation: Deck built w/o health department approval. APR 1 8 2003 JEFFERSON COUNTY ENVIRONMENTAL HEALTH Dear Ms. Peterson and Mr. Roberts: This letter is intended to serve you official notice that the Jefferson County On Site Sewage Code 8.15.150 (1) f states that you"shall not build any structure in the OSS (On-site Sewage System) area or reserve area without express, prior consent of the health officer." Section 8.15.150 (2) goes on to state; an owner's or occupier's failure to fulfill any of the responsibilities in 8.15.150 (1) shall be a basis for a Notice of Violation and for the Health Officer to decline to issue approval for further development on the parcel." • In order to correct the violation corrective action must be taken within thirty days of I receipt of this notice. Corrective action may include submission of deck plans to this office for review and possible approval or removal of the deck from the drainfield area. Failure to correct the violation may cause the department to deny applications for future development on the property. I want to thank you for meeting with me on the 12th of September to discuss the deck and I remain open to other suggestions that you may have to correct the situation. Please feel - free to give me a call if you have any questions or if I can be of assistance. Should you feel aggrieved by this decision you may, Pursuant to Article 8.15.210 of the Jefferson County Code, appeals the decision of the Health Officer by providing written request for a hearing with the Board of Health within 15 days of the decision. (do Jefferson County Health and Human Services, 615 Sheridan-Street, Port Townsend Washington, 98368) cere Randy Marx Cc: Jeff Avery Acting Building Official 1111 COMMUNITY ENVIRONMENTAL NATURAL DEVELOPMENTAL SUBSTANCE ABUSE HE-JH HEALTH RESOURCES DISABILITIES &PREVENTION ---•--- • • . ',nninor nAnn 2R1/2Rc-Qdflft 0 0 0 • • • • pECELI 16 April 2003 APR 1 8 ma Mr. Larry Fay Director,Environmental Health JEFFERSON COUNTY Jefferson County Health and Human Services ENVIRONMENTAL HEAL * 615 Sheridan St. Port Townsend, WA 98368 Dear Larry, My complaint: My uphill neighbors(Gene Roberts/Almeta Petersen)have built a deck completely covering their drain field without a permit. (Address: 574 Beckett Point Rd.) My appeal: Although Randy Marx stated to me that the deck would not have been approved if initially an application had been filed,he essentially did not request its removal when it was after the fact(exhibit one). Instead in this letter of 25 Sept 2002,he stated that"failure to correct the violation may cause the department to deny applications for future development on the property". This is unlikely in that the foot print of their house plus deck occupy approx. 95%of their property. On 13 Oct 2002,the situation was discussed at the Beckett Point Fisherman's Club Board of Trustee's meeting. As a consequence, a letter(exhibit two)was sent to Roberts and Petersen. There was no response from them. • • On 12 Jan 2003,the Board of Trustees noted that Randy Marx did not require modification or removal of deck or issue of a citation of noncompliance. Therefore,their stance was that the deck would be approved as built. The President of the Board of Trustees,Bill Smith, is aware of this appeal. Reasons for appeal to you: 1) The 12'X18' deck is supported by concrete blocks and covers the 8' deep drain field(exhibit three). a) Randy Marx apparently has made a judgment that the 8' depth is sufficient to satisfy needs. What literature supports this view? The county has historically called for revisions of drain fields that are too deep. b) The grass under the deck is dying preventing aeration needed for the aerobic bacteria. The height of the deck varies from contact to 36 inches above ground. c) The weight of the deck plus cement blocks plus people on the deck compress the soil(and possibly the drainage pipes) impeding the downward flow of effluent. d) Ryan Tillman evaluated the situation on 12 Sept 2002(exhibit four). Recommendation: At least removal of distal 9'X12' section(portion covering drain field)of the deck. Please do not accept a position of"forgiveness rather than permission". • • Sincere regards, �� APR 1 8 2003 i David L. Green JEFFERSON COUNTY POB 224 ENVIRONMENTAL HEALTH 576 Beckett Point Rd. Port Townsend, WA 98368 Tel: 385 7772 Fx: 385 5513 • 4110• • ..22r tr. p0, wa .5ECIEOWE ---;\ l `dC 111 140 - oak • • t • November 11, 2002 t 7 is �- 111 APR 18 2003 Almeta Peterson, Gene Roberts trAt_, `` si 574 Beckett Point Road - • / JEFFERSON COUNTY Port Townsend, WA. 98368 ti EENVIRONMENTAL HEALTH Re: Lot Olympic View 5 Dear Almeta and Gene, This letter is in regard to the deck you built last summer. As you know,your neighbor Dr. David Green has registered a complaint with the board of the Beckett Point Fishermen Club about the size and the height of the deck and how it affects his privacy. The privacy issue the board feels is between the parties involved and not a club issue. Dr. Green also had a lot of papers from Jefferson County about the height of your deck and how it could affect your drain field. In review of the design for a deck that was presented to the Building Committee for approval,the deck was to be built at ground level. This design is what the board approved but isn't what was built. Since there has been a complaint and the deck wasn't built according to the plan,the following needs to happen: 1. There needs to be a letter from Jefferson County stating that the deck passes all codes and doesn't need a building permit. 2. A letter to the Beckett Point Building committee needs to be submitted along with the paper work from Jefferson County as to what you plan on doing if the deck doesn't pass the county codes. The board needs your response by the next Trustees meeting on January 12th so we can start a follow up on this complaint. The response can be mailed to Patti Sahlinger. Almeta and.Gene, I.hope you realize that no member of the board has a personal view, including myself,but our job is to make sure all rules and regulations are followed. Sincerely, William A. Smith, President cc: Patti Sahlinger, Secretary 890 Beckett Point Road, PortTownsend, WA, 98368 David Green ....dedicated to the propogation, protection, and enjoyrnent of our salmon resources dor over 50 years. Post Office Box 1657 Port Townsend, Washington 98368 :ep-12-02 03:46P JLScott°"°Port Townsend 360 385 4196 P_01 KIVU`Y PROI-ES3IO Al CE`.ITrR 'I ILLI I II II 141 OAK my ROAD III B(.•X 13'5 PQR I I IAfilc;c=K:.,'WAY IING11.)h-9;333'; WINEERING, INC. 360 i/ci.9601 :3r,0.370OI5O 1 Ax September 12, 2002 ( / 2 Dr. David Green D Q PO Box 224 Port Townsend, WA 98368 _ APR 1 8 2003 RE: Initial Inspection of residence 576 Beckett Point Road JEFFERSON COUNTY Port Townsend,WA 98368 ENVIRONMENTAL HEALTH Dear Dr. Green, On August 26, 2002 I inspected a portion of your residence located at 576 Beckett Point Road. The purpose of the inspection was to ascertain, if possible, the impact to your property from relatively recent construction immediately adjacent to your site. Two concerns were raised: I. First, you voiced concern regarding the construction of a new deck over the septic system serving the adjacent residence and the impact to your property should that system fail. During our inspection, there was no evidence that this septic system • is currently failed or failing. There were no signs of surfacing septic effluent in the front, downhill side of the home and roadside ditch backslope which would be positive indicators of a failing system. I did not detect any sewage odors either. This adjacent septic system lies above your front lawn, and surfaced effluent could migrate onto your lawn in the event of a failure. You indicated that the grass has remained green proximate to that location despite the dry summer conditions, a condition that I observed while onsite. It is possible that this green grass is evidence that the leach lines from this adjacent septic system are keeping that area wetted_ It appears unlikely that your own system is contributing to the circumstance due to the distance from the green area, and the dry grass in between. It is my opinion that construction of a deck over a septic system can have detrimental effects to the evaporation of water, mainly through transpiration of water from surface vegetation, wind and sun, from the disposal field area, In addition, piers or footings placed on grade over the drainfield can compress soils and limit their ability to lift water to the surface by capillary pressure. Jefferson County addresses decks over drainfields on a case by case basis, but in general discourages and on some occasions prohibits such construction for the detrimental effects that they can have on the function and longevity of a system. Jefferson County also requires designation of a reserve area, to replace a failed • system, when many residential construction permits are issued. In general,the Sp-12-02 03:46P JLScottPort Towns_ _._ - • - • 96 P.02 RECE11 WEB . Dr. David Green September 12, 2002 APR 8 2003 -1- 1 4 / Page 2 JEFFERSON COUNTY ENVIRONMENTAL HEALTH County has policy that requires compliance with current regulation when expansion of the residence is proposed. Current regulation would require compliance with minimum land area, reserve area designation, together with an evaluation of the existing system. 2. The second issue is relative to a discharge onto your property from this same residence, As I understand it, you witnessed a discharge of what appeared to be grey water of some kind crossing the property line and pooling near the corner of the concrete patio. I understand that you called the neighbor upon seeing this discharge, and that the neighbor subsequently quickly stemmed the flow. This discharge caused minor erosion of soil along the property line and a small retaining wall at that location, significantly wetting the soils and area of the patio corner, Upon visual inspection Iooking across onto the neighbors property, it appears that there is a steel lidded basin between their foundation and your property line. Washed gravel surrounds this `structure', I surmise that this may indeed be a grey water system for household uses such as washing machines, bathtubs and sinks_ Typically, grey water systems consist of a pit of varying dimension, filled with washed rock, sometimes with a structure in them that serve as a disposal pit for so-called `grey' waters, i_e_ not black with feces waste. While not approved for • use by Jefferson County, many of these types of grey water systems do indeed exist. If this is indeed a system as described, there are several possible detrimental effects. First, grey water can contain pathogens despite the lack of fecal material_ Second, soaking of the ground around your foundation can cause settlements, general moisture can create an environment conducive to growing molds and mildew, and increased water pressure can have a detrimental effect on your septic system drainfteld_ While on site, I recommended to you a method of providing inspection ports to monitor ground water levels proximate to this area to you. These inspection ports can help you with determining the extent of water saturation in the soils of the specific area. I hope that this short report satisfies your immediate need for this situation. If I can be of additional assistance or can clarify any of the issues presented in this letter, please do not hesitate to call me. Sincerely, Gt.A.0,_. j.,,(24,,,... E E i r Ryan illman, PE .---"1 11/ President J 2c < RIt_____,, `'....„. , ( ' Wf 3) _ - t ) ID f Y C,Ct 3 11 sb .rC e•s 04 Si.a_r43Ce 1 ,- 0 it 4C1.6,A. Gt-C. ave d Ne c 04- ^f-U.,4 caway 4. g,t) pi { Sys e.rn P x / 5-R s> G h V ) u.S-e wasLJ ', Gtr 2..-ZYL •c"o e..k r.ot p;� r cal-lit 44) 6' o`c" i. s l e d Ch c i In. 'NJ'OC k 1 1 p ; pe__ r �J 1-tin3-i -iv, SQ -trov. , reOc,.;red P-v-s or to i tia) I nSpe d i o. Please call wee,,. rt,-acy i' , �. y 0 r1� r dr /. � • - it, 1 +) Aeit).0,1 tata- .-->. i _____________ ....) -, ' t[ :I ':�a ` _ _ __._ ..2,....... _,,.. ae- et.t' 1 2CI • • HECEDVE APR l 8 2003 JEFFERSON COUNTY ENVIRONMENTAL HEALTH (2- .13) TO : Building Committee D E C E _ V E '1 111 Beckett Point Fishermen's' Club .� FROM: _ APR 1 8 2003 L- Almeta Peterson and Gene Roberts DATE: 7-5-02 JEFFERSON COUNTY ENVIRONMENTAL HEALTH RE : Approval of Proposed Deck at 574 Beckett Point Road Your approval would be appreciated for a simple deck we wish to install on the ground in front of our home as indicated in the sketch below. It would be approximately 21' square, made with Trex, and meeting County setbacks. Thank you for your consideration. &46-27d ----— 1_- ---&---gr- ?--.3—-6 . ----27?-7.---,----e----/-)o-L-7/Z"------ 0 _,,.I: . 1--- - *'- 1 1,_' t-4- ' 117' ' tr:1111. 1 rii- 1 t r ,', r I .: •, J . F.j rr I \,06.M< w 6� pq1 . 1 al • I �—� ' II �` P b 55 y � I.-2 v r I Yn c'C c_In -}-c ,.g 'i 1 1 e xi s ‘ n \ w est.\x w CI . i ! , i , 1 ; : 1 : • L 11 t , . /, _., - '. Ho ( . ,),v 966P 1 a� r. t,rb r Qc 1; e-{ -I- `moo tk- R o., 4 . _... . - • -r ,-(7 -,i--3) ...., _ 0 [11ECEllUE _ II APA 1 8 2003 JEFFERSON COUNTY ENVIRONMENTAL HEALTH 4 \ ,-----. gi • / _. 4: __ . - --- ‘-• fl - :..--/ - t i-;•-' - ;,.' - "i _4. .... ' e.:-.•;..-, :_,... t, C. i et .,.:,.: . • . •ru : I . . . . u . j------- — < > -..- _... _. . . • . ;.--, •-. .:--_ ;la, 9 112_10 2_- _ ---, OActz.,4it.- . • bia.0 V dzAti5v—h""45t) ilDAM. A'''1,...„ kova tf• . a) 0 i is . 6.42, to4-46 1„„,,,Ad. \- k „13A Aiptit'el -1 Vt" cobfetviilGtx 6 Acd6 • Board of Health New Business Agenda Item # V., 3 • Child Death Review July 17, 2003 • • July 7, 2003 Local Health Jurisdiction: Administrators Nursing Directors Child Death Review Coordinators Dear Contractors; This letter is to provide official notice about ending state funding in Consolidated Contracts for Child Death Review activities. As you know, the recently signed 2004 Washington State budget eliminates the entire budget for the Child Death Review(CDR)program. We have spoken with many of you directly about this decision either by phone, email, list serve, or conference call. Effective July 1, 2003, state funding for LHJ CDR activities is no longer be available. The 33 LHJ's who have CDR funds in their 2003 DOH consolidated contract should expect a contract amendment deleting the statement of work and budget item for Child Death Review as of July 1, 2003. The CDR Statement of Work deliverables are: 1. Submit completed data collection tool for every child death reviewed by the CDR team at the beginning of the quarter following the review. 2. Annual report on key findings from reviews For the closeout of your CDR contract,please be sure that you submit the required data and annual report for all deaths reviewed prior to June 30, 2003. Melissa Allen and Diane Pilkey will be in communication with LHJ CDR staff regarding technical assistance for those counties who chose to continue their CDR team without funding from DOH. Thank you all for your patience and understanding during this transition time. If you have any questions, please contact Melissa Allen, at 360 236-3536 or melissa.allen@doh.wa.gov. We appreciate the commitment you have shown to community based child death review. Sincerely, Jan Fleming, Director 1111 Office of Maternal and Child Health 1. A O o W N i..-` K m ' P. O n v, 2 . . . . r-i '� N 0 W • • • D a 5. y n .d p x " d 0. n M x "' .n'�. O --� o o m G 2 0, • n. O Crl (/) 'J (/) m F'. s• 9' `"' p '7� 5. 7C O z L. . x O o 3 " E 3 g "O w :; ° ' Z. E, fD 5- ° 0- 3' 5. o °c o ¢ _ r 3 f� z O V, "+, �+, 7 O n O CT N p CD m to N cm r. CJ4 C D 5 (D a 0.‘ co p po m o 4- 0p ¢• n '-dr0n o . n o O m F �O' o o p . co odro V n - v — cA 4a7.—g, O n O \o v y C. p 5. cm d p coVf A' 'FP CD 5 P m gtc v° v N ; n M Om ~ ° C ,o ,, a' O ¢• n 5 a, ap > co Oro .-"o D 5, O N i rD P•' om. 0 n Cn • CD ro 0 p ' n v, N -' C. n Y '3 0 LV co O s ,-t pVI O n O Vo n fl 0 DN . O p O co `4 " ,T, O C pCD mmtC , 0 p 0 xOn esrO 0 coO 1-t) Q. p v - amm O O 3 m amOrDcn O . xJr" mnO1-- X ° . . ii ro x Z CD rl" n rn x J 3p o S Zffi ti 3 o n A, td CDco ° C o '0 0 �' • n r � b �' O a 5- g o oo o5 KA 0 5. ti n III ' n d o * O O . CDZv'5 p vl fo ° 3 ( a C7Qr~ O O C4 o G o 0 o n GrD 'l n+ UQa- a, ^ o N g Li. . x C/) 0 ' A ( n' nW 00d,N . a `• CD O• ('D 5 xF. N av' p, ¢ n cn 5' 8yO O3,:' ' Np 5ID o n' a' CAR Ko n R Z G D O �' n�*, O , L7O. p bs 'C3 n rE ,.tp7° ° m = n n ) ti CD • n tri pmn = Own '-'• aC3 m N -p ciD Q . ed . • p p O n pnO 0 O P' O 7 0 fn p' -• r r� O v .y < N '"' < 5 0' O o. o n 0 ,, 0- - g' w O ,.0, 1 `o '••f, 'a' C' c/) 3 n a) cg `n g- n D, 0 P m o '" m p c q D m q rD 0 O 3 5- n N cD N �!Li. Ate' -, cn 5• I 5 G °, "'. ;O' • w .A'y I 0 ..t OQ. m FD Fp 'n CD Q. '� 111 ¢, R �n .'3 `O cA'7 •*, cn a. n „�� A�''*'' p N Z 'C p '17) n m o a' co n rt �'• Oi ¢ Z n r .1" n ' Q. .1 N a p, r, Q.. n 5, p , Do cn c mCD Cs' •• 3AD C4 o o D) CD C CA b l ;' ° �. a CD < CD ° c 3 a 5- ,, g R_ 5, 0 41 3 0 o w CD R. vo• O o CD m o ¢ O co c/) t�..yy K �; 5' Iv 0 CD o '< a. n o N p^ CD w Dn ''�' PD '"' p• �. Com' n� (D CD cn '� E. 0 'p rD p„) 5 m o m O 0 CD m .+' A) c/o n �Ni co .y 0' �5 - CD m a' 0 CD n t3 rt CI) O 0 C �. �, v' C5' 7,7 O r0, C 0 p G O CD CCD O IQ c N .0 rte*0. -A �x f� M a. VD • • • • • • G Vl „�„ G1 b0 '�" o C7 z .r, d p' V C" rtr7 b7 h7 d C n .°� p�D• A �D a7 A' �'! fD •�,j So fD a1 A' 0 fi• �' O ��'! R r• f�D ° '">r D 4 p 'O .~'. K C n `� K O C K n a x C K ; •K a) ,• 0 C is m x o O A� ,T O fD co V V ,- O• `C a' m t O O v Z r ° C " m , R 0• y C°, 1-1 1-i .1)r K AD 77 vw, o a' tr -- o C K p K co K "�� .. ° �• p x c 0 x z ~ Cr p _ vi CM a r. O co) O fm i ° O CA ✓ G '+ = G OG Q O w mnx5. CD 0 cn l7 Cl) 0 0' A) adn :� nxO ' � zzOCxrT1 � zO � � z ~ � � x mO O C b '"9 ° b vwb C CD O n w`Db b • 3 Cn b Cp bs N .s n b n b C • p b ° Z 8 Z 'Cli nnnDO .' O• ., nnynxro O • C3, n ,, a0 . -, a' co, co 0 a CD rbC D '�n n - A, wz v' G G w 0 D' ro 'A G n ' O C n CT) a' Q' ` V ( O - O G . CD CD n 5: F4 • A0 a a a , n Qr f ° � i `C• n n Hw 7tiro' yw �' m y y on % o' 'o ° '-0 m n d ° a0g) 4 n7 • ' rfa' o 5- a' pn . 5 C7) 5-• 3° aO �' t-i a. ¢' O 0 n ° O C m ' • ^ � 0OG , c, O • � a' : # R°d 1x m ,1 m n O O 3aC • �, G TN 7' nyn n E mx <' n m C, i=n ° `< n � p' ° IDD ' xc,, x)5aOro5, " ' n+ ° P � i-, r° po " Po ..• 0 � � o ` _ . 2m4. N `c � , 1O � '', <xM d ° N. T , , ° nw 'Oryp ,•+� nH (la rd; xi CD ca 00 0. 03 C CD ' W . On G ,-„ G O 3 tl0 a' -. R. m O C C .0 Z O 0 m.. w C mm ° C ; nroOOO Hti � ' n � p, C O OrV ". 'o C a' ,-I ,< O p nN 'NVJ' f " r °. 4'. C' n' o ..droro n ' fnm an nrycn'" gg 2 u a E' 4a m c. o' Odv1 nX) .°yP ' Oy " 8nNDn ( ti ''' (1p. A.'y 2 . xD' .V" W O. r2. cg. n � zN. U1 g n 0C 3x 'D N 2 ', 02. ,'h N N g y ,n ^ e5N '4' c4 a. 53 2 a.', O °r+ 4 A' 0. 7 °,(A) O O C v) do ° n °, g n n ¢ _, O• :� o' , PI: ' o ` °w aro n 0 n x S 5- ' ' O • ° O ° n g r' 0 ' 0 . 00n . : r,t 4Ong yr. m . n. xCnC aooon OO n. vi . a' ''' W a, y O O a' C n. 0 w . n 1-1 .. nr+ n n ° x � c. n o t70 . O 7� n '8 o z n 5. Rn0' O O °, R° t' m. oEcn P Ov) A ¢ " G @' NO ,9Ch ,PO On . O , i ° O0 ,G, n v) n :I 0O CD ° vm (Tr g. r ^ 'O o n' („.. f'• E. `• o "� 0 5 a• x : a o- 'D R E. n '-. o v > C Cr Pt' aro 0 A O a 5' n CP, ° o M5. AD AD a z a a c �. A ° 0 co 70 FiC SI, o' y n n n 0 b0 CD n G r, k R° a `� so a c G P. N O rD O !n O. w 'O m .�,��., rs m DD 'c o e ri+ O O a O ° A f0 A' O I L., C < I A ¢' p m 2 ' A, C fD 4 '71 'Z). 01 -. c) `.1 n 2 do Z O o rP c� CD O CD N �, in w �' b O O Z •t C'g . E c • fp ..t -t ,C O -t Ci) rti ..t -t CD n A 'd. e.^. c • � n P N CD. r Q A oq' a o o A A oo A �. 'rj C `C•f Com+' ti rte•, (1 co P, CDL . A UIQ A W s' (� .O, n A �. b y O ¢' O 0 Z 9 cAo' n ( n A� g' p,' i' O ¢' 0 ' n yt . co CD C X 2 V) O n Da n•t C' N, �� CD '3 Q • CD N, A, • ,—, „ r' 0 ti• ro CD faD rO•, .`3 t1• p, M r' N4 d „ , 'Ty p c° 0 O i; i ! mpcoso A 0 z : : 2 ;rts � �' 7't 02N' Ka y O O OCco ccoo' C. cD ro A 3El' O. 0 p. N 'C n O, 00 0 0 0 0 a CD n CD 3 ��• �+, • m O n n P O `� ,nt 0. co Q. o-Q• Cep '� m A, O. �' m �' 0 S' w r 4 A E. i'D m •n co G7 O' O P. O P ,.,,n d o v. . C p n F Uo p p N 7 CD .. n .ter'.• p' m ?y r•, v,' 2 ''4 n. -' ry K P. �' O0 O OQ' n n °r n Cl)Do 4 n 2 0',�y 0 "p• sv 5- o �] 0- 0 ° m c sm CD R J .• n Co co p .'�' `C '"'' O vq a' , R CD CD Cl 0. CCD • o m 0 0 n 2 '6: 781 O N "'S rn '.3 2 '.3 " A, n coc ,-' fD 0 a 0 • Z 0 " N 0" m 0 CD r c co CP , CD f3' r.)- n '8iii O x' P 'Cf E A C.) •" O O OC a . O- g ' •1 5, Y W CA n ¢' 2 2 '-, A, :4‘ d a o • . • • • • • • • • . . . . . . . .A • • • H 17t0 � "J 5yy4� x C7 ndn > nCt7n fD cncn ' 1 '-+ p9c V) a > 'o C y o- ( D �. .G A, 4r o ' � C 0 CD (8) O CD CD r, Co n SA .-c '-' n O co 'o' CD CD P `C FD rD n �' IA /N+ , 0 O 0 m O d `i' O i l .+, O d t) 0- , rD fO r' " cp °C y :D r. �o C C x o O ' x 7o• co 8) ° C n C ?•: '� o- 5 rt) n , r" p 0 c cn cn 'a O n S '+ g r p,4'• `= fg a c ci �--.. ,,7,.. H 04 -.4 ti l' o 'o °i) o a N 5. 5 5 � �. � fns 0 r, , y n 5. P" ") r.� a n o y o '0 ug ,, n co n oro K o p •f D, Q,' Cl. O • C 2 r3. 0 CD x b n O .� P < CD ' 0 tJ �C N CD N p, '•r .� a p, cn• C p� .M Q ; _, • . n j G� NO , �y `�' • CD C'.S CR 7 l0' ¢ Op ��, a+ ° �i ¢ p r' °: �, l��)• �' rs oOro m wn-, , M W C.' n O (0 n rn O 2 2 w cn CD N › p, O p ,-. . 2O ) 8. cn .� 0 (4 n v o w'- ' 0 O oo a O n o• p. • C E- c n �. n O n O' . O CKD o g n C C x = •_ cn „ 4:`).' n c4 `C N 0 n .. CD p, CD no V O O ��----� O .'O, .s a a ,.i C r, n• n O CA ,- ' 5 p, n N .V � '--' Z V) �' n „ cn O N 0.• M 0- A, p, PA'y o- 0 ci t� CD Wm '6' n p- r, .,, 0 m '-0 O 0' �, r, O 0 r, '0 r. c4 r=' •.•, -4 co O O w 0. aC K co '� cn D c'i O' n O C rn _ , .1. O O 'p '"� a �• �+ a V CMO y 2 0.W 4. O n 'G p N 0 N r, i - ° K ° N g ,.. s w K U. N a ��• W O = C r» r, C; „ no"n - O CD b7 ^ • O O 'L3 O p, n r+ n n• a r, n n 0•• oo C CD d O `< a r'r �' n 0 N r•, C ( CD '--' C . 0 p C O 2 m CD CD is W G fD N „ `C CD CD 'i 00 N rti rti '.7 O cn ' a '� cA • O r, m r, CD r, �' a '� W F.. n v �' .� p co n ''�1 '..11... C m .. O n p?. . "' n n a' m ' n o �: , .Ng- O rA .t 0' CD O C' W a O oQ �� C .0 G r+ p .r n - 'C - CD to w O CD n C a. .,, pi Q O d 00 '� p, 7J a ,, 73 C) v' R .a, C a C/) co'" ".S • CD n Cn O UQ CD , ¢' O9+ S ��.. 2 '4_' v Ove• cC c'ii r '•*, 'O•t S S's' pLo Q.• " n 7• y O� O t� Pzi p, 'nJ' 'ns 0 'OJ 1'-h C ' pi £C . .. N rl• r'. •A Cn p, O CCD •~7 3 Y C • p s n CD a0 " p n n• n 2, — o a CnD ca. 0 0 0 CCD CCD d • I3 v' C Cl) w r+ W O �. CD '-" o '�• F CD a -. 2 rD rt cD '-y .. I ,O rA• 't O �• ,0 cp '•, N y OC OQ -r pN, , •�• C£Dtil ` ri p, p, O�1 OQ '3 C 00 cocti 'b v' 4 A, GC O m O A, — y O O �' N O y CD O O A O O J Cp rp'' m rp,r p .'3 ' O O o SCD .''., ''� > M C-D a ` .0 "4' O O 0 a d O O W n m r'', n V) CD O a '.T' 3 CD O O 0t O ,'7 CD CD d' CD M O V) N '.3 - M Cb N F 0 5. V) N p m 0 c p 2 n =, '2) g C7 0 m oo 3 . z ,,.,9, a N CD n 0 o OQ z N Q :'. of m n N n m• CD CD C z23 AD _ o "� gyp, p 8 x- N .� C pfD, cop. t� Cl, fD� p, O rt r� 0' p, Oar O O c:0 'C0 UOQ CD rn •o n " a o '� a • '.1 H ° 1-I O 0 •� C3 CD '•1 C CD ,O a ^ 0 c. .00-co 0 CD 5. ' . Cl) M o• G m ,- 0 c4 n . 7 Cn • p, 5 ta, a "ygF4 ` a O C= ''1 C ,, n -r 1-11 c 00 o CD w n CD „ 5' `� p, nJ Ate, arf DQ +, ''� Q. K r5, '" ' '"� --, `-'. � ''J' n 0 0 O NL V) yy C C O• F1. 0 CD Q a c5A A, a n m C S O N• CD CCDD CD O u .E 0 n o O• A w n P• V 5.) O CCDD O n ¢ n g u, c 9 N :v n N n " n a 0O A n n a O �• 0- a ,, n a O n L., O O N ,-- �. A, 0. o O c w n .... ...: ..:...:. .:... .,.... ,, :,... .,.,.: .... .�.,":,,.;:, ,�."a,•- +: -�:-., .:. ter..sf..a5. :.,;. ...,^.. a t 5:��•:.x''*"b.z••�-.,:„ .�r'�'..: '+Y `.'?rx ..v. ., r:..e..:.Y,:k-y'y.�t--•:,•;..„w y#'r:v.r,.Y'..:.:. ::;. .•2. 'SF'r"Gy. .y"rt-•a tx'"_ .., a .. v , , vvy. ..� S'.n ��+�rreM..a�,':5v k ,+. a � ,.+.a.».xe::ti }k, ,y" ... «. ... ' . ..+ '�.L,;.�„{'�'P��> ",�•#.� "r •.#+.�x�h^`�>r "x� �+ �y n'+' #'#xw'S2C?�s',.•':..4xn..�''3t'ric:ss. ...".�,':-�..x,xa�.$�-+' tn`"'• ..�. . -. .. ..... t is �--� O N N O ,S v Cn �--, y D a. Q•• pO ot-s E' 2 N D n ^ w r„ sv N Ot. (D (D �p ~' 'C3 (r"D N ° -, o tri w trl w fes' tri fD o L,,, O- rt n: cc, g• ° O toil gl gl 2 c, �, g n n `O 00 p Q- m m is 04 B- q• 0 a „, 0 —I Q o O o ¢' ¢. 0 >y R O O O 3 - M, 8, °o' ^ : (' g. E, sy N 5. O sy ° n O n 0 z ° O �, ° . as 3 O o C 5 c 70 m .. 'r3 g P, PD r r; ° is O CD n C a 7 P e°D '� (nD ¢' 4 ¢ r q u� p, (� as �' 3 n �o �o ro n too ^ p- r, �. n r'. pC, n 0- p- Co ^ sv o 00 O (1 O sv >v O m ' (o sv v, c, C O 'O O \ n p, 00 w C N rn w C C. .� O d p . r K m n rp • pm(o " \ >✓ ^ w is 0. , o ° r” Q. .* n ° O G 0 v - C uC0 FF `C n o � O 9 - 0 w °- P. O m O 08 n • n o '4 .1 m ° Ocp ( 5 - 502 nnn O o- O O0ry 5 O . w p. �' 2 ~ o , O O - n o < " ;, A; ' 3 O p ' q ° n ° C ONf �— 3 n o a ° w ^ 5Q- OC' A n + O Og G. pgnO8nn OI '" fnm ''. ' g, n d2 m rmp, n ar' p ( - p ' � fnAtO � ry O0O O ° a rnno O ¢ w 'C K n OCD 1 nO m al' g) Xr, p, C O ,y O O r'J' Pj O. 711. 2. cn CD 0 pp (D n '.P" m L7 v) N O n S w n 3 ° O 3 t�• ai, s? CP n r, N G W n -' F tt3 ry o, f•i O v' UQ 0a (D r, -i a. v. 00 `'s ° o. (D • n 2D �h ¢ O O rp(D r, , cn F� ''S 0 0 cn .� d 3 m (D o • m d 5- cip AD 'C3 G O ~' Q- O p� w N cm S 0- �. tY. O. D n O m ,..y g Oro (o `'• �. ,..,, P Q " >v �*� .- - ,P R. m C1 w m r, C AA) = 3 ,..� 0 O n x cn m n C H r, Po ty C C3 (D w 'C fl, C (D C (D n 3 (D E F., O (4 r, �. ,.., 4 ^ O (D ' cR (D • p- rn ^ 'C ^ O (D (D O m �. n ° r', :� M m (o n G. O rt, O o �, O O '" O D o �o c sv ao 3 n o 0 oa n '• r �• �• O m O `C (o r AD o ., �' �f r, (D r+, O u, (D (D Q n CD Co n Z O °, w ¢ ZrOC n Q* nm 0 o , WC r ( -, . 4 un sv 0. o om�, yyo ^ oq 5 " 0 C C c 0o isw ^ gCOn 0 O ° KC r, te. nD' O C 5 ' 0 Z n 060Cn CDDO0. rn CMryA d X R nr ' " , r, ° 0oQ- g. mCQ- ,mP,fm '. T w O, 8 F. ^ a ° 5- () o-rO np O t� ° nn V oo O p= A r n oo " vw n aO . 0rn O ° • u) Oh 0 0 , + o °' n a K o . (o O ^ c. , O 0t, AD d Q n 5' q • nC AO 3 KO tc,AP is 3 00 n T O 01-1 0 daq ro ¢ O K o s?. n n• °'° .r 5• a. p, w 0. 3 m p. . „ (.' v- `C O wag • r, o o roAD CD 1-1 Y °° U OCrq ^ crq as 5• Q" c C 5. • • • t • II • n7 m O (D o K 2 2 v n n .,-.1. m rn m O- (o c' o ,, (: • ^ O ° tri ' „.. . ,ii n 0 • ,•••3 C) a. H 0- 0 5' > 72 • 1-9 Cr C/) 0 1-.1 fa. cp 0 ,..1 (-I xi • • • O k 2 Av Q C 5 S O k m O ^ n o O N m O ^ (o K O ' O s?. ,, 'rs s? U s? (o f0 s? b � ',; ,,, ,,,,,, E •, n 00 o r, z o i ° P) vo 2 A a s z n 0. -' ,0, cn m \ 0 3 n ' r, CD - n :, 3 Q- ? A zi r, °q cro• N. o• " E sv . b g °, 2 0. . 3 250- 0 w 0- 3 - 8 '8 — . 3 O d . 3 2' '''' `6" ,%' t5] o '- O A UQ D O po sv 0 ana °a t'. "ns - - tq 'b pri, ° C U 5• CD (�D .7 ,,-,, ,- r2, 7 5- . , Cn ,, P A rs or A O n 0. 00 A 0. o co 0- m O' t0 A ,. (CD r, 0 P O' 0AC) m ,c1). m A? cn' L7 C+ f''' i �. n Z ° ti O tY is O n (� O pD (o r, s n O O (� r 4 • r, A n t*, A �" co n r, (D 8- ,T. (i, 7 Et, n n '*' 0 M (D 7 0R. ti O 0 is °., e, A (3 ti w n cl Ar O O �j (o O E 5• w O `'1 ° n C ° '0 O 'Ly O N C A 0 o C - R (o ` O ^ ,., tc n O (D r. O d O P. cr ,- 0 ,, 3 °; 3 n b o ° 5...,.., 0 ',7 „, •• ° ^ >✓ ° O o 3 m -D, "nCD t, °c 'C3 H n = n ' 0- om m (D CA °. P• m O 5' c� r0, 0 O• 5• me • ,� • n 0 a. 0 to ,nf S b , 'L3 ,�,, O m a >y AD P , ,✓ n M m O o Own O A D,. " 0 o Z co m fD ^ 0 S O Ia m o 's C n• (o �-r, - co m r, .°, is O. 0 AA 7D 60 r , S eOT ti "t ¢ m " n . n A Y z m tt G•: n " 4 w ° M .- w m - m Q '-* n• C o y o 0 m O N m O w s?. P. rn O m CO Ito t, R ° sv vOa ° ry m n 'Y .'~3 n C n rDz. 7 w' n n is , n r*, `C N vv)) M f) •� - sv O ' O ^ G 0- O n _ 0 , O n v O t r, v, AO A A, (, .• m `t3 ° ON 12 ° tii O O C O SD C M ~. ¢, N CD 4CD � DJ R A. m C 't3 m b A m. '��' y ° (o 0 r ti a' n ° (D K V C O z N cn c0 3 x �. M `° X17 Cl- O p- R ¢ vD sv CD o ,' m % ti t x o o- ¢ * r; g- 2 '< - 5. a 2 Y N C rD O, `n r, (D (nD 0. �• n m ''�. �' H A Oq "'� is v ° y, A H `C ti 0. a' n n A (�D O ¢ 2t �¢', �n . w 0 Ono F, 5' F ci o o O ' O sv , w �n v �(p m (D e0-r , .N A n _ rte, 0 O g• O ;'i r'i O g ' p, M N O g of O ."(. Q r, r, m '.~h A� A� 0 0 �] O C n py O AT (D C ¢ C O O o O sn n rn \ O O ~- o : n o w ^ CD n a r" 3 sv O O O ," fl) 64' w a °- . 0- 3 n 0- 0 N , D) c N 0' 67A F a. acs ¢. g O o (D w ISI 0 a O PD 6 6. rn n ° D o ; , r, (o '"-• Q' 0 A' O 0 p' 0- A, s 'C3 I — r.--.* sv nri' m 0 r, co '" CD O >? el o O (D z v (¢o ^ • 5• " 3 0 0 fD S. 'F 8 P, 5' (D 0 a ,c F. Q- CD ;; 0 0 qi CN w R. 0. C� u K n .8• o 5 3 t, ooC• r� C n n O ,`n, A n. fCD ° m PP, rte, m 4, rte, ti n C o r p- Q. n • O O K ° ,-s ° :4 p: *' O' 2 g ,Z ..40 O sv 0- ''. 't1 O ro Com" �',• ^ ,00 PZJ p, n (D0 DD 0 n ''' 5- ,Y M o ny O O • - O U t0 C r, n �. r.iaq (o y O tj Gr U O OCD O ry '(3 OQ C e..-.' ,-.. C A n� v 0 �� -, 0 (D v :1.. O O n ry C) o r. 00 C 'S' L7 (D O r ("� m w r..., r) (D • Board of Health Media Report • July 17, 2003 • • Jefferson County Health and Human Services JUNE — JULY 2003 • NEWS ARTICLES 1. "Rest of story on youth pages",Letter to the editor by Kellie Ragan P.T. LEADER, June 11,2003 2. "Residents recycle computers" P.T. LEADER, June 25,2003 3. "Smiley wins poster contest" P.T. LEADER,July 2, 2003 4. "State report raps water in Hadlock: Shellfish at risk" Peninsula Daily News, July 8, 2003 5. "State budget forces reductions in health care" Peninsula Daily News, July 9, 2003 6. "One in five disabled in county" • P.T. LEADER,July 9,2003 7. "Lower Hadlock shellfish unsafe?" P.T. LEADER,July 9,2003 Kestp `�"'.a �crvices, Bray Wolf . o story Ranch, Kiwanis, Dependent Children �„ and Family Services,and United Good { ,, Neighbors.This edition was expanded on youth=pages: to include several emer 'n issues: g Editor,Leader: gr.._ , Emergency Preparedness, Gun Safety, The May 28 article about the East , Harassment,Hepatitis,Sexual Orie - Jefferson County Youth Yellow Pages_ tion,TV and Media Violence, omitted several details, including the to your Kids,Tattoos and Body Pi c_ followinging,'and Tobacco The Youth Yellow Pages was createdt ' The first and second editions of the to provide the community with an easy East Jefferson County Youth Yellow to-access source of information abonr Pages have received accolades from services,resources and activities av '='--,, •. -community members and from staff at ' able to pre-teens,teens and-young adults. ..state agencies. in our community.A few of the topics The 2003-05 YouthYellow Pages will covered in.the Youth Yellow Pages in- also include the following emerging is- dude: Alcohol, Tobacco-and Other' sues: Alcohol Poisoning, Depression, Drugs, Birth Control, Counseling an,: ' and Overdose Prevention. Resources listed in the Youth Yellow . Mental Health,�Education,Employment,'; Family Planning, Housing,'Probahoii Pages are primarily local,nonprofit or- and Parole, Rape and Sexual Assault, gamzations that offer support,direct ser-ti Recreation, Leisure and Sports Pro-"' ' vices or community.-based services. grams,Suicide,andTtoring. .► J. The Youth Yellow Pages editor en The first edition in 1997 was an off-7, .go es community services and orga shoot of the 1996 Community,Mobili-'. ::,nizations that are not currently listed t. zation forum.At this forum,participants pro�du ,41:11,.!f..description of the ser agreed that one thingthat:Jefferson `vice ancontact in r nation";t ,z r� ,, , �.> County lacked and needed was a Coni-' l ragas co,lefferson:wa.us 7_ prehensive resource guide for youths. •'� ,The Yellow Pages is available Funding for this first edition was pro-'` in a PDF format at the Jefferson County vided by through Jefferson Community ;.Health Department website at http:// Network. : www co jefferson.wa.us/health/. The 2001-03 edition was paid for in '- ` KELLIE RAG part by contributions from the Domes- Youth Yellow Pages edi 5 tic Violence/Sexual Assault Program, Port Townsend t. Jefferson County Parks and Recreation, - _; • • Wednesday,June 25,2003•A 9 Residents ,. recycle - , • computers • .Jefferson County hosted its first-ever electronics-tecycling event at the Jefferson Recycling Center on June 7,collecting more than 11,000 pounds of bi-oken or obsolete electronic equipment. Volunteers from the Solid Waste Advisory Committee helped county and Skookum staff. Unload more than 100 cars filled with computers,TVs,:VCRs, printers,.cell phones and other peripherals brought for recycling • by local residents.;, Surveys filled out'by the event's attendees indicated sup- port for the event, according to Melinda Bower,'environmental health specialist withY the Jefferson County Health Depart meta:. • Total Reclaim.of. Seattle partnered with Jefferson County to manage the cleanup,assuring that all collected electronics , would be handled domestically and in .a proper manner, tower said. 7P-21- L -ic-6 3 • m �y::�„Nei l'-' , ., �'" fb as � .��.� �,�<Fa F ;Y i 33a, F � M z ,, k c1'y j Q �` ' air a3t I ed'tc'= "j:.:' 41::' k„ `''', Pup 'j, } Pl �:: ,-:T,.1.1,: asw. • •,rsta,::,,,f,v0,','e i,' A. =.-.•,,,`,.. • ,_IL, r....„,,..-.4.1-s I to.....,j%.4- • ,;>, - 1444 P �y f 1` M �' • t � aY',r ,,,310,.';'''''' �att4ri Sm* ' '' *'''''''''I"H4-It' 4::'1;4 .4 t'''' ..*:::.; 1-,,,'1*::::,;41",,,,' ' iley wins poster contest Seventh-grader Ashley Smiley holds her poster as well as a certificate and check honoring her as winner of the Jefferson AIDS Service(JAS)poster contest.She is joined by(from left)HilaryMetzger, Jefferson County Health Department HIV/AIDS educator serving Quilcene schools;LarryMcKeehan, Smiley's seventh grade teacher;and Pamela Roberts, Quilcene School principal. Submitted photo IT. (cfn 7- �- b3 ily Newspaper July 8, 2003 sereport raps water in Hadlock Shellfish at "None of the others has shown ele- vated coliform,"-Christensen said. The problem doesn't affect the risk health county's other shellfish growing areas,according to Christensen. An official with the state Depart- office claims ment of Health says bacteria levels in readings taken at the station have • BY Jim HANDERS increased in the past couple of years. AND JEFF CHEW Bob Woolrich, who works in the PENINSULA DAILY NEws Department of Health's shellfish pro- gram, said elevated bacteria counts For the first time in years,a shell- are a sign of pollution. fish growing area in Jefferson County has been listed by the state Depart- Single source theorized ment of Health as too polluted and probably unsafe. Christensen said having the high- The department on Monday listed est bacteria counts during the sum- East Jefferson County waters near mer leads him to believe there is a sin- Port Hadlock and Dungeness Bay in gle source. Clallam County as two of 20 threat- "Having the highest counts in the ened shellfish areas in a record num- summer is the opposite of what you'd ber of 12 counties statewide. expect if there were failing septic sys- The list identifies areas that are on tems or other runoff," Christensen the verge of failing public health sten- said. • dards or deteriorating water quality. Department of Natural Resources David Christensen,manager of the employees will attempt to locate the Jefferson County Department of Nat- source of the increased pollution late ural Resources,said the problem is iso- in the month. lated to one monitoring station in Port Townsend Bay off lower Port Hadlock. TURN TO SHELLFISH/A4 Shellfish: 'A concern ' for tribe CONTINUED FROM Al department's "Early Warning lam County,said Monday that a clams and oysters on beaches System," which cites areas on sanitary survey report is surrounding the bay. "It's a concern because it the verge of failing public expected to be released in two Muench said all of Clallam certainly indicates a point(spe- health. weeks and it will determine County's government agencies cific)source,"Christensen said. High levels of fecal coliform what additional closures,if any, were making efforts to educate "There are no other prob- —found in the feces of warm- are necessary in the bay. the public about manure man- lems in the county,"he added. blooded animals such as "All classification decisions agement,septic system mainte- Years ago, Christensen said, humans,livestock and birds— will be supported by the sari- nance, hobby farm manage- Quilcene Bay was closed to caused the Department of tary survey report to show ment and reducing impervious shellfishing because of high Health to close 300 acres of water conditions in and around surfaces. bacteria levels. Dungeness Bay for shellfishing the bay,and how it impacts the She said besides the tribe's He said that problem was in 2000 and an additional 100 shellfish in bay,"Melvin said of workshops for residents at the caused by fecal coliform pro- acres in 2001. the survey this year. Dungeness River Audubon duced by a large concentration Dungeness Bay is a reposi- Proposed is a Dungeness Center in Sequim, the Clallam of seals in the bay. tory for fecal coliform carried Bay seasonal closure from County Conservation District Dun eness Ba listen by the Dungeness River,health November through January,in has also worked with Dunge- 9 Y g . officials said. the area inside Cline Spit. ness Valley farmers and others In Clallam County, a A state Department of Ecol- The closure would take placeto reduce polluted runoff. Jamestown S'Klallam tribal ogy report on improving water during the winter months, The tribe has been monitor- quality official on Monday bemoaned in the lower Dungeness when runoff is highest and ing Dungeness Bay waters the Health Department's list- River watershed cited Matriotti water quality in the Dungeness affecting its shellfish properties n of Dungeness Bay. Creek as the primary contribu- Bay is at its worst. g g y and voluntarily closing shellfish "This is sad news for Puget tor of bacteria. beds where needed since 1997, Sound,sad news for Dungeness The creek has been on the Summer half-opening Muench said. Bay, and sad news for Clallam state's list of"impaired water- Muench said besides the pro- Melvin said he sees a threat- . County,"said LynMuench,the ways"since 1996 and was given y the highest priority rating for pow winter closure,the bay is ening trend•with the Dunge- tribe's natural resources plan- contamination cleanu proposed to remain half-open ness Valley "growing like ner. p' during summer Months crazy." "So long as there area shell- Sanitary survey near "Basically, recreational har- Said Melvin: "We've had a fish closures of any kind on vesters would 'not be as succession of (Dungeness Bay Dungeness Bay, it's a black Don Melvin, Department of impacted as commercial bar- water quality)downgrades over mark on our community." Health environmental special- vesters,"said Muench. the past two years, and this The affected shellfish areas ist who has worked as the Besides its oyster farm, the gives every impression that the were identified as part the state's technical liaison in Clal- tribe has historically harvested downgrades will continue." 4. 3" q80 ° o c'4m�9 '...-4 .4ama3 ' 6 vg' n m oa o? om . vo•ca �7¢ o > " " 2- 3 ---a----.6-2..t. •-75-cmm S ccwn c awo� •G tis� _ c -' o 07Ecmm3: m-6daQE, 'Ddum8' g -m E3 . ° Y, vso8 , ° .0 "° a U md u 3 x ` msm m�- m^-8c s :d.2 '-' my a v a) o .g.0cc,y mx'-"73 wm m 4 C 0.:�.D'.5 .2.'mw C a m m•° o a' = -° m G ° 0 no .008 m 8 ° .,> A '.$'b-5 ; 8 , aB �m . - cm3 ° : ° -svO00 .1wAoa ti DmO su"- w• 0m > m gtomwsom m1m2ro a ; momm4 m "wv•51 mFC ' �omo tummy g m ° qDQ 3L ''.4,-...5. . 2 .a,-,-. 2 ,,-,. ..5-.,m 4;-10-,50:2- r. ...„9 v ° os . 3 ❑ qm m g _;1.2w° ym.c ° o�:b80. 8 m.6 ° ;a mvvs „I . @3m -0 . . m-moo• �.c Cm � , '�' 4 > ymo 4c ° > V, o .0 � m m w 2 alm m C m m 0.� . - � m 0 , tu b m y 'm : `'_ 0 . 0= , u d >, 0 .c.q m .. $ 3 o m -Cc0. m ,- c-�. , 7 .4my �p4 .. ac E. m m> f ° m' R' 7 ° amxy , >, _.. a 2F + .C0. m 8 y .:.9 �.m >, ° w o `. a'b. m m o z F., o C >, >, 3 Em m - cat oU c : s U. 8, m.m.9 C � op ,x°: okm r0.m w o ° G i-2.• m" ° u a 8dym m m ° m v ‘10. r . 41.ki - 'a lo• • ,- . i. IPL1-49 ' '1-'63 - ��o �.� Vis. d� .� � W `34flP $ s 8 0 ° n 8o �'� ` w q s ° c% a abb ■. *�E-. b1:1 Filo.o .1 8 , i' geok., °). 0 , ° Q6-.%R .+�,c..u. °,k dam. c 0 „ T 'C w° .° c.c°m.G Sw a v2W 2 .a 8 .8.i�m u..FU o ax oa c . U co « ' ° ,. a s l U s o J Q.m . ',2 Ci/ c 't.'-'5 3 Qos °, p m 8 1 6 s 3.N. = g.o� a 7" c °AV) g, a mi 2 C. q o uP.� �•�' y $ w ■� E ,, 2�3y m��$ • 2 2,..9..,...„4-s °' m r�', 1r ;.,.-a wO t ....2 ,0-3_, ; o� U. Nw .. 8.c xaT . �.- G o 4.0 W T O _Q § • 2.2 ga = aAy.� cm..,2 sa � 6ojm GA 3 L $ . � W.Oa1c O � ySf , ,� • GN m M ' s 0 a A 4q of 2 g t'i A w 2' s 6. s.b -v a ui m ar C r m 8 ° m m d o , 13 -7c � s c 3 °u 3 s 6 °u�':o coi�m 8 2e9 U s N m ...> , L -5 -8 Vg 2 O U 8 .421 / 1 / w a 1 m g 8 av > « c m . m8Ny . u2, r c 'ti 'i72141 o) U O.� sA 0. Z' - `-•g°to iim Oo .`'' 84 -0.2a73 cn •5,ae o va a • m.c yoL.P. w •5•• 41) �o > w' c a d °Y c 8 .2 c ti4gm o ° w/• io.oI, b ° yd ' 3�N8g ,.,c., . ,oa•� c Y2 =s =., y3 � m , ° .nom .5 u•E , cvrt ffi 3 a-5a 3 ©. C`^•'') '--X, ♦D QJ U U' o E ° a� • - a 4.-. - I mz. ,,, $❑)m i , CU v; c bA E ' 00 u '° c U y n ¢ o > y 2 GG° u C V � ' agmi cm5v4. '� U fl.. a S s 3 °..' t v 8. n rwti iuwnsenu«)erterson county t eaaeF' One In five disabled In county By Janet Huck much more detailed information for improvements.The number Leader Staff Writer than in the past.The statistics rc one issue for manyisemto covered anybody with acondi- The news was disheartenin• g. tion that limits activities of dailyend aum,owner of Nearly one in five Jefferson living—from blindness to trouble vulnerable kids said Lesly ShePort Townsend Community Op- County residents has at least one with climbingstairs or goingtions that offers a support program Wit h ChsabllitleS — for the disabled in their homes. disability. Senior citizens ac- outside alone to shop. • In the nation's present eco- count for 40 percent of the dis- At the end of the analysis,she more than we nomic climate,the disabled have abled population,but that rate is presented the local and state data been competing with other people markedly lower than the state- at the biennial forum of the De- expected, given wide rate for residents over 65. velopmental Disability Advisory even for the most menial jobs.One On the whole, seniors are Board and the health department the state man in his were"leftovers," the only jobs available healthier and fitter. June 20. overs;'such as percentages, and cleaning toilets."They don't want The number of disabled chit- to train us even to stock shelves," dren ages 5 to 15 is nearly double Poverty rates we have fewer he said. the state rate,but they account for There were a number of key vulnerable "It's scary out there,"said a only 7 percent of the 4,734 findings.In a county of 26,000 man who identified himself as people with disabilities in Jeffer- people,almost 5,000,or 19 per- seniors with Craig."The system is complex, son County. cent,have at least one disability. so it's hard to figure it out." "We have a lot of vulnerable The state rate is 18 percent.The disabilities, given The people with jobs were en- kids with disabilities—more than rates for disabilities are lowest in thusiastic."I love my job,"said we expected,given the state per- Port Ludlow.People living with the state centages,and we have fewer vul- disabilities reside primarily in I, a woman who is employed by nerable seniors with disabilities, Port Townsend, Port Hadlock percentages. Bonita's Four Legged Friends. given the state percentages,"de- and Irondale,possibly because caref Hale,who two developmentally heles herp husbandntly Glared Dr.Christiane Hale,a Uni- there are more transportation op Dr.Christiane Hale for his developmentally versify of Washington portunitiesinthose communities. epidemiologist disabled daughters in their said many disabled don't 3 a epidemiologist."It's a huge chal- Only half of the disabled University of Washingtonneed a lenge for public officials to fig- Jefferson County residents who paying job from Social Security, of paymentsy want ure out how to meet the bigger are old enough to be workingSea but they to participatea as contribut- needs of the children and the have a job; although another ing needs of the bigger number with- quarter are-capable of working, ent coalition,trainingfordevel- She sugmegestersd of e community. suggested more community out excluding people." said Hale. Consequently, the opmentally disabled people to service jobs for the disabled. The epidemiologist was hired poverty rates are twice as high for learn to become self-advocates, Some families whose disabled by Jefferson County Health and people with disabilities than for training for the Special Olym- children can never make the trap- Human Services to give an ac- other residents,particularly for pits,increased employment op- sition to jobs and independence 0 curate picture of the health of the people living in Port Townsend, port unities and the new asked plaintively for more respite county in order to help elected where the cost of housing has parent-to-parent program. officialscare.One father said he and his make informed deci- been increasing. "Is that not great,"asked Chris wife are aging while caring 24/7 sions.For this statistical picture Local agencies and profes- Christian,the meeting facilitator for his adult son. "If we break of the disability,she analyzed the sionals for the disabled,nonethe- who is the executive of Vadis,the down,we would have to give the 2000 census data from the long less, have accomplished a lot largest job provider for people problems to the state,"said the forms that one in six households with jittle money.At the June 20 with disabilities."I go to larger man,who didn't wantao ember- filled out. meeting, Anna McEnery, the communities that have only a rass his Hale said the disability data health department's developmen- fraction of these accomplish- The son devoted giving hfather also o name.e needed from the 2000 census provided tal disability coordinator,wrote ments.I marvel at the grassroot information about the range of a list of the community's achieve- activities in this community." options for his son when he and ments on seven large sheets of his wife can no longer care for him paper.She talked about the par- Employment issues or are no longer around. Still,some of the developmen- That father and other young tally disabled residents and their adults want more serious consid- fanlilies noted some suggestions eration given to recreational op- portunities. "It's life-like opportunities for social life,"said the father. A member of the Jefferson County Special Olym- • pics team said there wasn't enough money for equipment. .. There aren't enough support ....programs either.:In Jefferson ACounty, there's one residential -V3 group home for seven,and there's one support program for 13 people Per tgAt/ /I who remain in their homes. Transportation is a barrier too. Many disabled residents congre gate in Port Townsend,possibly because most public transporta- tion is concentrated in the area. • People from south county asked ID for more bus trips to Quilcene and Brinnon. "We don't have enough money to fund all the programs we need," sighed one disability professional. • Lower Hadlok sas shh f ellfi ?un e . State and county health of- beach and tidelands are not ficials are on the alert about currently closed for harvest, possibly unsafe shellfish it the the test data indicate cause for Lower Hadlock area of Port concern that will lead to further Townsend Bay, due to fecal testing, he said. There are rec- coliform pollution. reational shellfish beds nearby, "This is a first for us even Fay said. to be listed" as a pollution "It's just under the closure problem,said Jefferson County level, indicating that the water Environmental Health Director quality is marginal," said Fay. Larry Fay. The source of the problem County health officials have could be sewage, boating heard from the state Depart- wastes,shipping wastes or run- ment of Health that shellfish off, Fay said. Fay said there is samples apparently gathered a stormwater runoff system in near the Lower Hadlock boat that area. ramp had an unusually high "The beach is not closed,"he level of pollution, Fay said. said. "This classification is an That area is primarily used early warning system." Further for commercial shellfish har- information will be forthcoming • vest, Fay said, and while the as soon as itis obtained,Fay said. • • 2- 7.6 3 •