HomeMy WebLinkAbout03 March
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JEFFERSON COUNTY BOARD OF HEALTH
MINUTES
Thursday, March 15, 2001
Board ,\1ember.r:
Dan TittenlCSJ'. jJember - COIIl1(V Commissioner District #1
Glen HuntÙt)!lôrd, A1ember· Coun(v CommÙJioner DÙ/rid #2
l{jrhard Jr"ojt. . Hember - County Commissiomr Distnd #3
Ge~!I~y MtJ,fà, ;'vlember - Port Town.fenJ City Council
}ill Buhler, Chaimwn - Hospital CommisJioner ÐÙtrid #2
Sheila We,ftemlan, [-ice ('/;ainnarl - Citizen at LlI:ge (C/~Y)
Roberta FriJsetï - Citizen at LIr:.ge (Coun!))
StaffA[embers:
Jean Baldwirl, J\"ursif(g SemiæJ Director
LaI7J' f·"?!'y. EmÙonmental Health Diredor
ThomaJ" Locke. l\1D. Health qjfìær
Chairman Buhler called the meeting to order at 2:30 p.m. All Board and Staff members were
present with the exception of Commissioner Wojt.
APPROVAL OF MINUTES
In the February Minutes, under the Section "Approval of Minutes," the sentence that reads "In
paragraph three, Member Westerman seconded the motion" should instead read "In paragraph three,
Member Westerman seconded the motion instead of Commissioner Wojt, noting that Commissioner
Wojt was not in attendance."
Member Masci moved to approve the February minutes as corrected. Member Frissell seconded the
motion, which carried by a unanimous vote.
PUBLIC COMMENTS
Dale Wurtsmith spoke of his concerns about the lack of a program and test for the licensing of
O&M specialists as provided for in the revised on-site sewage code. The creation of his new (O&M)
business is dependant upon the completion of a test currently under development by the Washington On-
Site Sewage Association (WQSSA), which the County would then administer. He asked the County to
consider issuing a temporary license to experienced individuals who have met training guidelines. He
also recommended that applicants have up to six (6) months to successfully pass the test and comply
with State guidelines.
Chuck Molisky, a representative of Goodman Sanitation, said while he is also supportive of
instituting interim O&M licensing, his concern relates to new requirements for inspections at the time of
sale. Goodman is interested in performing inspections of conventional systems along with other septic
services. Allowing other trained personnel perform inspections would speed up the inspection process,
facilitate real estate transactions, and allow the property owner access to one-stop shopping thereby
HEALTH BOARD MINUTES - March 15,2001
Page: 2
lowering the cost of the service. He suggested that Staff establish inspection criteria, interim licensing
procedures. and a filing fee for the Department to process and track the paperwork.
To clarify the difference between an O&M inspection and a basic inspection. Larry Fay said that the
samc inspection procedure and form are uscd whcther an inspection is triggered by a sale or is a routine
inspection. The differences are the kind of system and the inspection frequency.
AGENDA
The agenda was revised to include an update regarding Linda Sexton's solid waste violation and
a Discussion of the Peninsula Daily News article "Jefferson County may alter septic permit procedures."
OLD BUSINESS
Update re: Solid Waste Violation: Linda Sexton: Larry Fay reported that the Board directed
staff to review the Solid Waste Rule and Enforcement Procedures and create an enforceable framework
for such violations. Staff has since reviewed King County's code and specifically a chapter which
outlines a uniform compliance procedure that applies to all rules and regulations adopted in the County.
Charles Saddler reported that in consideration of adopting a similar compliance code in Jefferson
County, Staff has requested a cost estimate for code development and review. Grant funding for code
development and prosecution of those in violation may also be available. Another idea discussed is
expanding the commission of the animal control officer to allow citations on certain health code
violations. Staff agreed to provide a brief update at the next meeting.
Update re: Community Health Indicators: Jean Baldwin reported that Dr. Chris Hale has
been involved in various meetings in the law and justice community. Aside from a steering committee
meeting to decide what indicators to target, she also met with Domestic Violence and the coroner
regarding their data tracking systems.
Update re: Joint Board Works!roup Process and Preparation for 5/22/01 Health Access
Summit: Dr. Tom Locke said the workgroup, including Member Masci, representing the Health Board
and Chuck Russell, representing the Hospital Commission, has been planning a health access summit
which is now tentatively scheduled for May 22, 2001. The work group will meet on March 27 and April
24 to finalize their recommendations. Dr. Locke distributed and reviewed an outline of the summit,
including the agenda and the invitation list. He noted that the strategy being proposed is the development
of a local health authority. Both the Health and Hospital Boards are being asked for their input. He
believes it will be important to spend some time at the summit reviewing the problems and impacts to
the community, including economic impacts.
Vice Chairman Westerman and Member Masci suggested modifications to the invitation list as follows:
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HEALTH BOARD MINUTES ~ March 15.2001
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Representative of Adult Family Homes, Journalists, PITY, Hospital Staff (Nurses), Kiwanis/Rotary,
Alternative Healthcare Providers. and Kah Tai Nursing Home Director.
Member Frissel! suggested the agenda be subtitled "Moving Towards Solutions" and that a list of
health care problems in the community be provided. She suggested local ombudsmen for the adult homes
be invited.
The Board discussed its desire for the summit to be solution-focused as opposed to a continued
discussion of the problems. There were suggestions to send an agenda packet in advance of the meeting
to include a questionnaire for attendees to fill out. A summary of the responses could be compiled for
distribution at the meeting. Another idea was to solicit assistance from the facilitators used by the Joint
Board.
In response to a question about what has happened with the information produced through the Joint
Board process, Dr. Locke said minutes of the Joint Board meetings as well as workgroup notes are
available if desired. He believes it may be more important to review the viable proposals that came out
of that process. He noted that the latest version of the list of Critical Health Services was included in the
agenda packet.
Chairman Buhler said she still feels strongly about including prescription medications in this list.
Commercial Shellfish Classification Up2rade: Larry Fay announced that the State Department
of Health has taken formal action to upgrade the Duckabush River delta from "restricted to harvest" to
"approved to harvest." This upgrade was based on good water quality measurements and shoreline
survey information. In response to a request by Commissioner Huntingford, Mr. Fay agreed to
investigate the fecal chloroform levels before closure in 1988.
NEW BUSINESS
On-Site Sewa~e O&M Licensing: Larry Fay provided background on the adoption of the on-
site sewage code as well as the mechanisms that trigger inspections. He referred to a chapter in the
ordinance that provides for licensing O&M inspectors, qualifying criteria, plus a licensing examination.
Although, it was expected that the private sector would perform the work and that the Department would
take responsibility for tracking inspections and results, an examination for licensing has not been
developed. The Washington On-Site Sewage Association (WOSSA) expects to complete an industry-
based certification program for O&M specialists by early 2002. Staff's recommendation is to support
WOSSA's development of the certification program and requirements. Specialists who have met the
criteria and received certification from WOSSA, coupled with bonding, insurance requirements, and
payment of a licensing fee, could then perform O&M. A condition of the license would be to maintain
certification with WOSSA.
The Board discussed the possibility of issuing an interim license for initial inspections of conventional
systems that might later merge with the O&M licensing.
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HEALTH BOARD MINUTES - March 15,2001
Page: 4
Larry Fay expressed his support for the idea as long as there was an understanding that there would be a
future requirement to maintain the license. He indicated that the state designer licensing program
provides a structure for a limited practice license that requires a person to complete and received a
license to practice statewide by a certain date or discontinue designing altogether.
Chuck Molisky of Goodman Sanitation commented that he is encouraged about the possibility for O&M
licensing within a few years. He acknowledged that O&M is complex and requires a lot of training and
experience. He sees the basic inspection as the immediate problem. O&M specialists, engineers and
designers are overqualified and generally not interested in performing basic inspections. He asked about
the possibility for an interim permit to allow qualified individuals to work with the Health Department
on these inspections? (Also See Public Comments)
Member Masci moved to direct staff to draft a policy statement allowing for provisional licensing
for on-site sewage inspections to be ready by the next meeting. Commissioner Huntingford
seconded the motion. Dr. Tom Locke advised that the Board could adopt an emergency rule which
would take effect right away. Member Masci amended the motion "to direct staff to draft a policy
statement allowing for provisional licensing for on-site sewage inspection" replacing the words "to
be ready by the next meeting" with "with the appropriate emergency rule making declarations."
Commissioner Huntingford seconded the motion, which carried by a unanimous vote.
Food Safety Traininl! for Non·Regulated Events: Food Safety Inspector, Susan Porto
provided a brief presentation on the training opportunities for people involved in food handling in the
community. As of January 2000, state-mandated food safety training classes for food workers were
expanded to include volunteer organizations. She noted that in the agenda packet was an announcement
that will be mailed to a list of Jefferson County volunteer organizations inviting them to one of two
training classes in April. She noted that a total of eight classes were held last year.
Lel!islative Update - Town Hall Meetinl!: Dr. Locke announced that Representative Lynn
Kessler will attend a town hall meeting on Saturday, March 17, 2001 at 4:00 p.m. in Port Townsend.
She will also attend a meeting in Port Angeles focusing on health issues specifically related to Medicaid
and Medicaid reimbursements early in the day. County Boards of Health are invited.
Dr. Locke talked about the impending legislative budget crisis and reported that the Governor is
proposing a 2% reduction in Medicaid reimbursements and the legislature is looking for a deeper cut.
Chairman Buhler said the Hospital District has made plans with Olympic Hospital to be present.
Local Board of Health W orkshov Survev: Dr. Locke said the Board received a brief survey
which solicits input on topics to be covered at this year's Board of Health workshop. Jean Baldwin asked
that the forms be returned to her. She noted that the Workshop work group is made up of Board of
Health members.
HEALTH BOARD MINUTES - March 15,2001
Page: 5
Measles Outbreak - Kin!!:. Island. and Clark Counties: Dr. Locke reported that because
measles is a highly infectious, airborne disease with the possibility of serious complications, providers
are in a mode of heightened vigilance for measles cases. Due to dropping rates of measles
immunizations, an outbreak could extend more broadly. To prevent outbreaks. the community needs
immunity levels above 95%.
Member Frissell said it would be interesting to find out how the Health Department in Stanwood dealt
with their outbreak and whether it had any impact on the public then becoming immunized.
2001 Washim!ton State Le!!:islature Priorities: The Board reviewed a letter concerning the
2001 Washington State Legislative priorities including revisions to include 1-601 language. There was
support for sending the letter to the State Representatives with a copy to be sent to Governor Locke. (See
Attached)
Peninsula Dailv News Article "Jefferson Countv May Alter Septic Permit Procedures": At
the request of Vice Chairman Westerman, Larry Fay described "a comprehensive site plan" as was
mentioned in the article. He said when the County adopted the UDC, the desire was to create an
integrated review that takes into account all of the other permitting issues and restrictions that might
apply to developing the site, including shoreline, density issues, etc. The County also created a process
in the UDC called a Site Plan Approval Advanced Determination (SP AAD), which is a conceptual
approval for situations where there may not be an immediate building plan, but a conceptual
development plan for the site. The changes would allow an owner to get a septic permit without applying
for a building permit, but only after having had a comprehensive site review and approval.
Commissioner Huntingford emphasized his desire to try to find a way for property owners to be able to
develop their property in stages. Currently, the UDC says the only way a septic permit can be obtained is
to go through the SP AAD process and obtain a building permit. He talked about the desirability of lots
that already have a septic system in place.
Vice Chairman Westerman said her concern is that the change would lead the property owner to believe
that they are vested. She also does not want real estate agents or others promoting property sales to
imply a site is vested. She believes a time period needs to be disclosed in which property owners could
be assured of having a reasonable certainty of being able to build.
Chair Buhler questioned whether this discussion was a Board of Health issue and suggested the Board
move on with the agenda?
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HEALTH BOARD MINUTES - March 15,2001
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AGENDA CALENDAR / ADJOURN
Future Plannim! Topics: Emergency Rule on Licensing for On-site Sewage Inspections,
Discussion of Joint Meeting with the Hospital Commission, Overview of the Family Planning Waiver,
the Board of Health's Role Regarding Long-Term Care Centers. It was also suggested that under the
topic of Healthcare Access, the Board discuss the Impact of Possible Cuts in Medicaid.
Jean Baldwin noted that to help the Board and staff prepare for meetings a yearly schedule of meetings
and deadlines was provided in the agenda packet.
2001 AGENDA ITEMS
1. CONTINUED STABLE FUNDING TO REPLACE MVET
2. ACCESS HEALTH CARE
3. PROGRAM MEASURES (Genetic Research and Public Health Implications)
4. METHAMPHETAMINE SUMMIT
5. PERFORMANCE STANDARDS & COMMUNITY ASSESSMENT
6. TOBACCO PREVENTION AND COALITION
7. FLUORIDE
8. TRANSIT AND PUBLIC HOUSING
9. BIOTERRORISM READINESS & PLAN
10. AGING POPULATION
11. WATER
12. MATERNAL CHILD PREVENTION GOALS (0-3)
Meeting adjourned at 4:35 p.m. The next meeting will be held on Thursday, April 19, 2001 at 2:00
p.m. at Jefferson General, followed by the Joint Board Meeting at 3:30 p.m.
JEFFERSON COUNTY BOARD OF HEALTH
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March 15,2001
The Honorable Lynn Kessler
PO Box 40600
3rd Floor Legislative Bldg.
Olympia, W A 98504-0600
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Dear Representative Kessler:
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As Chair of the Jefferson County Board of Health, I am writing to express the Board's
priorities for the 2001 Session of the Washington State Legislature. The Board of Health
is composed of the three County Commissioners, a member of the Port Townsend City
Council, a member of the Jefferson General Hospital District Board of Commissioners,
and two appointed community members.
As stated in RCW 70,05.060, "Each local board of health shall have supervision over all
matters pertaining to the preservation of the life and health of the people within its
jurisdlétion". To' carry out this broad statutory duty, the jt.:ffetsUl1"Cliunty Board of
Health has established the following priorities for legislative action:
1) Rural health care access improvement
2) Maintain and/or enhance local public health funding
3) Continued support for Washington State's Universal Vaccination Distribution
System
Priority #1 is the focus ofa unique partnership between the Jefferson County Board of
Health and the Jefferson General Hospital District Board of Commissioners. These
Boards have been meeting jointly for the past year to explore innovative strategies to
stabilize and improve our ftagile rural health system. Legislation authorizing health care
financing demonstration projects and increasing reimbursements for rural hospitals are
two important legislative efforts that support this priority. We oppose decreased
reimbursements for Medicaid providers, discontinuation of the Medically Indigent
program, and reductions in Medicaid-sponsored health benefits due to their serious
adverse effects on rural health care access.
Priority #2 involves maintaining current levels of state funding for local public health
services. Public health financing is a shared responsibility between state and local
govenunents. In Washington State, the majority of this funding comes trom local
sources. During the 2000 Legislative Session, funds were appropriated to replace 90% of
HEALTH
DEPARTMENT
360/385-9400
ENVIRONMENTAL
HEALTH
360/385-9444
DEVELOPMENTAL
DISABILITIES
360/385-9400
ALCOHOLJDRUG
ABUSE CENTER
360/385-9435
FAX
360/385-9401
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local health revenue lost as a result ofMVET repeal. We are asking that this funding,
along with recurring appropriations for implementation of 1995's Public Health
Improvement Act be maintained at current levels. Reductions or elimination of this State
contribution to public health protection wiII result in the same crisis that was narrowly
averted in 2000 - local health departments forced to dismantle core communicable
disease, public health nursing, and environmental health protection programs.
Priority #3 seeks to maintain Washington's highly successful Universal Vaccine
Distribution System. This system has removed barriers to immunization across the state,
won the enthusiastic support of health care providers, and, most importantly, increased
the number of children who are fully immunized. This major achievement is threatened
by the high cost of newly introduced vaccines. We ask you to support the full amount of
immunization funding proposed in the Governor's budget. The control of vaccine-
preventable diseases has been one of the major public health achievements of the 20th.
Century. We urge you to continue to support Universal Vaccine Distribution in the 21st
Century.
We recognize the extremely difficult budget challenges facing the Washington State
Legislature. It appears increasing clear that the Legislature will need to exceed 1-601
spending limits in order to meet its core responsibilities for the next biennium. We
believe that providing essential public health services is a fundamental duty of
government and must be given the highest priority. To do othelWise is to betray the trustoof those who depend on their government to honor its most basic responsibilities.
S;l;œre1y,
Jill Buhler, Chair
Jefferson County Board of HeaIth
Cc: Governor Gary Locke
JEFFERSON COUNTY BOARD OF HEALTH
Thursday, March 15,2001
2:30 - 4:30 PM
Main Conference Room
Jefferson County Health and Human Services
AGENDA
I. Approval of Agenda
II. Approval of Minutes of Meeting of February 12, 2001
III. Public Comments
IV. Old Business and Informational Items
1. Update on Joint Board Workgroup Process and Tom (30 min)
Preparation for 5/22/01 Health Access Summit
2. Commercial Shellfish Classification Upgrade- Larry (5 min)
Duckabush River Delta (3/6/01 Letter in Packet)
V. New Business
1. On·site Sewage 0 & M Licensing
2. Food Safety Training for Non-Regulated Events
3. Legislative Update - Town Hall Meeting wI
Rep. Lynne Kessler on March 17,2001
4. Local Board of Health Workshop Survey
5. Measles Outbreak - King, Island, and
Clark Counties
Larry (15 min)
Susan (15 min)
Tom (15 min)
Jean (5 min)
Tom (10 min)
VI. Agenda Planning
1. 2001 DOH Meeting Schedule
2. Future Agenda Topics
. VII. Adjourn
Next Meetin2: April 19, 2001 - 1 :30 - 3:30 PM
Joint Meeting with Jefferson General Hospital
District Board of Commissioners, 3:30 - 4:30 PM
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JEFFERSON COUNTY BOARD OF HE~TH
MINUTES ()~
DRAft Monday, February 12, 2001 ~J:r
Board Members:
Dan Titterness, Member ~ Counry Commissioner District # 1
Glen HuntinglOrd, Member - County Commissioner Distriä #2
Richard W 0/1, Member - COllnry Commissioner District #3
Geoffrry Masci, Member - Port Townsend Ciry CounctJ
]ill Buhler, Chairman - Hospital Commissioner District #2
Sheila Westerman, Vice Chairman - Citizen at Lzr;ge (City)
Roberta Frissell - Citizen at Lzr;ge (Colln!Y)
StaffMembm:
Jean Baldwin, Nursing Smices Dinctor
Larry Fqy, Environmental Health Director
Thomas Locke, MD, Health Olfictr
Chainnan Buhler called the meeting to order at 2:00 p.m. All Board and Staff members were present
with the exception of Commissioner W ojt and Member Masci.
APPROVAL OF MINUTES
Member Frissell noted that Commissioner Wojt did not attend the last meeting. On page one, paragraph
one, the last sentence should be deleted. In paragraph three, "Member Westennan" seconded the motion.
Commissioner Huntingford moved to approve the minutes as corrected. Commissioner Titterness
seconded the motion, which carried by a unanimous vote.
Vice Chair Westennan requested that a discussion of the letter from Goodman Sanitation be added to the
agenda. Member Frissell also asked that a food handling class for members of volunteer organizations be
discussed.
OLD BUSINESS
Substance Abuse Treatment in Jails: Jean Baldwin agreed to provide a brief report next month
on current treatment in jails and the possibility of a liaison between the Substance Abuse Board and the
Board of Health.
NEW BUSINESS
Community Health Indicators Follow-up: Jean Baldwin reported on the January 25th
workshop with Dr. Chris Hale, a summary of which was provided in the agenda packet. The workshop
was a success and met staff s goals for generating enthusiasm about the BRFSS Risk Survey and
reaching other interested data users. There were also discussions with Clallam County about a regional
approach. The partnerships that were developed exceeded expectations. The challenge will be to retain
the long-range vision while setting up a strong steering committee and data users group. The data users
group may include the County, WSU, OlyCAP, and OAAA. The BRFSS information is available on the
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HEALTH BOARD MINUTES - February 12,2000
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Jefferson COWlty web site and will be updated regularly. Dr. Hale will return in March and April to war.
with subcommittees of law and justice and other agencies addressing issues involving seniors, families
with YOWlg children and youth 15 to 25.
In response to a question about how the $50,000 offered by the City would be used, Jean Baldwin said it
would buy certain additional elements in the BRFSS study needed to identify behavioral risk issues. A
steering committee will decide what information is needed and will also work with the data users group.
COWlty Administrator Charles Saddler added that the goal is to use this data to develop policies that
would have a beneficial impact on jail populations.
Jean Baldwin reported that aside from $5,000 already budgeted for the Jefferson COWlty Environmental
Health indicators, the Health Department also submitted a grant application to cover half of the BRFSS
costs. Additionally, the assessment data will demonstrate the need for Department of Corrections
treatment funding that will become available next year.
Vice Chair Westennan stressed the need for calendar coordination with hospital representatives before
future workshops are scheduled.
Jean Baldwin said it will be important to identify whom in the hospital is interested in looking at the
health indicator information and senior and youth issues. Dr. Tom Locke is the hospital liaison.
Reoort on Future of Rural Health Colloauium: A report was provided by Member Frissell on
the January 29th colloquium sponsored by the Washington Health FOWldation. There were rougWy 70
people in attendance representing 10 rural cOWlties. She was particularly impressed with the keynote
speaker from the Center for Disease Control (CDC) who spoke on the concept of "social capital" and
showed how it is measured. During a discussion of what counties would most like to see within the next
3-5 years, most spoke in terms of crisis and survival. Many attendees voiced support for her comment
that she would like to see measurable improvement in the community's health, including improved
access to healthcare. At the meeting, the Washington Health FOWldation annoWlced that grants of up to
$50,000 are available for pilot projects to help commWlities with alternative healthcare financing
systems. She reviewed the grant criteria.
Dr. Tom Locke said that Jefferson County, through its joint board process, meets the criteria for
involvement in a demonstration project. He commented that while the healthcare situation is bad locally,
conditions are worse in other areas of the state. Statewide, trends are expected to continue downward.
Noting that modem problems are beyond the resources of any given entity, the CDC representative
suggested that the best solutions to complex health delivery problems come when communities work
together and pool resources. Modem problems are beyond the resources of any given entity.
Best Bee:innim!s Update: Jean Baldwin reminded the Board that David Olds will be presenting
his model for maternal child health in a work session on February 15th in Lacey.
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HEALTH BOARD MINUTES - February 12,2000
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After introducing Maternal Child Health Coordinator Carol Hardy, Jean Baldwin referenced the status
report, the purpose of which is to show the Board the many pieces connected with maternal child health,
to express interest in the Hawaii model, and to announce that funding is being pursued to provide a
menu of services. Child Protective Services wants to start a Hawaii Healthy Start program in conjunction
with the County's Best Beginnings and Maternity Support programs. Jefferson County is likely to
receive an Early Head Start grant which would cover ten families at 100% of the poverty level ITom
pregnancy through school-age and would serve all families including Medicaid families.
Charles Saddler provided examples of how the Hawaii model was used in Florida to address issues of
domestic violence and the risk factors associated with juvenile delinquency, neglect and abuse. He talked
about some of the differences with the Hawaii model versus other models.
Jean Baldwin said the desire is to expand services to the whole commw1Îty as opposed to just those who
qualify through maternity support or Medicaid. If the community can come up with funding, then more
families can be served.
Vice Chair Westerman expressed her support for these long-tenn programs and, at the same time,
acknowledged the difficulty in pursuing policy shifts because the results take so long to see.
Charles Saddler said the local community has to be willing to invest in social capital. Once the
community understands and prioritizes children's service issues, various models can be implemented.
He talked about a variety of funding mechanisms and the development of a coalition of community
leaders that helped support the model in Florida. It took a five-year commitment and the cost was
approximately $2,700 per year per family.
Jean Baldwin provided a brief overview of the components of the Washington First Steps programs that
help support home visits and case management. The cost savings are not necessarily reflected in the cost
center paying for the initial visits, but are seen in DSHS welfare and disability, schools, and juvenile
justice. While the infrastructure is in place to provide services, funding is not there to increase the
nwnber served.
Lef:islative UDdate: Dr. Locke reported that a huge budget crisis is looming. Most requests for
new spending are not expected to pass because there is not enough money for current programs. As
directed by the Board last month, he reviewed the priorities as outlined in a draft letter ITom the Board to
State Legislators: (1) rural health care access improvement, (2) maintain and/or enhance local public
health funding, and (3) continued support for Washington State Universal Vaccination Distribution
System. Absent from the list is tobacco use. Although the legislature set aside $100 million of the
tobacco settlement funds for health-related projects, it has only authorized spending $15 million dollars.
Legislative action is needed to authorize further spending. Washington is currently one of the few states
spending settlement dollars on health-related issues and there is stiff competition for health and non-
health programs.
Commissioner Huntingford asked if these funds were stable enough to use as a funding source for Basic
Health?
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HEALTH BOARD MINUTES - February 12,2000
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Dr. Locke said a sin tax is never a good funding source for health programs.
Vice Chair Westerman said she agrees with the three priorities. She also agrees with Representative
Lynn Kessler who said that, given the growth in the state, legislators need to talk about lifting the 601lid
or there will not be enough funds to support these programs. She proposed that a sentence be added to
the letter acknowledging that the legislators need to engage in a discussion about raising that lid.
Conunissioner Huntingford said he agrees that if you are going to send a letter outlining spending
priorities, you need to offer a funding solution. It is also important at the local and state level to prioritize
programs and consider areas where cuts can be made. He rarely sees programs being cut.
Dr. Locke said many health advocacy groups support lifting the 601 limit specifically for health issues.
The rate of increase in the health sector is much higher than the annual percentage allowed by 601 and is
driven by factors that do not relate to inefficiency, but technology and the aging of the population. Both
demands and options are increasing.
The Board approved the letter with an addition to the first sentence in the last paragraph "and that the
legislature needs to engage in a discussion about raising the 1-6011imits to address these important
health issues."
Dr. Locke pointed out that HB 1742, the text of which was included in the agenda packet, is the bill
referred to in the letter.
Policv on Review of Buildine: Permit Anolications: Larry Fay reviewed that last month, the
Board discussed the policy designed to implement provisions of the new regulations that says when you
apply for a building permit, you need to meet current code. The policy has not yet been reworked, but the
two situations discussed were: (1) when a septic system is in the ground and an owner is ready to build
and (2) when someone has an existing system and they want to remodel. With the second situation,
Member Masci suggested staff sit in on City discussions about Smart Code to see whether that approach
might help develop a policy for triggering when building upgrades are required. Instead of using a
straight formula from the UBC to determine the threshold for compliance with everything, there may be
a matrix with gray areas to help make those judgment decisions. Staff still feels that the compliance
decision will be linked to the building permit so there is a uniform expectation, but a similar decision
matrix may be able to be incorporated.
Linda Atkins reported that the City has hired two consultants to review a range of commonly-confronted
issues related to remodels, construction and destruction. The City will be addressing certain areas of the
building code and evaluating and comparing language of other codes used in situations to come up with
a matrix showing thresholds and then offering choices and timelines. Smart Code primarily applies to
historical buildings. The compliance threshold was typically an increase of 50 percent of the assessed
value or 50 percent of the square footage of the roof. On February 26, the City will look at 12 issues to
see how Smart Code would be applied and then look for specific projects where these options could be
tested. County staff will bring back information and see if there are applications for septic system
compliance.
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HEALTH BOARD MINUTES - February 12,2000
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Charles Saddler added that this would be yet another code that the building official might utilize. If it is
a new structure, they would use the building code. If it is a retrofit of an existing structure, then they
might decide to use the Smart Code. There is a question ofliability, however, if the code allows for
interpretive decisions.
Commissioner Titterness said it is often necessary for the applicant to read the code and then find the
exceptions. Typically, the enforcing official will not provide the exceptions for the applicant.
Commissioner Titterness understands the UBC is going to be superceded by a combination code and
adopted at the state level. He believes it is worth considering whether DOH can take the risk to adopt
less restrictive codes in building or give approval for new technologies and then push the state to move
in that direction.
Larry Fay said we may not be able to change the building code, but we could generate ideas that help
DOH implement the regulations in logical ways and in a way which most people can understand and
accept. The goal is to reach an interpretation which is more flexible than one which says that at a certain
point an owner must upgrade everything. He reviewed what other jurisdictions are doing in
interpretation of the state code.
Linda Atkins said knowing the associated risk in particular areas is also a factor, such as high water
tables or less populated areas where it is not a public health issue. More aggressive programs exist
around the Puget Sound.
Commissioner Huntingford said the County Commissioners discussed at length the issue of systems that
are in the ground but no longer meet current code. He sees the need for a mandated site inspection to
ensure a system is working before a sale takes place, but expressed concern about the need to meet
current code even though a system may be working.
Larry Fay said some people on the advisory committee believe that if it does not meet code, you replace
it. He said we are conducting the sale inspections purely to detennine whether the system is functioning _
- meeting code is not the issue. If you are applying for a building permit, that is another issue.
Upon the suggestion that the Department give owners a warning of problems, Linda Atkins said with
every evaluation of existing systems, she or any other staff make a concerted effort to help the owner
understand the situation with which they are faced.
Food Handlin~ Class: Member Frissell said she has spoken with Susan Porto about a food
handling class for volunteer organizations. Ms. Porto suggested notifYing volunteer organizations that a
class will be available. It would not be the same class as for a food handler's pennit but, rather, food
safety education information for non-permitted activities.
..1
HEAL TH BOARD MINUTES - February 12,2000
Page: 6
AGENDA CALENDAR/ADJOURN
Future Planninç: Topics: Review of Goodman Sanitation Letter and Discussion of Food
Handling Class. Update on Building Pennit Applications and the Internal Assessment Report and
Recommendations.
2001 AGENDA ITEMS
I. CONTINUED STABLE FUNDING TO REPLACE MVET
2. ACCESS HEALTH CARE
3. PROGRAM MEASURES (Genetic Research and Public Health Implications)
4. METHAMPHETAMINE SUMMIT
5. PERFORMANCE STANDARDS & COMMUNITY ASSESSMENT
6. TOBACCO PREVENTION AND COALITION
7. FLUORIDE
8. TRANSIT AND PUBLIC HOUSING
9. BIOTERRORISM READINESS & PLAN
10. AGING POPULATION
11. WATER
12. MATERNAL CIDLD PREVENTION GOALS (0-3)
Meeting adjourned at 4:05 p.m. The next meeting will be held on Thursday, March 15,2001 at 2:30 p.m.
JEFFERSON COUNTY BOARD OF HEALTH
Jill Buhler, Chainnan
(Excused Absence)
Geoffrey Masci, Member
Sheila Westerman, Vice-Chainnan
(Excused Absence)
Richard W ojt, Member
Glen Huntingford, Member
Roberta Frissell, Member
Dan Titterness, Member
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~8.
Access to Critical Health Services - Key Messages
January 2001
Individual behaviors; physical, social and environmental factors; and effective clinical services all are
known to affect the health of individuals and populations. The health system - all public and private
components - must ensure availability of, access to, and delivery of health services to address the
needs of the population. In the context of Proposed Standards for Public Health and the Public
Health hnprovement Plan, the Washington State Board of Health has defined "critical health
services" for the purposes of ensuring access and improving the population's health. This set of
critical health services is broad- based and is fOlll1ded on research findings and authoritative thinking
of experts who have articulated public health priorities.
The following "headlines" summarize the importance of particular health issues and make the case for
attention to these issues by the health system. As described in the menu of Critical Health Services,
there are several levels of response to these health issues: screening/testing, education/counseling,
and intervention at the individual level, and infÌ"astructure and policy development at the system level.
The menu indicates which level of intervention has been identified as important in response to the
specific health issue. These summary "headlines" are a sampling of the rationale for naming a set of
critical health services; all critical health services supported by research and expert opinion are not
addressed here. See the "Recommended Critical Health Services for Washington State Residents",
adopted September 13, 2000 by the State Board of Health.
Health· Risk Behaviors
· Tobacco Use: Smoking is the single most preventable cause of disease and death in the United
States, resulting in more annual deaths in the than AIDS, alcohol, cocaine, heroin, homicide,
suicide, motor vehicle crashes, and fires combined. More than 430,000 adults die fiom tobacco-
related causes per year. Direct annual medical costs attributable to smoking are at least $50
billioTt
· Injury & Violence Prevention: More than 400 Americans die dailyfi-om injuries including
motor vehicle crashes, fireanns, poisoning, suffocation, falls, fires, and drowning. The risk of
injury is great eoough that most persons will sustain a significant injury some time during their life.
The cost of injury and violence in the U.S. is estimated at $225 billion per year, an increase of
42% over the last decade. Total societal costs include direct medical care, rehabilitation, and
productivity losses; for motor vehicle crashes alone, this exceeds $150 billion annually.
· Pbysical Activity: Regular physical activity directly contributes to a physically healthy body,
psychological well- being, and prevention of premature death; it also lowers risks for developing
diabetes, colon cancer, and high blood pressure. In 1997, only 15% of adults engaged in a
recommended amOlUlt of physical activity and 40% of adults were involved in no leisure- time
physical activity.
Critical Health Services
. Responsible Sexual Behavior & Sexually Transmitted Diseases:
. Half of all pregnancies in the U.S. are lUlplarmed or lUlwanted at time of conception.
Such unintentional pregnancies occur most frequently among women 20 and younger,
women 40 and older, and low-income African American women.
. 15 million new cases of sexually transmitted diseases are reported each year; 4 million
of these occur in adolescents.
· The majority of mv infections occur through sexual behavior. Although some progress
was made in decreasing the incidence of new cases, recent studies suggest an upsurge in
the rate of new cases. Between 700,000 and 900,000 people are currently affected with
HIV in the U.S.
Çommunicable and Infectious Diseases
· Immunizations for Vaccine Preventable Diseases : Vaccines, noted as a great public health
achievement, have controlled or nearly eradicated diseases such as smallpox and polio. Vaccines
for common childhood illnesses are higlùy effective in preventing disease, disability, and death,
and in controlling spread of infections within communities. As of 1998, 73% of children were
fully immunized according to universal vaccine recommendations. Immunizations against
influenza and pnernnococcal disease can prevent serious illness and death; such deaths together
are the sixth leading cause of death in the U.S. Yet 1997 immunization rates for adults 65 and
older were 63% for influenza and 43% for pnernnococcal vaccine.
Maternal, Infant, & Child Health / Development
· Prenatal Care: The use of alcohol, tobacco, and illegal substances during pregnancy is a major
risk factor for low birth weight and poor infant outcomes. Prenatal care affords an opportunity
to identifY women who have these behaviors or other risk fàctors and to take steps to reduce
risks, thereby helping to improve infant and maternal outcomes.
. Newborn & Early Childhood Services: Compelling research indicates that screening,
counseling, and intervention in the first three years of life - particlÙarly in children of high- risk
families - can lead to notable improvements in physical, emotional, and developmental health of
children.
Behavioral & Mental Health
· Substance Abuse: Alcohol and illicit substance use are associated with serious health and
social problems, including violence, injury, HIV infection, unwanted pregnancy, and family
disruption. The associated armual economic costs are nearly $300 billion. Adolescent
experimentation with a variety of illicit substances continues stubbornly. The younger a person
becomes a habitual user, the stronger the addiction and more difficult it is to stop use.
Critical Healtb Services
~
·
· Mental Health: About one- fifth of the U.S. population is affected by mental illness in a given
year. More than 19 million adults suffer from depression, which is the leading cause of disability
and causes two-thirds of suicides each year. In 1997, only 23% of those diagnosed with
depression received treatment.
''¥ît'4Y'''t'vI i·
Cancer r:,,_~~ii<.
· Cancer is the second leading cause of death in the U.S. In 1999, more than 1.2 million people
were diagnosed with some fonn of cancer. Lung, prostate, breast, and colo-rectal cancers are
the most common. Cancer prevention, early detection through screening, and effective therapy
are important factors in improving the prospects for surviving cancer.
Chronic ÇQh4itions
· Diabetes: Approximately 2,200 new cases of diabetes are diagnosed each day in the U.S. It
is a costly disease at arOlUld $100 billion per year and with a major toll on the health status of
those with the disease. Diabetes is the leading cause of non- traumatic amputations, blindness
among worlGng age adults, and end-stage renal disease. These and other associated health
problems contribute to substantial disability and impairment in quality of life.
· Heart Disease: Heart disease is the leading cause of death for all Americans. Coronary heart
disease accounts for the largest proportion of heart disease, affecting about 12 million in the U.S.
Prevention strategies are known to be effective against heart disease, as are risk factor detection
and early intervention.
Key Source Consulted in Identification ofuHeadline" Comments:
1. Healthy People 2010 (HP2010), U.S. Department of Health and Human Services, January
2000
Critical Health Services
.,
STATE OF WASHINGTON
DEPARTMENT OF HEALTH
OFFICE OF FOOD SAFETY & SHElLFISH PROGRAMS
7171 Cleanwater Ln., Bldg. ~ · PO Box ~7824 · Olympia, Washington 98.104-7824
(360) 236-3330 · roo Rel.1Y Services 1-800-83J-6388
March 6, 2001
RECEIVED
MAR 0 7 2001
jEFF. COUNTY
HEALTH DEPT.
Larry Fay
Director
Jefferson County Health Departmentt
615 Sheridan
Port Townsend, W A 98368
Dear Mr. Fay:
I am pleased to notify you that we have upgraded the commercial shellfish classification of the
Duckabush River delta shellfish area rrom "restricted" to "approved". The decision to upgrade
the classification was based on water quality test results and shoreline survey information that
show that the area will now meet the National Shellfish Sanitation Program standards for an
approved commercial shellfish classification. The enclosed sanitary survey report details the
conditions upon which this decision is based.
If you have questions or need additional infonnation please contact Donald Melvin at (360) 236-
2230.
Sincerely,
(¡-Wo.1lk
Jennifer Tebaldi
Office Director
Enclosure
}:; . i4:~~:;"~[i¡";') I H
o
RECEIVED
MAR 0 7 2001
JEt-F. '-LJUN I Y
HEALTH DEPT.
SANITARY SURVEY
OF
HOOD CANAL #3
DUCKABUSH RIVER
DELTA SHELLFISH BEDS
February 14, 2001,
WASHINGTON STATE DEPARTMENT OF HEALTH
OFFICE OF SHELLFISH PROGRAMS
SANITARY SURVEY
OF
HOOD CANAL #3
DUCKABUSH RIVER DELTA SHELLFISH BEDS
February 14, 2001
WASHINGTON STATE DEPARTMENT OF HEALTH
OFFICE OF SHELLFISH PROGRAMS
Prepared by:
Donald J. Melvin, Environmental Specialist
TABLE OF CONTENTS
SECTION Page
I. Executive Summary... ... .......... ..... .................... ............ ......................................................... 1
II. Description of Growing Area.......................... ... .......................................... ...... ...... .............. 1
III. Pollution Source Survey................ ...... ..... .... ... ............... ...... ...... .... ............ ...... ......... .... ....... 2
IV. Hydrographic and Meteorological Characteristics ............................................................... 3
V. Water Quality Studies............................. ...... ................ .................................. ............. ......... 5
VI. Interpretation of Data................................................................................. ............... ... ......... 5
VII. Conclusion and Recommendation ...... ........... ... ...... ........ ............ .................... ..................... 6
MAPS
1. Duckabush River Delta Location Map .................................................................................. 7
2. Duckabush River Delta Water Sampling Station Locations................................................. 8
TABLES
1. Marine Water Data Summary ............................................................................................... 9
2. Marine Water Data Printouts by Sampling Stations......................................... 10 through 16
APPENDICES
A. Department of Health Shoreline Survey............................................................................. 17
I. Executive Summary
The Duckabush River delta is part of the Hood Canal #3 shellfish area. The delta is located on
the west shore of the Hood Canal approximately three miles south of the community of Brinnon.
The Duckabush River delta is currently classified as Restricted.
The commercial shellfish beds on the Duckabush delta were downgraded from approved to
restricted in 1988. The classification downgrade was based on levels of fecal coliform bacteria in
the marine waters that exceeded the National Shellfish Sanitation Program (NSSP) water quality
standard for an approved classification. The potential sources of bacterial pollution in the area
at the time of the downgrade were on-site sewage treatment and disposal systems, a variety of
wildlife in the watershed and a population of harbor seals that used the delta shoreline as a
seasonal haulout area.
DOH completed a shoreline survey of the Duckabush area in July 1999. The survey did not
identify any significant discharges from on-site sewage treatment systems. A summary of the
most recent 30 water samples collected from each of the sampling stations on the Duckabush
River delta shows that the area now meets the NSSP water quality standard for an approved
classification.
Based on the current shoreline and water quality information, an upgrade in
classification from restricted to approved is recommended for the Duckabush River delta
commercial shellfish beds.
II. Description of Growing Area
A. Location map or chart showing growing area
See Figure 1 page 7.
B. Description of area
The Duckabush River delta is located on the west shoreline of Hood Canal,
approximately three miles south of the community of Brinnon. The intertidal portion
of the delta is contained within a well-defined embayment created by Black Point, a
prominent headland that extends eastward into the Hood Canal from the north side
of the river mouth. The intertidal portion of the embayment is approximately one
mile wide and extends approximately one-half mile out from the river mouth.
The Duckabush River delta and the Duckabush River watershed are within the
boundaries of Jefferson County. The Duckabush River watershed encompasses
an area of approximately sixty-eight square miles. The river originates in the
Olympic National Park approximately 39 miles from the Hood Canal. The upper
half of the river lies within the boundaries of the Park and is undeveloped.
Development on the lower half of the river is rural residential. The heaviest
residential development occurs along the lower portion of the river. Approximately
one hundred homes are located within one mile of the Hood Canal in a
development that occupies both banks of the river and the southern marine
shoreline of the delta. All of the homes in the Duckabush watershed use on-site
systems for the treatment and disposal of sewage.
Oysters and hard-shell clams were harvested commercially on the Duckabush
commercial tidelands and on public tidelands located along the northern shoreline'
of the delta.
C. History of growing area classification
The Duckabush delta shellfish beds were downgraded from approved to
restricted in 1988. The classification downgrade was based on levels of fecal
coliform bacteria in .the marine waters that exceeded the (NSSP) water quality
standard for an approved classification.
1. Date of last survey
The last DOH sanitary survey report was dated October 1998.
DOH personnel completed a shoreline survey of the uplands adjacent to the
Duckabush river delta in September 1999.
III. Pollution Source Survey
Washington State Department of Health conducted a shoreline survey of the Duckabush
River Delta identified as part of the Hood Canal #3 shellfish growing area. The shoreline
survey was conducted from January to September 1999. The purpose of the survey was
to identify direct, indirect and potential shoreline pollution sources that could adversely
influence the marine water quality in the adjacent shellfish growing area. No direct
sources of pollution were identified.
The results of the DOH shoreline survey are provided in Appendix A.
A. Summary of Sources and Location
1 . Map or chart showing the location of survey area
See Appendix A
2. Table of sources of pollution
See Appendix A.
B. Identification and evaluation of pollution sources
1 . Domestic wastes
See Appendix A.
2. Stormwater
Pollutants originating within the housing development on the lower reaches
of the river can be transported rapidly and directly into the Duckabush River
or marine water by stormwater runoff. Many of the on-site sewage systems
2
in the housing development are in close proximity to the river or marine
water. Stormwater runoff would be a significant factor in the transport of
effluent to the river or marine water in the event of an on-site system failure.
3. Agricultural waste (farms, feedlots, & slaughterhouse operations)
The DOH shoreline survey did not identify any agricultural sites.
4. Wildlife areas
The Duckabush River watershed supports a large variety of wildlife. Large
mammals that are common to the area include deer, elk, and bear. Many
aquatic mammals inhabit the river and its tributaries. Harbor seals and
waterfowl are common inhabitants of the delta and the marine environment.
,
5. Industrial wastes
None
IV. Hydrographic and Meteorological Characteristics
A. Tides
1. Type
The Duckabush area is subject to mixed tides characterized by a large
inequality in the high water heights, low water heights, or both. There are
usually two high and two low tides each day but occasionally the tidal
pattern will result in only one high or one low tide in a single day.
2. Amplitude
Tide levels in the Duckabush area range from an extreme high of
approximately +13 feet (13 feet above mean lower low water), to an
extreme low of approximately -3 feet (3 feet below mean lower low water).
B. Rainfall
1. Amount
The nearest weather recording station to the Duckabush River delta is the
US Fish and Wildlife Service fish hatchery at Quilcene. Average annual
rainfall based on data collected from this station is 52.9 inches.
3
2. When
MONTH AMOUNT MONTH AMOUNT
JANUARY 6.87 JULY 1.09
FEBRUARY 6.10 AUGUST 1.20
MARCH 6.17 SEPTEMBER 1.78
APRIL 3.43 OCTOBER 4.38
MAY 2.80 NOVEMBER 8.19
JUNE 2.05 DECEMBER 8.91
3. Identify frequency of significant rainfalls
Heaviest rainfall occurs during the months November through March.
C. Winds - Seasonality and effects on pollution dispersion
The prevailing wind in the Duckabush area is out of the southwest. Winter cold
front conditions will occasionally produce strong northerly winds. Wind direction
has a pronounced effect on the distribution of fresh water once it enters the delta.
Because the Duckabush delta is confined within a bay, low salinity surface water
tends to be moved and confined against the north or south shoreline of the delta
depending on wind direction.
D. River discharges
1. Volumes
Average flow rate for the Duckabush River as reported by National Oceanic
and Atmospheric Administration is approximately 424 cubic feeUsecond.
2. Seasonal
Average summer flow is approximately 150 cubic feeUsecond.
Average winter flow is approximately 600 cubic feeUsecond.
E. Summary discussion concerning actual or potential effects of transport on pollution
to the harvest area
The primary mechanism for transporting pollutants into the Duckabush delta from
the watershed is the Duckabush River. Stormwater runoff can transport
pollutants directly into the shellfish beds across the marine shoreline. Bacterial
pollutants associated with shoreline onsite sewage disposal systems, waterfowl
or marine mammals can enter the bay directly at sites where these types of
pollution sources are present. Pollutant laden freshwater can be concentrated
along the southern or northern shorelines depending wind direction and force.
4
v.
Water Quality Studies
A. Map of sampling stations
See figure 2, page 8.
8. Sampling plan and justification
Samples are collected from the Duckabush River delta area in accordance with the
NSSP systematic random sampling criteria.
C. Sample Data Analysis and Presentation - Tables containing the basic NSSP
statistics (number of samples, median or geometric mean, and the respective
variability factors)
1. Station by station array - systematic random sampling
A summary of the most recent 30 samples from each of the monitoring
stations in the Duckabush River delta is provided in Table 1, page 9.
2. Daily sampling results and number of samples collected for survey
Printouts of the daily sample results for each sampling station are provided
in Tables 2 through 8, pages 10 through 16.
3. Overall compliance with NSSP criteria
The Duckabush River delta meets the NSSP shoreline and water quality
condition criteria for an approved classification
4. Classification of station
All of the water quality monitoring stations on the Duckabush River delta
meet the NSSP standards for an approved classification.
VI. Interpretation of Data in Determining Area Classification
A. Effects of meteorologic and hydrographic conditions on bacterial loading
Wet weather conditions would facilitate the transport of pollutants from the
watershed into the shellfish beds via the Duckabush River or shoreline seasonal
streams. Wind direction can playa significant role in the disbursement of pollutants
that are carried in fresh water. Many of the homes and their on-site septic systems
are located in the flood plane near the mouth of the river. Flood conditions would
inundate on-site systems in these locations and could constitute a severe pollution
event. Extreme high tides could result in the resuspension and transport of feces
and contaminated sediments from harbor seal haulout sites into the shellfish area.
5
B. Variability in the data and causes
Occasional high bacteria counts have been recorded at several of the Duckabush
sampling sites. Specific conditions or events that may have produced these
elevated counts have not been identified.
VII. Conclusions and Recommendations
The DOH shoreline survey completed in July 1999 did. not identify any active non-point
sources of pollution impacting the commercial shellfish beds located on the Duckabush
River delta. The most recent summary of water samples collected from the stations
located on the delta shows that area meets the NSSP criteria for an approved
classification.
Based on this current shoreline and water quality information, an upgrade in
classification from restricted to approved is recommended for the Hood Canal #3
commercial shellfish beds located on the Duckabush River delta.
Due to the presence of numerous residences with on-site sewage systems·that are located
in the Duckabush River flood plane it would be advisable to restrict commercial shellfish
harvest in the event of flooding. The Duckabush River delta should be closed to shellfish
harvest whenever the Duckabush River reaches flood stage. Water quality monitoring
should be initiated in the area during and fOllowing flood conditions. The sampling
frequency and duration should be sufficient to determine the appropriate closure period.
6
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8
TABLE 1
SUMMARY OF MARINE WATER DATA (SRS)
Growing Area: HOOD CANAL #3
Classification: Restricted, Unclassified
From 01/19/1994 To 06/22/2000
FECAL COLIFORM ORGANISMS/1 00 ML
Station Classification Number Range Geometric Est. 90th Meets Std.
Number of Samples Mean Percentile
136 Restricted 30 1.7 - 33.0 4.0 15.0 Yes
137 Restricted 30 1.7 -170.0 4.3 19.0 Yes
138 Restricted 31 1.7 - 33.0 3.6 10.0 Yes
139 Restricted 30 1.7 - 49.0 3.3 11.0 Yes
140 Restricted 30 1.7 -70.0 3.7 15.0 Yes
141 Unclassified 21 1.7 - 23.0 2.0 4.0 "N/A
142 Unclassified 12 1.7 - 540.0 5.0 56.0 "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.
"
t All samples have been verified.
9
TABLE 2
SUMMARY OF SHELLFISH GROWING AREAS
WATER QUALITY STUDY RESULTS
Growing Area: HOOD CANAL #3
Sampling Station Number: 136
Classification: Restricted
Sample Date Sample Time Tide Fcoli/100ml Temperature Salinity
01/19/1994 14:10 Ebb 2 8 4
OS/21/1996 12:11 Ebb 4.5 13 22
OS/23/1996 12:59 Ebb 1.7 14 26
08/20/1996 13:30 Ebb 1.7 19 28
11/07/1996 11:20 Flood 1.7 10 25
01/16/1997 13:22 Ebb 1.8 6 16
04/28/1997 09:28 Ebb 13 9 12
05/08/1997 12:22 Ebb 2 11 8
10/01/1997 10:26 Ebb 2 14 28
10/28/1997 12:53 Flood 2 12 24
12/29/1997 10:15 Ebb 6.8 10 18
01/15/1998 10:31 Ebb 1.7 8 14
03/24/1998 13:11 Flood 7.8 9 12
05/12/1998 10:30 Ebb 11 11 16
08/13/1998 11:02 Ebb 13 18 28
10/21/1998 11 :13 Ebb 2 12 28
12/10/1998 11 :49 Ebb 33 7 9
02/23/1999 12:20 Ebb 2 6 12
04/29/1999 13:45 Flood 1.7 10 4
06/16/1999 09:40 Ebb 33 10 2
07/28/1999 10:38 Ebb 13 14 7
10/20/1999 12:01 Flood 1.8 10 30
10/27/1999 09:54 Ebb 4.5 10 24
10/27/1999 13:59 Flood 1.7 10 24
12/14/1999 11:34 Ebb 2 8 18
12/20/1999 11 :18 Flood 2 6 0
12/20/1999 14:14 Ebb 4.5 7 5
02/24/2000 10:22 Ebb 1.8 7 24
04/19/2000 10:39 Ebb 17 10 6
06/22/2000 09:50 Ebb 31 13 9
Number of Samples:30 Range: 1.7 - 33
Geometric Mean:4.0 Estimated 90th Percentile: 15
t All samples have been verified.
10
TABLE 3
SUMMARY OF SHELLFISH GROWING AREAS
WATER QUALITY STUDY RESULTS
Growing Area: HOOD CANAL #3
Sampling Station Number: 137
Classification: Restricted
Sample Date Sample Time Tide Fcoli/100m' Temperature Salinity
.......'....,......
01/19/1994 14:15 Ebb 1.7 8 10
OS/21/1996 12:14 Ebb 22 13 14
OS/23/1996 13:03 Ebb 1.7 14 26
08/20/1996 13:27 Ebb 170 20 25
11/07/1996 11 :26 Flood 2 10 14
01/16/1997 13:17 Ebb 1.7 6 10
04/28/1997 09:23 Ebb 13 8 6
05/08/1997 12:17 Ebb 2 13 6
10/01/1997 10:24 Ebb 13 14 16
10/28/1997 12:57 Flood 2 12 26
12/29/1997 10:09 Ebb 4.5 10 26
01/15/1998 10:29 Ebb 4.5 8 18
03/24/1998 13:09 Flood 7.8 10 10
05/12/1998 10:26 Ebb 4.5 10 2
08/13/1998 10:54 Ebb 1.7 19 8
10/21/1998 10:59 Ebb 2 11 6
12/10/1998 11 :46 Ebb 13 7 12
02/23/1999 12:18 Ebb 1.7 6 6
04/29/1999 13:37 Flood 1.7 11 2
06/16/1999 09:36 Ebb 23 11 2
07/28/1999 10:31 Ebb 23 13 2
10/20/19-99 11 :56 Flood 1.7 10 26
10/27/1999 09:46 Ebb 2 10 25
10/27/1999 14:04 Flood 1.7 10 24
12/14/1999 11 :23 Ebb 2 8 5
12/20/1999 11 :16 Flood 4.5 6 0
12/20/1999 14:16 Ebb 4.5 6 0
02/24/2000 10:19 Ebb 2 7 18
04/19/2000 10:36 Ebb 1.7 10 4
06/22/2000 09:43 Ebb 17 14 0
Number of Samples: 30 Range: 1.7 - 170
Geometric Mean:4.3 Estimated 90th Percentile: 19
t All samples have been verified.
11
TABLE 4
SUMMARY OF SHELLFISH GROWING AREAS
WATER QUALITY STUDY RESULTS
Growing Area: HOOD CANAL #3
Sampling Station Number: 138
Classification: Restricted
Sample Date Sample Time Tide Fcoli/100ml Temperature Salinity
01/19/1994 14:18 Ebb 4.5 8 8
02/28/1996 12:45 Ebb 1.7 7 28
OS/21/1996 12:21 Ebb 7.8 11 5
OS/23/1996 13:05 Ebb 4 12 4
08/20/1996 13:21 Ebb 1.7 19 28
11/07/1996 11 :30 Flood 1.7 10 26
01/16/1997 13:15 Ebb 2 6 10
04/28/1997 09:19 Ebb 4.5 8 6
05/08/1997 12:15 Ebb 1.7 12 6
10/01/1997 10:21 Ebb 2 14 28
10/28/1997 12:59 Flood 17 12 26
12/29/1997 10:07 Ebb 1.7 10 30
01/15/1998 10:27 Ebb 13 8 22
03/24/1998 13:07 Flood 2 10 6
05/12/1998 10:20 Ebb 7.8 11 6
08/13/1998 10:51 Ebb 1.7 19 30
10/21/1998 10:53 Ebb 6.8 10 8
12/10/1998 11 :42 Ebb 7.8 6 10
02/23/1999 12:16 Ebb 1.7 6 6
04/29/1999 13:32 Flood 1.7 12 4
06/16/1999 09:31 Ebb 33 13 2
07/28/1999 10:26 Ebb 2 14 5
10/20/1999 11 :51 Flood 2 10 4
10/27/1999 09:44 Ebb 1.7 10 25
10/27/1999 14:07 Flood 7.8 10 20
12/14/1999 11 :20 Ebb 4.5 9 15
12/20/1999 11 :14 Flood 4.5 6 0
12/20/1999 14:18 Ebb 4.5 7 0
02/24/2000 10:13 Ebb 1.7 8 28
04/19/2000 10:32 Ebb 2 10 4
06/22/2000 09:41 Ebb 13 14 3
Number of Samples: 31 Range: 1.7 - 33
Geometric Mean: 3.6 Estimated 90th Percentile: 1 0
t All samples have been verified.
12
TABLE 5
SUMMARY OF SHELLFISH GROWING AREAS
WATER QUALITY STUDY RESULTS
Growing Area: HOOD CANAL #3
Sampling Station Number: 139
Classification: Restricted
Sample Date Sample Time Tide Fcoli/100ml Temperature Salinity
02128/1996 12:47 Ebb 1.7 7 26
OS/21/1996 12:17 Ebb 23 13 15
OS/23/1996 13:01 Ebb 1.7 14 26
08/20/1996 13:25 Ebb 4.5 19 28
11/07/1996 11 :23 Flood 2 10 26
01/16/1997 13:20 Ebb 1.7 6 10
04/28/1997 09:25 Ebb 33 8 8
05/08/1997 12:19 Ebb 1.7 12 2
10/01/1997 10:23 Ebb 1.7 14 28
10/28/1997 12:48 Flood 1.7 12 26
12/29/1997 10:11 Ebb 1.7 10 30
01/15/1998 10:33 Ebb 4.5 8 20
03/24/1998 13:05 Flood 1.7 10 8
05/12/1998 10:24 Ebb 11 11 2
08/13/1998 10:57 Ebb 49 18 8
10/21/1998 10:56 Ebb 2 12 14
12/10/1998 11 :39 Ebb 4.5 9 23
02/23/1999 12:14 Ebb 2 6 14
04/29/1999 13:34 Flood 1.7 12 4
06/16/1999 09:33 Ebb 7.8 13 2
07/28/1999 10:35 Ebb 1.8 13 3
10/20/1999 11 :53 Flood 1.7 10 8
10/27/1999 09:51 Ebb 6.8 10 20
10/27/1999 14:01 Flood 2 10 24
12/14/1999 11 :26 Ebb 1.7 8 20
12/20/1999 11 :21 Flood 1.7 6 0
12/20/1999 14:11 Ebb 2 7 0
02/24/2000 10:16 Ebb 4.5 8 26
04/19/2000 10:34 Ebb 1.7 10 6
06/22/2000 09:46 Ebb 7.8 12 10
Number of Samples: 30 Range: 1.7 - 49
Geometric Mean:3.3 Estimated 90th Percentile: 11
t All samples have been verified.
13
TABLE 6
SUMMARY OF SHELLFISH GROWING AREAS
WATER QUALITY STUDY RESULTS
Growing Area: HOOD CANAL #3
Sampling Station Number: 140
Classification: Restricted
Sample Date Sample Time Tide Fcoli/100ml Temperature Salinity
02/28/1996 12:51 Ebb 1.7 7 26
OS/21/1996 12:08 Ebb 2 12 16
OS/23/1996 12:56 Ebb 1.7 14 26
08/20/1996 13:32 Ebb 1.7 19 28
11/07/1996 11 :18 Flood 1.7 10 25
01/16/1997 13:24 Ebb 1.7 6 12
04/28/1997 09:30 Ebb 17 9 10
05/08/1997 12:24 Ebb 1.7 12 16
10/01/1997 10:28 Ebb 2 14 28
10/28/1997 12:50 Flood 1.7 12 22
12/29/1997 10:18 Ebb 13 9 20
01/15/1998 10:36 Ebb 4 8 14
03/24/1998 13:13 Flood 6.8 9 12
05/12/1998 10:32 Ebb 17 11 10
08/13/1998 11 :05 Ebb 4.5 18 30
10/21/1998 11 :16 Ebb 1.7 12 28
12/10/1998 11 :52 Ebb 33 7 10
02/23/1999 12:21 Ebb 2 6 8
04/29/1999 13:41 Flood 1.7 10 4
06/16/1999 09:42 Ebb 70 10 2
07/28/1999 10:42 Ebb 3 14 8
10/20/1999 12:06 Flood 2 10 30
10/27/1999 09:57 Ebb 1.7 10 24
10/27/1999 13:57 Flood 2 10 24
12/14/1999 11:30 Ebb 1.8 9 18
12/20/1999 11 :25 Flood 2 7 22
12/20/1999 14:09 Ebb 2 7 4
02/24/2000 10:24 Ebb 4.5 7 24
04/19/2000 10:42 Ebb 7.8 10 6
06/22/2000 09:52 Ebb 33 13 10
Number of Samples: 30 Range: 1.7 - 70
Geometric Mean:3.7 Estimated 90th Percentile: 15
t All samples have been verified
14
TABLE 7
SUMMARY OF SHELLFISH GROWING AREAS
WATER QUALITY STUDY RESULTS
Growing Area: HOOD CANAL #3
Sampling Station Number: 141
Classification: Unclassified
Sample Date Sample Time Tide FcoJi/100ml Temperature Salinity
10/28/1997 12:42 Flood 1.7 12 26
12/29/1997 10:21 Ebb 1.7 9 30
01/15/1998 10:42 Ebb 2 8 30
03/24/1998 13:16 Flood 1.7 9 26
05/12/1998 10:36 Ebb 2 11 22
08/13/1998 11 :09 Ebb 1.7 19 30
10/21/1998 11 :21 Ebb 1.7 12 28
12/10/1998 11 :56 Ebb 4.5 7 23
02/23/1999 12:25 Ebb 1.7 6 22
04/29/1999 13:51 Flood 1.7 11 26
06/16/1999 09:46 Ebb 1.7 11 22
07/28/1999 10:45 Ebb 1.7 15 13
10/20/1999 12:09 Flood 2 10 22
10/27/1999 10:02 Ebb 2 10 26
10/27/1999 13:45 Flood 1.7 10 25
12/14/1999 11 :39 Ebb 1.7 8 24
12/20/1999 11 :30 Flood 1.7 7 24
12/20/1999 14:05 Ebb 23 7 15
02/24/2000 10:29 Ebb 1.7 7 28
04/19/2000 10:46 Ebb 1.7 10 22
06/22/2000 09:55 Ebb 1.7 13 22
Number of Samples:21 Range: 1.7 ~ 23
Geometric Mean:2.0 Estimated 90th Percentile:4
t All samples have been verified.
15
TABLE 8
SUMMARY OF SHELLFISH GROWING AREAS
WATER QUALITY STUDY RESULTS
Growing Area: HOOD CANAL #3
Sampling Station Number: 142
Classification: Unclassified
Sample Date Sample Time Tide Fcoli/100ml Temperature Salinity
04/29/1999 13:30 Ebb 1.7 12 6
06/16/1999 09:27 Ebb 110 13 10
07/28/1999 10:21 Ebb 540 17 4
10/20/1999 11:47 Flood 4.5 10 10
10/27/1999 09:38 Ebb 1.7 10 24
10/27/1999 14:10 Flood 1.7 10 24
12/14/1999 11 :16 Ebb 4.5 9 20
12/20/1999 11 :10 Flood 2 6 0
12/20/1999 14:20 Ebb 1.7 7 8
02/24/2000 10:11 Ebb 1.7 8 26
04/19/2000 10:28 Ebb 1.8 10 8
06/22/2000 09:39 Ebb 4.5 14 18
Number of Samples: 12 Range: 1.7 - 540
Geometric Mean:5.0 Estimated 90th Percentile: 56
t All samples have been verified.
16
APPENDIX A
W ASillNGTON ST ATE DEPARTMENT OF HEALTH
OFFICE OF SHELLFISH PROGRAMS
SHORELINE SURVEY OF HOOD CANAL #3-DUCKABUSH
17
I. SUMMARY
Washington State Department of Health conducted a shoreline survey of the Duckabush
River Delta identified as part of the Hood Canal #3 shellfish growing area. The shoreline
survey was conducted from January to September 1999. The purpose of the survey was
to identify direct, indirect and potential shoreline pollution sources that could adversely
influence the marine water quality in the adjacent shellfish growing area. No direct
sources of pollution were identified.
II. BACKGROUND
Between January and September 1999, the Washington Department of Health, Office of
Food Safety and Shellfish Programs (DOH) conducted a shoreline survey of the
Duckabush River Delta shellfish growing area. Tom Gibbs and Cathy Barker of DOH
followed the National Shellfish Sanitation Program Model Ordinance (NSSP)
requirements. DOH staff evaluated and categorized pollution sources to determine the
impact, jf any, on the adjacent marine waters and shellfish resources. Pollution sources
are categorized as "direct", "indirect" or "potential" impacts that could influence water
quality within the growing area.
The Duckabush River delta is located on the west shore of Hood Canal, approximately
three miles south of the community of Brinnon in Jefferson County. The shoreline survey
boundary begins just north of Quatsap Point on Black Point Road, heads west then
south around the delta and ends along the south shoreline on Canal Lane. Figure 1
shows the survey boundary area.
The principle land use and development of the Duckabush River Delta is full time and
part time residential sites. All sites are served by individual on-site sewage disposal
systems. Some commercial logging activity occurs in the upper watershed.
The Hood Canal #3 Duckabush River Delta has been classified as a Restricted shellfish
growing area since 1988. Water quality studies and an evaluation of the shoreline
c.onditions resulted in the initial reclassification of the Duckabush delta by DOH from
Approved to Restricted. The shoreline survey identified on-site sewage systems as a
potential contributor to bacterial contamination in the shellfish growing area. In addition,
the harbor seal population, estimated at approximately 150 animals using the delta as a
haul-out site, was also a source of contamination identified.
The United States Department of Agriculture, Soil Conservation Service Soil Survey of
Jefferson County. Washinqton describes the soil types in the area and rates suitability for
on-site sewage disposal systems. Predominant soils in the area include five general
types: the O¡ete, Hoodsport Lystair, Belfast and Grove series soils described as silt and
gravelly sandy loam. These are rated severe for on-site sewage disposal systems due
to location on flood plain, wetness, slow drainage, or poor filtering. Typically, on-site
sewage systems specially designed for the site may be used under limited
circumstances to overcome some limitations.
III. Survey Criteria
Information gathered as a part of this survey includes:
· methods of sewage disposal used;
· location and operating condition of individual on-site sewage systems;
· soil and drainage conditions on each surveyed parcel;
· agricultural impacts, numbers of animals;
· storm water impacts; and
· wildlife influences.
Shoreline Survey Definitions:
· "Direct Impact" is a pollution source that is defined by NSSP "as any waste
discharge that has an immediate adverse effect on the growing area."
· "Indirect Impact" is a pollution source that is defined by NSSP "as any waste
discharge that reaches the growing area in a roundabout way,"
· A "Potential Source" has indications that the site might periodically influence
water quality in the area. Inadequate setbacks, neglect or abuse of sewage
disposal systems, overgrazed pastures, and large numbers of wildlife are
examples that could cause' a site to be identified as a potential source of
contamination.
IV. RESULTS
Summary:
DOH personnel surveyed a total of 104 shoreline and adjacent watershed
properties for any adverse impact to the marine water quality of the commercial
shellfish growing area. No "direct" sources of pollution were identified; three
"indirect" sources were identified and fifty-five additional "potential" sources were
identified that could impact the growing area. Of the 104 properties surveyed; 26
were identified as full-time residential sites, 73 as part-time residential sites, two
as abandoned residential sites, one as a recreational site, one as a wildlife site
and one as a commercial site. See the "Site Details", section of this report for
more information, page 6.
Indirect and Potential sources of contamination:
On-site sewage systems (033s) are the primary means of sewage treatment and
disposal in the area. Conventional gravity-fed asss are typically utilized for both
the full and part-time residential sites. Three "indirect" sources of contamination
were identified, one full-time residential site had a failing ass at the time of the
survey; two part-time residential sites had grey water discharges to a ditch.
These sites were reported by telephone to the local health department for follow-
up.
2
Fifty-five additional sites were identified as "potential sources~ that could
periodically influence water quality in the area. These were based on visual
observations of the on-site systems such as having inadequate setbacks from the
marine shoreline, lush growth over the drainfield, or location of the OSS was
situated within the flood plain. These included 15 pit privies, porta potties and
chemical toilets located at many of the undeveloped part-time residential &
recreational sites. The performance and treatment methods of many of these on-
site sewage systems could not be determined during the survey. These sites are
listed in detail on the "Potential Sources" Table on page 8.
Stormwater and Drainage Ditches:
Upland runoff, ditches, sloughs and culverts surrounding the Duckabush River
Delta have the potential to act as direct or indirect sources of contamination
during significant rainfall events. Twenty-nine water quality samples were
collected from various locations along the Duckabush River, adjacent watershed
sloughs and drainage ditches discharging onto the Duckabush River Delta during
January, February, July and September of 1999 and November 2000. Samples
collected ranged from <1.8 FC/100m! to 350FC/100m/. These drainage samples
showed only occasional elevated fecal coliform bacterial counts that were
determined to be an insignificant pollution source. See Duckabush River
drainages for all sample information on page 7.
Average flow rate for the Duckabush River as reported by National Oceanic and
Atmospheric Administration is approximately 424 cubic feet/second. The distance
between the OSSs and the commercial shellfish beds is greater than one half
mile, across tidal mud flats and eelgrass beds of this estuary. The potential
impacts if any from the OSSs on the growing area has not been determined.
Agricultural:
No agricultural sites were identified within the survey boundary area of the
Duckabush River Delta or the adjacent watershed drainages and sloughs.
Commercial Impacts:
One commercial shellfish shucker-packer operation (SP) is located along the
northeast shoreline of the delta. The process wastewater generated from this
small shucker-packer operation is discharged into a concrete catch basin located
outside the plant. There was no surface water discharge observed from this
catchbasin.
Marinas:
No marinas were identified inside the survey boundary area. However, the Canal
View Tracts housing development has a boat launch and small dock for members
of the community, which lies along the south shore of the river delta.
3
Recreational Shellfish Harvesting:
Historically, the Duckabush delta has been a popular recreational shellfish
harvesting area; BIDN 270285-West Quatsap Point and BIDN 270287-
Duckabush Flats have a combined total of over 1700 feet of shoreline. According
to Washington State Department of Fish and Wildlife (WDFW) estimates,
approximately 1108 harvesters visited these beaches during 1999.
Wildlife Impacts:
Harbor Seals
Historical information indicates that the Duckabush River Delta supports a high
tide haul-out site for harbor seals in the spring, summer and fall months.
Observations made by Cascadia Research in 1992 estimated approximately two
hundred seals hauled-out on the marsh areas and infrequently, on the tide flats.
During the survey local residents stated that they have seen the number of seals
on the delta decline over recent years.
Elk
Visual observations of elk feces and elk tracks were evident over the entire
Duckabush survey area. WDFW reported that the Duckabush River watershed
supports a resident herd of approximately eighty-five Roosevelt Elk
Birds
Visual observations made during the survey reported a large migratory bird
population present in the growing area.
These wildlife sources were identified as "potential" impacts to the growing area.
The total number of animals inhabiting the watershed and delta throughout the year
could influence water quality within the growing area. Periodic elevated fecal
coliform bacteria counts within the growing area could be associated with the
animal's presence.
CONCLUSIONS
The shoreline survey did not identify any direct source of pollution impacting the
commercial shellfish beds. Overall, three sites were identified as "indirect"
sources of pollution. Fifty-five additional OSS sites and the wildlife sources were
identified as "Potential Sources". At this time it would be difficult to show that the
OSSs located along the Duckabush River are the primary contributors of fecal
coliform bacteria occasionally identified during water quality sampling events.
Drainage samples collected from various locations along the river, sloughs and
drainages in close proximity to the OSSs showed only occasional elevated
bacterial counts. The impacts from these potential pollution sources on the
growing area could not be determined without intensive dye work and
coordinated sampling of the individual OSSs.
4
The wildlife sources were identified as potential impacts to the commercial
shellfish beds, specifically the indication of the elk herd presence throughout the
survey boundary area. The number of animals having direct and indirect contact
with the Duckabush River and the associated sloughs and drainages of the
growing area makes this a potential source.
The potential impacts from all of the wildlife copulations could increase the
bacterial loading to this watershed and the Duckabush estuary when the animals
are present.
The DOH does not believe these "indirect" and "potentia'" pollution sources are
routinely reaching the growing area. Since the initial reclassification in 1988,
water quality has shown a significant improvement in the marine water samples
over the last two years. Occasional high bacteria counts have been recorded
from sampling stations in the Duckabush growing area. However, specific
conditions or events that may have produced these evaluated counts have not
been identified to the source.
Recommendations
The Department should:
· Review the marine water quality sampling data for the Hood Canal #3,
Duckabush River Delta following each water quality sampling event to
determine if any specific conditions were identified during that sampling
event.
· Evaluate the wildlife impact to the Duckabush River Delta during the routine
marine sampling events. The number of wildlife and their location should be
recorded on the water quality data sheet for informational and future
reference.
· Evaluate the shellfish growing area under flood stage conditions. If water
quality bacteria results indicate an increase in fecal coliform levels under
these conditions the Department should contact Jefferson County Health
Department to imitate further evaluation of these potential on-site sources.
5
SITE DEI AILS
Summary of Shoreline Survey Results
Total Percent
Residential Sites 26 25
Vacation Sites 73 70
Commercial Sites 1 <1
Recreational Sites 2 <1
Abandoned Sites 2 <1
Total Sites Inspected 104 100
Complete Inspections 53 51
Limited Inspections 51 49
Complete Inspections are sites with known locations of sewage disposal systems or
number of animals and or verified by owner, county records, or returned survey forms.
Limited Inspections are sites with visual observations made but there was no contact
with owner, or location of systems could not be determined.
6
~j:,.,' '~~,:',~,<.. ":",,,' ::",~" .:' ,<~~: ",'>,):.~, ':>
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Mountain TrãírRoad
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7
Potential & Indirect Sources
Site Details
Site Address Status Descriptions ;
9A 340 Kelly Rd. Part time P Electricall1ook-up's for up to 4 RV's located on small
residential lot, <50 from the river, inadequate setbacks from
surface water. ¡
12 Canal Lane Part time I 2 RV's located on site; RV's not hooked into OSSs. i
residential Gray water discharged to ground. I
I
16 Canal Tracts Part time P <50' from the marine shoreline, inadequate setback
residential I
17 Canal Tracts Part time P <50' from marine shoreline, inadequate setback ;old i
residential Privy on site.
19 310573 Canal Full time P <50' from marine shoreline, situated along drainage
Tracts residential way; observed lush growth over the drainfield.
23 Black Point Part time P <50' from shoreline. Observed lush growth over
Rd. residential drainfield area; site very wet & soggy.
24A 90 Kelly Rd. Part time I RV travel trailer with ~ " gray water hose to ditch,
residential chemical toilet on site. I
27 Kelly Rd. Part time P Electrical hook-ups for 5 RV's located on small lot,
residential ass location could not be determined.
39 100 Full time I ass failing -drainfield lateral dug up and sewage
Shorewood residential from septic tank was observed in lateral. awner
Rd. indicated he would complete repair. No direct
discharge of sewage was observed reaching the
slough or ditch.
47 592 Mt. Trail Full time P Returned survey questionnaire indicated holding tank
Rd. residential for sewage disposal; tank pumped every week.
County not aware of system.
20, 28-38 Duckabush Part time P Forty-eight additional sites located over the entire
40-47 48- flood plain Residential survey area were identified as potential sites based
56 sites on the ass <50' from the river bank therefore
3A-8A located in the flood plain, or the ass location could
not be determined.
11A-13A I
16A-23A
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10
Jefferson County Board of Hea~th
Agenda Item Information / Description
Regular Business
For Month of: March, 2001
Description - a brief description of the agenda item: please include project,
road, contract, grant, etc. number if one is available for the Commissioner Index
Correspondence related to the new onsite sewage O&M requirements
Issue - a short outline of the issue:
strategy or objective issue supports;
(law/policy/regulations) :
including policy issue falls within;
key reference areas
With the adoption of the new onsite sewage code last year an increasing emphasis
is being placed on ongoing septic system operations inspections. Several issues
are raised in the letters including who can perform inspections, the use of a
triggering mechanism like building permits rather than systematically inspecting
all systems and the timeliness of the inspections.
Opportunity Analysis - what is the type of action Board is being asked to take:
discussion/decision - if decision - what is the range of possible solutions
considered by the department in preparing its recommendation
This is primarily informational for the Board. We did not expect that the new
regulation would be implemented without some problems and believe that most of
these issues are more related to the newness of the activity. However, we should
stay tuned to how this rule is effecting our costumers and be prepared to make
adjustments as necessary.
It should be noted that the current rule allows engineers and licensed designers
to inspect septic systems. In addition we have provided for licensing O&M
specialists although we have not developed the program to do so. The Washington
Onsite Sewage Association is currently developing a certification for O&M
specialists and is hoping to have the program in place later this year or early
next year. We believe it would be smart and efficient to work with WOSSA on their
program rather than creat our own unique system. Then under our rule we could
license anyone with a WOSSA certificate and appropriate bond/insurance.
Increasing the pool of inspectors should help keep the turn around time down and
prices modest.
We have noted that not many currently practicing engineers or designers have
indicated a strong desire to perform these inspections. Liability is a concern,
but our low fees may also interfere.
Specific Departmental Recommendation - why was the action recommended and what
would be the impact of not taking the action: what specific action is necessary
by the BOCC approval - adoption - deny - remand back to department
No recommendation
CASTLE HILL CENTER · 615 SHERIDAN · PORT TOWNSEND, WA 98368
March 7, 200 I
C.F. Molisky
dba Good Man Sanitation
2495 Cape George Road
Port Townsend, Washington 98368
Dear Mr. Molisky,
Thank you for your letter of January 18, 200 1. Your interest in peñorming 0 & M
functions for outside sewage system owners is understandable and appreciated. As you
are aware, the recent adoption of the new onsite sewage code by the Jefferson County
Board of Health has placed an increasing emphasis on operational monitoring and
maintenance assurance. The ordinance authorizes licensed engineers, licensed onsite
sewage system designers, health department staff and Jefferson County certified 0 & M
specialist to conduct routine operational inspections.
Currently, inspection activities are limited to those practitioners already holding another
license, either engineers or designers. We anticipate establishing more detailed
qualifying criteria in the way of examination so that other individuals may become
licensed and enter the business. I anticipate this to be in place in late 2001 or early 2002.
I would like to point out that the Washington Onsite Sewage Association is currently
developing a certification program for 0 & M specialists. My conversations with Dave
Lenning suggest that they are on a schedule to begin later this year as well. We will be
tracking their efforts and to the extent feasible, I expect that we will rely largely on their
certification rather than create our own local exam.
Anyway, I hope that this infonnation is helpful and please feel free to contact me if you
have any additional comments or questions.
D
V?1
awrence D. Fay, Jr.
Director of Environmental Health
Cc: Board of Health
HEALTH
DEPARTMENT
360/385-9400
ENVIRONMENTAL
HEALTH
360/385-9444
DEVELOPMENTAL
DISABIUTIES
360/385-9400
ALCOHOUDRUG
ABUSE CENTER
360/385-9435
FAX
360/385-9401
.-
~, '...-
2 4 9 5 ~a'h1f';wn~gi?*gÅ36f d .
(206)385· 7155
Good Man Sanitation
Portable Toilet Rentals
To: Larry Fay, Director of Environmental Health
From: Good Man Sanitation
Subj: New Septic System R~les
RECEIVED
JAN 1 8 2001
JEFF. COUNTY
HEALTH DEPT.
On September 16, 2000 the Jefferson County Board of Health
Made revisions to the local onsite sewage code. Included in the
revisions are new requirements for inspection at the time of sale
as well as other provisions including on-going 0 & M requirements,
something which is long overdue.
Inspections can be done only by licensed d~signers. licensed
engineers, or the Environmental Health Divisinn. We take
exception to this for the fOllowing r?asons:
1. There is not enough staff in these disciplines who want
t 0 dot h e Iv 0 r ~ .
2. It is an added cost to the homeowner.
3. Hampers timely real estate transactions.
4. Potential conflicts of interest. Designers inspecting
other designers, thenselves, etc.
j . ',12 h a vet r a i n e d per son n e 1 w 11 0 II ere a 1 rea d y per for :1 i n g
similar inspections for real estate and lending institutions.
Enclosed is a copy of the form Good Man uses for the
inspection. Over the years we have performed this service for
countless customers. We have more contact with the homeowners
once the system is up and running. Our enployees are experienced
with the inspection process and we carry liability insurance.
..~
We have found no jurisdiction which has a test for the
inspector. According to Dave Snyder of the Kitsap Co. Health Dept.,
their county has developed an 0 & M test which he feels would be
o v e r i<. ill for ani n s p e c tor . The r e, any 0 & r1 c e r t i fie d per son can
perform inspections. Enclosed is an overview of the Kitsap Co.
o & M program. We feel there should be criteria developed soon for
a test which, when passed, would allow anyone demonstrating the
desire and ability to perform these inspections to do so.
This would:
1. Speed up the processes.
2. Facilitate real estate transactions.
3. Lower costs to Jefferson Co. homeowners.
Respectfully,
t1 fi~} fA
cc: L i n d a Atkins, Jefferson Co. Health Dept.
Jefferson Co. Commissioners
Jefferson Co. Board of Health
Jefferson Co. Board of Realtors
2
..~~ ,.
GCOD MAN SANITATIOO
2495 Cape George Road
Port Townsend, WA. 98368
( 360) 385-7155
Name of EValuator:
Property Address:
Date:
Property Age:
System Age:
Occupied:
Yes
No
Number of Bedrooms:
Last Pump Date:
Length of Tirre vacant:
Access Provided to House:
Yes
No
Recent weather conditions:
NOrlCE: 00 rur ptJMP THE SYSTEM IF THE WASTE LEI1E:L IN '!HE TAN/( IS AJXJVE œ BEI.œ mE IDRMAL
LEVEL, OR IF THERE IS SATURATION IN 'mE ABSORPl'IOO AREA.
.
Standing water in the drainfield indicates fXJOr soil p:>rosity or a fOssible failed line. A
high waste level indicates a problem that may be difficult to determine once the system has
been~. A low waste level suggests recent tank. pumping or p:1ssible tank leakage. Pump-
ing the tank at this time may mask a problem.
PROCEDURES (æEX:K APPROPRIATE BOXES)
Located, uncovered, and accessed tank.
Determined sludge depth and lìquid level (If liquid level arove or below normal, 00 NC7l' PUMP!)
Probed and checked absorption area to determine location and checked for excessive II\:)isture, effluent,
arxi/or OOor.
Introduced water into system (100 - 200 gallons) Source of water:
cc.nm:x:le
faucet
tub
other
Checked liquid level reaction (If it reaained above the normal level, 00 rot' PUMP!)
Pumped out tank. CAl1rION: CNLY PUMP our 'mE TANK IF 'IDE LIQUID LEVEL IS OORMAL AND THERE IS 00 FIELD
SA'IURATlOO .
Checked condition of tank and baffles/tees for cracks, deterioration or damage. If applicable, checked
cessp::>ol walls for settlement and/or partial cave in.
properly closed tank cover.
Returned t.l-¡e rerroved sod or re-seeded (returned earth to as close to it's original condition as p:¡ssible
Liquid level in tank is:
Maintenance appears:
arove normal
good
norm,\!
fair
below normal Sludge depth
px>r Depth of lid
'IYPE OF SYS"IU1
septic tdnk (# of tanks
TYPE OF TANK
steel
TY?E OF ABSORPl'ION AREA
leaching field
cessp::ùl
concrete
raised ¡round
aeration system
fiœrglass
seepage pit If of pits
other
Tank size:
gals
other
SYSTEM a:MFQNENI' cnIDITIOO cc:t-1MENI'S
Tank Or Cess¡::ool _Acceptable _Unacceptable
Holding tank (if present ) _Acceptable _Unacceptable
_N/A
Pump _Acceptable _Unacceptable
_N/A
Absorption System ~ Acceptable _Unacceptable
· ,,-'
CXMPANY DI.OCLAIMm
Based on what we were able to observe and our exparience with oo-site IoØSte\oØter technology, we sul:mit this
Sewage Treðtrœnt Inspection Rep:>rt based on the present condition of the on-site sewage treatment system.
Good Man Sanitation has not been retained to \otlnãl1t, guarantee, or certify the proper fWlctioning of the
system for any period of t.iIæ in the future. Because of the mmerous factors (usage, soil characteristics,
previous failures, etc.) which may affect the proper operation of a septic system, as well as the inability
of our ccrnpany to supervise or IIDl1i tor the use or maintenance of the system, this rep:>rt shall not be
a:nstrued as a warranty by our oanpany that the system will function properly for any particular buyer.
Good Man Sanitatioo discla:iJDs any warranty, either ~.........d or iaplied. arising fran the inspection of the
septic system or this rep::>rt. ~ are also oot ascertaining the ÌJliBct the system is having on the
groundwater .
~7.ll'1; CDfPANY
(;(XX) M1\N SANITATIOO
2495 C1\PE: GEDRGE: RD.
PORT ~, WA. 98368
PHONE AND ~ (360) 385-7155
I acknowledge that I have studied the information contained herein and that my assessment is honest, thorough,
and, to the best of my ability, oorrect.
NAME
TITLE
BELCW, EXPIAIN NEX::ESSARY REPAIRS wrm ES'1'IMATÐ> CDS'!' ro CJ:RRB:T, AU:N:; WI'I'H SIŒ1tE œ SYSTEH ICCA1":ltN.
",'
Kirsap Co.
!'EE S
\tE;"'IO~
DA TE
o & i\I ANNUAL REPORT FORLy!
ËDIT
:--Jam~ ofOwn<;:r
A:>sessors Accow1t ==-
Nzune of Business t.lf-.J.pplicQb¿'n
..
Describe Type (ex. Rest:lUrant. Hair Salon, e~c.)
..
Sit~ Address
City
PRE- TRE:A n..!ENT DEVICE,' :vr.-\.:--Il'FACTL"RER (e.g. Sandrìlter. Aerobic erc.):
CHECK A.LL THAT APPL Y:
R~sidential (R-IJ, -' High Risk = Low Risk
D i.!; infection: '= T,S. I
. , T.$.:
CommercialIC):
High ICI)
== Medium (C-2)
_ Low (C-1)
SA..'YIPLING SCHEDULE
DISSOLVED - CHLORINE . , .'
..- _0 .. .. ,. ~~'..~:-
.. ox::~~:_ ~~TENPERATURE 'RESIDUAL
pH- -- , OTHER -":, -
-. -.
, '- '. '- jirreq iJ iÌ-ed) ,
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... - .. .. .- . g.~ ....-00- --- --
I DATE RESULT 'DATE .. RESULT. DA.TE,· . RESULT 'DATE -- RESULT .TYPE -DATE - RESULT
I - -.. -
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RECORD OF MEASUREl\1ENTS
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INSPECTION ACTIVITY: Check all applicable boxes located 011 the back of this page.
Note: All activities listed which are applicable to the on-site sewage disposal (OSS) system serving this site, must be
inspected and checked off. íncomplete reports will be returned to the Maintenance Specialist with a resubmittal fee.
COlVThIENTS: Briefly de.scrióe any o/the/ollowing activitie$ that have occurred during the contract period: Additional
inspections not listed above; Clarifications from the Inspect ion Activity checklist on the_ back of this page, and/or: Indications 0/ high
waste strength, toxic discharges, repairs or malfunctions. List daters) when (hey occurr,~d or were observed
...
OSS SYSTEM STATUS:
WORKING SATISFACTORILY _WORKING/CORRECTIONS NEEDED*
(* Explain under "COMMENTS" section above.)
FAlLURE*
Company Name
-". -,.
-.--
.. Contract· date: ftom
.-:':'t.ò
,
. -, ,- . I
. ,'-I
. , .
SIGNATURE.OP·MAINTENANCE SPECIÄLIST X Dilte
-:'"his. ~xr"l: i"d~~ 'be c:o"dirion or1he above ""-!lite 5~E:e- !vntTn Jttht.~im~ IJfìn.sDCCtlO'n d..3tcd. !tdDet'nm ~1nt~C' thü it will canl;nue fel function ~fltfl.Ctm"'lv
INSPECTION ACTIVITY (check boxes as applicable)
SEPT
IC TANK Inspection: (date) (date)
Depth of tloming mat in I St ~ompartment - inches - inch.:s
Depth of sludge in pt compartment - inches - inches
De¡llh or tJoatlng mat in 2nd comp;J.ttment - inches - inches
D~Dth or' ,;judge in 2nd comp:lrtrru:nt - inches - inches
EtTIuenl baffle screen accessible, in place DYES ': NO. eYES ~NO. .
EfIluerH baftk screen cle¡med: eYES :NO. :YES :J NO.
Watcrtlght (no Ylsu:Jllcaks), including risers: CYES J),JO. :; YES ::;NO.
Risers & lids in good condition. lids securely fastened: :: YES .: NO. JYES :J NO,
S<:nling. e~osion or ponding problems: : YES. :J NO : YES. :NO
Seone Tank Pumping Recommended: :::YES. ..DNO JYES. eNO
TANK
Vault ,en:.:n, cJeaned: DYES : ;-,¡O, CYES ::NO. I
Floats rlmctionicg properly: eYES =NO. ,JYES ONO.
Pump Draw Down: - Inches/min. - Inches/min.
['.,jsers and I ids good condition, Iids securely fastened: eYES :NO, : YES ~NO.
WJlertigQt (no visual leaks), including risers: : YES eNO, eYES DNO.
S<:ttling, erosion and/or ponding problems: GYES. :: NO eYES. JNO
Pump Tank Pumping Recommended: eYES. :NO JYES. ONO
Unusual JInOunt of sludge. scum: : YES. :J NO JYES. ::NO I
BUTION (0) BOX ~ ifa<:cessible
! Equal distribution of emuent to each latend: DYES CNO. JYES eNO. I
I
SlOt..; VALVE
Wastewater being diverted to COITect drainfield: eYES CNO. CYES ONO. i
ROL PANEL
Timer settinçs ON OFF ON _OFF I
- - - I
Alarm working satisfactorily: DYES r; NO DYES CJ NO
FIELD (d!) PROTECTION
[Graded prop~rly for surface water run off: DYES DNO. DYES eNO.
I Downspouts diverted away from dminfield: DYES CNO. CYES DNO.
¡ Evidence: of vehicular or livestock traffic over df: DYES. CNO eVES. DNO
¡ Encroachment on df, i.e. buildings, driveways, etc.: DYES. :J NO 'J YES. ONO
TV DRAP.>i"FIELD
Settling, erosion or ponding problems in df area: DYES. DNO CJ YES. DNO I
URE DRAINF1ELD
I Sealing, erosion or ponding present in df area: DYES. eNO 2 YES. CJ NO
, Later;¡ls flushed: DYES SNO. o YES DNO.
I A II I aleral s have equal flow and residual pressure
I (meilsured at the distal end of each lateral): DYES eNO, CYES DNO. I
S line/udin!; Glendon BioFilters)
Se~¡Jage around toe of mounds observed: DYES. :¡-'¡O ::YES. :J NO
Structural integrity and ground cover ok: DYES eNO. DYES iJ NO.
Equal dosing to multiple modular units-Glendaa only: CJ YES :NO, JYES :NO.
ILTER
All ¡Ju:r~ls have equal flow and residual pressure eYES JNO, DYES JNO. i
I
(m<:J.5ured ilt L'Je distal end of each lateral):
Laterals tlushed ¡individually): DYES :NO, eYES L. NO.
Grade and cover meets requirements: o YES ::-.i0, :: YES :JNO.
Pump basin installed in sandfilter (see "PUMP TANK" secrion above).
IC TREA DŒN'T UNIT
Air supply working satisfactory: DYES ;: NO. DYES eNO.
Abrm working satisfactory: DYES c: NO. DYES DNO.
Seltl.:ble Solids, Sludge level measured: DYES CNO. I] YES DNO.
Unit needs to be pumped: eYES. =: NO JYES. C:::NO
ECTION UNIT
Unit working as expected: DYES ::NO, eYES ONO.
Chlorine tablets in place: DYES eND. ;:;YES èJNO.
UV Bulb replaced: (date) (date)
ECTION UNIT
I Unit working as expected: DYES :J NO. DYES CNO. I
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DlSINF
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eYES
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(date)
eYES
DNO.
( date)
MINIMUM CONSTRUCTION & COMPONENT REQUIREMENTS FOR
OPERATION & MAINTENANCE ACCESSIBILITY
1. Control panel with programmable timer and counter, and alann.
2. Riser on pump tank (sealed and watertight) with finnly secured lid, i.e., hex bolts or
locking devise (a I OOOgal.1iquid capacity pump tank is required for surges of use).
3. Screw caps at ends of laterals. _
4. Clean outs brought up to finished grade or enclosed within riser. Maximum
angle pemitted is 90 degrees (should be 2-45degree fittings).
5. Orifice holes must be faced at 12 o'clock position ( may have ~d hole facing down for
drainage ).
6. Orifice shields required or cover with length of larger diameter pipe cut lengthwise.
7. Ball or gate valves on laterals near manifold if installed on a slope.
8. When a pressure drain field is ¡nsmlled on a slope downslope from the septic tank:
A. [nstaJl dosing tank (pump tank) below drainfield and have the pump line enter the
manifoJd from the bottom. ¡fthis pump location would not allow for inspection and/or service of
the tank. the pump tank will be placed upslope of the drain field next to the septic tank.
B. Construct! install anti-siphon devise in pump tank to avoid siphoning downslope to
drain field area, and install ;
C. Pressure/valved manifold (located at top of drainfield) used with a separate line to each lateral or;
D. Hydroteck valve (mechanical ratchet) or;
E. Some other device that assures equal distribution of all laterals and keeps the bottom
lateral from being overloaded.
9. Check valves on manifold between laterals if installed on a slope. to prevent effluent
from running to bottom lateral and overloading the bottom lateral.
10. Valves must be Schedule 40 or greater..
11. Valves acccessible within riser.
12. All piping must be a minimum of Class 200 ( laterals. manifold and transport
pipe).
13. Septic tank filter required, unless followed by a dosing (pump) tank where a screened vault filter
surrounding the pump wiIJ be required (note; maximum pump capacity when using a sceened vault is
30 gal.lmin.). It will be recommended to have both filters.
14. Minimum number of doses/day will be set for six (set on control panel).
15. Riser on septic tank (sealed and water tight) with finnly secured lid, i.e. hex bolts or locking devise
and a riser above septic tank filter (if used) will be required.
16. Observation ports instaIled
PreS.fllN! $Y'ìte11t.'ì (wI/en numD tank is installed below drab,field)~
1,2.3,4,5,6. 7, SA. 9, 10, II, 12. 13, 14, 15, 16
Pressure Systems (when oumo tank is installed above drainfield):
1,2,3,4,5.6. 7, SA. 8(B, C, D, or E), 9, 10, II, 12. 13, 14, 15,16.
Sand Filter:
1,2.3.4,5,6.10, II, 12, 13,15, 16
15. Minimum number of doses/day wiIl be set for twelve (12).
16. Observation ports:
a) InstalJed in sand fiJrer at gravel and sand interface.
b) Installed in drainfield within ten (I 0) ft of beginning of eacn line and one
within ten ([ 0) feet of the end of each line.
Pressure /'vfOlll7d'ì (wI/ell nllmn tank is installed below mound):
1,2.3,4.5.6. 7, SA, 10, 11. 12. 13, 14, IS,
16. Observation ports: InstalIed in middle of mound at a.) the depth of the mound and original ground
interface and, b) at gravel and sand interface.
Pres.,;urf! Mounds- on a sloDe (when Dllmo tank is installed above mound on slone):
1,2.3,4,5,6, 7. 88, S(C.D, or E), 10, 11. 12. 13, 14, 15. 16. Observation ports: Installed in middle of
mound at a.) the depth of the mound and the original ground interface and. b) at gravel and sand interface.
"access. doc" 7197
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MElVIO#
DATE:
OPERATION AND MAINTENANCE SPECIALIST _CERTIFICATION SETUP
BKCHD CERTIFIED COMPANY:
SITE ADDRESS:
TA....\: ID NUMBER:
SYSTEM TYPE:
PHONE:
IÞ
OWNER NAME:
( CHECK ALL THAT APPLY)
3ardwired ......................... LJ YES 0 NO
Squirt height oflaterals: Feet:
Control panel type:
3.edundant off working . .. 0 YES 0 NO
Timer cycling correctly. ..0 YES 0 NO
Inches
High water alarm working ............0 YES 0 NO
On/Off float working ................. 0 YES 0 NO
Counter reading:
30ur meter reading:
In time:
Jfftime:
:;Joseslday:
hrs. mIn.
hrs. mIn.
Gallons/day:
sec.
sec.
7ank:
:>rawdown:
gal/inch
inchl min
Drawdown:
Drawdown:
gaVrnin
gal/dose
-\ll components acc::ssible .. 0 YES 0 NO
Override link removed 0 YES 0 NO 0 N/A
?t~1P TO GRAVITY
AEROBIC SYSTEM
~ardwired ...................... .. 0 YES 0 NO
:-iigh water alarm working ..0 YES 0 NO
JnlOffworking ............. ..0 YES 0 NO
Zedundant Offworking ...0 YES 0 NO
Aerobic device type and model:
Disinfection unit type:
Alarm functioning .......:...............0 YES 0 NO
Hardwired...:...............................O YES 0 NO
Sample port ................................ 0 YES 0 NO
:;LENDON M~31 UNITS
ill units have been field checked for equal flow/distribution.................................................. 0 YES 0 NO
= OIvfMENTS:
,iG·NATURE
1JH :-li-99.setub.doc
-
PRINT NAl\1E
-
DA TE OF SETUP
Raurn Address:
lS<o 'Àb
\~ -h( \~\'f\\)K.
~RÇM7~~( ~ \'A.CK~\2-
"
,
"NOTICE TO TITLE"
FTLDJ FOR THE RECORD AT THE REQUEST OF BRE.'JERTON-KITSAP COUNTY HE:A.I.TH DISTRICT
NOTICE FOR MAINTENANCE AND MONITORING REQUIREMENT
BKCHD ORDINANCE 1995~14 A.'ID WAC 246-272-15501 (2)
DATE
TAX ASSESSOR'S ACCOUNT #
LEGAL DESCRIPTION:
Additional Legal Description Can Be Found On Page _or Document
ON-SITE SEWAGE SYSTEM: OPERATION, MAINTENANCE & MONITORING REQUIREMENT OF
THE BREMERTON-KITSAP COUNTY HEALmDISTRICT.
The residence or facility OD this property utilizes an alternative method of sewage disposal which requires
regularly scheduled ma.i.ntenance and monitoring. Ma.i.ntenance and monitoring i.! required to be performed
by a person certified by the Health District:l.! specified in Bremerton-Kiuap County Board ofH¡>.alth
Ordinance 1995-14 and WAC 246-272-15501 (2).
Signature of property Qwncr/gr:J.ntor
Print name
Signature of property owner/grantor
Print name
Signature of penon recording notice to titleJgrantor
Print name or comp:J.nY name
Additional Signature.! Can Be Found 00 Page_Of 111i" Documeot
offiight4. Willwordjorm.nct cø..doc REv. J 1/12'96
L<arry Fay
From:
Sent:
To:
Subject:
Dave Lenning [dlenning@prodigy.net]
Friday, March 02, 2001 7:42 PM
Larry Fay
RE: WOSSA 0 & M Program Development- Draft Form
Larry,
Thanks for your reply. I don't know how fast this is going to happen -
as
you could expect, some WOSSA members want and expect it to happen right
now.
Others, me included, would like to have it happen right now, but thing
some
good solid planning is needed first, with appropriate input from various
sources. I fully believe we'll be a good way there this year, but it
will
take some time - both planning, funding, legal review, how to handle
complaints/discipline, etc. Then there is always the question of
staffing.
But we're serious about it and will do something - hopefully with help
from
DOH. You and all of the EHD directors will certainly be kept informed.
Dave Snyder is leading some of the work on these forms - he wants
comments
and ideas, including other forms. If you could see that he gets a copy
of
what you've developed and other comments, that would be great.
WOSSA has decided to try and develop a full package pertaining to
monitoring
& maintenance that could be useful to local health jurisdictions around
the
state ~ part of this is a certification package. This will entail a lot
of
work, but needed work so we can progress forward. It should support
both
the designer licensing effort as well as the insurance/assurance effort,
while helping move us more toward the time when performance standards
truly
are doable. We're just starting the planning effort for all of this -
aqain
you'll be kept informed and given opportunities to participate.
I'm hopeful that we can sponsor a series of workshops throughout the
state
to explain what we want to do, what our thinking is on how to do it, and
to
obtain input about everything related to this.
Thanks again for your comments and support. We'll definitely be
talking.
Dave
-----Original Message-----
From: Larry Fay [mailto:lfay@co.jefferson.wa.us]
Sent: Thursday, March 01, 2001 9:55 AM
To: 'Dave Lenning'
Cc: Linda Atkins
Subject: RE: WOSSA 0 & M Program Development- Draft Form
1
309383 HIGHWAY 101
P.O. BOX 247
BRINNON, WA 98320
SETTLERS REAL ESTATE
February 25,2001
Jefferson County Board of Commissioners
P.O. Box 1220
Port Townsend, W A 98368
Re: Septic Regulations
Dear Commissioners:
I have two concerns about the new septic inspection and monitoring regulations
recently adopted by Jefferson County; 1) Inadequate and insufficient public notice and
education. 2) Potential liability and litigation created by this new regulation for the
County, the Real Estate professionals and homeowners wishing to sell their property.
The Jefferson County Health Dept. has chosen a triggering mechanism of the
"sale of property" as the means to implement the 1995 State requirement for development
of a plan for onsite sewage system operation (OSS) and monitoring/maintenance. This is
not only a dangerous means of implementing this plan, liability wise, but it is unfair and
onerous to all parties involved; the seller, the buyer, other parties related to the
transaction and to the real estate professionals in Jefferson County. Those in the real
estate industry should have been given more opportunity to participate in the fonnation of
these rules since they are constantly being asked to buffer and absorb the anger ftom the
public over onerous regulations imposed by the County. ,....
The County is shirking its own responsibility in choosing to comply with the new
regulation by putting the burden on property owners who are in the process of selling
their home. This may jeopardize the owner's ability to sell their home. Additionally, the
County is putting the buyer in a position of possibly losing the opportunity to buy the
home or delaying the process of closing the home which may cause financial burden and
in some cases legal suit. With multiple parties involved in a real estate transaction, the
coordination and critical timing for a successful and peaceful sale is already a full time
professional job. New home buyers are entering into the fold now with the interest rates
dropping to a level for the first time that would allow these buyers to afford their own
home. Often, these buyers can barely afford to buy at the lowest interest rate and must
lock~in that rate to allow for the time to complete the financing and closing of the home.
If the interest rate goes back up, they have lost the ability to buy that home. Any delay to
the process can cause them to exceed their anticipated time :&ame for closing. To add to
Each Office Is Independently Owned And Operated.
that process a delay for inspection of the septic system could cause them to lose the
opportunity to own that new home. The sale of any home most likely is related to a chaU1
of home purchases by the seller and other buyers that are relying on the closing of that
transaction to complete yet another transaction. The County may fmd themselves in the
middle of a costly legal suit and liability to a seller and multiple buyers who have been
harmed by the delay. As a licensed real estate Broker in the State of Washington, being
carefully responsible to avoid situations where I or my client can be liable for damages, I
resent being put into a situation by the County that may involve me in that suit as well.
The Health Dept.'s utilization of a property owner's vulnerability at the time of sale of
their home is mean-spirited legislation.
The average number of home sales in Jefferson County is 1200 per year. I believe
you could quickly check with the Assessor's Dept. to fmd out that, at that rate, and
assuming no re-sales, we will never get the monitoring plan completed. \Vhereas, an
organized system of notifying property owners and covering the entire county, area by
area, would assure an accurate and completed monitoring plan in a great deal shorter time
fi'ame, without undo hardship on property owners trying to sell their home.
Besides being an onerous burden on the real estate industry and the property
owners of Jefferson County, the County Health Dept. regulations actually are not even
complying with the State Law. The law states (under WAC 246-272-15501) "that the
local health officer shall: (b) develop and implement plans to: i) monitor all ass
performance within areas of special concern; ii) initiate periodic monitoring of each ass
no later than January 1, 2000, to assure that each ass owner properly maintains and
operates the ass in accordance with this section... . . . . . . ". For the County to rely on the
sale of homes or the remodel of a home that would require a change in the use of an
existing septic system, does not even begin to address the State's requirement to
implement a monitoring plan for all onsite sewage systems in the county. Since the ~'
majority of homes are owned by early retirees in our county, most owners will likely not
sell or apply for a building permit in the next 20 years or more. So, the monitoring
schedule will never fully be implemented as the State has required, at least not in the next
5 or more years. Additionally, the County has not complied with the law that states "the
health officer shall disseminate relevant operation and maintenance information to ass
owners through effective means routinely and upon request" (WAC 246-272-15501 2, üi)
or" Assist in distributing educational materials to OSS owners" (2,iv) I would venture to
say that 95% of all property owners do not even know this regulation has been passed.
I would like to suggest a workable change to our plan for implementing a monitoring
schedule for all of Jefferson County.
. 1) Delete language in the current plan both in Table 1 and Section 8.15.150, or
elsewhere, that refers to "the sale of the property" and replace it with "upon notice
from the County Health Dept. of initial inspection for monitoring".
This change will effectively put the responsibility for completing the task of
implementing a monitoring schedule for all properties in the county back into the Health
Dept's. hands, where the State intended.
. 2) Develop a broad campaign to educate the public about the need and plan for
monitoring schedules for septic systems in our County.
At this point, the County has not met the State regulations of disseminating information
and educating the public about this new regulation. To say that there was a notice in the
paper and public hearings for this is grossly inadequate notification to property owners on
such an important regulation. Many of our homeowners in Jefferson County are retired
and spend much of their time in sunnier climates half the year, some don't subscribe to
the local paper and a vast majority of them did not attend or even know ora public
hearing on this regulation. Every property owner in Jefferson County could be notified of
the new regulations by mail with the mailing of their tax statements or some other
effective way.
· 3) Develop a systematic schedule for inspection of every imoroved property in
Jefferson County utilizing the existing records of the Assessor's Dept, beginning with
"areas of special concern", as noted in the State regulations.
The State regulations intended for those areas of most special concern for the health of
the general public to be 'addressed first. I propose that the Health Dept. set up a schedule
of inspections for every parcel ofproperty in the County where the Assessor's records
show a home or improved land. This could be systematically done by area with
notification to each property owner in that area in advance. Owners would be expected to
prepare: their ass for evaluation, documentation and monitoring schedule in advance of
the inspection.
Thank you for your consideration.
'--
...........
"
i---~
A ttention Volunteers
Do you occasionally have potlucks as a part of your meetings?
Have you ever been to an event that provided food to attendees?
If so, have you ever wondered how the food was prepared, who made it
and if it could make you sick-or worse yet, you suspected that it did
make you sick?
THIS CLASS MAY BE FOR YOU!
Jefferson County Health and Human Services is offering a class for all
volunteers who are interested in learning about how to serve food
safely. The free class will last for approximately 1.5 hours. Class
locations are:
· Thursday April 19th at 7:00 pm at the Masonic Lodge in Port
Hadlock, 190 Masonic Hall Rd.
· Tuesday April 24 at 7:00 pm at the Masonic Lodge in Port
Townsend, located behind the Port Townsend Post Office.
The format will be informal and conversational. Topics covered
include:
);> risk of food borne illness
);> education about various organisms that cause disease
);> how disease causing organisms are transmitted
);> prevention of disease through safe food handling practices
Time will be available for clarification of the permitting process. We
strongly urge that your organization send one or more representatives to
this class. Space is limited; please pre-register by calling the Jefferson
County Environmental Health Department at 385-9444.
.. Possible Topics for a Local Boards of Health Workshop in Fall. 2001
Please indicate your level of interest in each of the topics listed below. This will aid
greatly in planning for a workshop. Also provide the following information:
Number of Years you have served on a local board of Health:
Your capacity on your local Board of Health (check one):
_ County Commissioner
_ County Council member
_ City Council member
Non-elected member
Makeup of your local health jurisdiction (check one):
_ County Department
_ City-County Health Department
_ Single County Health District
_ Multi"County Health District
.
Topic High Medium Low
Powers/responsibilities of the Board of Health
Powers/responsibilities of the Health Officer
Local Health Jurisdiction Fees and other Revenues
State Board of Health Role
State Department of Health Role
Tuberculosis/Conununicable Disease Control
Sexually Transmitted Disease/HIV / AIDS
Inununizations childhood and adult
Recreational Water Safety and Health
Onsite Sewage Systems
Public Drinking Water Systems
Solid Waste and Public Health
Tobacco and Minors
Tobacco Prevention and Control
Clean Indoor Air Act/Indoor Air Pollution
Food Safety/Food Handlers
Shellfish Safety
Illegal Drug Labs and Public Health
Antibiotic-resistance Bacteria
Bioterrorism
Pandemic Influenza
Emerging Diseases with Public Health Impact
Child HealthlEarly Intervention
Family Planning
·~urse-Home Visiting with high-rlskfamilies ...... ....
Youth Violence Preventinn
Your Level of Interest·
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Jefferson County Health and Human Services
FEBRUARY ~ MARCH 2001
NEWS ARTICLES
These issues and more are brought to you every month as a collection of news stories regarding
JetTerson County Health and Human Services and its program for the public:
1. "Study: More spent on drug abuse than transportation" - Peninsula Daily News.
1/30/01
2. "Prevention Council hosts Right-of-Way drummers today" - P.T. LEADER, 2/14/01
3. "Supporters meet today to discuss teen center" - Peninsula Daily News, 2/21/01
4. "Hospitals watch supply of vaccines" - Peninsula Daily News, 2/21/01
5. ""Making it easy for 72-hours-after pill" - Commentary by Ellen Goodman, Peninsula
Daily News, 2/28/0 I
6. ""Study: County residents living longer - but poorer" - P.T. LEADER, 2/28/01
7. ""Anti-smoking coalition forms on March 5" - P.T. LEADER. 2/28/01
8. '"Jefferson: County may alter septic permits procedures" - Peninsula Daily News,
3/6/0 1
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G
Study: More spent on drug
abuse than ~itransportation
BY REBECCA COOK
THE: AsSOCIATED PRESS
0LYMPlA - Washington
sta:te spends more money deal-
ing with alcohol, drug and cig-
ar~tte abuse than it does on
transportation, a new private
study indicates.
The state spent 11 percent
of its budget, or $1.5 billion,
on cleaning up the "wreckage"
of ' substance abuse in 1998,
acéording to a study by the
National Center on Addiction
and Substance Abuse at
Columbia University. By con-
trast, Washington spends 9
percent of its budget on trans-
portation and 14 percent on
higher education.
Sen. Julia Patterson, D-
SeaTac, who has introduced a
package of drug-related bills,
says the study proves her
point.
--;>~
I-x,-ò/
"I don't think the citizens
of the state of Washington
know the extraordinary mone-
tary impact that drug and
alcohol addition is having on
our state. budget," Patterson
said Monday. "It costs us liter-
ally millions of dollars a year
in social services. And it isn't
just a financial issue, it's a
human suffering issue as
well. "
Washington'!! ,drug-relat,ed,
spending was lower than t~e
national average in 1998, the
year studied. States spent
$81.3 billion dealing with sub-
stance abuse, about 13 percent
of their budgets. Of the total,
$7.4 billion was for tobacco-
related illnesses.
States used only about 4
percent of the total amount
spent, or $3 billion, for preven·
tion and treatment programs,
the study said. The rest of the
money was spent in areas
ranging from law enforcement
and welfare to health care and
education.
Washington followed the
general trend, with 4 percent
of substance-abuse spending,
or $57 million, going toward
prevention and treatment.
The report says states
should invest more in preven-
tion and treatment. Patter-
son's bills would do that. One,
patterned after a successful
California initiative, would
require treatment rather than
jail time for first· and second-
time nonviolent drug offend·
ers. Another bill would allow
minors and the poor to get
state-funded substance abuse
treatment on demand, A third
would require women who
repeatedly abuse drugs while
pregnant to get treatment or
risk losing their children.
4 Prevention Council~
. .' ~ J '! ; f:! -,
·hosts Right -of-Wâ~j v.c
drummers toda' V ~¡';:~;J..:~~~. J~
.".-' '.-.- ,..' ··_..'J··~")J~~'!fJ:::'i
~~~~~~::= '=~~~~I'~t..
Nerwork's Prevention CoauciI ¡roup hu &eea mobflf=~,._,.. .
meetiD¡ at 4 p.m. today *. tbe Andy Mackie, who bu ., , ;;0;....
Spruc:eRoomlttheWSUl~ and played to sponsor~ Q
ing Center in Port Hadlock '11:< events and other acti~ties ~ ~- r .
The drummers ue bem, courage dru,-free valuel~ ~~ -t:::" .
showcased as part of a presenta- lifestyles amon, county ~G' ...:...
tion by Kip Hubbard, RiJhI:áf- The Community Neiwött ¡
Way executive director, who will helps to fill gaps in loci! oUt: :r-ø
.' , . -. ~. ~ y..f"i -- .
speak on the variety of creIIive sideMof·school youth proarun.
youth enrichment programa of- by offering funding opportûíit!
fered by his organization. The ties for Dew and expandtd
public is invited to attend. projects. For more information
The meeting also features a on the Community Network,
group of Quilcene youths and call 379M4495.
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@
~ition ~: . :.' February 21, 2001
Hospitals
watch supply
of vaccines
"'k.._...,
Vaccine: Shortage
CONTlNUED FRO~ Al
'We use i[ until it's gone.
and when it's gone. it"s
gone"
Officials at ,JefTerson Gen-
eral Hospita in Port
Townsend could not be
reached for comment on the
status of the vaccine supply at
that facility.
Although it ha.sn't been felt
on the North Olympic Penin-
sula, many experts in other
parts of the nation believe it's
one of the worst drug short·
ages facing hospitals in years
- and they don't expect it to
be the last.
Shortages of medications
that hospitals use every day
are occurring with more fre-
quency, and worse, they more
often involve products with
few good alternatives.
While experts can't point to
a shortage that has cost a life, Other shortages
it's a possibility th~t haunts It's not the onlv .,hor'ag,'.
doctors·and pharmaClst!!.:. J "..,; Abbott Laboratories has run
. "It"s reaHy':hard'·to"talk· out of lifesaving intravenous
a?ouo' ratIoning care,", said Isupra!. kept on hosoit:d
Lmda Tyler, pharmacy man- "crash cans" to re\·j\·e cardiüc
ager at the University of Utah arrest victims because )f a
Hospital. problem with' its ingredient
supplier.
Doctors are using workable
but somewhat less desirable
alternatives.
Eye surgeons are stretching
final supplies of Wycase,
important in numbing eyes for
cataract and other òurgeries
after Wyeth abn:ptly qU1é
making it, too.
Also in short supply is ,he
powerful painkiller fentanyl,
and Narcan, used to rewrsCo'
morphine overdoses.
)Jobody keeps good stad,-
tics, but the nation's large;"
hospitals and the Food "nei
Drug Administration açee
shortages - 1Ð.$tiog from
weeks to months at a time -
are increasing from a few cric·
cal drugs a year to about :1
dozen.
Why? Sometimes a Com-
pany's ingredient supplier
quits making a key ingred:cnt,
or demand temporarily spiKe:;.
Sometimes FDA discovers
health-threatening violatIOns
in a factory and tempornrily
halts production - partl;: to
blame for last fall's 111.1 vacjne
shortage.
Some manufadurers d€'~ide
a product is not profiUble
enough, With increasing (irug
company mergers, there are
fewer competitors making the
same medicines anymore and
thus fewer that can qui~kly
pick up the sjack_
LINDA TYUR
ph,lr:'1::ç; r~J.~.l~n
ratorie~ last month stunned
hospitals by suddenly ceasing
to make the vaccine altogether,
calling it Ha business decision.·'
CDC praises the sole
remaining manuf"cture:' -
Aventis Pasteur - for working
around the clock to brew more
of the millions of doses needed
annualiy. But each batch takes
11 months to 'make. so reliff
isn't expected before 'l'ar,
end.
_-\rea av~oiding
U.S. tetanus
shot shortage
Drug shortages
HospitalS are facing more drug
shortages. including a huge shortage
of a{JL,;It tetanus vaccine. As a result,
hospitals are forced to ration tetanus
shots, reserving them for high.risk
p<:l!lents. The tetanus situation illustrates
one big cause of shortages:
o Without warning. one of the two
manufacturers quit making tetanus
vaccine. leaving the other to meet
hosPltals'demands.
Ð From buying additional ingredients to
finlshirg the shots, it takes 11 months to
make <1 batch of tetanus vaccine.
é~:~e'-:,~ .~
e~·~~~
c ::.\r~SULA DAILY NEWS
_:0 THE AsSOCIATED PRESS
Hospitals nationwide are rationing
",:blt tetanus shots, reserving them
-'-J)' burn victims and other severelv
-.:lJured patients, because of a short.
.?,~ of the crucial vaccine.
The shortage apparently hasn't
-,:'(ected North Olympic Peninsula
--:J,;pitals or health clinics yet. But
--:x'dical officials here are well aware
:' ·.vhat is occurring elsewhere across
. :¡e nation.
"We are aware there is a shortage,
-:Jt we've always been able to have it
__:1 hand for our patients as needed,"
-~ l:/ffi pic Medical" Center Director of
:.;~. blic Relations Rhonda LoPresti
c:ud.'We do a couple of tetanus shots
:'~r day in our emergency depart-
--;-.l.nt."
Reserving doses
The hospital hasn't offered
adult tetanus booster shots
since fall, reserving scarce
doses for high-risk patients
with burns, infected wounds or
other severe trauma.
"We use it until it's gone,
and when it's gOlJe, it's gone,"
she said.
So far the tetanus crisis con-
cerns only adult versiolJs of
tetanus vaccine, not children's
vaccine. But Centers for Dis-
ease Control and Prevention
experts are watching closely to
see if the shortage spreads _
and worrying about adult ill-
nesses this spring, when vac-
cine demand rises along with a
seasonal jump in injuries.
Supplies already were tight
because of production difficul-
ties when Wyeth-Ayerst Labo-
~~f;~~ª~.#)Ul./.····.··· ....:............................... .
ors must approve..~
its release. " ., r ,-""'.:,..'
o Meanwhile, hospitals keep
smaller inventories of drugs, so
they run out 01 vaccine faster than
they once did. ... and the orders
...... ...... stack up, unable
~ ~: to be fi~I~~: /"
~ìstrìbution..,lvaçcinos... '" .....". ,,- .. . -"""~_. ø
I Y,' :'",' t't i, '1$ ~ If'"....
As coordinator of the C]allam "'. ~,: ':7_"
:0·.mty Health Department's Immu- " .
-..zation Program, Ann Johnson over- Other drug shortages
,'-'(5 the distribution of vaccines to the Fentanyl: A powerful narcotic painkiller
"":"-"Jority of the county's physicians' ohen used by cancer patients.
:T:'ces as well as Forks Community IV Isuprel: For hospital "crash carts.
:-:úspitaL to revive patients in cardiac arrest.
:~lthough she's aware of shortages Wydase: Vital for certain eye surgeries.
=-- some parts of the nation, Johnson Narcan: Used to reverse overdoses of
-ó:.id the state Department of Health, morphine and other painkillers.
::e source of most of the Peninsula's
-:tccine supply, has not reported any
, ::(lrt:1ge.
"If we were to experience a short-
......"1.', the state would restrict the vaccine
-."'{. to children aged 18 and under," she
..Jd. ''We did receive a warning just
.: m' Christmas of a possible shortage
SOURCES.- FDA; Avant/$ Pas/euf
AP
in the adult vaccine, but we haven't
heard anything since and we really
haven't experienced a shortage."
TURN TO VACCINE/A2
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I
Anti-smolàng coalition
forms on March 5
You can do something about
tobacco addiction.
The Jefferson County To-
bacco Prevention and Control
Coalition is now being formed,
and community members of all
ages are invited to join. Coordi-
nated by the Jefferson County
Heal th Department, the
coalition's first meeting is 2-4
p.m. Monday, March 5 at WSU
Jefferson County, Port Hadlock.
The Centers for Disease Con~
trol estimates that 20-25 percent
of the population smokes. Addi-
tionally, one in three Americans
will die from tobacco-related ill-
nesses. People who smoke often
begin in their teens, and most
smokers say they want to quit. It
takes an average of five to seven
7T L£AD6K
2-2f-ò!
attempts for a person to quit suc-
cessfully.
If you arc concerned about
tobacco use in our community,
the coalition welcomes you. The
March 5 meeting will include
presentations from Washington
State Department of Health and
school staff.
Washington state recently
launched the roll-free Tobacco
Quitline (1-877 - 240- 786 7) and a
statewide media campaign.
WSU Jefferson County is lo-
cated at 20 I West Patison in Port
Hadlock.
For information about the
coalition or tohacco prevention
and control activities in Jefferson
County, contact Kellie Ragan at
the health department, 385-9446.
)
(j)
Jefferson: County may alter
septic permits procedures
The Jefferson County Planning Commis·
sion considers changes to the Unified Devel-
opment Code regarding septic permits when
it meets Wednesday at 7 p.m.
Commission Chainnan Tom McNerney
told county commissioners Monday that that
septic engineers, builders, realty agents and
housing fInanciers should attend the meeting.
The change would let property owners
obtain septic permits without having to get a
building permit. They would still have to pre-
pare a comprehensive site pl8nbefore
installing a septic system.
The meeting takes place at the WSU Com-
munity Learning Center, Shold Business
Park, 201 W. Patison St., Port Hadlock.
fbJ
3-b -01
..
..
Jeffer5-Q~ Health. Access- Summit
March 12, 2001
Purpose: To identify problems facing the health care system and to discuss
community-based strategies for improving access to care in East Jefferson
County. The specific strategy. bein9-proposed is to pursue the development of a
local health authority which can organize and coordinate health care funding and
services in East Jefferson County.
Outcome: Written summary of summit and determination if there is adequate
support to seek major grant fundin9- to continue work.
Sponsors: Joint Boards (Public Hospital District Commissioners and Jefferson
County. Board of Health) with fundingfrom the Washin9-ton Health Foundation. A
report has been developed by an appointed workgroup which includes business
leaders and representatives of seniors, low income residents and health care
providers. This report summarizes current access problems and makes
recommendations for initial steps to improve local access.
Facilitator: Role is to make sure program moves ahead relatively on time,
gives directions to participants, moderates last lar9-e group discussion, introduces
speakers.
Invited Guests:
50 - 75 community and state leaders (see list at end)
Summit Agenda
9:30 - 3 PM Tuesday,- May 22,. 2001
9:30 Welcome and Introductions
9:40 Overview of Agenda - Facilitator
9:50 The State of Health Care Across the State
Leo Greenawaldt, Washington State Hospital
Association
...~-- .. L ..
10:15
Health Access Problems in East Jefferson County
10:45
Joint Board and Workgroup Process to Address the Health
Access Crisis: Findings and Recommendations
11 :00
The Idea of a Local Health Authority: A Model for Stabilizing
and Improving Health Care Access
11:45
Break
12:00
Lunch
12 :45
Discussion of Recommendations
Smaller groups of 10 -15 people with assiQ!1ed
facilitator, recorder, reporter
1:30
Reconvene to compile discussions
Facilitator
2:45
Summary and Next Steps
Draft Invitation List as of (3/12/01)
7 Board of Health
5 Public Hospital District Commissioners
3 Health Dept Staff
5 Hospital Staff L vI U '{~ ( )
10 Workgroup (Tim Caldwell, Charles Sadler, Bob Pieden, Bruce
McComas, Brent Shirley, Lorna Stone, David Beatty, Dan Wollam,
Claus Janssen, Julia Danskin)
3 Workgroup Speakers (Greg Vigdor, Aaron Katz, Bill Hagens)
5 Local Physicians
3 City Council
1 State Senator
1 State Representative
1 Don Hogland or pharmacist
1 Joanne Saul (restaurant industry)
1 Jim Westfall
1 ECHO representative for Churches
1 Blue Bills representative (retired Boeing)
1 Elizabeth Gilje (KPS President)
1 School District representative
1 Judy Morris
1 MUW
"'...--.!. ..
2
1
1.
5
Kwioas I K,,,twrCA)
EDC 1
Republican part~ rep
Democratic party rep
MurdockFollnrf~tion
Gates Foundation
State-wide support (Don soloma, Kristen West, Dan Baumgarten,
Jane Beyer, Rae Sailors,
Mike Glenn (OMC). Jan Ha~es (Forks Hospital)
Mental Health
Sllh$tanca1\buse...Treatment.
Facilitators (Kris Locke, Debby Peterman, WHF folks)
(/\~ .1' 1\ I ; y.
lJ. \ ~rYìc::'f\ I~ I. ¡ :¡"-' , ,~, .,.-~,-(} j .( I ".
n C\fS I (Y, \iÜfY,t :j í~': (( @ ;,'G:/ -1) "
U
1.
1
1
1
1
1
6
73.
Total