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HomeMy WebLinkAbout08 August JEFFERSON COUNTY BOARD OF HEALTH MINUTES Thursday, August 17, 2000 Board Members: Dall Ha¡pole, lvlember - COllllty Commissioller District #1 Glen HlIlltillgfòrd, Member - COIIllty CommÙJÍOller DÙtrict #2 Richard IPq¡i, lvlember - COUllty Commissioller District #3 GeoJfrry Ma.rd, Member - Port Towll.rend City COllmil Jill Buhler, Vice-Chairmall - Hospital Commissioner District #2 Sheila Westermall, Citizell at Lat;ge (City) Roberta Fri.rsell, Chairmall, Citizen at Large (COUllty) Staff Members: Jeall Baldwill, Nursillg Services Director Larry Fqy, Ellvirollmental Health Director Thomas Locke, MD, Health O.flicer Chairman Frissell called the meeting to order at 1:30 p.m. All Board and staff members were present, with the exception of Member Masci and Commissioner Huntingford. APPROVAL OF MINUTES Commissioner Wojt moved to approve the minutes of the June 15, 2000 meeting. Chairman Frissell noted one correction to be made to Page 6, paragraph 5, second sentence. Dr. Tom Locke revised the sentence to read "He agreed that even though the single most effective solution to infectious disease transmission is hand washing, infections transmitted by needles and sexual means are among the most deadly of microbes." Vice-Chairman Buhler seconded the motion. The motion carried by unanimous vote. OLD BUSINESS FOLLOW-UP REPORT -- BOARD OF HEALTH MISSION STATEMENT: Chairman Frissell read the Mission Statement developed at the Board of Health Retreat last month. Commissioner Harpole moved for approval of the Mission Statement as presented. Commissioner W ojt seconded the motion which carried by a unanimous vote. FOLLOW-UP REPORT -- AGENDA ITEMS FOR NEXT YEAR: There was a brief discussion about the list of agenda items. Since 12 items were listed, there was Board support for looking at one item per month. Jean Baldwin indicated that many of the issues listed are consistent with the Departments' work plan. Regarding the Methamphetamine Summit, Commissioner Harpole encouraged staff to obtain information from Pierce County. Linda Atkins agreed to notify Board members about the Department's six-hour training in October focusing on Methamphetamine law enforcement and health effects. The meeting agenda was revised to include the following items under New Business: Transit, Immunizations, and Jefferson General Hospital. HEALTH BOARD MINUTES - August 17, 2000 Page: 2 SEPTEMBER 13. 2000 STATE BOARD OF HEALTH MEETING AT FORT WORDEN: Dr. Tom Locke reviewed the schedule of events. Following a State Board of Health business meeting in the morning, will be a luncheon with Jefferson and Clallam Boards of Health. The afternoon session from 2:00 to 5 :00 is a public forum with three components: an information open house, presentations from various community representatives (early childhood intervention, child welfare issues, and healthcare access), and a public comment period. He recommended the Board attend the luncheon and afternoon sessions. Formal invitations will be mailed. NEW BUSINESS .JEFFERSON COUNTY TOBACCO CONTROL PLAN: Kellie Regan reviewed the plan outline for utilizing $20,000 in Tobacco Prevention and Control education dollars. The objective for the first year is to reduce exposure to environmental tobacco smoke (ETS). The purpose is to raise the public and private awareness of Washington Clean Indoor Air Regulations through home, work and recreation venues. A coalition of local individuals and organizations will be planning and implementing the program. Statewide activities as outlined in the plan include a telephone survey and a statewide media campaign/quit line. A key indicator in Jefferson County is that up to 25% of newborns go home from the hospital to smoking families. She distributed copies of the youth art magnets that will go in the Eliminate ETS exposure packets. .JEFFERSON COUNTY FAIR REPORT: Linda Atkins reported that a $250 donation from the mill, along with Health Department funding, allowed 100 free bicycle helmets to be given away to children who signed a safety contract. The Northwest Regional Emergency Medical Services and Trauma Care Council provided the helmets and staff training. Goodman Sanitation donated and serviced two hand- washing stations and the units were well used. Jean Baldwin and Linda Atkins agreed to write thank you letters from the Board. Jean Baldwin reported that a Clallam/Jefferson Safety Coalition, with representatives from Health Departments, Sheriff Departments, and PT As will continue to look at childhood accident prevention. TRANSIT: Member Westerman talked about the value of bus service offered between Seattle and Port Townsend. The issue of transit service is significant and she asked whether Health Department funds could be used to place an advertisement in support of the proposition. Commissioner Harpole reported that without the sales tax, service would be cut by 50% at the beginning of the year. If the initiative passes, approximately 93% of the funding that was lost with the MVET (Motor Vehicle Excise Tax) and 1-695 will be made up. He indicated that the County Commissioners passed a resolution of support and it is likely the EDC and the Democratic Club will also support the proposal. The City has the resolution on their Monday night agenda. Contact is also being made with other organizations and service clubs to gain resolutions of support. HEALTH BOARD MINUTES - August 17, 2000 Page: 3 The Board discussed that while it may be possible to develop resolutions in support of the initiative, only private funds could be used to do an advertisement. Commissioner Harpole moved to support a resolution in support of the proposal called "Proposition I" to increase the sales tax collected for the benefit of our local transit. Member Westerman seconded the motion which carried by a unanimous vote. Commissioner Harpole agreed to forward a standard resolution format to Jean Baldwin so that a copy of the resolution can be included in the next Health Board packet. He will communicate the Health Board's support at the next Transit meeting. IMMUNIZATIONS: Chairman Frissell mentioned the letter to the Editor in The Leader from Physician Cory Reddish. The caption was "Parents Right to Worry About Immunizations." Dr. Tom Locke commented that when a healthcare provider makes a public statement such as this, the Health Officer should respond. He agreed to follow up once he receives a copy of the article. STATE AUDIT -- .JEFFERSON GENERAL HOSPITAL: Vice Chairman Buhler reported on actions taken by the Hospital since the recent charges filed by the State Department of Health. The most serious charges involved food service and poorly documented procedures. The Hospital has contracted with the Health Department to conduct unannounced food safety inspections and will hold food handling classes. The State is aware of and is satisfied with the Hospital's response plan prepared by the consultant recommended by the State. The healthcare access issue has been delayed until these charges are properly resolved which is estimated to take sixty (60) days. Although the hospital had been investigating a quality assurance program to address problems, they did not respond quickly enough. ON-SITE SEWAGE CODE ADOPTION HEARING: Larry Fay reported that this item is considered a pre-adoption briefing instead of a hearing because proper legal notice was not provided. Final issues will be addressed and the hearing will be scheduled for next month. The ordinance included in the agenda packet is the same version last reviewed by the Board. Linda Atkins reviewed the key substantive changes in Draft 4 of the ordinance compared to current rules. These changes were outlined in a separate document titled "Onsite Sewage Code Revision 8.15." The Department has already noted sections that are incorrectly numbered. She noted additional typographical errors and language modifications from the Board. Other issues discussed by the Board while reviewing changes were: Page 5,8.15.080 (14). Filling holes. It was suggested that a phone call be made in addition to a post card notifying property owners of their responsibility for the open soil logs. Page 12,8.15.150 (9). BondlInsurance. Staff is recommending including more comprehensive coverage. HEALTH BOARD MINUTES - August 17, 2000 Page: 4 Page 11, (3)(e). Proof of experience as a certified installer or designer. It was stated that it seems unreasonable that the only way you can become an O&M person is to have been a licensed designer or installer. Following discussion, Larry Fay recommended revising the language in this section to reflect that you must meet these qualifications before you can take the exam and be certified. While he does not believe it is unreasonable to expect one year of experience, it might be possible to accept a variety of means to demonstrate that experience. He agreed that a person does not necessarily have to be a licensed designer to be eligible to install, operate and monitor. Similar language requiring experience will be added under installer (on page 2). Pg. 10, 8.14.130 (3) Staff clarified that this section refers to septic tank activities associated with pumping a septic tank, not evaluating components of the system. Pg. 11,8.15.150 (4)(b)(ii) Replace "uncover" with "excavate." And under (a), language will be added "if authorized by the homeowner." Page 14,8.15.160 (6)(d) There was a clarification that while the PUD handles monitoring exclusively, the homeowner decides who provides maintenance and repairs. There was discussion about the possibility for community sewage treatment. There was some discussion about the level of service offered by the PUD. It was recommended that the PUD inspection staff be certified by the County. Pg. 15,8.15.180 (4) Appeals/Hearing. There was a brief discussion about the concept of moving appeals from the Board of Health into a hearing examiner process. There was support for retaining the current appeals process as long as it does not hinder the other work of the Board. Other comments were that hearings are not strictly legal issues and the makeup of the Board is appropriate for an appellate process with its community of citizens representing the County, City, Hospital District, and members at large. Table 1. Linda Atkins reviewed the rationale behind the monitoring requirements. The Board expressed concern about citizens taking responsibility for filling out annual monitoring reports. The desire is to comply with State guidelines for one year inspections. Larry Fay said the Department should soon have a report of 13 years of PUD inspections that would detail and explain system failures. An initial review of the data indicated that there was not a significant amount of problems arising after the first year. If citizens do not file an annual report in the second and third year, then the PUD does the inspection at the owner's expense. He said it is going to be important to make the inspection a service and not a requirement. Another suggestion was to look at requiring biannual inspections on commercial high-strength waste for alternative systems. CENTENNIAL GRANT: Larry Fay announced the County received an $84,000 State Centennial Clean Water Grant from the Department of Ecology for help in implementing education and outreach of the Operation & Monitoring program. Of 270 projects, the County ranked 4th. HEALTH BOARD MINUTES - August 17, 2000 Page: 5 AGENDA CALENDAR/ADJOURN 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 3:55 p.m. The next meeting will be held on Thursday, September 21 at 1:30 p.m., followed by the Joint Board Meeting at 3:30 p.m. JEFFERSON COUNTY BOARD OF HEALTH ì /tð-tU-it4. dMdi¿( Roberta Frissell, Chairman (I,' II (:;µJJ- J~hler, Vice-Chairman (Excused Absence) Glel} Huntingford, Member / / ' / " t "-/-1 .' I 'L /-v1--1 ' 't .....1..y.~ -- , Dan Harpole, M~mþe; I Richard W ojt, Member t ¡ !: (', \ ¡ L, L· I ),-...¿ , I""¡:_)J k.. ""V~¡,¿\ ì~~-_ ;. Sheila Westerman, Member Erin Lundgren BOee Office PO Box 1220 Port Townsend, WA 98368 JEFFERSON COUNTY BOARD OF HEALTH ~".............. :---... -, ,-0- ! D) ~ (C; I~ ~ \W ¡;C; fUr>: lrL1 . VJ_~ I ) AUG 1 0 2000 .-/ Thursday, August 17, 2000 1:30 - 3:30 PM Jefferson County Health and Human Services JEFFERS ON cau NTY Conference Room BOARD OF COMMISSIONERS AGENDA I. Approval of Minutes of Meeting of June 15, 2000 II. Public Comments III. Old Business 1. Follow-up Reports A. BOH Retreat Items: Mission Statement, Agenda Items for Next Year (5 min) Jean 2. September 13, 2000 State Board of Health Meeting at Fort Worden: Jefferson County Board of Health Role (5 min) Tom IV. New Business 1. Jefferson County Tobacco Control Plan (20 min) Kellie/Jean 2. Jefferson County Fair Report (10 min) Marty/Linda 3. On-Site Sewage Code Adoption Hearing (60 min) Larry/Linda V. Adjourn Next Meetin2: September 21, 2000 1:30 -- 3:30 PM, Board of Health Meeting 3:30 - 5:00 PM, Joint Board Meeting JEFFERSON COUNTY BOARD OF HEALTH :\ MINUTES f;)~~ Thursday, June 15,2000 Board ~'vIemberJ: Dan HaJpole, ¡\1ember - COUll!)' Commissioner District #1 Glen Huntingjôrd, ivlember - Coun£y CommÙJÌoner DÙtrid #2 Richard J.r7qjt,lvlember - County Commissioner District #3 Geoffrey Ma.rd, ZY1ember - Port Town.rend Ci(y Coundl Jill Buhler, Vice-Chairman - Hospital Commissioner District #2 Sheila IV-esterman, Citizen at Lar;ge (Ci(y) Roberta Frisse/I. Chairman, Citizen at !.A~e (County) Stafflvlembers: Jean Baldwin, ~\jursing S en/ices Director !.Arry Fqy, Environmental Health Dirrxtor Thomas Locke, J\1D, Health Ojficer D~AFl Chairman Frissell called the meeting to order at 1:35 p.m. All Board and staff members were present, with the exception of Commissioner Huntingford and Member Masci who arrived after the meeting was in progress, Chairman Frissell introduced Mary Selecky, Secretary of Health for the State of Washington and Marie Flake, Liaison for the Local Health Departments with the State Department of Health. She also introduced Lynne Saddler as the new Director of Health and Human Services for Clallam County. APPROVAL OF MINUTES Commissioner Wojt moved to approve the minutes of the May 17,2000 meeting. Vice-Chairman Buhler seconded the motion. The motion carried by unanimous vote. PUBLIC COMMENT Chairman Frissell noted the letter in the packet from the Jefferson County Oral Health Coalition. Member Westerman asked for more information about how oral health care fits with the issue of health care access? Dr. Tom Locke and Jean Baldwin responded that the factors in oral health care are costs, dental access to care, willingness of dentists to take certain insurance (e.g. Medicaid), fluoridation, and sealants. Dr. Locke noted the letter is addressed to both the Hospital Commissioners and the Board of Health to consider oral health care as one of the dimension of health care access. He believes it is one of the most critical health care issues with children. Vice Chairman Buhler reported that recently Jefferson General Hospital received as many as 10 emergency room visits in one month resulting from a lack of dental care. HEALTH BOARD MINUTES - June 15,2000 Page; ,.., Commissioner Harpole requested that staff acknowledge the receipt of the Coalition's letter, making them aware of access discussions, and encourage their participation. OLD BUSINESS FOLLOW-UP REPORT ON SCHOOL IMMUNIZATION EXEMPTIONS: Dr. Locke reported that in February the Board of Health discussed the fact that Jefferson County had the 2nd highest exemption rate (8.7%) in the State for immunization of school-age children and staff agreed to look into the matter for additional findings. He reviewed the State law regarding exemptions and listed the three exemptions allowed: personal, medical, and religious. Public health nurses Jane Kurata and Ruth McDougall conducted an assessment of the reported exemp60ns. The goal was to discover which children were totally not immunized, partially immunized, and what differences there were in school programs. The Public Health issues with exemptions are determining which students should be excluded from school during an outbreak and getting a high enough percentage of people immunized (approximately 95%) to prevent outbreaks in the community. The goal is to get the children back on an immunization schedule. Jean Baldwin said that with no child tracking system in place, the Department made the decision to put forth the extra effort to go through every school record. Most principals were surprised at the assessment. One person from each district, with good record keeping skills, was appointed to serve as a resource to other schools. Dr. Locke said even though there is not yet a simple system for record keeping on immunizations, the Board of Health has an enforcement role dictated by the State Board of Health Code. Commissioner Harpole recommended going back for a second review in October and November. If the numbers are not changing significantly, then he believes a stronger message needs to be delivered. Charles Saddler recommended issuing a cut-off date for individual compliance in the schools. Lisa McKenzie explained that Jane Kurata has been discussing with each school ways they can change their process to institute an immunization cutoff date. Schools have been reluctant to do that, however this year she thinks local schools will do a better job. Member Westerman said this is an important issue. Schools have taken a strong stand on removing kids with head lice. She believes parents should be informed that until their child's immunizations are complete, they will not be allowed. Jane Kurata reported that one of the schools with a fairly high out-of-compliance rate has had an increased number of children getting their shots up to date because they could not be enrolled in kindergarten unless they had all of their shots. HEALTH BOARD MINUTES - June 15, 2000 Page: 3 Vice-Chairman Buhler said she is concerned how not immunized children will be identified in the event of an outbreak. Jean Baldwin said the schools will receive a packet of information this week and a follow-up packet in September. Every year, schools receive this same information. She agreed to include in the letter that a spot check will be done in October. This level of tracking is extremely difficult to do manually because technology is not currently a part of the tracking process. Commissioner Harpole said with many new school superintendents, how do we make sure our efforts become a part of the institution? Jean Baldwin proposed sending the report to all school board members. The Board agreed that would be helpful. Commissioner W ojt said schools are funded on the basis of their enrollment on October 1. Mary Selecky proposed partnering with superintendents in the month of August, using the local newspaper, informing parents to make sure their child's immunization record is up to date. The original issue of the legislation on exemptions was liberty and the burden fell to the school for policing. The 296 school districts agreed to help implement the immunization law, but they argued they did not want to be the ones to decide whether it is a true medical or religious exemption. Chairman Frissell summarized the Board's recommendations. The report should be sent to school board members from the Board of Health and follow up spot checks will be conducted in the fall to gauge whether a heavier effort is needed. Vice-Chairman Buhler said the Board is not saying the children have to get their immunizations, but that they need to complete the paperwork or keep the children out of school. Charles Saddler said it appears that, with the number of exemptions there is a public health issue to address. Making sure the public is truly receiving good information in making an informed decision about those exemptions. Lisa McKenzie said immunizations are discussed in the well-child clinic and WIC clinic. There have always been a significant number of families who are of an alternative lifestyle and feel they are making the best decision for their children. They do not trust immunizations and feel they are harmful for the body. This remains one of the immunization clinic's biggest challenges. She indicated there are many web sites that are anti-immunization. Jean Baldwin reviewed the efforts to date working with doctors and offices. Dr. Locke said part of the public education effort could list the high-quality Internet sites that present a pro-immunization viewpoint. HEALTH BOARD MINUTES - June 15,2000 Page: 4 Commissioner Harpole suggested that in the information packets given to local schools, the cover letter include a list of resources for good information, either Internet sites or through the Department. Charles Saddler said in other jurisdictions there are advertisements listing the immunizations needed for particular grades and at the bottom a list of information resources. Jane Kurata said they will have an ad ready to go in The Leader later this summer. Member Westerman suggested this information be in The Leader's back-to-school issue along with bus schedules. Chairman Frissell asked if the schools are provided with printed information? Jean Baldwin responded that Hilary Metzger a school nurse has met with each district. Jane Kurata added that copies of a newly-revised booklet that addresses risks and benefits of vaccines are given to each school. Lisa McKenzie said the Health Department has many fact sheets and booklets that they distribute and make available. Vice Chairman Buhler asked about targeting the doctors with a reminder to ask parents about immunizations. Jean Baldwin responded that the Health Department did an update in March with all of the clinic nurses in the County. NEW BUSINESS THIRD PARTY SANITARY SURVEYS OF GROUP A WATER SYSTEMS: STATE AND LOCAL ROLES: Larry Fay said this item was put on the agenda because of Mary Selecky's presence. He felt it was a good time to have a discussion about state, regional and local partnerships, programs and funding. However, because Bill White, the Assistant Secretary for Environmental Health, was not able to attend the meeting, the discussion will be postponed. From a management standpoint, Larry Fay said he views third-party sanitary surveys as an effective program. However, he wonders what level of service are we providing and believes there may be ways to partner in a multi-county region with the state facilitating some kind of dialogue. Mary Selecky said she would enjoy and support scheduling and participating in a roundtable discussion. She said water systems are high on the Governor's agenda. HEALTH BOARD MINUTES - June 15,2000 Page: 5 Larry Fay said the County has an agreement with the State to perform local pool licensing and inspection. Even though it is a State program, due to recent budget cutbacks the State is no longer a partner as previously agreed and inspections have fallen solely on local Health Departments. Commissioner Harpole suggested that once the roundtable discussions are complete, that there be an opportunity to review the issues with the Board of Health possibly in August or September. He said and Mary Selecky agreed it is a legislative issue. .TUL Y 20TH BOARD OF HEALTH RETREAT: Chairman Frissell reviewed the list of issues prepared by her, Dr. Locke and Jean Baldwin. She asked the Board for additions, deletions or changes. Dr. Locke addressed the issue of emergency preparedness to bio-terrorism as listed on the agenda. He believes it might be useful for the Board to examine the survey of how well we are doing in delivering fundamental public health services in the community. Mary Selecky commented that to date, Public Health, as the third or fourth tier of emergency response, has not been very involved. She reviewed the level of response and community resources. Commissioner Harpole recommended rearranging the agenda to begin with the JCHHS Program Review and that this portion be done during a working lunch. Commissioner Wojt talked about including others in these discussions such as Bob Minty with the Jefferson County Department of Emergency Management. Dr. Locke recommended first collecting information about those relationships with emergency services and other organizations. A CONVERSATION WITH MARY SELECKY. WASHINGTON STATE DEPARTMENT OF HEALTH: Mary Selecky delivered a slide presentation for the purpose of opening dialogue on the status of public health. Her presentation outline was as follows: X Impact of the safety of public health X How fast can my community identify the next infectious disease? X You will decide which problems to solve and how X You will decide what policies will lead to better health X People care about public health and they want results X Difficulty meeting demands with tighter spending limits X A Statewide communicable disease network X A one-day test for E. Coli X High childhood immunization rates X Improving retailer compliance for tobacco sales to minors X More lives saved through statewide trauma planning X Our population is growing X Growing population means environmental threat HEALTH BOARD MINUTES - June 15, :WOO Page: 6 X Poverty will continue to become a public health issue X We're now dying from behaviors we can change X Research in genetics will bring issues we've never seen - ethics X Microbes will continue to adapt to a changing world - like HIV X There will be continuing public health challenges - population growth, environmental pressures, infectious disease, poverty and disparities, unhealthy lifestyles, tighter budgets, genetic research X 10 great achievements in public health since 1900 - vaccination, motor vehicle safety, safer work places, control of infectious diseases, decline and deaths from coronary heart disease and stroke, safer and healthier foods, healthier mothers and babies, family planning, fluoridation of drinking water, and recognition of tobacco as a health hazard X What will be the accomplishment in our life time? Member Masci joined the meeting at 2:55 p.m. She complimented the Board for their work on having joint meetings with the hospital. She complimented the elected officials who said we will enrich our discussions if we add people to the table - there are only about five or six counties that have followed suit. She complimented the County's fabulous staff - their initiative in taking leadership roles, bringing their individual contributions, caring about their work, and their dedication to providing service. She feels human health will be broadened to focus on environmental health. Mary Selecky said Health's role is to look at human population-based community health, she believes other departments focus on the bigger picture. Commissioner Harpole said that in the top 10 list of successes for public health one of the main practices was washing hands. He asked if counties might consider taking action improving public awareness? Dr. Locke said that through food inspection programs work is done with restaurant owners. He agreed that even though the single most common solution to infectious disease is hand washing, needle and sexual transmissions are among the deadliest of microbial. Mary Selecky proposed that she and Dr. Locke get the State Board of Health to partner with local boards of health on a singular issue like hand washing and request that the State to pay the bill for purchasing cling-on stickers or bumper stickers. Member Westerman feels that with people living longer environmental health is affecting public health. She asked whether public health could be broadened to consider environmental affects to the public? Mary Selecky said environmental health is the impact of the earth, air, and water on humans. She feels there are issues, although on a smaller scale, concerning the consumption of contaminated water. Commissioner Huntingford joined the meeting at 3:25 p.m. Chairman Frissell thanked Mary Selecky and Marie Flake for coming today. HEALTH BOARD MINUTES - June 15,2000 Page: 7 AGENDA CALENDAR/ADJOURN Board of Health Retreat 12:30-5:30 - July Solid Waste Ordinance and State Board of Health Update - August Meeting adjourned at 3:30 p.m. The July Board of Health meeting is canceled in order to hold a Health Retreat. The next meeting will be held on Thursday, August 17, 2000 at 1:30 p.m. JEFFERSON COUNTY BOARD OF HEALTH Roberta Frissell, Chairman Geoffrey Masci, Member Jill Buhler, Vice-Chairman Richard Wojt, Member Glen Huntingford, Member Sheila Westerman, Member Dan Harpole, Member The mission of Jefferson County Health & Human Services is to protect the health of Jefferson County residents by promoting healthy communities and environments. DRAFT 2001 Agenda Items PLAN 5 YEAR DEMANDS · Continued stable funding to replace · Trend analysis/Demands MVET · Access health care · Affordable housing · Program measures · Genetic research & PH implications · Methamphetamine summit · Performance Standards & Community Assessment · Tobacco prevention & coalition · Fluoride · Transit and Public Housing · Bioterrorism readiness & plan · Aging population · Water · Maternal Child Prevention Goals (0-3) Richard Wagner 10 Pinecrest Court Port Townsend WA 98368 June 5, 2000 To: Kala Point Board of Directors Kala Point utility Company Jefferson County Dept. of Health Washington state Dept. of Health RECE~VED "'I () 6 "'''''0 vu... v ,:'.V ..: :.:.- - {_ '-' \.oJ ..~~ : y HEALTH DEPT. Subject: Condition of our water supply. During our recent probl¿m with E.Coli and fecal coliform I was surprised to learn this state does not require chlorinating public well water systems, they prefer to \!ilit till there is contamination, then wait a week to tell people, do a short term treatment, then stop. (tombstone system) At this point there is no use boiling the water because if you are going to get sick it's a "done dealll. - This spring there was a community in the news every week with contaminated drinking water, more reason for chlorinating full time all the time. Which is more important, funny tasting water or illness and death. 100 years ago people lived about 45 years, we didn't get to 75 years by wishing for it, one of the factors was the cleaning up of the water supply, at least in the east. In Pennsylvania where I came from I never heard ~f i.Coli or fecal coliform in drinking water, we had PCB's, but I guess nothing is perfect. In a underground distribution system that develops a crack anywhere in it contamination can and does get in even though the water is pushing out, testing once or twice a month is not as good as chlorinating. As for cost: I called the municipal dater dept. I used to work for part time in Penna. For their 2200 home system using gas, 2 to $3000 for the equipment, this is the easiest system to operate but not the best way to go. The liquid system is 5 to $600 and a better system but there is Gome long tarm co~r0~i~n problem~ at the point of injection. My friends back east were surprised to learn we would have unchlorinated systems. My own feeling is that all water systems in heavily populated areas should be suspect at all times. Sincerely, ~~II~ - P.S. Copies to be sent to our local state legislators. 8.15.010 8.15.020 8.15.030 8.15.040 8.15.050 8.15.060 8.15.070 8.15.080 8.15.090 8.15.100 8.15.110 8.15.120 8.15.130 8.15.140 8.15.150 8.15.160 8.15.170 8.15.180 8.15.190 8.15.200 8.15 ONSITE SEWAGE CODE !)~JI (¡;¡J,'¡", TABLE OF CONTENTS Authority/Scope Purpose Adoption by Reference Administration Definitions Adequate Sewage Disposal Required No Discharge to Water or Ground Surface Onsite Sewage System Permit Design Community Onsite Sewage Disposal Systems Inspection Sewage System Installer Septic Tank Pumpers Sewage System Designers Operation and Maintenance Specialist Operation and Maintenance Areas of Special Concern Appeal/Hearing Enforcement/Penalty Severability Final Draft #4 8.15 Onsite Sewage Code March 2000 1 of 19 CHAPTER 8.15 ON-SITE SEWAGE DISPOSAL SYSTEMS 8.15.010 AUTHORITY/SCOPE. ~.. ~..~. "''l11 -'<¡i/.¡J"þ Pursuant to RCW 70.05 and RCW 43.20, the Jefferson County Board of Health is charged with the duty of protecting the public health and safety of all inhabitants of Jefferson County, and enacting such rules and regulations as are necessary in order to carry out these responsibilities and provide for the enforcement thereof. The provisions of this regulation shall apply to all territory within the boundaries of Jefferson County. 8.15.020 PURPOSE. The purpose of these regulations is to assure protection of public health by: (1) Minimizing the public health effects of on-site sewage systems on surface water and ground water (2) Minimizing the potential for public exposure to sewage (3) Establishing design, installation and management requirements for on-site sewage systems to accommodate long-term treatment and disposal of sewage (4) Enhancing protection of environmentally sensitive areas within Jefferson County (5) Compliance with the intent of Chapter 246-272, WAC 8.15.030 ADOPTION BY REFERENCE. Washington Administrative Code Chapter, 246-272 On-site Sewage Systems Rules and Regulations of the State Board of Health, as now or hereafter amended, is hereby adopted by reference as Rules and Regulations of the Jefferson County Board of Health. 8.15.040 ADMINISTRATION. The Jefferson County Environmental Health Director, through authority delegated by the Jefferson County Board of Health and Jefferson County Health Officer shall administer these regulations. Fees may be charged for this administration. 8.15.050 DEFINITIONS. In addition to those definitions set forth in WAC Chapter 246-272 the following definitions shall also apply in this regulation: (1) Areas of Special Concern: Areas of definite boundaries delineated through a public process where the Jefferson County Board of Health determines additional requirements for on-site sewage systems may be necessary to reduce potential failures, or minimize negative impacts of on-site systems upon public health. (2) Community On-site Sewage System: Anyon-site sewage system designed to serve two (2) or more units with design flows of 3500 gallons per day or less. (3) Commercial on-site sewage system: Any non-residential or combined residential/non-residential on-site sewage system with a design flow of 3500 gallons per day or less. (4) Department: The Washington State Department of Health (5) Design: An on-site sewage disposal system design shall consist of a complete scale drawing of the site plan showing the proposed sewage disposal system, including all Final Draft #4 8.15 Onsite Sewage Code March 2000 2 of 19 relevant details as specified in WAC 246-272-09010 and 246-272-11501 and 246-272- 11001 and Jefferson County Policies. The design shall use the format and forms provided or approved by the Health Division. Proper identification and location of soil logs and drainfield components at the site are considered to be part of the design. . . (6) Designer: Until July 2000, An individual who has passed the Jefferson County desiqners exam, has insurance as specified, personally holds a Designers Certificate and performs the actual work of site examination and designing of on-site sewage treatment and disposal system in Jefferson County. Beginning July 2000 only professional engineers licensed in the State of Washington or individuals holding an onsite sewage system designer license issued by the Washington Department of Licensing. (7) Fees: Those charges as hereinafter authorized by the Jefferson County Board of Commissioners for issuing permits, making inspections as found necessary, and certifying individuals in the practice of designing, installing, pumping or maintaining/monitoring on-site sewage systems. (8) Health Division: The Jefferson County Health and Human Services Envfronmental Health Division. (9) Health Officer: The local Health Officer of Jefferson County Health and Human Services Department, or a representative authorized by and under the direct supervision of the local Health Officer, as defined in chapter 70.05 RCW. (10) Installer: An individual who has passed the Jefferson County installers exam, holds a current bond and insurance as specified in 8.15.120, personally holds an Installers Certificate and directly supervises the installation and/or repair of an on-site sewage disposal system in Jefferson County. (11) Notice of Violation: Written determination that a Violation of these rules and regulations has occured. (12) Operation and M::¡intonanco Monitoring Specialist: An individual with training, skill and experience in the maintenance/monitoring and operation of OSS_and is approved by the Jefferson County Environmental Health Division to inspect and monitor the performance of an OSS. (13) OSS: Onsite Sewage System (14) Probation: A period of penaltv where the individual committinq the violation shall be subject to additional review, reportinq and/or inspection. (15) Proprietary Device: A device or method classified as an alternative system, or a component thereof, held under patent, trademark, or copyright. (16) Pumper: An individual approved and granted a certificate to operate by the Health Officer to remove and transport wastewater or septage from septic tanks, pump chambers and portable toilets. Said individuals may repair baffles within the septic tank, install or repair risers on septic tanks or pump chambers and install outlet baffle filters in a septic tank. (17) Revocation: The termination of all the rights and privileges associated with a certification. Final Draft #4 8.15 Onsite Sewage Code March 2000 3 of 1 9 (18) Sewage Disposal Permit: A written permit issued by the Health Officer granting permission for the installation, alteration, expansion or repair of an on-site sewage system. (19) Site Installer: An individual that has passed the installer's exam and maintains an annual certificate. but is working under the direction and bond of another Certified Installer. (20) Soil Log: A detailed description of soil characteristics providing information on the soils capacity to act as an acceptable treatment and disposal medium for sewage. (21) Suspension: The temporary termination of all rights and privileges associated with a certification. (22) Violation: A failure to comply with the provisions of applicable laws, rules or regulations including, but not limited to instances or cases when: (a) A Designer submits a permit application or an as-built drawing òf an on-site sewage disposal system which contains any significant deviation below the minimum requirements for siting or sizing of on-site waste water treatment. (b) Designs, installs or approves: a drainfield installation in violation of the applicable regulations; one not fitting the size, shape or topography of the site, within set~acks, as specified in the WAC Chapter 246-272; specification or approval of inadequate construction material, devices or methods. (c) A system is installed in violation of the approved permit. (d) Installer fails to notify the designer and/or the Health Division when site conditions have changed making installation of the approved permitted system impossible or impractical. (e) A pumper disposes of waste from an on-site sewage disposal system or portable toilet at an unapproved disposal site. (f) A designer or installer fails to submit as-built plans as specified in chapter 8.15.110(4). (g) An authorized person fails to submit required reports to the Health Division as specified in the conditions of the on-site sewage disposal permit or in this chapter. (h) A certificate holder fails to pay fees as specified by Jefferson County Ordinance. U) A person holding a Certificate or license to design, install, pump or maintain an OSS fails to report to the Health Division within 24 hours non-functioning on-site components that could result in human contact with sewage effluent by (k) An owner fails to complete required O&M inspections, complv with the 0 & M schedule in Table 1 andlor submit the reports to the PUD. (I) An owner fails to complv with conditions of the onsite sewaqe permit. 8.15.060 ADEQUATE SEWAGE DISPOSAL REQUIRED. Final Draft #4 8.15 Onsite Sewage Code March 2000 4 of 19 (1) Every residence, place of business, or other building or place where people congregate. reside or are employed shall be connected to an approved public sewer. If no public seWEir is available, the building sewer shall be connected to an on-site sewage system approved by the Health Officer. Said sewage disposal system shall be built pr rebuilt, constructed and maintained in such manner as to meet the requirements as' prescribed by the Health Officer in accordance with minimum requirements and standards of WAC 246-272. Such system may include the use of waterless toilet devices in conjunction with an approved qravwater system or other proprietary devices approved by WashinGton State Department of Health. (2) Any unit/facility with the potential to generate waste water by virtue of beinq equipped with a toilet. sink, shower or other plumbinG fixture and is in a water service area or has a well on site. shall be connected to an approved public sewer or shall be connected to an on-site sewage system approved by the Health Officer. (3) Any new or replacement residence or any expansion of the square footaqe or major remodel to an existinq residence may be connected to an existinG onsite sewaGe system when the existinG system has adequate hydraulic capacity. meets vertical arid horizontal separation requirements and adequate reserve area in compliance with current code can be established. 8.15.070 NO DISCHARGE TO WATER OR GROUND SURFACE Effluent from anyon-site sewage disposal system shall not be discharged directly or indirectly to surface water or upon the surface of the ground, except where expressly permitted' by the Health Division or by the Washington State Department of Ecology. 8.15.080 ONSITE SEWAGE SYSTEM PERMIT. (1) No person shall install or cause to be installed a new on-site sewage system, nor perform any alteration, extensions, relocation or connection to an existing on-site sewage system without a valid permit issued by the Health Officer. (2) When applying for a permit to install an on-site sewage system, a detailed to scale construction plan of the proposed system and site is required and shall include all items identified in WAC 246-272-11001 (2)(a). Each application shall contain the information required in WAC 246-272-09001 as a minimum. (3) The minimum land area required for approval of an OSS permit shall be determined by either Method 1 or Method 2 as established in WAC 246-272. (4) Permits are transferable with property ownership. (5) Any sewage disposal permit issued under this section shall be valid for a period of three years from the date of issuance. (b) The permit may remain valid if the property for which the permit has been issued also has an active building permit for a structure that will be connected to the onsite sewage system. (c) If the system is not installed before the permit expires, a new permit may be applied for, based on standards in effect at the date of the new application. . Information as specified in 8.15.090 shall be submitted with any new application. Final Draft #4 8.15 Onsite Sewage Code March 2000 5 of 19 (6) Repair permit. Repair permits shall expire ninety (90) days from the date of issue. Repair permits may be renewed for an additional ninety (90) days if the Health Offit:?er determines it is warranted and thoro is no curklco dicch::lrge of cowage ::Ie dot::liled in .. (7) Any misrepresentation or inaccuracy in the construction plan or the permit application, whether intended or accidental. shall be considered as grounds for invalidating and voiding any permit issued under this section. The applicant is responsible for the accurate representation of all information presented. (8) For anyon-site sewage system proposed to serve a structure requiring a flood control zone permit under the provisions of chapter 86-16 RCW and chapter 508-60 WAC, or requiring a flood plain certification by Jefferson County under the provision of the Flood Damage Prevention Ordinance, the OSS installation permit shall not be issued until a flood control zone permit or flood plain certification has been issued in accordance with Jefferson County Ordinance 18-1120-95 or subsequent amendments. An OSS installation permit shall comply with the standards in said ordinance. . (9) Recording of a Permit. The permit, conditions and management/monitoring contract, if required, shall be recorded on the title of the subject property under the following circumstances: (a) A waiver from State or Local Code is applied for and approved; or (b) Combination of lots is required to meet minimum land area requirements of WAC 246-272; or (c) A Management/monitoring contract is required to meet the conditions of approval to meet a treatment standard, install a proprietary device or disinfection equipment. (10) Onsite sewage disposal permits shall comply with regulations and policies established in the Jefferson County Comprehensive Plan, Jefferson County Zoning Code, Critical Areas Ordinance and any other duly adopted land use regulations of Jefferson County, the City of Port Townsend in the case of lands within the city, or the State of Washington. (12) Any pending and all future permits and approvals for the subject property shall be withheld where written notice of non-compliance with Jefferson County Codes has been provided to the applicant. Permits and applications shall be released only upon satisfactory remedy of the non-complying action or activity. (13) No on-site sewage system permit shall be issued for Industrial, Chemical or hazardous waste disposal. (14) It shall be the responsibility of the owner or their authorized representative to fill/cover the holes provided for evaluation of the soils for an installation permit or subdivision review within 10 davs followinq notification that the inspection by the Health Officer is complete. The property owner shall be notified in writinq when the inspection has been completed. (15) Any OSS not located entirely on the property oriqinatinq the sewaqe must be secured by appropriate easements and/or notice to title recorded with the Jefferson County Auditors Office prior to final approval of the system installation. (16) Pending on-site sewage disposal permit applications. Final Draft #4 8.15 Onsite Sewage Code March 2000 6 of 19 (a) Applications for which no decision has been issued within twelve (12) months following the date of application, due to a lack of action by the applicant, shall expire by limitation. (b) The Health Officer may extend the time for action by the applicant for a period not to exceed 180 days upon written request by the applicant showing that· circumstances beyond the control of the applicant have prevented action from being taken. No application shall be extended more than once. (c) In order to renew action on an application after expiration, the applicant shall resubmit application and plans and pay current application fees and meet current rules and regulations. (d) The applicant shall be provided a 30 day notice by certified mail of the pending expiration of a permit application. (e) The statement "Voided - Lack of Action" shall be entered on the record for expired pending permit application. (f) Plans and other data submitted for review shall thereafter be retained as per the Jefferson County Records Retention Schedule. 8.15.090 DESIGN. (1) All on-site sewage disposal systems shall be designed in accordance with these rules, and the criteria in WAC 246-272-11501 (2) Permits shall be issued for wastewater meeting domestic waste strength criteria as defined in the "Design Manual: On-site wastewater Treatment and Disposal Systems," United States Environmental Protection Agency, EPA-625/1-80-012. Pretreatment shall be required for non-domestic/high strength waste streams. (3) The proposed drainfield lateral/bed shall be staked in the field for inspection and review. (4) Septic tanks shall have pumping access ports to ground surface over both compartments and at the outlet to facilitate inspection and maintenance.A homeowner may provide access ports to within 6" of the surface of the qround provided that a written aqreement to uncover them for required 0 & M inspections has been recorded with the title to the property.. (New for oper:::ltions ::md maintenance) 8.15.100 COMMUNITY ONSITE SEWAGE DISPOSAL SYSTEMS (1) Community on-site sewage systems as defined in this chapter shall be designed in accordance with the maintenance criteria as set forth in the current Washington State Department of Health "Design Standards for Large On-site Sewage Systems," 1996, or as they may be hereafter amended. (2) Management of Community on-site sewage systems shall be by an entity approved by the Health Division. If the lots are individually owned the management shall in all cases be provided by a public entity. A homeowners association is not considered an approved entity for the management of a community on-site sewage system. (3) All lots connected to a community system shall be equipped with a water meter or other approved method for monitoring flows into the system. (4) Sites proposinq community systems shall not exceed conform to the minimum land area requirements of WAC 246-272. (5) All community on-site sewage systems shall provide an annual report to the Health Division including the following at a minimum: (1) Number of connections to the system and each connections' desiqn flow. Final Draft #4 8.15 Onsite Sewage Code March 2000 7 of 19 (2) Copies of inspection reports consistinq of the items detailed in 8.15.160 (7) completed per TABLE 1. (3) Records identifvinq any maintenance completed on the system components. 8.15.110 INSPECTION. (1) The Health Officer may make inspections during construction to determine compliance with these regulations. (2) Final inspection - conventional systems (a) After completion of the work, the installer shall notify the Health Officer of the completion and shall request an inspection. The system may not be covered for 48 hrs (2 workinq days) unless a written notice is provided on the site that an inspection has been completed and the installation is approved by the Health Officer. prior to this inspection excopt as notad bolow. Tho dOlSignor (b) The Certified Installer shall submit an "as-built" drawing of the final construction to the Jefferson County Permit Center within ten (10) days of the final inspection request 6evef . The Certified Installer shall provide a statement and siqnature certifvinq compliance with the approved desiqn and WAC 246-272. (b) The Health Officer may waive this inspection requirement provided the installation has been performed by a Certified Installer, AND proper notification of the Health Officer requestinq inspection has been provided per (a) above AND provided further that the Designer of the on-site sewage system performs the inspection and provided the Designer is not also named as installer of the system. (c) No part of anyon-site sewage system installation shall be covored or put into use until inspoction ::md final approval has been obtained from the Health Officer. (3) Final Inspection - Alternative Systems (a) The Desiqner shall be contacted by the Installer to complete all required inspections per the approved plan. (b) The Desiqner shall be responsible for all inspections durinq the construction of the OSS and shall submit an as-built drawinq of the completed system to the Jefferson County Permit Center, to the system owner and to the monitorinq entity detailinq the results of the inspections within 10 days of system completion. (c) After completion of the system, when the system is fully functional and the as- built drawinq has been submitted, the Desiqner shall contact the Health Officer to schedule an inspection of the OSS. (4) Final approval of on-site systems by the Health Officer can be made only after satisfactory inspection of the installed system, receipt of "as-built" drawings of the final construction by the Health Division and compliance with conditions of the permit are met. (5) If installation or workmanship of the on-site sewage system does not meet the requirements of this code or conditions of the permit, the Health Officer shall order corrections and cause a subsequent inspection to be made. Fees may be charged for subsequent inspections. (6) Designer inspections. Nothing contained herein shall prohibit the Designer of record from requiring additional Designer performed inspections to insure compliance with design and regulation. (7) As-built Plans. (a) After installation of the sewage disposal system has been completed, a scaled and dimensional as-built plan of the sewage disposal system shall be Final Draft #4 8.15 Onsite Sewage Code March 2000 8 of 19 prepared by the Desiqner or Installer of the system as specified in 8.15.110 (2) and (3) on forms provided or approved by the Health Division. (b) The as-built plan shall include: (i) Measurements to existing site features enabling the first tank manhole to be easily located, and a dimensioned reserve area; (ii) For repaired or altered OSS, the new, repaired or altered components with their relationship to the existing system. (iii) North direction indicated (iv) Location of all sewage system components (v) Stub outs (vi) Tightlines (vii) Pump and/or siphon chamber(s) (viii) D-box(s) (ix) Drainfield lines or bed and fill area(s) when applicable (x) Other treatment components - sand filter, proprietary device, disinfection unit (xi) Driveway - existing and/or proposed (xii) Building(s) size, shape and placement (xiii) Water line(s) (xiv) Location of utility and/or other easements (xv) Slope(s) - direction and percent (xvi) Cuts, banks, terraces (xvii) Foundations (xviii) Property lines (xix) Surface waters, springs, wells (xx) Additional information as required for systems that are covered by Washington State Guidelines (xxi) Desiqner or Installers signature and date of installation (xxii) Other pertinent information (c) The ::¡s built pl::¡n sholl be submitted to the Health Officer no less th::¡n 30 d::¡ys 3fter oompletion of the installation and inspection. 8.15.120 SEWAGE SYSTEM INSTALLER. (1) Certificate Required. It shall be unlawful for any person, firm or corporation to engage in construction, alteration, repair or modification of an on-site sewage systems without first having been issued a Septic System Installers Certificate by the Health Officer. (2) Such certificate shall be issued only after the applicant has indicated a basic knowledge of the proper design and function of a sewage system and knowledge of the provisions of this chapter and WAC 246-272 by successful completion of a Health Division examination, AND provided written proof of satisfactory experience in the field of sewage system installation. (3) Renewal of Certificate. Application is required annually for certificate renewal. All certificate renewal applications, along with the required bond, renewal fee, and verification of continuing education shall be submitted to the Health Officer by March 15. The Certificate shall not be issued or renewed if the applicant is found by the Health Officer to be out of compliance or in violation of the provisions of this chapter. (4) Lapse of certification for lack of bond, payment of fees or verification of continuing education shall require completion and passage of the Health Division examination and provision of items identified. (4) An Installers Certificate is not transferable. Final Draft #4 8.15 Onsite Sewage Code March 2000 9 of 19 (5) An Installers Certificate grants authority to install any onsite sewage system approved for use in the state of Washington, EXCEPT in the case of a proprietary device where a special authorization, in writing, is required by the manufacturer or patent holder. (6) Exception. A bona fide resident owner may install an on-site sewage system on his/her own property for his/her own use without obtaining an Installers Certificate, PROVIDED: (a) that he/she complies with other terms of this chapter AND (b) that he/she installs no more than one (1) system in anyone (1) calendar year, AND (c) the resident owner does not arrange for, nor contract, nor hire, with or without reimbursement, any person or concern to perform that work, unless that person is a Jefferson County Certified Sewage System Installer as set forth in this section, AND (d) the sewage system is located on the same lot as the residence or situated on adjoining property controlled by the owner and legally listed as an !3ncumbrance. AND (e) prior to beqinninq installation the Health Officer AND the Desiqner are contacted to schedule required inspections. (7) Site Installer. A Certified Sewage System Installer may sponsor a site installer to be responsible for compliance with WAC 246-272-13501 (3). The Certified Installer shall inform the Health Officer of site installer's name(s) and of any changes in those individual's employment status. Site installers must pass the Installer's exam and maintain their annual certificate. (8) Bond Required. Prior to the issuance of a Sewage System Installer's Certificate, the applicant must be in possession of a bond obtained in accordance with the Special or General Contractors Laws of the State of Washington and provide proof of business liability insurance in the minimum amount of five hundred thousand ($500,000.00) dollars. EXCEPT, site installers working for or under the direction of a general contractor who is also a certified installer may have this requirement waived if the general contractor provides a written statement indicating their assumption of responsibility for the individual's work, and agreement to coverage of the individual by the general contractor's bond and liability insurance. (CurrentlY::l bond of $2,000.00 ic requirod) (9) Continuing Education. Every installer is required to obtain at least eight (8) hours of approved classroom (training) time. This may be averaged over two (2) years. Subject matter must be directly related to on-site sewage disposal and be acceptable to the Health Officer. Proof of training shall be submitted annually with application for renewal. (10) Suspension/Revocation. A sewage system Installers Certificate may be revoked or suspended as set forth in 8.15.190 if he/she has been found to be in non-compliance with provisions of this chapter or has performed with negligence, incompetence or misrepresentation. 8.15.130 SEPTIC TANK PUMPERS. (1) Certificate Required. It shall be unlawful for any person, firm, or corporation to engage in the activity of cleaning any septic tank, pump chamber, chemical toilet, or removing other accumulations of sewage without first having obtained a Septic Tank Pumper Certificate from the Health Officer. (2) Renewal of Certificate. Application is required annually for certificate renewal. All certificate renewal applications, along with the required bond, renewal fee, and Final Draft #4 8.15 Onsite Sewage Code March 2000 1 0 of 1 9 verification of continuing education shall be submitted to the Health Officer by March 1. The Certificate shall not be issued or renewed if the applicant is found by the Health Officer to be out of compliance or in violation of the provisions of this chapter. (3) A Septic Tank Pumpers Certificate is not transferable. (4) Septage Disposal Site Approval. It shall be unlawful to dispose of septic tank pumpings or other accumulated sewage at other than designated and approved disposal sites. (5) Reporting Requirements. (a) Each pumper shall submit to the Health Officer not later than the tenth day of each month a report on a form provided by the Health Division. Said report shall contain the dates, sources, disposal site, and volume of each load of wastes handled from the preceding calendar month. (b) Each pumper shall complete an inspection report at each site where a septic tank or pump chamber is serviced. Inspection reports shall be submitted to the Health Division. Said report shall include at a minimum the following' information: (i) Measured depth of scum and sludge in the septic tank and pump chamber if present. (ii) Condition of tank(s), baffles, risers, screens (iii) Record signs of backflow from drainfield (iv) Record signs of ground water infiltration into tank(s) (6) Pump Tank Requirements. Pumping equipment must be presented to thé Health Division for inspection at the time of certificate application and renewal. (a) The pump tank must be of at least 1,000 gallons in capacity and must be in good repair and of cleanable construction. (b) All hoses and pumping equipment shall be kept in a clean and sanitary condition while stored or in transit. (c) All discharge valves shall be in good repair, free from leaks and be fitted with watertight caps. (d) The name of the operating firm shall be prominently displayed on the sides of the vehicle. (7) Bond Required. Prior to the issuance of a Septic Tank Pumper's Certificate, the applicant must post a bond with the Health Division in a form approved by the Prosecuting Attorney of Jefferson County, and executed by a surety company authorized to do business in the State of Washington, in the sum of two thousand dollars ($2,000). (8) Suspension/Revocation. A septic tank pumper's certificate may be revoked or suspended as set forth in 8.15.190 if helshe has been found to be in noncompliance with the terms of this chapter or has performed with negligence, incompetence or misrepresentation. 8.15.140 SEWAGE SYSTEM DESIGNERS. Onsite sewage system designers currently licensed by Jefferson County may perform site evaluations and design conventional onsite sewage systems until July 1, 2000. Beginning July 1, 2000 only professional engineers licensed in the State of Washington or individuals holding an on site sewage system designer license issued by the Washington Department of Licensing may design onsite sewage systems. Health OfficerMarch 1 Final Draft #4 8.15 Onsite Sewage Code March 2000 11 of 19 8.15.150 OPERATION AND MONITORING SPECIALIST (1) Certificate required. It shall be unlawful for any person, firm or corporation to engage in any operation and maintenance/monitoring inspection required by the Division without first having been issued an Operation and Maintonanco Monitoring Specialist Certificate by the Health Officer EXCEPT as noted in 8.15.160 (6)(b). (2) A sewage system Operation and M::¡jnton~nco Monitoring Specialist Certificate shall not be transferable. (3) Requirements for M~intonanco Monitoring Specialist shall include all of the following: (a) Application shall be made on forms provided by the health officer. (b) Certificate and/or application fees as set forth in the Fee Schedule shall be payable to the Health Division. (c) Take a written examination to determine the applicant's knowledge of the operation and maintenance requirements for the on-site sewage systems approved by the Washington State Department of Health, excepting those proprietary devices requiring a special authorization from the system proprietor. (d) Present written proof of completion of a minimum of sixteen (16) hours of training in on-site wastewater treatment, operation and maintenance at the Northwest On-site Wastewater Training Center or equivalent. (e) Provide written proof showing a minimum of one year experience as a certified installer or designer. (4) Scope of Practice. (a) The Operations and M~intonanco Monitoring Specialist may complete work necessary to complete regular maintenance of an on-site sewage system including: (i) Measuring levels of sludge, scum and liquid in the system components (ii) Visual evaluation the condition of all system components. (iii) Inspect and report the condition of system components, monitoring ports and the surface above the drainfield/disposal area. (iv) Clean pump screen or outlet baffle screen (v) Install and repair septic tank lids, risers and baffles (vi) May replace pumps, float switches, check valves intended to prevent the back flow of effluent into the pump chamber within Washinqton State Labor and Industry requirements. (vii) Record information from devices such as cycle counter or operating hour meters and water meters (viii) Make repairs to a septic tank or pump chamber to correct a condition of ground water intrusion or leakage. (b) The Operations and M~inton~noo Monitoring Specialist shall not: (i) Pump the Septic tank andlor pump chamber, EXCEPT in the case where he/she also holds a valid Septic Tank Pumpers Certificate. (ii) Uncover an OSS's drainfield or any drainfield component, EXCEPT in the case here he/she also holds a valid Installers Certificate. (ili) Alter devices such as cycle counters or operating hour meters without the prior written approval of the Health Division. (iv) Alter or replace any portion of the subsurface disposal component or pretreatment components, EXCEPT in the case where he/she also holds a valid Installer Certificate and a permit has been obtained for such work. (v) Replace or alter devices that monitor or regulate the distribution of the effluent. Final Draft #4 8.15 Onsite Sewage Code March 2000 12 of 19 (~) The Operations and Maintenanco Monitoring Specialist shall report failure of an on- site sewage system to the Health Division immedi:Jtely. within 24 hours of first identifvino the failure. (6) I~s~ection Reports s~a!' .be submitted by the Operations and Maintenanco Monitoring SpecIalist to the Health DIvIsion or other authorized agency within thirty (30) days following the inspection. (7) Only certified Operation and Maintenance Monitoring Specialist that have also obtained written approval from either the manufacturer or patent holder may operate and maintain proprietary devices governed by this chapter. (8) Continuing Education. Each Operations and Maintenance Monitoring Specialist shall obtain a minimum of eight (8) hours of approved classroom training pertaining to on-site waste water treatment and disposal every two (2) years. Proof of training shall be submitted annually with application for renewal. (9) Bond/lnsurance.????? (10) Renewal of Certificate. Application is required annually for certificate renewal. All certificate renewal applications, along with the required bond, renewal fee, and verification of continuing education shall be submitted to the Health Officer by March 1. The Certificate shall not be issued or renewed if the applicant is found by the Health Officer to be out of compliance or in violation of the provisions of this chapter. (11) Suspension/Revocation. An Operation and Maintenance Monitoring Specialists' Certificate may be revoked or suspended as set forth in 8.15.190 if helshe has been found to be in noncompliance with the terms of this chapter or has performed with negligence, incompetence or misrepresentation. 8.15.160 OPERATION AND MAINTENANCE (1) Responsibility of Owner(s). The owner of every residence, business, or other place where persons congregate, reside or are employed that is served by an OSS, and each person with access to deposit materials in the OSS shall should use, operate, and maintain the system to eliminate the risk to the public associated with improperly treated sewage. Owners' duties include without limitation: (a) They shall comply with the conditions stated on the on-site sewage permit. (b) They shall employ an approved pumper to remove the septage from the tank(s) when the level of solids and scum indicates that removal is necessary. The septic tank shall be pumped when the total amount of solids equals or exceeds one-third (1/3) the volume of the tank. The pump and/or siphon chamber(s) shall be pumped when solids are observed ::¡bove the height of the ............. (c) They shall chould not use water in quantities that exceed the OSS's designed capacity for treatment and disposal. (d) They shall sfIetH.G not deposit solid, hazardous waste, or chemicals other than household cleaners in the OSS. (e) They shall sfIetH.G not deposit waste or other material that causes the effluent entering the drainfield to exceed the parameters of domestic/household waste strength. ( (f) They shall not build any structure in the OSS area or reserve area without express, prior consent of the Health Officer. Final Draft #4 8.15 Onsite Sewage Code March 2000 1 3 of 1 9 (g) They shall neither place nor remove fill over the OSS or reserve area without express, prior consent of the Health Officer. (h) They shall not pave or place other impervious cover over the OSS or reserve area. . (i) They shall ~ divert drains, such as footing or roof drains away from the area of the OSS. U) They shall comply with inspection requirements in JCC 8.15.160. (k) They shall complete maintenance and repair of the OSS as recommended by the monitorinq entity. (l)They should not dispose of excess food waste via a GarbaGe disposal. Í!!l) They should not drive, park or store vehicles or equipment over the drainfield or reserve area. (n) They should not allow livestock access to the OSS area or reserve area. (2) Breach of Owner's Responsibilities. An owner's or occupier's failure to fulfill any of the responsibilities in 8.15.160 (1) shall be a basis for a Notice of Violation and for the Health Officer to decline to issue approval for further development on the parcel. (3) Notice by the Health Officer. When legal and equitable title are divided between a lender and a borrower (or their successors), only the borrower or borrower's successor need sign applications under this regulation, but the Health Division shall give both the borrower and any lender that has recorded a lien that has not been released (or their successors) notice whenever this regulation requires the Health Officer to give the owner notice. (4) The Health Officer shall be responsible to make available written Guidance on the proper maintenance and operation of the OSS to the owner. Information shall be made available at the Health Division and the Permit Center locations and shall be mailed on a periodic basis to owners of OSS by the Health Officer or his/her desiqnated representative. (5) Inspection Requirements. (a) The owner shall ensure that the OSS receives an inspection by an approved monitoring entity HO::Jlth Division at the frequency identified in 8.15 Table 1. (b) Proprietary Devices and Disinfection Equipment. Existing and proposed systems that include requiring a proprietary device or disinfection equipment in order to meet a treatment standard (or in which Chapter 246-272 WAC or a Washington State Department of Health Guideline requires ongoing operation and maintenance as a condition of approval) shall be inspected at the frequency established in said document. Said inspections shall be completed by personnel authorized by the manufacturer and certified by the Health Division. (c) Multiple Requirements. If the manufacturer, patent holder, state, Health Division, and any other relevant body have differing recommendations or requirements for inspection and maintenance intervals for an OSS or any component of the OSS, then the owner shall follow the most frequent service interval. (6) Operations and Maintenanoe Monitoring Aqreement and Contracts. (a) The owner of a conventional OSS shall be subject to a permit condition eeiafR. contr::Jct requirinq compliance with the inspection schedule specified in Table 1 beginning with the earliest of the following events: (i) The installation of an OSS (ii) The repair of an OSS (iii) The alteration of an OSS QG. (b) Owners of existinq conventional systems shall obtain an initial inspection by the Health Division, licensed desiç¡ner or licensed professional enqineer and Final Draft #4 8.15 Onsite Sewage Code March 2000 14 of 1 9 comply with the inspection schedule specified in Table 1 beqinninq with the earliest of the followinq events: (i) The sale of the property. (ii) The application for a building permit on the site. (iii The use of an ass as a community OSS. (iv) Identification that +J:\e..tiSe-ef an ass is in an Area of Special Concern VUL~ŒMI3LE OR SUSCEPT^8LE AQUIFER RECH:'\RGE: ARéA as designated by the JCHHS. (v) Identification that a system has received a WaiverNariance from State or Local Code (vi) Tho uso of :m OSS by ::my food cor/ico oct:::¡bliGhmont or by any othor f:::¡cility gonor:::¡ting w:::¡stow:::¡tor th:::¡t will bo gro:::¡tor than rosidontial strongth (c) Owners of existinq and new ass qeneratinq waste water of qreater than residential strenqth, includinq food service establishments shall be inspected annually by an approved monitorinq en.lliY..: (d) Owners of existinq and new alternative systems shall enter into a contract with the Jefferson County PUD for M:::¡inton:::¡noo Monitorinq of the OSS. Inspection frequency shall be completed consistent with Table 1. (7) Operation and Maintonanco Monitoring Requirements. (a) On-site Sewage Systems in Jefferson County shall be inspected and maintained as set forth in TABLE 1 JCC 8.15 . (b) Access Required. The owner of the system shall provide access to the system for inspection and maintenance/monitoring as follows: (i) Septic tank. Septic tanks shall be fitted with a pumping access risers to the ground surface over both compartments and at the outlet, EXCEPT, as set forth in 8.15.090 (4). The risers shall have a means to lock or secure the lid against tampering and accidental access. (ii) Pump Chamber. Pump chambers shall have a riser to ground surface over the pump. The riser shall have a means to lock or secure the lid against tampering and accidental access. (iii) Proprietary Devices and Disinfection equipment. Access shall be provided as determined by the manufacturer or patent holder and shall include access to ground surface for effluent sample collection, observation and inspection of the unit. (c) Fees for inspections and contracts shall be set by the service provider. (8) Inspection Report. The inspection report sl1all be submitted to the Health Division on Jefferson County Health and Human Services form. _. Form _ shall be completed in full for an inspection to be considered valid. 8.15.170 AREAS OF SPECIAL CONCERN (1) As specified in the WAC 246-272-21501. The local Health Officer may investiqate and take appropriate action to minimize public l1ealth risk in formally desiqnated areas such as: (a) Shellfish protection districts or shellfish qrowinq areas; (b) Sole Source Aquifers desiqnated by the U.S. Environmental Protection Aqency; Final Draft #4 8.15 Onsite Sewage Code March 2000 1 5 of 19 (c) Areas with a critical recharqinq effect on aquifers used for potable water as desiqnated under Washinqton Growth Manaqement Act, chapter 36.70A.170 RCW (d) Desiqnated public water supply wellhead protection areas. (e) Up-qradient areas directly influencinq water recreation facilities desiqnated for swimminq in natural waters with artificial boundaries within the waters as described by the Water Recreation Facilities Act, chapter 70.90 RCW (f) Areas desiqnated by the department of ecoloqy as special protection areas under chapter 173-200-090 WAC, Water Quality Standards for Ground Waters of the State of Washinqton; (q) Wetland areas under production of crops for human consumotion; (h) Frequently flooded areas delineated by the Federal Emerqency Manaqement Aqency;and (i) Areas identified and delineated by the local board of health in consultation with the Department to address public health threat from on-site systems. (2) Areas of Special Concern may be designated following public notice and hearing by the Jefferson County Board of Health. 8.15.180 APPEAUHEARING (1) A person aggrieved of a decision of the Health Officer may appeal. Appeals shall be submitted to the Health Division in writing within fifteen(15) day after receiving written notice of the decision of the Health Officer. (This is basic:Jlly the samo Q)(cept that tho curront code requirm: the request to go to tho Boord of County Commissioners) (2) Notice of suspension and revocation hearings conducted pursuant to JCC 8.15.120 & 8.15.130 & 8.15.140 & 8.15.150 shall be given by the Health Division to the aggrieved person by certified mail, return receipt requested, at least fifteen (15) days before the hearing is to be conducted. The notice shall inform the person of the purpose of the hearing, date, time and place of the hearing and the substance of the violation. (3) All revocation hearings shall be conducted by the Board of Health. (4) The following guidelines apply to all hearings and appeals conducted by the Board of Health pursuant to this section: (a) Appeals shall be made in writing and shall be signed and dated by the petitioning party. (b) Appeals shall include a brief and concise statement of the law and facts which affirmatively establish that the Health Officer has committed an error. (c) Appeals shall be transmitted to the Board of Health by the Health Division following receipt from the petitioning party together with all relevant material associated with the Health Officers action including but not limited to, applications, reports, soil logs, photographs, staff analysis and recommendations. (d) Upon receipt of the appeal materials transmitted by the Health Division, the Board of Health shall conduct a hearing to determine the correctness of the decision by the Health Officer within 35 days. The petitioner shall be given seven (7) days notice of the purpose, time, date and place of said hearing by certified mail. Further, if the petitioning party is a person other than the permit applicant or a permit holder, then notice of the purpose, time, date, and place of said hearing shall likewise be mailed to the permit applicant or permit holder by certified mail. (e) Any hearing conducted pursuant to this section shall be a public hearing and the chairperson of the Board of Health shall open the hearing and take testimony from any interested persons; provided, that testimony in suspension or evocation hearings shall be limited to that presented by the Health Officer, the certificate Final Draft #4 8.15 Onsite Sewage Code March 2000 1 6 of 19 holder and any witness called by them; provided further, that the chairperson may limit the length of the testimony to a specific amount of time to be applied equally to those interested persons wishing to speak except in suspension or revocation hearings where the Board of Health is authorized to use its discretion. (f) The procedure to be utilized during any hearing conducted pursuant to this section shall be as follows: (i) The petitioning party, permit applicant, or permit holder and the Health Officer, if not the petitioning party, shall be given an opportunity to present evidence, analysis and recommendations. (ii) Members of the Board of Health may direct questions to the petitioning party, permit applicant or permit holder and Health Officer. (iii) The Chairperson of the Board of Health shall permit the presentation of testimony by any interested person as set forth in this chapter. (iv) Following presentation of evidence and testimony, the Chairperson of the Board of Health shall close the hearing and initiate discussion with other board members on the matters presented. (v) Following discussion, the Board of Health shall make ruling on the appeal. (vi) Under no circumstances shall cross-examination of persons making presentations at the hearing be permitted, notwithstanding that the Board of Health may ask questions as set forth above. (g) Should the Board of Health require additional testimony, it may continue the public hearing to a date and time not to exceed thirty-five (35) days following the date of the initial public hearing; PROVIDED that at the close of the second public hearing the Board of Health may continue its deliberations on the appeal to another time and date not to exceed thirty-five day followinq the close of the second public hearinq conducted to receive additional testimony. In all other cases the Board of Health may continue its deliberations on the appeal to another date and time not to exceed thirty-five days followinq the close of the public hearinq. (h) All relevant evidence admissable. which in the oDin ion of the Board of Health is the best evidence reasonably obtainable havinq due reqard for its necessity. availability and trustworthiness; provided that. in passinq upon the admissibility of evidence the Jefferson County Board of Health may qive consideration to, but shall not be bound to follow the rules of evidence qoverninq civil proceedinqs in matters not involvinq trial by jury in the Superior Court of the State of Washinqton. (i) A full and complete record shall be kept of all proceedings and all testimony shall be recorded. The record of testimony and exhibits together with all papers and requests filed in the proceedings shall constitute the exclusive record for the decision in accordance with the law. U) All decisions shall become a part of the record and shall include a statement of: Findings and Conclusions, as well as reasons or basis thereof upon all the material issues of fact, law or discretion presented on the record, and (k) Notice of the decision of the Board of Health shall be provided not later that ten (10) days following the date of its decision. (I) The petitioning party, permit applicant, or permit holder, or designated agent, and the Health Division shall be notified of the decision of the Board of Health, together with the Findings and Conclusions and the basis therefore by certified mail. 8.15.190 ENFORCEMENT/PENALTY Final Draft #4 8.15 Onsite Sewage Code March 2000 17 of 19 (1) Civil Penalties. In addition to or as an alternative to any other judicial or administrative remedy provided herein, or by law, any person or establishment who violates this regulation or by each act of commission or omission procures, aids or abets such violation, may be assessed a civil penalty not to exceed fifty dollars ($50.00) for each day of continuous violation to be directly assessed by the Health Officer until such violation is corrected. The per day penalty shall double for the second separate violation and triple for the third and subsequent separate violations of the same regulation within any five (5) year period. (2) Criminal Penalties. Any person who violates any provision herein shall, upon conviction, be guilty of a misdemeanor and subject to a fine of not more than one thousand dollars ($1,000), or by imprisonment for not more than ninety (90) days, or both such fine and imprisonment. Each day any person shall continue to violate or fails to comply with the provisions of this chapter shall constitute a separate offense. (3) Administrative - Certificate Holders.(a) Suspension of Certificate. (i) The Health Officer may suspend any Certificate upon making the determination, after a hearinq between the Health Officer and the Certificate holder, that the holder has performed with negligence, incompetence, misrepresentation or failure to comply with the applicable rules, regulations, guidelines, policies or practices which pertain to water supply and waste water disposal, to have made fraudulent misrepresentation in making application for a certificate or to have make fraudulent misrepresentation in making application for a permit to install an on-site sewage system, either existing at the time of Certification or as thereafter enacted. (ii) The Health Officer shall give written notice of the hearing to any person aggrieved who has filed a written complaint with the Health Officer and the affected certificate holder(s). (iii) For the first confirmed violation under this subsection, the suspension period shall not exceed thirty (30) days: the second violation in any three (3) year period shall result in a suspension of certificate for a period not less than fifteen (15) days and not to exceed one hundred eighty (180) days. (iv) If the Health Officer suspends a certificate, the certificate holder shall not proceed with any further work in connection with the activity covered by the certificate. (v) The Certificate holder shall be notified by certified mail of suspension of the certificate upon determination of a finding that a violation has occurred requiring suspension. (b) Revocation of Certificate. (i) A certificate may be revoked for repeated violation of any of the requirements of these regulations or any other appplicable regulation or if, after a hearing with the Board of Health, the holder of such certificate shall be found grossly incompetent or negligent, or to have made fraudulent misrepresentations in making application for a certificate or for a permit to install an on-site sewage syste, or should the bond or insurance required herein be cancelled. (ii) The Health Officer shall give written notice of the hearing to any person aggrieved who has filed a written complaint with the Health Officer and the affected certificate holder(s). (iii) The third Notice of Violation issued by the Health Division staff within any twelve (12) month period shall be considered as repeated violations and result in certificate revocation. Final Draft #4 8.15 Onsite Sewage Code March 2000 1 8 of 19 (iv) If the Board of Health revokes a certificate the certificate holder shall not proceed with any further work in connection with the activity covered by the certificate. (v) The Certificate holder shall be notified by certified mail of revocation of the certificate upon determination of a finding that a violation has occurred requiring revocation. (vi) If after revocation of a certificate the applicant desires to reapply for a certificate, the applicant must wait six (6) months prior to reapplication. Any person whose certificate has been revoked will be required to take the written examination again before issuance of a new certificate and pay all applicable fees. (c) Reinstatement of suspended or revoked certificate. (i) The Certificate holder shall make written application for reinstatement to the Environmental Health Director specifying what practices, performance, and conditions that were named as grounds for suspension or revocation have been remedied, and a description of the changes in performance that will occur which will directly avoid the repetition of past violations. (ii) The Environmental Health Director, upon determining that noted deficiencies have been satisfactorily addressed, shall schedule the individual for participation in the next available examination where applicable. Reissuance of the certificate is subject to the Individuals successful completion of the application and testing procedure and payment of testing and certification fees as per the Fee Ordinance. (iii) Probation. A period of probation consisting of additional reporting or inspection requirements may be imposed on a certificate holder as a result of violations of these rules or as a condition of operation following suspension/revocation of a certificate. Said period and requirements shall be the decision of the Health Officer and shall be determined after an administrative hearing with the certificate holder. (iv) Appeal. Any person feeling aggrieved because of the suspension or denial of a Certificate by the Health Officer may, within fifteen (15) days of the suspension or denial, appeal to the Board of Health as set forth in JCC 8.15.180. (4) Administrative - Property Owners (a) Notice to Title. If the Health Officer finds than an owner has failed to comply with the requirement of this Regulation, AND all administrative remedies have been exhausted, AND the case has been forwarded to the Jefferson County Prosecuting Attorney for further action, the Health Officer may record a Notice of Potential Uncorrected Violation finding on the title of the property with the Jefferson County Auditor. (b) Removal of Notice. The owner shall make written request to the Health Officer for recision of the Notice. The request shall specify corrective actions completed. (c) The Health Officer, upon determining that noticed violation has been corrected, shall record a Recision of Notice with the Jefferson County Auditor. (d) The owner shall pay fees as required to complete inspection(s) to verify correction and to record the Recision prepared by the Health Division. 8.15.200 SEVERBILlTY Final Draft #4 8.15 Onsite Sewage Code March 2000 19 of 19 Provisions of these rules and regulations are hereby declared to be separable, and if any section, subsection, sentence, clause, phrase, or portion of these rules and regulations is for any reason held to be invalid or unconstitutional by the decision of any court of competent jurisdiction, such decision shall not affect the validity of the remaining portions of these rules and regulations. FEES (1) Fees shall be as per Jefferson County Health Department Fee Schedule. (2) Refunds shall not be granted if field investigation, plan review, site visit or design review has been completed by the Health Division. (3) A refund of the application fee minus an administrative fee of forty-five dollars ($45.00) shall be granted upon written request of the applicant/owner, EXCEPT as noted in (2) above. (4) All Sewage System Installer's, Septic Tank Pumper's, Sewage System Designer's and Operation and Maintenanco Monitoring Specialist Certificates are renewable annually on March 1. Should any renewal fee remain unpaid by March 31, a penalty fee according to the Fee Schedule shall be charged. Previously issued certificates shall become void if not renewed prior to April 1. (5) Fees generated under this authority cannot be used to support non-public health activities. EFFECTIVE DATE. This chapter shall be effective ten (10) days after approval is obtained from the Department of Health as per WAC 246-272-02001. CONFLICT. 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"Jefferson Tobacco sting finds stores follow laws" - Peninsula Daily News, July 16,2000 2. "Water Resources Council to advise decision-makers" - P.T. LEADER, July 26, 2000 3. "Peninsula: Needle exchange locations under discussion" - Peninsula Daily News, July 28,2000 4. "Peninsula, state agencies offer services, programs for disabled" - Peninsula Daily News, July 30, 2000 5. "Living with disabilities" - Peninsula Daily News, July 30, 2000 6. "Kah Tai park study spurs water frets" - Peninsula Daily News, July 30, 2000 7. "County retailers comply with state tobacco laws" - P.T. LEADER, August 2,2000 8. "Immunizations rates low in Jefferson County" - P.T. LEADER, August 2, 2000 9. "Smoke-free establishments recognized" - P.T. LEADER, August 2,2000 10. "Hospital comes under fire" - Peninsula Daily News, August 3, 2000 SUNDAY, JULY 16, 2000 AS Jefferson tobacco sting finds stores follow laws PENINSULA DAILY NEWS' If a recent compliance check is any indication, then Jefferson County retailers are serious about doing their part to battle the problem of selling tobacco to chil- dren. The Jefferson County Sub- stance Abuse Prevention Pro- gram found 100 percent of 11 retailers checked refused to sell tobacco products to undercover youth volunteers. Retailers in compliance include: Beaver Valley General Store, Brinnon General Store, Cove Grocery, Discovery Bay Gro- cery, Nordland General Store, Peninsula Foods, Port Ludlow Marina Shop & Grocery; Port Ludlow Village Store, Quilcene Grocery, Village General Store and Yelvick's General Store: The county's substance-abuse program is at work in schools to provide education to youth about marketing techniques of the tobacco industry and the immedi- ate and long-term health conse- quences of tobacco use, as well as providing cessation classes and support counseling. Many smokers began smoking as teen-agel's, and smoking. is one of the leading causes of pre- ventable death in the United States today, a release from the substance-abuse program says. For training assistance for retail staff, call the Bremerton Liquor Control Office at 360-478- 4971. For more information about tobacco prevention and control efforts, call the Jefferson County Tobacco and Prevention program at 360-385-9446. B 2 . Wednesday, July 26, 2000 ~T. ¿¡;ft()GR- Water Resources Council to advise decision-makers By Richard Rodriguez coordinator Jefferson County Water Resources Council The rllission of the Jefferson County Water Resources Coun- cil is to work cooperatively to meet water quality and quantity needs of human and natural sys- tems in a manner that will insure the sustainability of both. The council was formed in recognition of the complexity of water issues in East Jefferson County, to build relationships, to set priorities and to solve prob- lems related to water resource Issues. The purpose is to provide a collaborative forum for coor- dination and cooperation among all interests while avoiding du- plication with other groups. The mission includes develop- ment of implementation strategies based on the recommendations of thl:: Dungenl::ss/Quilcene Water Resources Management Plan (D/ Q Plan) and supporting a balance of economic, cultural and envi- ronmental interests in the man- agement of the water resources in East Jefferson County. Thl:: council is an advisory body to established decision-mak- ing bodies and communities of interest. As such, it makes recom- mendations concerning the use, protection, restoration and en- hancement of the water resources of Water Resource Inventory Area 7 (East Jefferson County). The agencies, organizations and interests represented on the council are not obligated to adopt or carry out the recommenda- tions of the council, but they give due consideration to the recom- mendatiuns and take actions they cunsider appropriate. These agencies, organiza- tions and interests report back to the council on any ac- tions taken in re- sponse to council recommendations. Council members keep their respective agencies, organizations and inter- ests informed about the work of the council and bring their con- cerns to the council. Membership includes: Jeffer- so'n County, City of Port Townsend, Washington Depart- ment of Ecology, Port Gamble S'KlaIlam Nation, Public Utility District I of Jefferson County, Water Utility Coordinating Council, Marrowstone Island Groundwater Committee, Shine Community Action Council, Port Townsend Paper Corp., Home Builders Association, Jefferson Conservation District, Sustain- able Agriculture, Olympic Envi- ronmental Council, Wild Olympic Salmon, Trout Unlim- ited, Rivers Council of Washing- ton/Washington Trails Coalition, Chimacum Grange and the Port of Port Townsend. The council uses a consensus decision-making process. A con- sensus decision is one reached with no objections. Abstentions are allowed. Periodically during 6 6 the decision-making process, the facilitator checks with members to determine the level of consen- sus for a decision. If the level of consensus is low, the council considers the means available to move toward consensus, includ-. ing the attainment of informed consent. Informed consent is reached if all parties agree they have been understood in a man- ner that allows the council to move forward with the decision of the council majority. When the council is acting in an advisory role to decision-makers, policy recommendations include pre- sentation of the full discussion of interests and options and express areas of council consensus and areas of disagreement. Current goals include: · Achieving the assurance of an adequate supply of water to sustain current and future agri- cultural needs. · Encouraging the development and implementation of a program for 1) conservation, 2) efficiency, 3) elimination of waste, 4) water reuse, 5) restoration of wetlands and riparian habitat areas for re- charge, water quality and water retention, 6) recommendations for legislation and/orregulation where appropriate. · Encouraging compliance, enforcement and administration of existing laws and regulations affecting water resources. · Building public understand- ing of and responsibility for wa- ter resource issues, and opportu- nities for conservation, steward- ship and improvement of water quality and quantity. · Assuring an adequate sup- ply of water to support sustain- able economic and community development for current and future residents of East Jefferson County. · Investigating the feasibil- ity and costs for residential, commercial and industrial water conservation. · Defining and estimating the amount of water resources that could be saved for alternative púrposes, using various conser- vation scenarios. · Achieving the assurance of adequate quantity and quality of . water and habitat to preserve sce- nic and aesthetic values, to sus- tain current and future recre- ational needs, and to encourage responsible use of public recre- ation areas. To learn more about the Jefferson County Water Re- sources Council, contact its co- ordinator, Richard Rodriguez, at 360-53 I -0698 or e-mail rrodriguez@escapees.com. Peninsula: Needle exchange locations under discussion The health departments for ClaHam and Jeffer- son counties continue to discuss locations for a needle-exchange program, which is set to begin Sept. l. Officials of the two agencies are also discussing the best means to provide hepatitis A and B vacci- nations in conjunction with the needle program. Jefferson Community Health Director Jean Bald- win said both counties hope to provide the treat- ment on a sliding-fee scale. Baldwin said needle-exchange programs in Seat- tle and Tacoma offer the vaccinations at their sites, while other health departments provide vouchers for vaccinations with physicians. ·...,r.'~~~'···,·- ,'¿~~. ":', ~'è H",:, ·n ';" ~":,.~..,' ,.n, 0 ,~ ..-....', ., ,': / :1 lL :,~;':',',','-'~',~~ .:...~;;..:~..:¥~~ ·,·:·~l;~':·." 17) I\J 7-7g~{)ð . . Peninsula, state agencies offer services, programs for disabled PThlNSULA DAlLY NEWS Local and state organizations working with the disabled: · Disability AwareneSs Sur- veillance and Health Promotion (DASH): 360-379-0274, 11700 Rhody Dr., Port Hadlock 98339- 9773; dash@olypen.com. This is a Jefferson County community advocacy group covering all .. mobility-related disabilities. · Clallam County Health Department: 360-417-2428. · Jefferson County Health and Human Service: 36CJ..385- 9410; 615 Sheridan, Port Townsend 98368. · Northwest Disability Busi- ness Technical Assistance. Cen- ter: 800-949-4232; its Web site is: www.wata.arg/nwd; e-mail dco/- /ey@esd.wa.gov; PO. Box 9046, Olympia 98507-9046. · Easter Seals: 206-281-5700. · Governor's Committee on Disability Issues and Employ- ment: 800-949-4232 (v & TTY or 360-438-3168; TTY 360-438-3167. Its e-mail address is tolsan2@esd.wa.gov: PO. Box 9046, Olympia 98507-9046. A statewide advocacy group for people with all disabilities. · Olympic Area Agency on Aging: 800-001.{)()5() in Jefferson County or 800-001-Cú70 in Clal- lam County. With three offices in the two counties. they provide information and assistance. They also have case managers who travel to homes of low-income disabled people to help them and coordi- nate assistance. About one-third of their work is with disabled peo- ple under age 65. · Jefferson Còunty Council for the Blind: 36CJ..379-9070; support and advocacy group. · Self Help for Hard of Hear- ing People (SHHH): www. wasa- shhh.arg. Clallam County chapter: 360 452-5517; jaycemcd@prodigy.net Jefferson County chapter: 360- 379-4978 or 300-385-5341; billn@alympus.net. Washington Assistive Technol- ogy Alliance: roJ-841-8345, voice &TTY. · Washington Protection and Advocacy System: 800-562- 2702(v) , 800-905-0209 (TIY); 180 W. Dayton, Suite 102, Edmonds, WA 98020; e-mail: wpas@wpas- rights.arg; Web site: www.wpas- rights.arg. Private, non-profit agency can answer questions or refer people to another agency for assistance. · Clallam Transit System 36CJ.. 452-4511; 83) W. Lauridsen Blvd., Port Angeles 98333; www.clalfam- transit. com. About 00 percent of public buses are equipped with wheet- chair lifts and drivers are trained to understand and help disabled citizens. T.hey generally callout major stops to help blind and visu- ally impaired people. Better signs for shelters are on the agenda. · Paratransit Services in Clal- lam County 360-457-5345; 212 N. GaJes S1., Port Angeles 98362; paratran@a/ypen.com. Service can be door to door for those who need it, but all para- transit riders must have a letter from a doctor on file with the sys- tem or be older than 00. · Jefferson Transit 36CJ..385- 4m, 1615 W. Sims Way, Port Townsend 98368; its Web site is www.jeffersontransit.com. All buses have wheelchair lifts and drivers have special training. In addition, Jefferson Transit operates its own paratransit sys- tem for people unable to use the regular bus system. Paratransit riders must apply through Jeffer- son Transit. Rides must be scheduled in advance. TDJ 1-30-ðcJ , .' . . ".. . .... , . ,~;.;.. -.., $L25 Sunday' Port . TOWI1Selld~Joffcrsoll County Edition .+. . 7 - 3ó - 00 SUNDAY SHQWCASE NICK HAm:YiP£.'IINSUIA DAILY NEWS Attempting to cross the Intersection of Sequlm Avenue and Washington Street In downtown Sequlm, Kate Sheffield maneuvers her wheelchair across potholes and rough roads only to find at the end of the crosswalk that there Is no curb cut for her to safely get back on the sidewalk. . Living with disabilities ".- ~ Peninsula residents deal with life's barriers; By LaRA GREEN PE:<;¡SSL"LA DAlLY ~EWS Ten years after the Ameri- cans with Disabilities Act became the law of the land, men- tal and physical barriers still keep many disabled people from participating fullv in community life on the North' Olympic,Peni;;. sula. There are places in most towns where lack of curb cuts prevent people who rely on wheelchairs, walkers and electric carts from crossing the street. There are restrooms that don't have Braille signs on a level that can be reaà by people in wheelchairs, and there are automatic doors that open with a dangerous punch. Mental barriers are some- times the biggest challenge for people with physical disabilities. "One thing the ADA can't do is change people's prejudices and misconceptions," said Peter Rip- ley, who gets around Port Ange- les on a small, four-wheeled bat· tery-powered vehicle. Some people stare. Others ignore disabled people, Ripley s8Jd. "Some people look at me like I iust crawled out from under a r;ck," added Ripley, publisher of the Port Angeles Journal, an electronic newspaper distributed bye-mail. Ripley doesn't let physical or mental barriers stop him. He ignores iruJults and drives his electric chair in the street' when the lack of curb cuts keep him from using sidewalks. Stays out of street Some estimates show nearly 30 percent of the North Olympic Penin.sula's residents are people who perform everyday tasks with special difficulty or special aids, such as wheelchairs, or not at all. Yet some find the region, in spite of obstacles and barriers, a friendly place for the disabled. TURN TO DISABILITIES ,A 7 State lawmakers discuss programs The North Olympic Peninsula's three state legislators - Sen. Jim Hargrove, Rep. Lynn Kessler and Rep. Jim Buck - will discuss state policies and programs for people with disabilities at a meeting of the Low Vision group Tuesday at 10 a.m. in the Port Ange- les Senior Center, 328 E. Seventh St., Port Angeles. The event is open to the public. SundayShowcase Disabilíties: Making changes locally PENINSt.:l..-\ DAlLY Ngv.'S '1- ?; () -()O CONTINUED FROM Al wI love it here," said Kathy Wùliams. who moved to Pert Ange- les ti-om Ogden. Utah, in May. wPeople are so nice. They're articulate and intelligent.- "Drivers are wonderfuL- Williams continued. "They are so courteous. " Williams, who is legally blind and can't walk more than a few yards without a walker, cane or wheelchair, is stilI exploring her new hometown, trying to find alternate route:; when she can't get onto or off a sidewalk. Lack of curb cuts and uneven sidewalks restrict her mobility, but, unlike Ripley, Williams will not consider traveling in tl'affic when she can't get onto aside- walk, she said. lnstea.d she continues to seek safe alternate routes. Sometimes Williams rides the public bus. Other times, while walking with her cane or walker, she asks for directions. The assistance people have offered has been helpful, she said. New Port Townsend resident Beth MacNeile, who navigates the old streets, uneven sidewalks and narrow passages of Port Townsend in a smal1, battery-pow- ered vehicle with three wheels, also finds Peninsula people gen- uinely friendly. She said she was pleasantly SUIpri.sed when she moved to Port To~nd from Green Bay, Wis., three years ago. wPeople look me in the eye and smile." said MacNeile. "It was refreshing," she said. "I was tired of being stared at. .. MacNeile travels frequently to downtown Port Townsend where she enjoys the friendly people in her new hometown, she said. She also works toward remov- ing many physical barriers that make the picturesque Victorian city difficult for people to maneuver. Heavy doors, uneven paving and bathrooms that are not fully accessible are among the problems MacNeile addresses, working with an organization called Disability Awareness Surveillance and Health Promotion <DASH). Members of the group survey businesses that seem "disabilitv friendly." They talk with owne~ and managers about possible improvements. The group began with busi- nesses that seemed to "" most nearlv in compliance W¡,1l the ADA 'because they wanted to start the project with "baby steps" and do things in a friendly way. Alternatives would be com- plaints filed with the .Justice Department <lr lawsuits. Does it work for you? "Baby steps do add up," said Kay Valdez of Port Townsend, chairwoman of the non-profit orga- nization and volunteer coordinator for Jefferson G€neraJ Hospital. Although most of the suggested changes have been smal1, the group plans to continue until the whole county is accessible to dis- abled people, MacNeile said. In a concurrent project, other DASH members are creating a map of accessible sites in Port Townsend. Some members work with institutions, such as Jefferson General Hospital and the Port of Port Townsend, helping them improve accessibility. "How does this work for you?" is a question disabled people haven't been asked often enough, said Lesa Barnes of Port Hadlock, project manager for DASH. Answering that question is one of their priorities, members say. Sequim City Council member Kate Sheffield, a Sequim City Council member who uses a wheelchair, also advocates for accessibility that works for the people who need it. Like the members of DASH, she wants to see businesses and govern- ments consider the spirit of the ADA as well as the letter of the law. "Wheelchairs don't have shock absorbers," Sheffield said, pointing out broken pavement and abrupt curb cuts, ending in biunps. Progress has been made, how- ever, she said, crediting Sequim's city management with listening, understanding and translating words into actions. "A lot has been done, but an awful lot still needs to be done, ., said Bill Nemerever of Port Townsend, another DASH member. ,"People's attitudes have to change," said Nemerever, who has a severe hearing problem. Before he lost his hearing, he had a negative attitude toward disabled people, he said. "I thought they were just spoil- ing our beautiful landscape. "This bad thing is not going to happen to me" was his thought at that time, he said. It's a thought that continues to deny disabled people full commu- nity partiçipation, a loss to both the individuals and the commu- nity, advocates say. "We're human like everyone else," Peter Ripley said. "We all have feelings, wants and desires. People with physical dis- abilities are just like everyone else. We just go around on our butts. "Break the mold." he added. "Crack the stereotypes. G€t out of the pigeon holes." Beth MacNeile enters Elevated Ice Cream in Port Townsend. The ground-level business Is said to be one of the most ADA accessible In Port Townsend. Peninsula has higher proportion of disabled people than nation PENINSULA DAILY NEWS Surveys show there is a higher proportion of disabled people on the North Olympic Peninsula than in the rest of the country. About 30 percent of adults 16 or older in Clallarn County and 27 percent of the people in Jefferson County have physical or develop- mental disabilities, according to the 1990 census and studies con- ducted in 1991 and 1992. For comparison, about 22 per- cent of Washington residents and a similar proportion of Americans had simil<N¡-disabilities, according to the same sources. People·were considered dis- abled if they had difficulty with common life activities. About half the disabled people were classified CIS severelv disabled. These people are unable to set', hear. speak, use stairs, lill or' cruT}' 10 pounds or walk without use of a cane, walker, crutches or other aid. They may be unable to care for themselves or to work. But these difficuities are not necessarily related to age. Among adults 65 or older, on the other hand. the disahilit,\' rates on the Peninsula el1''' rower than average, .Just over 1-4 œrcent ,,fClaIlam County senjor~ :md slightly more than 8 percent üf those in .Jefferson Countv have disabilities that limit thClr ~obiIit\' or "bilit,· to care for themselves. ~vh1i,-, "im;'S[ 17 oer- cent of æniors in lht: ,t<.1l' , h;;ve such dlliahililll'S Kah Tai park¡ , study spurs water frets Metals found in lagoon may pose risks Timmons discovered the' 14- year-old report while researching the history of Kah Tai Lagoon Park,. especially the portion owned by the Port of Port Townsend and leased to the city. The report neither pinpoints the sites tested for contamination nor attempts to determine sources of the metals. However, it does conclude that "Kah Tai Lagoon has major wob- lems with cadmium and lead. These high levels could be influ- encing the ecology of the lagoon. Lagoon runoff also exceeds zinc, copper and cadmium water qual- ity criteria." By PHILIP L. WATNESS PENINSULA DAILY NEWS PORT TOWNSEND - An environmental study done in the mid-1980s has raised concerns about health risks at Kah Tai Lagoon Park. The study done in 1986 by stu- dents at Shoreline Community College found evid.ence of zinc, 'Issue of human contact' copper, cadmium, lead and nickel. Their report states that "Kah "The park has always been Tai Lagoon. water samples from touted as a pristine environmen- station 14 and 15 (on the south tal area, but in reality it's envi- and southeast shore) exceeded ronmentally sensitive but for the acute level of the National other reas'ons," Timmons said. Water Quality Criteria for copper, "We need to be concerned zinc and cadmium. This assuredly because of ~he issue of human' affects the quality of life that cont~c~,.partlcularly lead ~d ~~e exists in and on the lagoon." posSIbIlIty of mercury, If It S _ The report stated that two ther~.". . ~Q.~r site~ cnntainør1 .. high levels TImmons sald further research .. . -, --.~ ..,""",",._~. .... ''''''-'''''iltp:ròb'å:bly warranted and that he ' 0 copper. . wouldn't recommend any devel- opment at Kah Tai Lagoon-Park before he has clearer answers. "We shouldn't put any recre- ational facility there until we know more about the issues," he said. "1 have concern about the public access to the land, but I'd defer to experts on that." More research needed City Manager David Timmons said further research will be needed to determine whether the metals pose a health risk. He said he will talk to the Jefferson County Health Department and the Washington State DePart- ment of Ecology. TURN TO LAGOON /A2 PlJN 1-3t:J-en:; Lagoon CONTINUED FROM AI. Dredge material from the Port's marina area was deposited on the south shore of Kah Tai Lagoon in 1964. The lagoon was originally a saltwater marsh that was flushed by the tides, accord- ing to a parks guide published in 1984 by the Port Townsend Parks Department. During the first decade of the 19008, residents dumped garbage at the midpoint of one of two bridges that crossed the lagoon. "It appears it's a Pandora's box when you look at the his- tory," Timmons said. "It's not the cleanest site in the world. It may look very envi- ronmentally sound, but it's got some chronic problems that will definitely affect its suitability for other uses, as well as current uses." Kah Tai park; " study spurs . water frets Metals found in lagoon may pose risks By PHILIP L. WATNESS PENINSULA DAILY NEWS Timmons discovered the' 14- year-old report while researching the history of Kah Tai Lagoon Park" especially the portion owned by the Port of Port Townsend and leased to the city. The report neither pinpoints the sites tested for contamination nor attempts to determine sources of the metals. However, it does conclude that "Kah Tai Lagoon has major f1rob- lems with cadmium and lead. These high levels could be influ- encing the ecology of the lagoon. Lagoon runoff also exceeds zinc, copper and cadmium water qual- ity criteria." PORT TOWNSEND - An environmental study done in the mid-1980s has raised concerns about health risks at Kah Tai Lagoon Park. The study done in 1986 by stu- dents at Shoreline Community College found evi~ence of zinc, 'Issue of human contact' copper, cadmium, lead and nickel. Their report states that "Kah "The park has always been Tai Lagoon, water samples from touted as a pristine environmen- station 14 and 15 (on the south tal area, but in reality it's envi- and southeast shore) exceeded ronmental1y sensitive but for the acute level of the National other reasons," Timmons said. Water Quality Criteria for copper, "We need to be concerned zinc and cadmium. This assuredly because of the issue of human' affects the quality of life that contact, particularly lead and the exists in and on the lagoon." possi~~lity of mercury, if it's The report stated that two ther~. . . , ~. .' er siteª cnntainør1 high levels TImmons sllld further reseaI'ch , -, --""'4""""_~" , ., ',~"',..."" ilt"ìMb'å:bly warranted and that he ' 0 copper. t- , ' wouldn't recommend any devel- More research needed . opment at Kah Tai Lagoon 'Park before he has clearer answers. "We shouldn't put any recre- ational facility there until we know more about the issues," he said. "I have concern about the public access to the land, but I'd defer to experts on that." City Manager David Timmons said further research will be needed to determine whether the metals pose a health risk. He said he will talk to the Jefferson County Health Department and the Washington State Depart- ment of Ecology. P]),J 1-3tJ-o-cJ TURN TO LAGOON /A2 Lagoon CONTINUED FROM AI. Dredge material from the Port's marina area was deposited on the south shore of Kah Tai Lagoon in 1964. The lagoon was originally a saltwater marsh that was flushed by the tides, accord- ing to a parks guide published in 1984 by the Port Townsend Parks Department. During the first decade of the 1900s, residents dumped garbage at the midpoint of one of two bridges that crossed the lagoon. "It appears it's a Pandora's box when you look at the his- tory," Timmons said. "It's not the cleanest site in the world. It may look very envi- ronmentally sound, but it's got some chronic problems that will definitely affect its suitability for other uses, as well as current uses." County retailers comply with state tobacco laws In a series of tobacco com- pliance checks conducted by the Jefferson County Substance Abuse Prevention Program a:s part of its tobacco prevention and control efforts, 100 percent of the II retailers checked re- fused to sell tobacco products to youth volunteers working with the program. This finding continues the pattern of high compliance by Jefferson County tobacco retailers. Retailers in compliance in- clude Beaver Valley General Store, Brinnon General Store, Cove Grocery, Discovery Bay Grocery, Nordland General Store, Peninsula Foods, Port Ludlow Marina Shop & Gro- cery, Port Ludlow Village Store, QuiJcene Grocery, Vil- lage General Store and Yelvik's General Store. Current youth access laws \1>.(C leAP Gf¿ are making it tougher for youths to access tobacco prod- ucts. Tobacco retailers can face fines and possible license revo- cation for multiple tobacco youth access violations. The Substance Abuse Pre- vention Program is also at work in local schools to provide information about marketing techniques of the tobacco industry and imme- diate and long-term health consequences of tobacco use. It also offers cessation classes and support. Smoking is one of the lead- ing causes of preventable death in the United States today, and many current smokers began smoking as teenagers. For more information about to- bacco prevention and control efforts in the county, contact the program at 385-9446. Í'-2 -00 "',. , ,. ',. . - ''-', " '. '. .~ Fllth-grlder Bacca Meyer 01 Port Town..nd wa. partlcullrly bl'llve wilen she received the newly-requlred hepeuu. B vaccine. Photo by Janet Huck Inununization rates low in Jefferson CoUnty ..~ By Jan~t Huck Leader Staff Writer . "'", , Shots hurt, but most children receive immunizations for every- thing from measles to polio. In Jefferson County, however, an unexpectedly high number of children don't receive or com- plete their immunizations. Jefferson Counly's rate for exemption from immunization is three times the state average and the second highest in the state. The parents of290children here have received exemptions for personal, religious, medical or health reasons. Even more troubling to the Jefferson County Department of Health and Human Services is that a total of 196 Jefferson County children haven't com- pleted their shots for rubella, measles, mumps and diphtheria, tetanus and whooping cough, hepati!Îs B and polio. Some youngsters don't complete them on a state-approved schedule. Some others may be immunized, but the schools don't have the information. "We want to make efforts to improve the tate of vaccinations, because they are fundamental to OUf mission to prevent illnesses," said Dr. Tom Locke, Jefferson County's public health doctor Measles, for example, needs a 95 percent immunization rate to conrain an outbreak. If the immu- nizaùon drops below that l~v~I, as it has done in Jefferson County, Locke said the chance of the spread of measles goes up. In the case of an outbreak, the health department has the authority to send non-immunized students home for their own protecûon. Other diseases, however, don't need such a high level of immunization to minimize their spread throughout a population. Though the risk to public health is negligible for devastat- ing diseases like polio, the health department decided to conduct a fr LÐtÞt?R ð' - z -o-iJ ..v""'· . two-month survey last January to find out why the exemptions were so high. At the June board of health meeting, public health nurses Jane Kurata and Lisa McKenzie presented their findings. In Jefferson County, 149 students signed person al exemptions for all immunizations. Another 117 students were partially immu- nized, with signed personal ex- emptions for specific vaccines. Only scven students had medical exemptions, and 17 had religious exemptions. Kurata hadn't planned to look at the numbers of students who simply hadn't completed their shots. But in checking each student's permanent record to determine the reasons for exemptions, she stumbled on the larger-than-expected numbers for out-of-compliance students. "The numbers surprised me," said Kurata. A total of 196 Jefferson County students were OUt of compliance; 40 of them had com- plied with the required shots but the timing of their immunizaùons did not meet state standards. The health department offi- cials recognize that some parents hold deeply-felt beliefs against vaccinations. "A certain percent. age of parents are opposed to immunizations and make an in- formed choice," said Locke. Local health officials are more concerned with the parents who are taking the exemptions for convenience, parents who sign the exemption to avoid the hassle and expense of completing the series of shots. But parents aren't the only reason for Jefferson County's high rates, the report said. Most schools apparenlly haven't made it a priority to track immuniza- tion records. According to the county report: . Some school officials don't completely assess the students' immunization status. · Some school systems have given low priority to staff training, so staff members are unfamiliar with the slate school immunization requirements. · Some school officials are un- willing to exclude students lack- ing proper documentation, even though it is a Washington srate law. · Some schools give a low pri- ority to immunization record- keeping. · There is a lack of communi- cation between the parents and the schools about the seriousness . of the' requirements. . "'. The . local health department and board of health now must decide how best to boost the low immunization rates in Jefferson County. "We need to get our message across that this is a significant issue," said Dan Harpole, Jeffer- son County commissioner and board of health member. The public health nurses have written to the schools and school boards, asking them to inaugurate an educational campaign to stress the seriousness of the need. They suggested that elementary schools ask for the immunizaùons when parents enroll their children for kindergarten in the spring. With- out being asked, one school did that this past spring. The nurses have also suggested that the schools fax a request for the immunizaùon records of trans- fer students so the records are completed in a timely fashion. The health department sched- ules extra nursing staff for the walk-in immunization clinics just before school opens and im- mediately afterward. "Parents can bring their chil- dren on the ftrst day of school and return right back," said Kurata. .,; Smoke-free establishments recognized Fifty-eight East Jefferson County eating and drinking es- tablishments have been recog- nized by the county health department's tobacco prevention and control program for,provid- mg 100 percent smoke-free in- door environments for their cus- tomers and employees. The following county estab- :ishments offer smoke-free drinking and dining: Ajax Café, Bagel Haven, Ferino's Pizzeria, Java Port Café, Joy Luck, Snug ':-Iarbor Sub Shop, Stormin' 'iormin's, On Common :rounds, Heron Beach Inn, ~iblicks, Snug Harbor Sub Shop, Snug Harbor Café of Discovery Bay, Original Oyster House, Whistle Stop Deli, Sea beck Pizza, Twanda Road House and Snug Harbor Café of Quilcene. Port Townsend establish- ments are: The Belmont, Blue Moose Café, Boiler Room, Bread & Roses, The Bayview, Burrito Depot, Café Internet, Cheeks, Chevy Chase Snack Bar, EI Sarape, Elevated Ice Cream, Fountain Café, Jake's Original Grill, Jordini's, Khu Larb Thai, Kinetic Koffe, La Isla Mexican Restaurant, Land- fall, Lanza's, Lighthouse Café, Lonny's, Manresa Castle, McKenzie's, Nifty Fiftys, Ot- ter Crossing Café, Pizza Fac- tory, Plaza Soda Fountain, Pub- lic House, Salal Café, Siren's, Spruce Goose Café, Subway Sandwiches & Salads, Tyler Street Coffee House, Upstage Theatre & Restaurant, Water- front Pizza, Wild Coho Café, Wild Sage, Zhang's Garden. For a listing of smoke-free establishments in other counties , visit www.doh.wa.gov/tobacco/ smkfree.htm. The health department re~ ports that "because the organic material in tobacco doesn't burn completely, cigarette smoke con- tains more than 4,700 chemical, compounds, including carbon' monoxide, ammonia, formalde"· . hyde, benzene and arsenic. Of these, at least 43 are known to cause cancer." Children who breathe secondhand smoke have-' increased risk of developing res-' piratory problems, heart diseasé . and lung cancer later in life. note' health studies that affirm the im" . portance of smoke-free environ- . ments. For more information on to- bacco prevention and control ef- forts in Jefferson County, contact;. the tobacco prevention and con- . trol program at 385-9446. : . :- ~ N ~ ~ .~ ", Hospital comes under firE State alleges poor record-keeping; food preparation By PmuP L. WATNESS PENINSULA DAlLY NEWS PORT TOWNSEND - Jeffer- 30n General Hospital broke state law by failing to have a working quality improvement process, according to charges filed this week by the Washington State Department of Health. State hospital inspectors also allege that the hospital didn't have adequate record-keeping proce- dures and prepared food in unsani- tary kitchen conditions. The hospital has 28 days to respond to the charges, either by appealing them to an administra- tive law judge or by negotiating with the health department on methods to rectify the problems. Hospital Administrator Vic Dirksen said he has hired a consul- tant to develop a quality improve- ment process that meets state requirements, and will contract with the Jefferson County Health Department to conduct regular mrprise food service inspections. Terri Camp, director of educa- tion and performance improve- ment, said personnel will review record-keeping procedures to ensure compliance with state rules. . -State Department of Health r'acilities and Services Licensing Program Director Gary Bennett òaid a random sampling of 13 patient records revealed that one- third failed to adequately docu- ment patient care. Deficiencies ~anged from medication being idministered without proper" ~ecord-keeping to patients' vital ;igns not being properly docu- 7lented. T¡;R:-I TO HOSPITAL /A2 PJm.¡p L. WA'l'l'ŒlJ8/PEmNSIJl.A DAILY N Jefferson General Hospital Administrator Vie Dirksen and registered nurse Jana Kessinger look over medical records at the facility this week. The facility Is taking steps to correct practices that have been criticized by state health officials - ca .... l- ea. fI) o :c U} 'f./J S::" '"0 1 f-4 I Q) "'a Cf.:I Q),..c: b.DCô 6 ãj ... 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NEW - Language added to require review of onsite sewage systems hydraulic and treatment capacity at the time of application for a building permit for new, replacement or expansion of a residence. NEW 8.15.080 (16) - pages 5 and 6 - Pending onsite sewage disposal permit applications. New language that defines when and how pending permits applications will be voided for lack of action on the part of the applicant. NEW - 8.15.100 - pages 6 and 7 - Community onsite sewage disposal systems Added language regarding maintenance, management and reporting requirements for systems serving multiple residences. NEW - 8.15.110 - pages 7 and 8 -Inspection Defined the roles and requirements for inspection of system installations by the Health Department, the Designer and the Installer. EXPANDED - 8.15.120, 130, 140, 150 - pages 8 -12 - Certification of Professionals involved in onsite sewage system design, installation and maintenance. Clarified requirements for Certification, renewal of Certificate, reporting requirements and Suspension or Revocation of the certificate. NEW - 8.15.160 - pages 12 - 14 - Operation and Maintenance. Defines the roles and responsibilities of the system owner, Health Department and inspection and monitoring personnel. NEW - 8.15.170 - pages 14 and 15 - Areas of Special Concern. Taken from state code. EXPANDED - 8.15.180 Appeal/Hearing and 8.15.190 Enforcement - pages 15 -19. Clarification and step by step procedures appeals and enforcement.