HomeMy WebLinkAbout09 September
JEFFERSON COUNTY BOARD OF HEALTH
MINUTES
Thursday, September 21,2000
Board Members:
Dan Hmpole, Member - County Commissioner District # 1
Glen Huntingford, Member - Coun!; CommiJJioner DiJtrid #2
Richard W'w/.. Member - County Commissioner District #3
GeoJ!rry Masci, Member - Port Townsend City Council
Jill Buhler, Vice-Chairman - Hospital Commissioner District #2
Sheila lf7esterman, Citizen at Ll1:ge (City)
Roberta Frissell. Chairman. Citizen at Large (County)
5 taf[ Members:
Jean Baldwin, Nursing Sm,ices Dim'for
Larry Fqy, Environmental Health Director
Thomas Locke, MD, Health Officer
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. The agenda was revised to reflect
the following additions: New Business - Loss of MVET Funds and Old Business - Report on Jefferson
General Hospital.
APPROVAL OF MINUTES
Commissioner Wojt moved to approve the minutes of the August 17,2000 meeting. The minutes were
corrected as follows: Page 4, paragraph 8, the words "and no conventional" should be deleted and on
Page 4, paragraph 2, first sentence, the word "for" should be deleted. Commissioner Wojt seconded the
motion to approve the minutes as corrected, which carried by unanimous vote.
OLD BUSINESS
PENINSULA SYRINGE EXCHANGE: Jean Baldwin distributed a NALBOH Newsbrief and a
letter sent to providers announcing the opening of the Peninsula Syringe Exchange. The program is open
twice a week in Jefferson County and once a week in Clallam County. A time line is being prepared for
outreach on infectious disease, Hepatitis C and B, testing and counseling.
ILLEGAL DUMPING ACTION: Larry Fay reported that due to a miscommunication with the
Prosecutor's Office, the order by the Board of Health regarding Linda Sexton has not yet been
implemented. He will be following up immediately with the Prosecutor's Office to clearly outline the
formal action desired by the Board of Health. He agreed to investigate whether there is an expiration
date on the order and will report back next month.
Chairman Frissell commented that a lack of action sends the wrong message.
HEALTH BOARD MINUTES - September 21,2000
Page: 2
STATE AUDIT - JEFFERSON GENERAL HOSPITAL: Vice Chairman Buhler reported the
Hospital was re-evaluated on September 16, 2000. A communication from the State indicated that
Region 10 of the Healthcare Financing Administration will be notified that the Hospital is now in
compliance with all Medicare conditions of participation. The Hospital will be re-evaluated on October
16,2000.
RESOLUTION OF SUPPORT FOR JEFFERSON TRANSIT SALES TAX INITIATIVE:
As agreed at the last meeting, Commissioner Harpole communicated to the Transit Authority the Health
Board's support for Proposition 1. The proposition passed by an estimated 63.5%. The proposition failed
in Kitsap County.
Member Westerman moved that staff formalize for signature, the Resolution in Support of
Proposition 1 dated August 17, 2000. Commissioner W ojt seconded the motion, which carried by a
unanimous vote.
NEW BUSINESS
LOSS OF MOTOR VEHICLE EXCISE TAX FUNDS (MVET): County Administrator
Charles Saddler provided background on the MVET funds as a method of funding health operations. He
believes it is appropriate for the Board of County Commissioners to seek assistance from the City of
Port Townsend in providing funding for the core health services. He will propose to the Board of County
Commissioners that this element be part of the Regional Services Agreement with the City.
Member Westerman suggested reviewing the formula used in the past to ascertain the City's share.
Charles Saddler agreed and said his intent was to first notify the Health Board of the recommendation.
He will then work with Health Department staff to identify the core services and functions and will keep
the Board informed of any action.
Commissioner Harpole moved that staff draft a letter for the Chair's signature requesting the
City's assistance in funding the core health functions. Commissioner Wojt seconded the motion,
which carried by a unanimous vote.
HIV INFECTION REPORTING IN WASHINGTON STATE - YEAR 1 STATUS
REPORT: Dr. Tom Locke reviewed the background and findings in the report provided in the agenda
packet. Requirements of this one-year evaluation were to identify whether the system produces high-
quality data that complies with the Center for Disease Control (CD C) standards and whether the system
is having any adverse affects. He indicated that while the integrity of the data is high, the completeness
standard was 61 % compared with the CDC standard of 85%. This is expected to increase over time. An
area outlined for improvement is partner notification. Overall the report was favorable.
HEALTH BOARD MINUTES - September 21, 2000
Page: 3
ON-SITE SEWAGE CODE ADOPTION HEARING: The Board discussed specific areas for
clarification and correction to Draft #5 of the On-Site Sewage Code as follows:
. Page 9,8.15.120 (3) Renewal of Certificate. There was clarification that the renewal application
date was changed to March 1 to correspond with the expiration date of April 1.
. Page 11, 8.15.140 Sewage system designers. This section should be deleted because it is covered
elsewhere in the document.
. Page 11, 8.15.150 (1) To clarify that employees of the PUD need to be certified, this item was
modified to read" . . . firm or corporation, including public employees, to engage in . . . "
. Page 15,8.15.160 (6)(d). To reserve the County's operation and monitoring options in the future,
" . . . the Jefferson County PUD for monitoring. . . "was replaced with" . . . an agency or entity
approved by the Department for monitoring. . . "
. Page 11,8.15.150 (3)(c). Change "one year experience" to "one year experience or six months
experience plus demonstration of having completed (specified training curriculum)" and check
for consistency throughout the document.
Earl Green expressed his disappointment that other installers were not in attendance. He likes the current
system where the Health Department conducts the inspections and expressed his concern about the
inflated cost for engineers writing the design. He recommended that there be a requirement for risers
with distribution boxes.
Larry Fay responded that new state licensing will allow non-engineers to get into the field of on-site sewage
system design.
. Page 6,8.15.090 Under Design, add number (5) to outline a riser requirement on the distribution
box.
. Index. Review and edit capitalization.
. Table 1, Column 5, Row 1 should read "annually" instead of "every three years. . . "
. Page 3,8.15.050 (15) OSS: On-site Sewage System be deleted.
. Page 9, 8.15.120 (2)(c) "Shall provide" should be deleted.
. Page 19, 8.15.200 spelling of Severability to be corrected.
. Page 4,8.15.060 (3) Deputy Prosecutor David Alvarez recommended replacement language for
this item. There was no opposition to using the recommended language.
. Page 14, 8.15.160 (6)(b) To help with public notification on this item, Larry Fay indicated that
part of the $84,000 Centennial Clean Water Grant would be used to help implement and provide
public outreach. For transfers of ownership, notification will occur through the Assessor's office
and Realtors.
Member Westerman moved for adoption of the Final Draft of the Onsite Sewage Code as amended
and corrected. Commissioner Harpole seconded the motion, which carried by a unanimous vote.
It was understood that the date of the final adoption should be September 21, 2000 and that this
document as revised could be provided in the next agenda packet for review only unless discussion is
needed.
HEALTH BOARD MINUTES - September 21,2000
Page: 4
INFLUENZA CONTINGENCY PLAN: Dr. Tom Locke reviewed the County's plan included
in the agenda packet outlining the production problem, timing of vaccinations, and priorities for the
1999-2000 season. Specific actions include delaying the Community Vaccination Clinics until
November and encourage providers to give priority to high risk patients. Priority should also be given to
healthcare workers having direct contact with clients at high risk for influenza complications. Dr. Locke
indicated that part of the CDC's back up plan is that another batch of vaccines is expected to be released
in December. He noted that in the United States there are between 20,000 and 40,000 deaths attributed to
infl uenza.
BEHAVIORAL RISK FACTORS SURVEILLANCE SYSTEM (BRFSS): Dr. Tom Locke
provided an overview of the BRFSS system. He talked about the current lack of data, the benefits of the
information, and the many components of the BRFSS system. One of the main benefits of this system,
as a core assessment tool, is looking at healthcare access, insurance, and payment plans, etc. Jean
Baldwin indicated that the Department has decided to purchase staff time from Kitsap County to update
Jefferson County's vital records and vital statistics information. This update will help with preparations
for the new census data when available. She also proposed assembling a workgroup of Board of Health
members and community volunteers to begin work on this system. The BRFSS project is contingent
upon MVET funds and is estimated at $19,000 plus the contract with Dr. Chris Hale. Part of this amount
is in the 2001 budget and Jefferson General will be contacted about their interest in partnering on the
project. Ms. Baldwin agreed to return to the Health Board with a budget for the BRFSS and cost for
using Dr. Hale.
REVIEW OF HEALTH DEPARTMENT MANAGEMENT TEAM: Dr. Tom Locke
reviewed the temporary staff arrangement that has been in place since the Health Director resigned in
June 1999. Because of the budget affects of 1-695, there was a decision to leave the position vacant and
reconfigure the Health Department management team as opposed to a staff layoff. He has concerns
about being understaffed and management's ability to coordinate and respond to urgent situations. As
the one year review approaches and budgets are needed, the management team would like a review of
the system through a management team appraisal. The Board of Health's assistance is requested.
Standard internal infrastructure evaluations are forthcoming from the National Association of County
Health Organizations (NACHO). Jean Baldwin agreed to contact the Health Board members about
possible meeting times.
HEALTH BOARD MINUTES - September 21, 2000
Page: 5
AGENDA CALENDAR/ADJOURN
Chairman Frissell asked staff to pay closer attention to the public meeting notices in the newspaper.
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CONTINUED STABLE FUNDING TO REPLACE MVET
ACCESS HEALTH CARE
PROGRAM MEASURES (Genetic Research and Public Health Implications)
METHAMPHETAMINE SUMMIT
PERFORMANCE STANDARDS & COMMUNITY ASSESSMENT
TOBACCO PREVENTION AND COALITION
FLUORIDE
TRANSIT AND PUBLIC HOUSING
BIOTERRORISM READINESS & PLAN
AGING POPULATION
WATER
MATERNAL CHILD PREVENTION GOALS (0-3)
Meeting adjourned at 3:20 p.m. The next meeting will be held on Thursday, October 19 at 1:30 p.m.,
followed by the Joint Board Meeting at 3:30 p.m. at the Hospital.
JEFFERSON COUNTY BOARD OF HEALTH
IJ~ {, . l -;;--. . 1~.t /. ; 1 (1 (/
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Roberta Frissell, Chairman
() 1// eJ^--.
J~er, Vice-Chairman
Richard Wojt, Member
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v' f\e.-1l.lL/ \]v U-'ft,!y \V-~ l..--
Sheila Westerman, Member
(Excused Absence)
Glen Huntingford, Member
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lth~ I-?ql~
Ban Harpole, 1fe?Iber
NOTICE OF ADOPTION
HEARING
AMENDING JEFFERSON
COUNTY CODE
CHAPTER 8.15 ON SITE
SEWAGE DISPOSAL SYSTEMS
NOTICE IS HEREBY GIVEN
that on September 21, 2000 the
Jefferson County Board of Health
is scheduled to accept comments
and to adopt Chapter 8.15 Onsite
Sewage Disposal Systems,
amending the existing Chapter
8.15. The hearing will be held at
the Jefferson General Hospital
Conference Room beginning at
2:00pm. The effective date shall
be the -clate of adoption.
The purpose of the rule is to
regulate the installation and
ongo-
ing monitoring of onsite sewage
systems serving the residents of
Jefferson County in order to limit
exposure to sewage borne dis-
ease and protect public health.
Pursuant to RCW 70.95 and
RCW 43.20, the Jefferson County
Board of Health is charged with
the duty of protecting the public
health and safety of all inhabi-
tants of Jefferson County.
The purpose of this amend-
ment is to address the require-
ments of WAC 246-272 Gnsite
Sewage Systems, to incorporate
policies, where appropriate, to im-
prove administrative procedures.
clarify requirements for enforce-
ment, appeals and c€.lrtificatb ,('\1
Installers, pumpers and up".Jtion
and maintenance professionals
and establish a program for the
long term monitoring of onsite
sewage systems in Jefferson
County. The revision improves
the connections between permit~
ting onsite sewage systems and
review under other State and Lo-
cal codes. The revision requires
ongoing education for professio-
nals certified under this code and
upgrades their bonding and insur-
ance requirements. The State
Code addresses technical specifi-
cations for the permitting of onsite
sewage systems. The local code
primarily addresses administra-
tive procedures and technical re-
quirements such as the require-
ment for access risers to grade
on septic tanks for monitoring and
maintenance.
Copies of the above cited
Chapter are available from the
Jefferson County Health and Hu-
man Services Department, 615
Sheridan, Port Townsend, WA
98368 (360) 385-9444.
Comments may be submitted
in writing to Jefferson County
Health and Human Services prior
to September 21, 2000 or in per"
son or in writing at the Hearing
September 21, 2000 at 2:00pm at
the Jefferson General Hospital
Conference Room. 1960m 8/30
Affidavit of Publication
STATE OF WASHINGTON)
SS
COUNTY OF JEFFERSON)
SCOTT WILSON, being sworn, says he is the publisher of the Port
Townsend Jefferson County Leader. a weekly newspaper which has
been established, published in the English language and circulated
continuously as a weekly newspaper in the town of Port Townsend in
said County and State, and for general circulation in said county for
mom than six (6) months prior to the date of the first publication of the
NotiGe hereto attached and that the said Port Townsend Jefferson
County Leader was on the 27th day of June 1941 approved as a legal
newspaper by the Superior Court of said Jefferson County and that
annuxed is a true copy of the
Notice of Adoption Hearing
Onsite Sewage Disposal Systems
as it appeared in the regular and entire issue of said paper itself not in
a supplement thereof for a period of on l" consecutive weeks,
beginning on the..3il.1:h.day of All gm; t ,20-.illL,
& ending on the 3QJ:hday of A 11 Em; t , 20-.illL,
and that said newspaper was regularly distributed to its subscribers
during all of this period. That the full amount of $ 96. 75
has been paid in full, at the rate of $9.50 ($9.00 for legal notices re-
ceived electr
tion.
Publisher
Subscribed and sworn to before me this--1Q..day of Augus t
20....QQ..
Notary Public in and for the State of ashington
residing at Port Hadlock
-
CC, : ~1) Ijd-/O I
"Ix..S)
p~
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Jefferson County Ordinance 08-0921-00
8.15 ON-SITE SEWAGE CODE
Adopted September 21, 2000
Jefferson County Board of Health
SECTION
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
8.15.210
8.15.220
Jefferson County Ordinance 08-0921-00
8.15 ON-SITE SEWAGE CODE
TABLE OF CONTENTS
TITLE
Authority/Scope
Purpose
Adoption by Reference
Administration
Definitions
Adequate Sewage Disposal Required
No Discharge to Water or Ground Surface
On-site Sewage System Permit
Design
Community On-site Sewage Disposal Systems
Inspection
Sewage System Installer
Septic Tank Pumpers
Operation and Maintenance Specialist
Operation, Maintenance and Monitoring
Areas of Special Concern
Appeal/Hearing
Enforcement/Penalty
Severability
Fees
Effective Date
Conflict
Table 1
PAGE
1
1
1
1
1
4
4
4
6
6
7
8
10
11
12
15
15
17
19
19
19
19
20
CHAPTER 8.15
ON-SITE SEWAGE DISPOSAL SYSTEMS
8.15.010
AUTHORITY/SCOPE
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; and
(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 the 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 3,500 gallons per day or less.
(3) Commercial On-site Sewage System: Any nonresidential or combined
residential/nonresidential on-site sewage system with a design flow of 3,500 gallons per
day or less.
8.15 On Site Sewage Disposal System Ordinance No. 08-0921-00
Page: 2
(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
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: An individual authorized by the Washington State Department of Licensing
to perform design services for on-site wastewater treatment system pursuant to 18.210
RCW.
(7) Expansion: A change in a residence, facility, site or use that:
(a) Causes an on-site sewage system to exceed its existing treatment or
disposal capability; for example, when a residence is increased from two to three
bedrooms or there is a change in use from an office to a restaurant; or
(b) Reduces the treatment or disposal capability of the existing on-site sewage
system or the reserve area; for example, when a building is placed over a
reserve area.
(8) Fees: Charges as hereinafter authorized by the Jefferson County Board of
Commissioners or the Jefferson County Board of Health for issuing permits, making
inspections as found necessary, and certifying individuals in the practice of installing,
pumping or maintaining/monitoring on-site sewage systems.
(9) Health Division: The Jefferson County Health and Human Services Environmental
Health Division.
(10) 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.
(11) Installer: An individual who has passed the Jefferson County installer's exam, holds
a current bond and insurance as specified in 8.15.120, personally holds an Installer's
Certificate and directly supervises the installation and/or repair of an on-site sewage
disposal system in Jefferson County.
(12) Notice of Violation: Written determination that an element or section of these rules
and regulations has not been complied with.
(13) On-site Sewage System (aSS): An integrated arrangement of components for a
residence, building, industrial establishment or other place not connected to a public
sewer system which:
(a) Convey, store, treat, and/or provide subsurface soil treatment and disposal
on the property where it originates, upon adjacent or nearby property; and
(b) Includes piping, treatment devices, other accessories, and soil underlying the
disposal component of the initial and reserve areas.
(14) Operation and Monitoring Specialist: An individual with training, skill and
experience in the maintenance/monitoring and operation of ass and who is approved by
the Jefferson County Environmental Health Division to inspect and monitor the
performance of an ass.
8.15 On Site Sewage Disposal System Ordinance No. 08-0921-00
Page: 3
(15) Probation: A penalty period where the individual committing the violation shall be
subject to additional review, reporting and/or inspection.
(16) Proprietary Device: A device or method classified as an alternative system, or a
component thereof, held under patent, trademark, or copyright.
(17) 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.
(18) Revocation: The termination of all the rights and privileges associated with a
certification.
(19) 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.
(20) 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.
(21) Soil Log: A detailed description of soil characteristics providing information on the
soil's capacity to act as an acceptable treatment and disposal medium for sewage.
(22) Suspension: The temporary termination of all rights and privileges associated with
a certification.
(23) 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 of 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) An individual designs, installs or approves an on-site sewage system that is
not in accordance with the applicable regulations, or is not fitting the size, shape
or topography of the site, within setbacks, as specified in the WAC Chapter 246-
272; specification or approval of inadequate construction material, devices or
methods.
(c) A system is not installed in accordance with 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.
(i) A person holding a Certificate or license to install, pump or monitor an OSS
fails to report to the Health Division within 24 hours any nonfunctioning on-site
components that could result in human contact with sewage effluent.
8.15 On Site Sewage Disposal System Ordinance No. 08-0921-00
Page: 4
(j) An owner fails to complete required 0 & M inspections, comply with the 0 &
M schedule in TABLE 1 and/or submit the reports to the PUD.
(k) An owner fails to comply with conditions of the on-site sewage permit.
8.15.060
ADEQUATE SEWAGE DISPOSAL REQUIRED
(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 sewer 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 or
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 and this code. Such system may include the use of
waterless toilet devices in conjunction with an approved graywater 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 being equipped
with a toilet, sink, shower or other plumbing fixture that 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, as that term is defined in
Section 8.15.050(7) of this Code, may be connected to a pre-existing on-site sewage
system only when the pre-existing system has hydraulic capacity, sufficient vertical and
horizontal separation, an adequate reserve area and satisfies all other requirements to be
in compliance with current code.
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
ON-SITE 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 (3) years from the date of issuance.
(a) 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 on-site sewage system.
8.15 On Site Sewage Disposal System Ordinance No. 08-0921-00
Page: 5
(b) 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.
(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 Officer
determines it is warranted.
(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 ass 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 ass
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) On-site 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.
(11) Any pending and all future permits and approvals for the subject property shall be
withheld when written notice of noncompliance 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.
(12) No on-site sewage system permit shall be issued for industrial, chemical or
hazardous waste disposal.
(13) It shall be the responsibility of the owner or owner's authorized representative to
fill/cover the holes provided for evaluation of the soils for an installation permit or
subdivision review within ten (10) days following notification that the inspection by the
Health Officer is complete. The property owner shall be notified in writing when the
inspection has been completed.
(14) Any ass not located entirely on the property originating the sewage 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.
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8.15 On Site Sewage Disposal System Ordinance No. 08-0921-00
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(15) Pending on-site sewage disposal permit applications.
(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 the application and plans, pay current application fees and meet current
rules and regulations.
(d) The applicant shall be provided a 3D-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 an
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, by an on-site sewage system designer
licensed or holding a practice permit issued by the Washington State Department of
Licensing to perform design work pursuant to chapter 18.120 RCW or be a licensed
engineer pursuant to RCW 18.43 RCW.
(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 ground provided that a written
agreement to uncover them for required 0 & M inspections has been recorded with the
title to the property.
(5) Distribution boxes shall be fitted with risers to grade. Distribution box risers shall be
sized adequately to allow visible inspection of liquid level in the box, shall be constructed
of durable materials and shall be equipped with secure, tightly fitted lids.
8.15.100
COMMUNITY ON-SITE 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.
8.15 On Site Sewage Disposal System Ordinance No. 08-0921-00
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(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 proposing community systems shall 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:
(a) Number of connections to the system and each connection's design flow.
(b) Copies of inspection reports consisting of the items detailed in 8.15.150 (7)
completed per TABLE 1.
(c) Records identifying 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 hours (2 working 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.
(b) The Certified Installer shall submit an "as-built" drawing of final construction to
the Jefferson County Department of Community Development within ten (10)
days of the final inspection request. The Certified Installer shall provide a
statement and signature certifying compliance with the approved design and
WAC 246-272.
(c) The Health Officer may waive the inspection requirement provided installation
has been performed by a Certified Installer, AND proper notification of the Health
Officer requesting inspection has been provided per (a) above, AND the
Designer of the on-site sewage system performs an inspection, AND provided
the Designer is not also named as installer of the system.
(d) No part of anyon-site sewage system installation shall be put into use until
final approval has been obtained from the Health Officer.
(3) Final Inspection - Alternative Systems
(a) The Designer shall be contacted by the Installer to complete all required
inspections per the approved plan.
(b) The Designer shall be responsible for all inspections during the construction
of the OSS and, within ten (10) days of system completion, shall submit an "as-
built" drawing detailing the results of the inspections of the completed system to
the Jefferson County Department of Community Development, to the system
owner and to the monitoring entity.
(c) After completion of the system, when the system is fully functional and the as-
built drawing has been submitted, the Designer 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 by the Jefferson County
Department of Community Development of "as-built" drawings of the final construction,
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
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8.15 On Site Sewage Disposal System Ordinance No. 08-0921-00
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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 the
design and regulations.
(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
prepared by the Designer 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) Designer or Installer's signature and date of installation
(xxii) Other pertinent information
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 on-site sewage systems
without first having been issued a Septic System Installer's Certificate by the Health
Officer.
(2) Requirements for Sewage System Installer shall include 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) Written proof showing a minimum of one year experience under the direct
supervision of a Certified Installer, Designer or Operation and Monitoring
Specialist. Completion of classroom training specific to on-site sewage system
8.15 On Site Sewage Disposal System Ordinance No. 08-0921-00
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installation as approved by the Health Division may be substituted for up to six
months of work experience.
(d) Such certificate shall be issued only after the applicant has indicated a basic
knowledge of the proper installation 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.
(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 no later than
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.
(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.
(5) An Installer's Certificate is not transferable.
(6) An Installer's Certificate grants authority to install anyon-site 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.
(7) 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 Installer's 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 encumbrance,
AND
(e) prior to beginning installation the Health Officer AND the Designer are
contacted to schedule required inspections.
(8) 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 the site installer's name(s) and of any changes in employment
status of sponsored site installers. Site installers must pass the Installer's exam and
maintain their annual certificate.
(9) 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 dollars ($500,000.00).
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.
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8.15 On Site Sewage Disposal System Ordinance No. 08-0921-00
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(10) Continuing Education. Each installer shall obtain a minimum of eight (8) hours of
approved classroom training every 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.
(11) Suspension/Revocation. A sewage system Installers Certificate may be revoked or
suspended as set forth in 8.15.180 if he/she has been found to be in noncompliance 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's 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
verification of continuing education shall be submitted to the Health Officer no later than
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 Pumper's 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 the 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
8.15 On Site Sewage Disposal System Ordinance No. 08-0921-00
Page: 11
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 8.15.180 if he/she has been found to be in noncompliance with
the terms of this chapter or has performed with negligence, incompetence or
misrepresentation.
8.15.140
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 Health Division
without first having been issued an Operation and Monitoring Specialist Certificate by the
Health Officer EXCEPT as noted in 8.15.150 (6)(b).
(2) A sewage system Operation and Monitoring Specialist Certificate shall not be
transferable.
(3) Requirements for Monitoring Specialist Certificate 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) Written proof showing a minimum of one-year experience under the direct
supervision of a Certified Installer, Designer or Operation and Monitoring
Specialist. Completion of classroom training specific to on-site sewage system
operation and maintenance as approved by the Health Division may be
substituted for up to six months work experience.
(d) 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) Take and pass a written examination to determine the applicant's knowledge
of the operation and monitoring 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.
(4) Scope of Practice.
(a) The Operations and Monitoring Specialist may 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 of 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; or
(iv) Record information from devices such as cycle counter or
operating hour meters and water meters
(b) The Operations and Monitoring Specialist may complete the following if
authorized by the homeowner:
(i) Clean pump screen or outlet baffle screen;
(ii) Install and repair septic tank lids, risers and baffles;
(iii) Replace pumps, float switches, and check valves intended to
prevent the back flow of effluent into the pump chamber, within
Washington State Labor and Industry requirements; or
(iv) Make repairs to a septic tank or pump chamber to correct a
condition of ground water intrusion or leakage.
8.15 On Site Sewage Disposal System Ordinance No. 08-0921-00
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(c) The Operations and Monitoring Specialist shall not:
(i) Pump the septic tank and/or pump chamber, EXCEPT in the
case where he/she also holds a valid Septic Tank Pumper's Certificate;
(ii) Excavate an ass's drainfield or any drainfield component,
EXCEPT as stated in 8.15.140 (4)(b) above, OR in the case where
he/she also holds a valid Installer's Certificate;
(iii) 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's Certificate and a permit has been
obtained for such work; or
(v) Replace or alter devices that monitor or regulate the distribution
of the effluent.
(5) The Operations and Monitoring Specialist shall report failure of an on-site sewage
system to the Health Division within 24 hours of first identifying the failure.
(6) Inspection Reports shall be submitted by the Operations and Monitoring Specialist to
the Health Division or other authorized agency within thirty (30) days following the
inspection.
(7) Only certified Operation and Monitoring Specialists 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 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 Required. Prior to the issuance of an Operation and Monitoring Specialist
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 dollars
($500,000.00).
(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 Monitoring Specialist's Certificate may
be revoked or suspended as set forth in 8.15.180 if he/she has been found to be in
noncompliance with the terms of this chapter or has performed with negligence,
incompetence or misrepresentation.
8.15.150
OPERATION, MAINTENANCE AND MONITORING
(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 use, operate, and maintain the
system to eliminate the risk to the public associated with improperly treated sewage.
Owners' duties are included, without limitation, in the following list:
8.15 On Site Sewage Disposal System Ordinance No. 08-0921-00
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(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.
(c) They shall not use water in quantities that exceed the ass's designed
capacity for treatment and disposal.
(d) They shall not deposit solid, hazardous waste, or chemicals other than
household cleaners in the ass.
(e) They shall not deposit waste or other material that causes the effluent
entering the drainfield to exceed the parameters of domestic/household waste
strength.
(1) They shall not build any structure in the ass area or reserve area without
express, prior consent of the Health Officer.
(g) They shall neither place nor remove fill over the ass or reserve area without
express, prior consent of the Health Officer.
(h) They shall not pave or place other impervious cover over the ass or reserve
area.
(i) They shall divert drains, such as footing or roof drains away from the area of
the ass.
0) They shall comply with inspection requirements in JCC 8.15.150.
(k) They shall complete maintenance and repair of the ass as recommended by
the monitoring entity.
(I) They should not dispose of excess food waste via a garbage disposal.
(m) 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 ass area or reserve area.
(2) Breach of Owner's Responsibilities. An owner's or occupier's failure to fulfill any of
the responsibilities in 8.15.150 (1) shall be a basis for a Notice of Violation and for the
Health Officer to decline to issue approval for further development on the parcel.
(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 notice to
both the borrower and any lender identified in the Auditor's record who has recorded a
lien that has not been released, 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 ass to the owner. Information shall be made
available at the Health Division and the Jefferson County Department of Community
Development locations and shall be mailed on a periodic basis to owners of ass by the
Health Officer or his/her designated representative.
(5) Inspection Requirements.
(a) The owner shall ensure that the ass receives an inspection by an approved
monitoring entity at the frequency identified in 8.15 Table 1.
(b) Proprietary Devices and Disinfection Equipment. Existing and proposed
systems that include 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.
"'I
8.15 On Site Sewage Disposal System Ordinance No. 08-0921-00
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(c) Multiple Requirements. If the manufacturer, patent holder, state, Health
Division, and any other relevant body have differing recommendations or
requirements for inspection and maintenance intervals for an OSS or any
component of the OSS, then the owner shall follow the most frequent service
interval.
(6) Operations and Monitoring Agreement and Contracts.
(a) The owner of a conventional ass shall be subject to a permit condition
requiring compliance with the inspection schedule specified in Table 1 beginning
with the earliest of the following events:
(i) The installation of an OSS.
(ii) The repair of an ass.
(iii) The alteration of an ass.
(b) Owners of existing conventional systems shall obtain an initial inspection by
the Health Division, Licensed Designer or licensed professional engineer and
comply with the inspection schedule specified in TABLE 1 beginning with the
earliest of the following events:
(i) The sale of the property.
(ii) The application for a building permit on the site.
(iii) The use of an ass as a community ass.
(iv) Identification thatan ass is in an Area of Special Concern as
designated by the JCBOH.
(v) Identification that a system has received a WaiverNariance from
State or Local Code.
(c) Owners of existing and new ass generating waste water of greater than
residential strength, including food service establishments shall be inspected
annually by an approved monitoring entity.
(d) Owners of existing and new alternative systems shall enter into a
contract with an agency or entity approved by the Health Division for Monitoring
of the ass. Inspection frequency shall be completed consistent with Table 1.
(7) Operation and Monitoring Requirements.
(a) On-site Sewage Systems in Jefferson County shall be inspected and
maintained as set forth in TABLE 1 JCC 8.15 by an approved monitoring entity
that meets the standards set forth in 8.1 ~5.140.
(b) Access Required. The owner of the system shall provide access to the
system for inspection and maintenance/monitoring as follows:
(i) Septic tank. Septic tanks shall be fitted with a pumping access
risers to the ground surface over both compartments and over the outlet
baffle, EXCEPT, as set forth in 8.15.090 (4). The risers shall have a
means to lock or secure the lid against tampering and accidental access.
(ii) Pump Chamber. Pump chambers shall have a riser to ground
surface over the pump. The riser shall have a means to lock or secure
the lid against tampering and accidental access.
(iii) Proprietary Devices and Disinfection Equipment. Access shall
be provided as determined by the manufacturer or patent holder and
shall include access to ground surface for effluent sample collection,
observation and inspection of the unit.
(c) Fees for inspections and contracts shall be set by the service provider.
(8) Inspection Report. The inspection report shall be submitted to the Health Division on
Jefferson County Health and Human Services forms. The inspection report form shall be
completed in full for an inspection to be considered valid.
8.15 On Site Sewage Disposal System Ordinance No. 08-0921-00
Page: 15
8.15.160
AREAS OF SPECIAL CONCERN
(1) As specified in the WAC 246-272-21501. The local Health Officer may investigate
and take appropriate action to minimize public health risk in formally designated areas
such as the following:
(a) Shellfish protection districts or shellfish growing areas; .
(b) Sole Source Aquifers designated by the U.S. Environmental Protection
Agency;
(c) Areas with a critical recharging effect on aquifers used for potable water
as designated under Washington Growth Management Act, Chapter
36.70A.170 RCW;
(d) Designated public water supply wellhead protection areas;
(e) Up-gradient areas directly influencing water recreation facilities
designated for swimming in natural waters with artificial boundaries
within the waters as described by the Water Recreation Facilities Act,
chapter 70.90 RCW;
(f) Areas designated by the Department of Ecology as special protection
areas under chapter 173-200-090 WAC, Water Quality Standards for
Ground Waters of the State of Washington;
(g) Wetland areas under production of crops for human consumption;
(h) Frequently flooded areas delineated by the Federal Emergency
Management Agency; and
(i) Areas identified and delineated by the local board of health in
consultation with the Health Division 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.
8.15.170
APPEAL/HEARING
(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) days after receiving written
notice of the decision of the Health Officer.
(2) Notice of suspension and revocation hearings conducted pursuant to JCC 8.15.120,
8.15.130 and 8.15.140 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, the 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.
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8.15 On Site Sewage Disposal System Ordinance No. 08..0921-00
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(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 thirty-five (35) days. The petitioner shall be
given seven (7) days' notice by certified mail of the purpose, time, date and place
of said hearing. 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 by certified mail to the permit applicant or
permit holder.
(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'
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 (35) days following the close of
the second public hearing 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 (35) days following the close of
the public hearing.
(h) All relevant evidence is admissible, which in the opinion of the Board of
Health is the best evidence reasonably obtainable having due regard for its
necessity, availability and trustworthiness; provided that, in passing upon the
admissibility of evidence the Jefferson County Board of Health may give
consideration to, but shall not be bound to follow the rules of evidence governing
civil proceedings in matters not involving trial by jury in the Superior Court of the
State of Washington.
(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.
8.15 On Site Sewage Disposal System Ordinance No. 08-0921-00
Page: 17
m 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.
(k) Notice of the decision of the Board of Health shall be provided not later than
ten (10) days following the date of its decision.
(I) The petitioning party, permit applicant, 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.
8.15.180
ENFORCEMENT/PENAL TV
(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 hearing 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 made
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; and the second
violation in any three (3) year period shall result in a suspension of the
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 applicable regulation or if,
"I
8.15 On Site Sewage Disposal System Ordinance No. 08-0921-00
Page: 18
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 system, 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).
(iH) The third Notice of Violation issued by the Health Division staff
within any twelve (12) month pElriod shall be considered as repeated
violations and result in certificate revocation.
(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 pay all applicable fees and take and pass the written
examination again before issuance of a new certificate.
(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 the certificate holder
will provide a description of the changes in performance that will occur
which will directly avoid the repetition of past violations.
(H) 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 individual's
successful completion of the application and testing procedure and
payment of testing and certification fees as per the Fee Ordinance.
(Hi) 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 8.15.170.
(4) Administrative - Property Owners
(a) Notice to Title. If the Health Officer finds than an owner has failed to comply
with the requirements 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 to Title. The request shall specify corrective
actions that have been completed.
8.15 On Site Sewage Disposal System Ordinance No. 08-0921-00
Page: 19
(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.
8.15.190
SEVERABILITY
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.
8.15.200
FEES
(1) Fees shall be as per Jefferson County Health and Human Services 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 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.
8.15.210
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.
8.15.220
CONFLICT
Where other County regulations are in conflict with this ordinance, the more restrictive
regulation shall apply and such application shall extend only to those specific provisions
that are more restrictive.
Adopted this 21st Day of September, 2000 by the Jefferson County Board of Health.
/7 , I
It;-t~...tlL/J;/U4.Le~L
~erta Frissell, Cha. irman
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Glen Huntingford, Member
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Dan Harpole ember
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BOCC Office
PO Box 1220
Port Townsend W A 98368
JEFFERSONCOUNTYBOARDOFHEALT1R1 ~ ~ ~ ~ ~ ~ ~)
Thursday, September 21, 2000 SEP 1 5 2000
1:30 - 3:30 PM
Board of Health Meeting JEFFERSON COUNTY
3:30 - 5:00 PM BOARD OF COMMISSIONERS
Joint Meeting with Hospital District Commissioners
Jefferson General Hospital Auditorium
AGENDA
I. Approval of Minutes of Meeting of August 17, 2000
II. Public Comments
III. Old Business
1. Follow-up Reports
Jean (10 minutes)
Larry
2. Resolution of support for Jefferson Transit Sales
Tax Initiative
IV. New Business
1. HIV Infection Reporting in Washington State:
Year 1 Status Report
Tom (5 minutes)
2. Influenza Contingency Plan, 1999-2000 Season:
Tom (10 minutes)
3. Jefferson County On-Site Sewage Code:
Adoption Hearing
Larry/Linda
(60 minutes)
4. Behavioral Risk Factor Surveillance System (BRFSS) Jean (15 minutes)
for Jefferson County
V. Adjourn
Next Meetine: October 19,2000
Jefferson County Board of Health
Jefferson General Hospital District Board of Commissioners
Joint Meeting
3:30 PM - 5:00 PM
Thursday, September 21, 2000
Draft Agenda
1) Review of Workgroup Activities: Meetings of July 17 and September 12
2) Review of Goals and Timeline: Should changes be made?
3) Future Planning: Role of the Joint Boards in Assuring Access to Critical Health
Services for Jefferson County Resident
JEFFERSON COUNTY BOARD OF HEALTH
MINUTES
Thursday, August 17, 2000
FOLLO - AGENDA ITEMS FOR NEXT YEAR: There was a brief discussion
about the list
item per month.
Departments' wo an. 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.
Board lviembers:
Dan Harpole, Member - County Commissioner District #1
Glen Huntingford, Member - CounD' CommiJ'Jioner DiJ'trid #2
Richard IV'qjt, Member - County Commissioner DIstrict #3
Geoffrry Masd, Member - Port Town.rend City Council
Jill Buhler, .Vice-Chairman - Hospital Commissioner District #2
Sheila IFesterman, Citizen at Large (Ci!Y)^
RoIM"" Friu"l. Chairman. Citi'f!" at WQt' (Caunty) /'.....
Chairman Frissell called the meeting to order at 1:30 p. .
with the exception of Member Masci and Commissioner Hunt!
OF HEALTH MISSION STATEMENT: Chairman FrisseU
ped at the Board of Health Retreat last month. Commissioner
sion Statement as presented. Commissioner W ojt seconded
ous vote.
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 ClalIam 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 iss d healthcare
access), and a public comment period. He recommended the Board attend the lu e afternoon
sessions. Formal invitations will be mailed.
NEW BUSINESS
JEFFERSON COUNTY TOBACCO CONTROL PLAN: Ke
utilizing $20,000 in Tobacco Prevention and Control educatio lIars.. he objective for the
to reduce exposure to environmental tobacco smoke (ETS) , e purpose is to raise the pub d private
awareness of Washington Clean Indoor Air Regulations gh ho work and recreation venues. A
coalition of local individuals and organizations will be ' n menting the program.
Statewide activities as outlined in the plan include a telephone and a statewide media
campaign/quit line. A key indicator in Jefferson County is that up "5% of n wborns go home from the
hospital to smoking families. She distribute copies of the youth art ,at will go in the
Eliminate ETS exposure packets.
that a $250 donation from the mill,
ree bicy helmets to be given away to children
al Emergency Medical Services and Trauma Care
Sanitation donated and serviced two hand-
dwin and Linda Atkins agreed to write thank you
llam/Jefferson Safety Coalition, with representatives from Health
andT As will continue to look at childhood accident prevention.
Commissioner Ha, e reported that without the sales tax, service would be cut by 50% at the beginning
of the year. If the niitiative 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.
the resolution can be included in the next Health Board packet. He will co
support at the next Transit meeting.
Physician Cory Reddish. The caption was "Parents Right t
Locke commented that when a healthcare provider mak
Officer should respond. He agreed to follow up once h
uhler reported on actions
, of Health. The most serious
edures. Th ospital has contracted with the
nd will hold food handling classes.
an prepared by the consultant
ue has be delayed until these charges are properly
though the hospital had been investigating a
ot respond quickly enough.
PTION H NG: Larry Fay reported that this item is considered
a hearing because proper legal notice was not provided. Final issues
. "scheduled for next month. The ordinance included in the
viewed by the Board.
ey substantive changes in Draft 4 of the ordinance compared to current
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 revi?ing the language in this section to reflect that you
must meet these qualifications before you can take!!ofJthe exam and be certified. w... e does not
believe it is unreasonable to expect one year of experience, it might be possible cep,yarie~ of
means to demonstrate that experience. He agreed that a person does not nece have to be a lIcensed
designer to be eligible to install, operate and monitor. Similar language re erience will be
added under installer (on page 2).
onitoring exclusively,
ssion about the
out the level of service
e certified by the County.
Pg. 10,8.14.130 (3) Staff clarified that this section refers to septi
pumping a septic tank, not evaluating components of the syste
Pg. 11,8.15.150 (4)(b)(ii) Replace "uncover" with "exc
authorized by the homeowner."
Page 14, 8.15.160 (6)(d) There was a clarification that while the
the homeowner decides who provides maint ance and repairs. Ther
possibility for community sewage treatm was some discussi
offered by the PUD. It was recommen ection sta
about the concept of moving appeals
cess. Th was support for retaining the current
r work of the Board. Other comments were that
" Board is appropriate for an appellate process
, City, Hospital District, and members at large.
e rationale be ind the monitoring requirements. The Board expressed
onsibility for filling out annual monitoring reports. The desire is to
e inspections. Larry Fay said the Department should soon have
that would detail and explain system failures. An initial review
Another suggest' as to look at requiring biannual inspections on commercial high-strength waste for
alternative system and no conventional.
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 Implic
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
followed by the Joint Board Meeting at 3:30 p.m.
JEFFERSON COUNTY BOARD OF
Roberta Frissell, Chairman
Jill Buhler, Vice-C
Sheila Westerman, Member
Aug-21-00 Ol;49P
P.02
Resolution NQ.
~ u pporting Proposition # I (0 impose additional sales and ust:. taxes
for public tr:msportation in Jefferson County
WHEREAS. thr.: lcff.::rson County Pub!i.: TramportatiOn Benetit !\.rc:J. f,ll1ds the operation, maimenance. ana
capItal needs required to provide public tmnspOn:lllC>11 1.."1 Jefferson Coumy through the Jctf~rscn TransH
Authority: anc
WHEREAS. a ballot ;mJposltion has been p1aced before the voters of Jefferson County at an election to be
held on S~ptcmber 19, 2000 v. hid autho:"iz~s the Autrlority!O impo'5c an additlOnal three-~enth~ (3/1 Orh.s) of one
percer:t (( %) sales and use tax. on me cJtize:1s of Jefferson Count~.: and
\1/HEREAS, in November. 1999, voters ill the State of Washington passed 1-695 ~'v'hich eliminated :'Vlotor
Vehicle Excise Tax funds, and
WHEREAS, sales t:..x p..tnds a;e the only available avenue ottax subsidy rema.ining to p:.J~!ic transportation
agencies; and
VlHEREAS. JelIerscr. Tnmsit Authority will net be able to maintain current levels of ser\1C~ \vitnout this
mcre.:1.Se in sales tax funds: and
',\1-<:EREAS. Jefferson Tram it Authcn:y has over 1t3 t\X,"emy-year history consistently S;'O\\TI gains in
ridership and serV1ces; and
WHEREAS. Jefferson Tr:msit Autl]cnty 1:..5 never requested an increase in th~ sales tax !'".lte in its pistory;
and
\\BEREAS, the recognizes the importance ofpublic
transportatlOn in Jefferson County as a vJtai public servICe in order to mamtain :l !i....able :c:T'.l11unity IYit.1
alternative means oftra.'1sportJ.tion for an citizens and to promote the county's economlC gro\'1h; and
WHEREAS. the
it- 1 ::it a reg.dar meetmg :leld tl:is date; :1CW ulerefore,
has discussed and voted tc support Praj:ositlOn
EE IT RESOLVED that the her::bv officialh- endorses
Pr,:>posltlOn # 1 tc increase the s:1ies ta.... ra.;e withm JeEerson County an additional three-tenths of one percent for
the F\:rpose of funding continued public transportation in Jefferson County.
APPROVED at to regular m~eting of the
of . 2000
held this
day
ChaIr
Vic~~Ch:lIr
A. m:s:
Evaluation of HIV Infection Reporting
in Washington State:
Year 1 Status Report
Infectious Disease and Reproductive Health Assessment Unit
Washington State Department of Health .
September, 2000
EXECUTIVE SUMMARY
Back!!round
ill July 1999, the State Board of Health (SBOH) approved revisions to WAC 246-100,
mandating reporting of asymptomatic HN- infection by providers and laboratories, with
an implementation date of September 1, 1999. On July 12, 2000, the SBOH adopted a
new chapter (WAC 246-101) to replace notifiable conditions rules previously located in
WAC 246-100. This new chapter retains the same provisions for HIV surveillance that
were set forth during the revision process of 1999.
As part of these rules, the SBOH mandated that the state health officer report back to the
Board after one year of implementation. WAC 246-100-043 states:
"Within twelve months of the effective date of the HlV infection reporting system
established in WAC 246-!00-076. the state health officer. in cooperation with local
health officers, will report to the board on:
(1) The ability of the reporting system to meet surveillance performance standards
established by the ftderal Centers for Disease Control and Prevention;
(2) The cost of the reporting system for state -and local health departments;
(3) The reporting system's effect on disease control activities; and
(4) The impact of HIV reporting on HIV testing among persons at increased risk of HIV
infection. "
,
.,
This report is submitted to the Board to fulfill that mandate.
CDC Performance Standards
Analyses ofHIV surveillance data obtained during initial implementation has yielded the
following findings with respect to perfonnance of the system:
o Completeness of reporting: 61 % completeness vs. CDC standard of greater than or
equal to 85%
./ Timeliness: 93% of cases reported within 6 months of diagnosis vs. CDC standard of
greater than or equal to 66%
./ Duplicates: 3% duplicate case reports vs. CDC standard ofless than 5%
./ Risk infonnation: 88% cases with HIV risk information vs. CDC standard of greater
than or equal to 85%
./ Permit matching of databases: Were able to match with two public health databases
./ Security and confidentiality: Adopted CDC standards, provided training statewide,
conducted site visits, designated Overall Responsible Party and developed and
implemented protocol for breach investigations.
Cost of the System to DOH and LHJs
Costs for implementing HIV surveillance were estimated at $154,000 for DOH (all
federal dollars), $202,000 for Public Health-Seattle & King County (all federal dollars),
and $90,000 for non-SKC local health jurisdictions. Although additional costs were
associated with implementation of HIV surveillance, no new funds were received by
DOH or the local health jurisdictions for implementation. Some limited federal funds
were received by Public Health-Seattle & King County for evaluation activities. Costs
were absorbed primarily through resource shifting; however, there were no reports that
carrying out these activities compromised other resources for prevention and care.
Effect upon Disease Control Activities
Partner Notification Services
For HIV and AIDS cases reported between 9/1/99 and 7/31/00, the majority of providers
(63%) indicated on the case report that they would assume responsibility for providing
partner notification services. Public health disease intervention specialists were involved
with 35 (59%) of the 59 cases where the provider initially requested assistance from the
LID and the client met LID criteria for partner notification.
When a small sample of providers who indicated on the case report that they would
provide PN services for their client were interviewed, however, a majority of them said
that they refer patients to the LID for PN or they otherwise seek LID assistance.
Although these data and feedback provided by AIDSNET representatives indicated that,
at least in some regions, there is interest in PN"assistance from LHJs, systems will need to
, be developed to ensure that partner notification is prioritized when considering funding of
public health interventions.
Epidemiologic data for planning purposes
Between September 1, 1999 and July 31, 2000, there were 1,032 new HIV cases (981
HIV and 51 B1B2 cases) reported to the Washington State Department of Health. " Of
those cases, 157 (15%) were newly diagnosed (on or after September 1,1999) and 875
(85%) were prevalent cases (cases that received care on or after September 1, 1999 but
were diagnosed prior to that date).
A comparison was done of recently diagnosed asymptomatic HIV cases (1998-2000) and
AIDS cases diagnosed in the same time period. The HIV cases were more likely than the
AIDS cases to be female (20% vs. 13%, respectively; p <0.05) and under age 30 (35% vs.
17%, respectively; p <0.05). Otherwise, the characteristics of recently diagnosed
asymptomatic HIV cases were similar to those of recently diagnosed AIDS cases. For
example, men who have sex with men (56% vs. 55%) and injection drug users (13% vs.
14%) continue to account for an equivalent majority of cases in both groups.
11
These findings have been helpful to dise?se control efforts in that they confinn
impressions about the increasing impact of the epidemic on women, and they affirm that
prevention plans that were formulated based upon reported AIDS are reasonable at least
for current planning cycle. As the HIV data become more complete and include more
newly diagnosed cases, additional demographic and risk patterns may emerge.
t
.
AIDS case reporting increased 21 % during HIV implementation, in part due to improved
laboratory reporting and increased attention to surveillance in general. Even if Ryan
White Care Act funding continues to be based on AIDS cases, HIV surveillance has been
indirectly helpful in improving funding by increasing the ability of the AIDS surveillance
system to pick up unreported cases.
Impact on Testin2 amOD2 Hi2h-Risk Persons
Data from publicly funded counseling and testing sites indicate that the number of tests
has been decreasing over the last 8 years. The number of positive tes.t results has also
been declining. Recent trends show that the numbers of tests has been declining and the
positivity rate has remained relatively stable. Data from publicly funded counseling and
testing sites also indicate that the number of confidential tests has remained relatively
stable, while a small decrease in the number of anonymous tests has been observed. The
demographic composition of the testing population has remained stable; the majority of
those tested at publicly funded sites are male, white, and have a risk identifies as "other"
(a category that includes heterosexuals who have multiple sex partners). None of these
trends appear to be changed by the implementation ofHIV reporting.
I.
.~
Data from two private laboratories which provide a substantial proportion of HIV tests
done by these sites (55%) show that the total number of tests conducted by these two
laboratories has increased during the reporting period and that positivity has remained
relatively stable. Home testing and testing in Oregon by Washington State residents have
declined and remained stable, respectively, since implementation of HIV reporting and
together account for fewer than 1 % of tests done on Washington State residents. .
Preliminary findings from a CDC-funded HIV testing survey (HITS) conducted by
PHSKC indicate that most respondents are unaware of the reporting requirements and
that these have had little impact on testing behavior among high risk groups. Ten percent
of those who delayed testing indicated that fear about reporting to the government was
one reason they delayed testing, but only one participant cited is as the primary reason.
The Department conducted two surveys of local health jurisdictions, which indicated that
anonymous testing is available in all local health jurisdictions. In two LHJs, difficulty in
reaching the designated person for HN counseling and testing could be perceived as a
barrier, and in two others, fees for low-income individuals could be perceived as a
barrier. Technical assistance is being offered in these jurisdictions to ensure reasonable
access to anonymous testing in accordance with SBOH rules.
111
Community Input into the Evaluation Process
In September 1999, DOH convened a community advisory group to gather input on
access to testing and the impact of HN surveillance upon that. This group included
community-based and governmental members ftom the HIV advocacy, prevention, care,
and epidemiology communities. It met three times to discuss the implementation of HIV
surveillance, means of assessing its impact on testing, and findings from preliminary data
obtained over the course of the year. Swnmary findings from the group indicate, that mv
counseling and testing data do not show any changing trends ass,?ciated with
implementation of HN surveillance, and although some members knew of particular
high-risk individuals who were avoiding testing because of reporting, they were able to
direct them to anonymous test sites. The group also recognized that additional time is
needed to observe trends and additional resources are needed to explore questions that.
cannot be answered by a surveillance system.
Findin!!'s
In summary, DOH finds the following with respect to the first year of surveillance for
asymptomatic HN infection:
1. The system meets the majority of CDC's performance standards for an HN
surveillance system, but completeness of reporting is likely to lag for several
years until all prevalent cases are reported. The non-name coded identifier does
not appear to be substantially hampering surveillance efforts and the system
adequately protects the confidentiality of persons reported. '
2. While LHJs and DOH have allocated resources to incorporating surveillance for
HN infection into the existing system for HIV infection, virtually no new local or
state resources were allocated for implementation of this system. The overall
costs reported ($297,000 for LHJs, $154,000 DOH) represent shifted resources
more than new spending. There is no evidence that the cost of the system,
however, has shifted resources away from prevention and care efforts.
3. The system has not had sufficient time to yield substantial disease control impact.
Early findings have been helpful in affinning the appropriateness of previous
prevention and care planning; however, specific prevention efforts (e.g., partner
notification) have not increased in most jurisdictions as a result of this early
surveillance activity. The name-to-code conversion required at 90 days does not
appear to be a substantial barrier to ensuring disease control follow-up of reported
cases. The barrier instead seems not to be any element of the surveillance system
itself as much as inadequately developed systems to ensure partner notification is
prioritized when considering funding of public health interventions.
IV
4.
Evidence indicates that anonymous and confidential HIV testing trends have
continued along their previously established courses, and these were not affected
by the implementation of surveillance for asymptomatic HIV infection.
v
~
i
\
To: JCHHS Staff
Jefferson County Board of Health
From: Tom Locke, MD, MPH, Jefferson County Health Officer
Re: Influenza Contingency Plan 1999-2000 Season
Problem: Production problems with the A/Panama (H3N2) component of this years influenza
vaccine are predicted to delay and possibly reduce availability of vaccine. The exact amount of
vaccine that will be produced and dates of delivery are uncertain. The CDC has contracted with
a secondary vaccine manufacturer to produce additional vaccine but this supplemental supply
will not be available until mid-December.
Timing of Vaccination: Typically, the onset of "flu season" can be anytime from late
December through February. In 1998, influenza activity peaked during the last week of
December in Washington State. Protective immunity takes an average of 2 weeks to develop
after vaccination. For those with healthy immune systems, this protection lasts 6 months or
longer. For those with impaired immune function, immunity can wane after as little as two
months. Optimal timing of mass immunization campaigns is one month before influenza activity
begins to increase in a region. Unfortunately, no one knows when this peak activity will occur.
Priorities for 1999-2000 Season: The highest priority goal of influenza vaccination is to reduce
excess mortality caused by influenza infection. A secondary goal is to reduce morbidity
(severity and duration of illness). Highest risk populations for mortality and severe morbidity
are those over 65 years of age, those with chronic diseases that increase the risk of influenza
complications, and pregnant women. Household members ofthese high-risk individuals and
health care workers who care for them are also priority candidates for influenza vaccination.
Specific Actions for 1999-2000:
I) Community Vaccination Clinics should be delayed until November of 1999. Depending on
availability of vaccine at that time, it may be necessary to restrict vaccination to individuals
falling within the high priority categories.
2) Health care providers should be strongly encouraged to begin vaccinating their high risk
patients as soon as vaccine becomes available. October should be the recommended start
time for this effort. JCHHS will directly communicate these recommendations to community
health care providers.
3) JCHHS personnel who have direct contact with clients who are at high risk for influenza
complications are priority candidates for influenza vaccination and should be immunized as
soon as supplies become available.
4) JCHHS personnel who do not have patient care duties, other county employees, individuals
between age 50-64, and those who lack risk factors but wish to reduce their chance of
acquiring influenza are lower priority candidates for vaccination and should be immunized
only after we are assured that adequate vaccine will be available for high-risk candidates.
CDC Media Relations: Flu Vaccine Supply Q & A
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OFFICE OF COMMUNICATION
13OOCiftoo fll:1, rYE D2i.Alhnla <::iI\:II333. Ph, 4J4.m!J.3!ffi FAX: 404-6:>>7:llrl
ME D IA
RELATIONS
Media Home I Contact Us
July 28, 2000
Contact: CDC, Division of Media Relations
(404) 639-3286
Flu Season 2000-01
FLU VACCINE SUPPLY Q & A
Will there be a delay in the availability or shortage of influenza
vaccine this fall?
At this time, delays in the distribution of influenza vaccine are
expected for the 2000-2001 influenza season. It is also possible that
significantly fewer doses of influenza vaccine might be available
for distribution than last year.
How much of an influenza vaccine shortage could there be?
Last season, approximately 80-85 million doses of influenza
vaccine were produced for distribution in the United States. The
exact number of doses that will be produced this year is uncertain at
this time. The situation will be continuously assessed and more
precise estimates of the influenza vaccine supply will be available
in the future.
When will you know how much of a delay or shortage will
occur?
The amount of influenza vaccine and timing of availability should
become clearer over the next two months. As new information
becomes available, CDC and FDA will issue updates.
Who are the manufacturers licensed to distribute influenza
vaccine in the U.S.?
The four companies are Parkedale Pharmaceuticals, Inc., Rochester,
Michigan; Wyeth-Ayerst Laboratories, Inc., Marietta, Pennsylvania;
Aventis Pasteur, Swiftwater, Pennsylvania; and Medeva Pharma
Ltd., United Kingdom.
What is the cause of the potential delay and potential shortage
of influenza vaccine?
First, some influenza vaccine manufacturers have reported that one
of the three influenza virus components used to make this year's
vaccine has not grown as well as the corresponding strain used last
year. Secondly, two of the manufacturers licensed to distribute
vaccine in the U.S. have been experiencing manufacturing
09114:00 13:32:04
CDC Media Relations: Flu Vaccine Supply Q & A
wysiwyg:1 II Olhttp://www.cdc.gov/od/oc/media/pressrel/r2k0622h.htm
problems. Both manufacturers are working closely with the Food
and Drug Administration to address these problems.
What is being done to correct the situation?
Both manufacturers are working closely with FDA, but
implementation of corrective actions will require time for both
completion and review by FDA.
What does CDC recommend at this time in response to the
expected delay in the availability of influenza vaccine and a
possible vaccine shortage?
CDC and the Advisory Committee on Immunization Practices
(ACIP) recommend that:
A. Implementation of organized influenza vaccination
campaigns should be delayed
Health care providers, health organizations, commercial
companies and other organizations planning organized, mass
influenza vaccine campaigns for the 2000-2001 season
should delay such programs until early to mid-November.
The purpose of this recommendation is to minimize
cancellations of vaccine campaigns and wastage of vaccine
doses resulting from delays in vaccine delivery.
Note: This recommendation does not apply to physicians
who routinely administer or prescribe influenza vaccine for
patients at high risk for complications of influenza.
B. Influenza vaccination of individuals at high risk for
complications from influenza and their close contacts should
proceed routinely during regular health care visits.
Routine influenza vaccination activities in clinics, provider
offices, hospitals, nursing homes and other health care
settings, especially of high-risk individuals, health care staff
and other persons in close contact with high-risk individuals,
should proceed as normal with available vaccine.
C. Provider-specific contingency plans for an influenza vaccine
shortage should be developed
All influenza vaccine providers, including health care
systems and organizers of vaccination campaigns, should
develop a provider-specific contingency plan to maximize
vaccination of high-risk persons and health care workers.
These plans should be available for implementation if a
vaccine shortage develops.
What else is being emphasized for the 2000-01 season'!
The other points that should be emphasized for this season are:
201'8
09/]4/0013:32:05
CDC Media Relations: Flu Vaccine Supply Q & A
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· Vaccine providers should continue to administer influenza
vaccine to unvaccinated high-risk persons after
mid-November and throughout the influenza season.
· Once vaccine is available, routine influenza vaccination of
high-risk persons and their contacts should proceed normally,
especially for high-risk young children who are receiving
influenza vaccine for the fIrst time and require two doses.
· Influenza vaccine purchasers should refrain from placing
duplicate orders with multiple companies to minimize the
amount of vaccine that is unused.
· In the context of a possible vaccine shortage, contingency
plans for persons aged 50-64 years old should focus primarily
on vaccinating individuals with high-risk conditions rather
than the entire 50-64 year old age group.
· All health-care workers who have close contact with persons
at high risk for complications from influenza should receive
influenza vaccine.
Why did ACIP and CDC issue these adjunct recommendations
at this time?
Many influenza vaccine providers must plan their fall vaccination
activities now, even though the vaccine supply situation is unclear.
Given the uncertainty about the influenza vaccine supply,
implementation of the recommendations can help to increase
vaccination of persons at high risk for complications from
influenza.
Who is at high risk for complications from influenza?
In the U.S., 70 to 76 million people (approximately 35 million
people aged::: 65 years; 33 to 39 million people aged < 65 years
with high-risk medical conditions; and 2 million pregnant women)
are estimated to be at high risk for serious complications from
influenza infections, including hospitalization or death. Persons at
high risk for complications from influenza should receive annual
vaccination and include the following:
· Persons aged 65 years and older;
· Residents of nursing homes and other chronic-care facilities
with residents of any age who have chronic medical
conditions;
· Adults and children aged 6 months and older who have
chronic pulmonary or cardiovascular disease, including
asthma;
· Adults and children aged 6 months and older who have
required regular medical follow-up or hospitalization during
the past year because of chronic metabolic diseases
(including diabetes mellitus), kidney dysfunction, blood
disorders (hemoglobinopathies), or immune system problems
(immunocompromised e.g. HIV infection, immunosuppressed
by medication, chemotherapy or radiation therapy);
· Children and teenagers (aged 6 months to 18 years) who are
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receiving long-term aspirin therapy and therefore might be at
risk for developing Reye Syndrome afterinfluenza infection;
· Women who will be in the second or third trimester of
pregnancy during the influenza season.
Note: Unvaccinated persons in all of the above groups should still
be offered influenza vaccine even after influenza activity has been
detected in a community as long as vaccine is available.
Who else should receive influenza vaccination each year?
Other persons who should be vaccinated each year include:
· Health-care workers, employees of hospitals, clinics, offices,
and chronic care institutions who directly care for and have
close contact with persons at high risk from complications of
influenza.
· Household members (including children aged 6 months and
older) of persons in high-risk groups (individuals who are
most likely to transmit influenza to high-risk persons)
Note: Unvaccinated persons in all of the above groups should still
be offered influenza vaccine even after influenza activity has been
detected in a community as long as vaccine is available.
Have there been any problems producing influenza vaccine
because of the selection of two new influenza virus strains this
year?
Yes, some manufacturers have reported that the influenza
A/Panama2007/99-like (H3N2) strain has not grown as well as the
corresponding strain used last year.
When will influenza vaccine for the upcoming season be
available?
Typically, influenza vaccine is usually first available for
distribution in July. Most vaccine is usually available for
administration by September or October. Limited quantities of
influenza vaccine for the 2000-2001 influenza season will be
released for distribution beginning in July. However, it is likely that
less influenza vaccine than usual will be available at an early time
this year and that there will be delays in availability.
How are the virus strains for influenza vaccine selected?
Influenza vaccine contains three different inactivated (killed)
influenza virus strains. Since influenza viruses are continuously
changing, the vaccine virus strains must be updated each year. The
World Health Organization (WHO) makes recommendations for the
composition of the influenza vaccines for the upcoming influenza
seasons for the Northern and Southern Hemispheres. Each January
through March, the U.S. Public Health Service (USPHS) by way of
the Vaccine and Related Biological Products Advisory Committee
at FDA (VRBP AC) begins the selection of influenza virus strains
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CDC Media Relations: Flu Vaccine Supply Q & A
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that will be included in the U.S. influenza vaccine for the upcoming
fall. CDC, FDA, the National Institutes of Health (NIH) and others
provide information on influenza vaccines and influenza viruses
circulating in the U.S. and worldwide to assist WHO and USPHS in
their decisions. Typically, the first strain recommendation is made
by the USPHS in January and the process is completed by March.
Each year, two influenza type A virus strains and one type B virus
strain are chosen for inclusion in the vaccine.
Two new influenza type A virus strains [AlPanama/2007/99-like
(H3N2) and AlNew Caledonia/20/99-like (HINI)] were
recommended for inclusion in the 2000-2001 influenza vaccine.
The third strain, B/Yamanashi/166/98-like virus, is unchanged from
last year's influenza vaccine. Occasionally, production of vaccine
containing a new influenza virus strain may be affected by lower
growth of vaccine viruses or unexpected processing problems. The
introduction of new vaccine strains has had effects on vaccine
production in the past. Different manufacturers may be affected
differently, since manufacturing processes differ.
When should influenza vaccine be offered?
The optimal time for influenza vaccination is October through
mid-November. To avoid missed opportunities for vaccination,
persons at high risk for complications who are seen for routine care
or are hospitalized should be offered influenza vaccine beginning in
September, if vaccine is available. Unvaccinated persons at high
risk for complications from influenza and residents of chronic care
facilities should be offered influenza vaccine even after influenza
activity has occurred in a community. Therefore, these groups
should continue to be offered vaccine after mid-November and
throughout the influenza season as long as vaccine is still
available. In addition, health-care workers, employees of hospitals,
clinics, offices, and chronic care institutions who directly care for
and have close contact with persons at high risk from complications
of influenza, and household members (including children aged 6
months and older) of persons in high-risk groups (individuals who
are most likely to transmit influenza to high risk persons) should
continue to be offered influenza vaccine if vaccine is available.
What can hospitals, public health clinics, nursing homes, and
other groups do now to prepare for the 2000-01 season?
Institutions, and organizations can develop contingency plans to
maximize influenza vaccination of high-risk persons and
health-care workers if a shortage develops. These groups can also
begin to work together with health departments to develop local
networks to help re-distribute unused influenza vaccine or direct
persons desiring vaccination to providers with available vaccine.
Does this mean that companies organizing large vaccination
campaigns for their employees should cancel their programs for
the upcoming season?
Sof8
09/140013:32:05
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It is recommended that groups organizing mass vaccination
campaigns should delay scheduling planned clinics until early to
mid-November. The ultimate decision of whether to hold such
organized campaigns or to modify them so that influenza vaccine is
focused upon workers with high-risk conditions should depend
upon further information about influenza vaccine availability. CDC
and FDA will provide updates on the influenza vaccine supply
situation as new information becomes available.
What impact could a potential shortage have on public health?
The public health impact will depend upon several factors. The
main factors are the extent of the potential vaccine shortage and the
severity of the upcoming influenza season. It is important to realize
that the severity of the upcoming winter flu season is unknown and
cannot be predicted. The severity of the season largely will be
influenced by:
· How many people become infected,
· The specific influenza virus strains that predominate during
the 2000-2001 season, and
· How many people are protected from infection and
complications of influenza, especially high-risk persons.
Is this potential vaccine shortage relnted to the new
recommendation that all persons aged 50 years and older
should receive annual influenza vaccination?
Any increase in demand resulting from this new recommendation
could increase the magnitude of a shortage. (Recently, the ACIP
broadened its recommendations to include all persons between 50
and 64 years of age to be vaccinated each year. This
recommendation was intended to increase vaccination levels of
persons aged 50-64 years with high-risk conditions.) In the context
of a possible vaccine shortage, it would be appropriate for
contingency plans covering this age group to focus primarily on
vaccinating persons with high-risk conditions rather than this entire
age group.
How does the current vaccine situation affect recommendations
for travelers?
There are no changes in the recommendations for travelers. Persons
50 years or older and younger individuals at high risk for
complications of influenza who were not vaccinated last fall should
contact their physicians to see if influenza vaccine is available, to
discuss the signs, symptoms, and risk of influenza during their
travels, and to discuss the advisability of carrying antiviral
medications for influenza. The 1999-2000 influenza vaccine has
expired for use. Availability of the 2000-2001 influenza vaccine is
likely to be very limited until the late summer.
What about the new antiviral drugs for influenza? Will thcy
help prevent mc from getting thc flu next winter?
(,ofS
09114/00 13:32:06
CDC Media Relations: Flu Vaccine Supply Q & A
WYSiwyg://lO/http://www.cdc.gov/odJoc!medialpressreVr2k0622h.htm
The best way to prevent influenza virus infection is to receive
influenza vaccine. Antiviral medications are not a substitute for
influenza vaccination. .fUTI.ong the four medications approved by
FDA for use in the U.S., the approved usages (treatment or
chemoprophylaxis), age groups, dosages, routes of administration,
routes of metabolism, adverse reactions, and costs vary and all of
them require prescription by a physician.
Four antiviral drugs (amantadine, rimantadine, zanamivir, and
oseltamivir) are approved by FDA for treatment of acute,
uncomplicated influenza.
. Amantadine and rimantadine are active against influenza A
viruses.
. Zanamivir and oseltamivir are active against influenza A and
influenza B viruses. When used for treatment, these drugs are
only effective if treatment is started within two days of the
beginning of symptoms. All four antiviral agents can reduce
the duration of influenza symptoms by about one day if
treatment is started within 48 hours of symptom onset.
. Two antiviral drugs (amantadine and rimantadine) are
approved by FDA for use as chemoprophylaxis
(prevention) against influenza A. The use of these drugs has
been associated with adverse reactions that affect the central
nervous system and other side effects. Amantadine and
rimantadine are not generally recommended for widespread
use in healthy persons. The new antiviral drugs for influenza
(zanamivir and oseltamivir) are not approved for prophylaxis
of influenza.
Use of antiviral medications for the prevention of influenza can be
highly effective in specific individuals or in certain situations such
as for the control of influenza outbreaks in nursing homes.
However, widespread routine use of antiviral drugs for
chemoprophylaxis against influenza is an untested and expensive
strategy that could result in large numbers of people experiencing
adverse effects.
Comparison of antiviral drugs for influenza *
Description
--
nim3ntadine
--
Flu virus affected
influenza A
influenza A
influenza A & influenza A & 8
B
oral inhalation oral
Administration
oral
oral
~14 years
~12 years
~18 years
Ages approved for 2: I year
treatment
Ages approved for 2: I year 2: 1 year not approved not approved
prevention
*Modified and adapted from "Prevention and Control of Influenza: Recommendations of the Advisory
Committee on Immunization Practices (ACIP)" MMWR Recommendations and Reports, April 14.
2000 1 49(RR03);1-38. This report is available on-line at:
ftp://ftp.cdc.gov/pub/Publications/mmwr/rr/rr4903.pdf
Further infonnation about influenza is available at:
70f8
09/]4/00 l3:32:06
CDC Media Relations: Flu Vaccine Supply Q & A
wysiwyg:/ / I O/http://www.cdc.gov/odJoclmedialpressrellr2k0622h.htm
http://\\ww.cdc.gov/ncidodldiseasesltlu/fluvirus . htm
Flu Season 2000-01: See also...
. Possible Flu Vaccine Supply Reduction and Delay
. Flu Drugs (Antivirals)
. Pneumococcal Vaccine
. Surveillance Systems
. Flu Basics
. Past Flu Seasons
. Important Information About Relenza
Media Home I Contact Us
CDC Home I Search I Health Topics A-Z
This page last reviewed Thu Sep 13 06:39:40 pst 1900
URL: http://www.cdc.gov/od/oc/media/pressrel/r2k0622h.htm
Centers for Disease Control and Prevention
Office of Communication
Sol'S
09/14/00 13:32:06
SECTION
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
8.15210
8.15.220
8.15.230
8.15 ONSITE SEWAGE CODE
TABLE OF CONTENTS
TITLE
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
Fees
Effective Date
Conflict
PAGE
1
1
1
1
1
4
4
4
6
6
7
8
10
11
11
13
15
16
17
19
19
20
20
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August 2000
BRAn
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CHAPTER 8.15
ON-SITE SEWAGE DISPOSAL SYSTEMS
8.15.010
AUTHORITY/SCOPE.
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 an~
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
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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: An individual authorized by the Washinqton State Department of Licensina
to perform desiqn services for on-site wastewater treatment system pursuant to 18.210
RCW. Until July 2000, .'\n individual "'/ho has passed the Jef.forson County desianeFG
exam. has insuranoe as specified, personally holds a Designers Certificate ana perfoFms
the ::lGtual ....'ork of site oxamination and designing of on site se'Nage treatment and
disposal system in Jefferson County. 8eginning July 2000 only professional ongineers
licensed in the State of 'Nashington or individuals holding ::m oncile se.....age system
deoigner lioense issued by the Washington Department of Lioensing.
{7) Expansion: means a chanqe in a residence. facility. site or use that:
(a) Causes an on-site sewaqe system to exceed its existinq treatment or
disposal capability. for example. when a residence is increased from two to three
bedrooms or a chanqe in use from an office to a restaurant: or
(b) Reduces the treatment or disposal capability of the existinq on-site sewaae
system or the reserve area. for example. when a buildinq is placed over a
reserve area.
(8) Fees: Those charges as hereinafter authorized by the Jefferson County Board of
Commissioners or the Jefferson County Board of Health 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.
(9) Health Division: The Jefferson County Health and Human Services Environmental
Health Division.
(10) 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.
(11) 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.
(12) Notice of Violation: Written determination that an element or section of a Violation
sf these rules and regulations has not been complied with occured.
{13} On-site sewaqe system: means an integrated arranqement of components for a
residence. buildinq. industrial establishment or other Dlaces not connected to a public
sewer svstem which:
(a) Convey. store. treat. and/or provide subsurface soil treatment and disposal
on the property where it oriqinates, upon adiacent or nearby property: and
(b) Includes pipinq. treatment devices. other accessories. and soil underlyina the
disposal component of the initial and reserve areas.
(14) Operation and Maintenanoe 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.
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(15) OSS: Onsite Sewage System
(16) Probation: A oeriod of oenalty where the individual committina the violation shall be
subiect to additional review. reoortina and/or insoection.
(17) Proprietary Device: A device or method classified as an alternative system, or a
component thereof, held under patent, trademark, or copyright.
(18) 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.
(19) Revocation: The termination of all the rights and privileges associated with a
certification.
(20) 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.
(21) 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.
(22) 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.
(23) Suspension: The temporary termination of all rights and privileges associated with a
certification.
(24) 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 of 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 that is not in
accordance with in violation of the applicable regulations; one not fitting the size,
shape or topography of the site, within setbacks, as specified in the WAC.
Chapter 246-272; specification or approval of inadequate construction material,
devices or methods.
(c) A system is not installed in accordance with 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.
'-
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(jj) A person holding a Certificate or license to design. install, pump or monitor 1
maint:Jin 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.:- -9y .' .1
(i-k) An owner fails to complete required O&M inspections. complv with the 0 & M
schedule in Table 1 and/or submit the reports to the PUD.
(kH An owner fails to comply with conditions of the onsite sewaqe permit.
8.15.060
ADEQUATE SEWAGE DISPOSAL REQUIRED.
(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 sewer 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 or
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 and this code. Such system may include the use of
waterless toilet devices in coni unction with an approved qravwater svstem or other
proprietary devices approved by Washinqton State Department of Health.
(2) Any unit/facility with the potential to generate waste water by virtue of being equipoed
with a toilet. sink. shower or other plumbinq fixture that aFl6-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) Anv new or replacement residence or any expansion of the sauare footaqe or maior
remodel to an existina residence mav be connected to an existinq onsite sewaqe svstem
when the existing svstem has adequate hydraulic capacity. meets vertical and 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 WAq 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.
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(ge) 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. .
(.126) 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.
(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 Officer
determines it is warranted ::md there is no surfaoe disoharge of se'Nago as dotaileEl in ..
(7) Any misrepresentation or inaccuracy in the construction plan or the oermit
apolication, 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 ass installation permit s.hall 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 comoly 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 O~dinance 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.
(11~) 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.
(1~J.) No on-site sewage system permit shall be issued for Industrial, Chemical or
hazardous waste disposal.
(134) It shall be the resoonsibility of the owner or their authorized reoresentative to
fill/cover the holes orovided for evaluation of the soils for an installation oermit or
subdivision review within 10 days followina notification'that the insoection by the Health
Officer is comolete. The orooerty owner shall be notified in writina when the insoection
has been comoleted.
_.....; -.;...._....~..-~...-
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(14&) Anv ass not located entirelv on the property oriainatina the sewaae must be
secured bv appropriate easements and/or notice to title recorded with the Jefferson
County Auditors Office prior to final approval of the system installation.
(1Q&) Pending on-site sewage disposal permit applications.
(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-s.ite sewage disposal systems shall be designed in accordance with these
rules, and the criteria in WAC 246-272-11501 bv an on-site sewaae system desianer
licensed or holdina a practice oermit issued bv the Washinaton State Deoartment of
Licensina to perform desian work pursuant to chapter 18.120 RCW or be a licensed
enaineer pursuant to RCW 18.43 RCW.
(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 around provided that a written
aareement to uncover them for reauired 0 & M inspections has been recorded with the
title to the property.. (New for operations and maintenanoe) .
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.
Final Draft #54 8.15 Onsite Sewage Code Auaust~ 2000
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(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 proposina community systems shall not exaeed 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:
(a+) Number of connections to the svstem and each connections' desian flow.
(b~) Cooies of insoection reports consistina of the items detailed in 8.15.160 (n
comoleted per TABLE 1.
(cJ) Records identifvina any maintenance comoleted on the system
comoonents.
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 workina 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 inspoation e)(Qept at: noted below. The designer (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
reauest GaYef . The Certified Installer shall provide a statement and sianature
certifvina compliance with the approved desian 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 reauestina inspection has been provided per (a) above ANO
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 aovered or put into
use until inspection and final approval has been obtained from the Health Officer.
(3) Final Insoection - Alternative Systems
I
(a) The Desianer shall be contacted by the Installer to complete all reauired
insoections oer the aooroved olan.
(b) The Desianer shall be responsible for all inspections durina the construction
of the ass and shall submit an as-built drawina of the completed system to the
Jefferson County Permit Center. to the system owner and to the monitorina entity
detailina the results of the inspections within 10 days of system comoletion.
I
(c) After completion of the system. when the system is fully functional and the' as-
built drawina has been submitted. the Desianer shall contact the Health Officer to
schedule an insoection of the ass.
... ',' .
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(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 ~re 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 the
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
prepared by the Desiqner or Installer of the system as soecified 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 ass, 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
(0) The 00 built plan shall be submitted to the Health Offioer no less than 20 days
after oompletion of the installation and inspeotion.
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 o!1-site sewage systems
without first having been issued a Septic System Installers Certificate by the Health
Officer.
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(2) Requirements for Sewaqe System Installer shall include the followinq:
(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
pavable to the Health Division.
(c) Shall provide written proof showinq a minimum of one year exoerience under
the direct supervision of a Ceritified Installer. DesiQner or Operation and
MonitorinQ Specialist.
.LQl..Such certificate shall be issued only after the applicant has indicated a basic
knowledge of the proper installation ~ 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 pro'.'ided writton proef of I
~atisfaotory experience in the field of 5ewage 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 no later than
9y-March 1 e. 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.
(.24) An Installers Certificate is not transferable.
(Qe) 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.
(Ie) Exception. A bona fide resident owner may install an on-site sewage system on I
his/her own property for his/her own use without obtaining an Installers Certificate,
PROVIDED: I .
(a) that he/she complies with other terms of this chapter AND I
(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 encumbrance.
AND
(e) prior to beainninq installation the Health Officer AND the Desiqner are
contacted to schedule required inspections.
(a-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.
Otg) 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
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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. (Currontly Q bons of $2,000.00 is rO€ll:Jiroa)
(1Q9) Continuing Education. &refy Each installer shalf is requires to obtain a minimum
of at least eight (8) hours of approved classroom ftraining~ every two (2) years. :J:Ai&
may be averaged o'/or 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.
(11G) 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
verification of continuing education shall be submitted to the Health Officer no later than
by-March 1. The Certificate shalf 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 shalf 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 the Health
Division for inspection at the time of certificate application and renewal.
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(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 he/she 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 onsite sewage system designer license issued by the
Washington Department of Licensing may design onsite sewage systems.
Health OfficerMarch 1
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 Maintenance Monitoring Specialist Cer1ificate
by the Health Officer EXCEPT as noted in 8.15.160 (6)(b).
(2) A sewage system Operation and Maintenanoe Monitoring Specialist Certificate shall
not be transferable.
(3) Requirements for Maintenanoe 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.
jc) Take a '.witten Q)c::Imination to dotermine the applioant'o kno.t:ledge of the
operation and maintenance requiremento for the on sito cowago cystoms
::Ippro\'od by the Washington 8t::lte Department of Health, excepting those
proprietary dO\:ices requiring a special authorization from the system propriotor.
(0) Provide written proof showina a minimum of one year experience under the
direct supervision of a Certified Installer. Desicmer or Operation and Monitorinq
Specialist.
(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.
(c) Provide written proof showing a minimum of one year Q)cperience as a
certified installor or dosigner, .
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(e) Take a written examination to determine the applicant's knowledge of the'
operation and monitorinq requirements for the on-site sewaqe svstems aporoved
bv the Washinqton State Department of Health, exceptina those proorietary
devices requirinq a special authorization from the svstem oroprietor.
(4) Scope of Practice.
(a) The Operations and Maintenanoo 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 QLthe 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) Record information from devices such as cycle counter or
operatinq hour meters and water meters
(b) The Operations and Monitorinq Specialist may complete the following if
authorized bv the homeowner:
Ow) Clean pump screen or outlet baffle screen
Wy.) Install and repair septic tank lids, risers and baffles
(ili't4) 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 inrorm:::ltion from devioeG ouoh :::IS oycle oounter or
operating hour meterc :::Ind .....ater meters
(jy\4#) Make repairs to a septic tank or pump chamber to correct a
condition of ground water intrusion or leakage.
(~13) The Operations and Maintenanoe Monitoring Specialist shall not:
(i) Pump the Septic tank and/or pump chamber, EXCEPT in the
case where he/she also holds a valid Septic Tank Pumpers Certificate.
(ii) Excavate Uncovor an OSS's drainfield or any drainfield
component, EXCEPT as stated in 8.15.150 (4){b) above OR in the case
~here he/she also holds a valid Installers Certificate.
(iii) 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.
(5) The Operations and Maintenanoe Monitoring Specialist shall report failure of ~n on-
site sewage system to the Health Division immedbtoly. within 24 hours of first identifyina
the failure.
(6) Inspection Reports shall be submitted by the Operations and Maintenanoe Monitoring
Specialist to the Health Division or other authorized agency within thirty (30) days .
following the inspection.
,
(7) Only certified Operation and Maintenanoe 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 Maintenanoe Monitoring Specialist shall
obtain a minimum of eight (8) hours of approved classroom training pertaining to on-site
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waste water treatment and disposal every two (2) years. Proof of training shall be
submitted annually with application for renewal.
(9) Bond Required. Prior to the issuance of an Operation and Monitorinq Soecialist .
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 croof of
business liability insurance in the minimum amount of five hundred thousand
($500.000.00) dollars. 8ondilnsuranoe.?????
(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 MaintonanGo Monitoring Specialists' .
Certificate may be revoked or suspended as set forth in 8.15.190 if he/she 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~ ANQ. MAINTENANCE AND MONITORING
(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 above the height of tho
(c) They shall should not use water in quantities that exceed the OSS's designed
capacity for treatment and disposal.
(d) They shall ~ not deposit solid, hazardous waste, or chemicals other than
household cleaners in the OSS.
(e) They shall ~ 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. .
(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. .
Ul Thev shall complv with inspection requirements in JCC 8.15.160.
(k) Thev shall complete maintenance and reoair of the OSS as recommended by
the monitorinG entity.
(I)Thev should not dispose of excess food waste via a Garbaqe disposal.
(m) They should not drive, park or store vehicles or equipment over the drainfield
or reserve area.
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(n) They should not allow livestock access to the ass 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 identified in the Auditors record 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 resoonsible to make available written auidance on the
proper maintenance and ooeration of the ass 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 ass bv the Health Officer or his/her desianated
reoresentative.
(5) Inspection Requirements.
(a) The owner shall ensure that the OSS receives an inspection by an approved
monitoring entity Health 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 wtlich 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 ass, then the owner shall follow the most frequent service
interval.
(6) Operations and Maintenance Monitoring Aareement and Contracts.
(a) The owner of a conventional OSS shall be subiect to a oermit condition
e&taiA- ceAtFa6t reauirina comoliance with the insoection schedule specified in
Table 1 beginning with the earliest of the following events:
(i) The installation of an OSS
(ii) The repair of an ass
(iii) The alteration of an OSS QG .
(b) Owners of existina conventional svstems shall obtain an initial inspection by
the Health Division. licensed desianer or licensed orofessional enaineer and
complv with the inspection schedule specified in Table 1 beainnina with the
earliest of the followina events:
(i) The sale of the property.
(ii) The application for a building permit on the site.
(iii The use of an OSS as a community ass.
(iv) Identification that The use of an ass is in an Area of Special
Concern VULNERI\8LE OR SUSCEPTA8LE AQUIFER RECH/\RGE
AREA as designated by the JCBOH. JCHHS.
(v) Identification that a system has received a WaiverNariance from
State or Local Code
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(vi) The use of an ass by any food sCfvie8 establishment Elf by any
othcr faoility gener:::!ting waste'Nater that will be greater than fosiefeAtial
streRgth
(c) Owners of existina and new ass aeneratina waste water of areater than
residential strenath. includina food service establishments shall be insoected
annually by an aooroved monitorina entity.
(d) Owners of existina and new alternative systems shall enter into ~
contract with the Jefferson County PUD for Maintcnanoo Monitorina of the OSS.
Insoection freauencv shall be comoleted consistent with Table 1.
(7) Operation and Maintenanoe Monitoring Requirements.
(a) On-site Sewage Systems in Jefferson County shall be inspected and
maintained as set forth in TABLE 1 JCC 8.15 by an approved monitorina entity
that meets the standards set forth in 8.15.150.
(b) Access Required. The owner of the system shall provide access to the
system for inspection and maintenance/monitoring as follows:
(i) Septic tank. Septic tanks shall be fitted with a pumping access
risers to the ground surface over both compartments and over the aHAe
outlet baffle, EXCEPT, as set forth in 8.15.090 (4). The risers shall have.
a means to lock or secure the lid against tampering and accidental
access.
(ii) Pump Chamber. Pump chambers shall have a riser to ground
surface over the pump. The riser shall have a means to lock or secure
the lid against tampering. and accidental access.
(iii) Proprietary Devices and Disinfection equipment. Access shall
be provided as determined by the manufacturer or patent holder and
shall include access to ground surface for effluent sample collection,
observation and insoection of the unit.
(c) Fees for insoections and contracts shall be set bv the service orovider.
(8) Inspection Report. The inspection report shall be submitted to the Health Division on
Jefferson County Health and Human Services form~. _' Form The inspection
report form-shall be completed in full for an inspection to be considered valid.
8.15.170
AREAS OF SPECIAL CONCERN
(1) As soecified in the WAC 246-272-21501. The local Health Officer may investiaate
and take aoorooriate action to minimize public health risk in formally desianated areas
such as:
(a)
(b)
(c)
Shellfish protection districts or shellfish arowina areas:
Sole Source Aauifers desionated bv the U.S. Environmental Protection
Aoency:
Areas with a critical recharoina effect on aouifers used for potable water
as desionated under Washinoton Growth Manaoement Act. chaoter
36.70A.170 RCW
Desionated public water supply wellhead protection areas.
Up-oradient areas directly influencino water recreation facilities
desionated for swimmina in natural waters with artificial boundaries
within the waters as described bv the Water Recreation Facilities Act.
chapter 70.90 RCW
(d)
(e)
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(f) Areas desianated bv the department of ecoloav as special orotection
areas under chapter 173-200-090 WAC. Water Quality Standards for
Ground Waters of the State of Washington:
(a) Wetland areas under production of croos for human consumotion:
(h) Freauentlv flooded areas delineated bv the Federal Emeraency
Manaaement Aaency: and
(j) 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 basically the same exoept that tho
current Gode requires the request to go to the 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
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:
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(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 mav continue its deliberations on the aooeal
to another time and date not to exceed thirty-five day followina the close of the
second public hearina conducted to receive additional testimonv. In all other
cases the Board of Health may continue its deliberations on the apoeal to
another date and time not to exceed thirty-five days followina the close of the
public hearina.
(h) All relevant evidence admissable. which in the opinion of the Board of Health
is the best evidence reasonably obtainable havina due reaard for its necessity.
availability and trustworthiness: provided that. in passina upon the admissibility of
evidence the Jefferson County Board of Health mav aive consideration to. but
shall not be bound to follow the rules of evidence aovernina civil proceedinas in
matters not involvina trial bv iury in the Superior Court of the State of
Washinaton.
(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/PENAL TY
(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.
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(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 hearina 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 E3xisting at the time of Certification or
as thereafter enacted.
(H) 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).
(Hi) 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 applicable 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 system, 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).
(Hi) 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.
(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.
..<~..,.__._,."...._,---------- - .
Final Draft ~ 8.15 Onsite Sewage Code AUQustMafeR 2000
19 of 20
(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
SEVERBILfTY
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.
8.15.210
FEES
t..~ .
" .
-"-~........_"~~_.,..'- ...~
Final Draft #Q4 8.15 Onsite Sewage Code AUQustMafefi 2000
20 of 20
<'1' :ir~'
:%!i,ht r
(1) Fees shall be as per Jefferson County Health ;3nd Human Services 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 applicanUowner, EXCEPT as noted
in (2) above.
(4) All Sewage System Installer's, Septic Tank Pumper's, Sewage System Designer's
and Operation and Maintonanoo 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.
8.15.220 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.
8.15.230 CONFLICT. Where other County regulations are in conflict with this ordinance,
the more restrictive regulation shall apply and such application shall extend only to those specific
provisions which are more restrictive.
#9,4 DRAFT ON-SITE SEWAGE RULE - AuqustMafeR 2000
Final Draft #24 8.15 Onsite Sewage Code AuaustMarffi 2000
". ,,:':=~;~r
access, 7, 15, 16, 17
Access, 17
alternative, 3, 17,20
Alternative, 9
annual, 3, 8, 12
appeal, 18, 19, 21
Appeal, 21
applicant, 6, 7, 11, 12, 13, 14, 15, 18, 19,
21,22
approved entity, 8
as-built, 4, 8, 9, 10
As-built, 10
authority, 1, 11,22
Board of Commissioners, 2
board of health, 18
Board of Health, 1,2, 18, 19,20,21
certification, 3,4,6, 11,21
Certification, 20
compliance, 5, 6, 8, 9, 11, 12, 15, 16
Compliance, 1
connection, 5,20,21
construction, 4, 5, 6, 8, 9, 10, 13
conventional, 8, 13, 16, 17
denial, 21
designer, 4, 7, 8, 13, 17
Designer, 2,4,9, 10, 11, 14,22
domestic, 7, 15
effluent, 4, 14, 15, 17
Effluent, 5
encumbrance, II
enforcement, 1
engineer, 7, 17
expansion, 3, 5
Expansion, 2
expiration, 7
failure, 4, 15, 16,20
final approval, 7, 9
Final approval, 9
final inspection, 8
Final inspection, 8
flood plain, 6
food service, 17
Guideline, 16
health officer, 13
hearing, 18, 19,20,21
inspect, 3
Inspect, 14
inspection, 3, 7, 8, 9, 10, 13, 15, 16, 1.7,
21, 22
Inspection, 9, 13, 15, 16, 17
install, 3, 4, 5, 6, 11,20
Install, 14
installation, 1,2,3,4,6, 7, 8, 9, 10, 11, . .
16
installer, 3, 4, 8,9, 11, 12
Installer, 2, 3, 4,8,9; 10, 11, 12, 14,22
location, 2
Location, 10
management, 1, 6, 8
Management, 6,8, 18
Manual, 7
monitor, 3,4, 14
monitoring, 2, 3, 6, 8, 9, 13, 14, 16, 17
Monitoring, 3, II, 13, 14, 15, 16, 17,22
notification, 7, 9
operation and maintenance, 13, 14, 16
owner, 4,6,9, 11, 15, 16, 17,21; 22
Owner, 15, 16
parcel, 16
pending, 6, 7
Pending, 7
permit, 3, 4, 5, 6, 7, 9, 14, 15, 16, 17, 18,
19,20
Permit, 3, 6, 8, 9, 16
plan, 5,6,9, 10,22
Plan, 6
Final Draft #Q4 8.15 Onsite Sewage Code AuaustMar&A 2000
:- ,~-r;
procedure, 19, 21
prohibit, 9
property, 3, 5, 6, 7,8,11,17,21
Property, 10,21
proprietary, 5, 6, 10, 11, 14, 15, 16
Proprietary, 3, 16, 17
public entity, 8
pump chamber, 3, 12, 13, 14
Pump chamber, 17
pumper, 4, 12, 13, 15
Pumper, 3, 12, 13,22
schedule, 4,9,11,16,17,21
Schedule, 7, 11, 13,22
septic tank, 3, 12, 13, 14, 15
Septic tank, 7, 14, 17
site plan, 2
soil log, 2, 18
strength, 7, 17
structure, 5, 6, 16
suspension, 18, 19,20,21
Suspension, 4, 12, 13, 15,20
regulations, 1,3,4,6,7,8,9,20,22
Regulations, 1
renew, 7
repair, 2, 3, 10, 13, 14, 16
Repair, 6
report, 4,8, 12, 13, 14, 15, 17
Report, 17
reserve, 2, 3, 5, 10, 16
resident, 11
responsibility, 6, 12
Responsibility, 15
revocation, 18, 19,21
Revocation, 3, 12, 13, 15,20
topography, 4
treat, 3
violation, 3, 11, 12, 15, 18,20,21
Violation, 3, 4, 16,21
waiver, 6
Waiver, 17
waste, 4, 5, 6, 7, 15, 16, 17,20
waste strength, 7, 15
well, 5, 19
Zoning, 6
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ONSITE SEWAGE CODE 8.15
REVISION OVERVIEW
Statutory Authority
RCW 70.05 Local Boards of Health
RCW 70.118 Onsite Sewage
RCW 43.20 State Board of Health
WAC 246-272 Onsite Sewage Code
Current Ordinance
· Last major revision 1977
· Adopted Amendments for allowing renewals, establishing designer licensing
· Adoption of state code revisions by reference
1994 State Code adoption, effective January 1995
New/expanded Provisions
· Approved installer onsite during all stages of construction
· Broader definition of expansion and failure
· 0 & M - PERIODIC MONITORING REQUIRED
Revision Development
January 1997 - May 1997 - Advisory Group - Met 4 times
Jeff Nesset - Installer
Susan Porto - Designer
John and Carol Swallow - Real Estate/Property Development
Merle Winjum - Shellfish industrylWatershed Planning Committee
Franz Gruber - Water system operatorlWatershed committee
member
Ron Gregory - Builder
Ken Hagerman - Septic tank Manufacturer
Don Malkowski - Operations and Maintenance licensed in Kitsap
Co./Designer
Jim Parker - PUD #1
Linda Atkins - Jefferson County Environmental Health
o Review state recommendations/ requirements and other county
programs
o Review the status of current code and 0 & M Program
o Make specific and general recommendatons on meeting the state
requirement to have a program to periodically monitor all onsite
systems by January 2000.
Draft #1 - May 1998 - Draft developed by staff based on
o Recommendations by the Advisory Group
o Incorporation of adopted policies where appropriate
o Update of Administrative processes and procedures
o Update of Certification process for onsite professionals
Mailing of Draft #1 went out to all designers, installers, Advisory
Group members, pumpers and real estate offices.
August and September 1998 - 1 ST round of Public Meetings - Brinnon,
Quilcene and the Tri-area.
March 1999 - Draft # 2 and # 3- Developed from Board of Health and Public
comments
September and October 1999 - 2nd round of Public meetings - Brinnon, Quilcene and
the Tri-Area.
March 2000 - Draft #4- Developed from Board of Health and Public Comments
June - July 2000 - SEP A completed
August 2000 - Draft #5 - Developed from Board of Health Comments
Published Notice of Adoption Hearing August 30,2000
NO"~E OF A~':'ON ',I]
HEARING ' .'>\
AMENDING JEFFERSON' ..::
COUNTY CODE '. J;i~.'~
,t;'!'f',,;i
CHAPTER 8.15 ONSIT.E..;.'".~,
SEWAGE DISPOSAL SY . . "'~
NOTICE IS HEREBY GIV .
that on September 210 2000 ti\e!
Jefferson County Board of H~.i
is scheduled to accept comm8iifs. ;
and to adopt Chapter 8.15 Onslte ,i
Sewage Disposal Systems. . I
amending the existing Chapt. er.....I'
8.15. The hearing will be held at'
the Jefferson General Hospital
Conference Room beginnlng)i!'1
2:00pm. The effective date 8halt .
be the <late of adoption. "'11 .;
The purpose of the rule 1s;\9 i'
regulate the installation .anc;i:
ongo-.. 'Tin .\.
ing monitoring of onsite sewage "
systems serving the residents':Ofi
Jefferson County in order to Ilmlt ,
exposure to sewage bome'l:IIlj:;. ,
ease and protect public healtH:.
Pursuant to RCW 70.95 8n9 :
RCW 43.20. the Jefferson C~ . ./
Board of Health is chargedw;tl,1. !
the duty of protecting the public .1
health and safety of all Inpaiit::':j
tants of Jefferson Coun~. . .~.,;
The purpose of thiS ~"
ment is to address the re~~.~
ments of WAC 246-272 ~",
Sewage Systems, to inco~te
policies. where appropriate, to Iffi-
prove administrative proced~.~ re. ..:;:;,s......I.
clarify requirements for enfOlt&','"
ment, appeals and certificatlon"ar ;:
Installers. pumpers and opeiiltrSO...:
and maintenance professionals ,I
and establish a program fo~~. .
long term monitoring of o~.'....'~....1
sewage systems in Jeffe~
County. The revision imprOO~
the connections between p8rrhTt~,!,j
ting onsite sewage systems 'II'ld.. .':
review under other State andto:::.~
cal codes. The revision requl(9S'
ongoing education for profe~
nals certified under this code .'8n<;
upgrades their bonding and,i~.>;.~
ance requirements. THe Sf8fiI",
Code addresses technical ~.....
cations for the permitting of Of1liiW.",
sewage systems. The local CcXlli':
primarily addresses admil'1~~'~
tiv~ procedures and techo,...",.I.... ...'fi.......
qurrements such as the reo...:,.';!
ment for access risers to ra:8'e ;
on septic tanks for monitoring ~ '
maintenance. ,,\'~':'i.i
Copies of the above cJt6d' ')
Chapter are available fromJheJ
.". .....1
Jefferson County Health and._. !?I,I-""!'
man Services Department, .f;l15
Sheridan, Port Townsend,' .'VilK.,
98368 (360) 385-9444. . .~I!;:if; :.
Comments may be sub
in writing to Jefferson .
Health and Human Services
to September 21, 2000 orin
son or in writing aCthei~Hli
September 210 2000 at 2: -
the Jefferson General Ii",
Conference Room. 1960m '
; ~;;wJM'f>~~'B
About the BRFSS
101'2
http://www .cdc.gov /nccdphp/brfssl about.h 1m
Health Topics A-Z
-
National Center for Chronic Disease Prevention and Health Promotion
Behavioral Risk Factor Surveillance System
-
HomelFAQslCon~ctUs
~About the
,,"'"
...,
oJ
By the early 1980s. scientific research clearly showed that personal health
behaviors played a major role in premature morbidity and mortality.
Although national estimates of health risk behaviors among U.S. adult
populations had been periodically obtained through surveys conducted by
the National Center for Health Statistics (NCHS), these data were not
available on a state-specific basis. This deficiency was viewed as critical for
state health agencies that have the primary role of targeting resources to
reduce behavioral risks and their consequent illnesses. National data may
not be appropriate for any given state; however, state and local agency
participation was critical to achieve national health goals.
About the same time as personal health behaviors received wider
recognition in relation to chronic disease morbidity and mortality, telephone
surveys emerged as an acceptable method for determining the prevalence
of many health risk behaviors among populations. In addition to their cost
advantages, telephone surveys were especially desirable at the state and
local level, where the necessary expertise and resources for conducting
area probability sampling for in-person household interviews were not likely
to be available.
As a result, surveys were developed and conducted to monitor state-level
prevalence of the major behavioral risks among adults associated with
premature morbidity and mortality. The basic philosophy was to collect data
on actual behaviors, rather than on attitudes or knowledge, that would be
especially useful for planning, initiating, supporting, and evaluating health
promotion and disease prevention programs.
To determine feasibility of behavioral surveillance, initial point-in-time state
surveys were conducted in 29 states from 1981-1983. In 1984, The
Centers for Disease Control and Prevention (CDG) established the
Behavioral Risk Factor Surveillance System (BRFSS), and 15 states
participated in monthly data collection. Although the BRFSS was designed
to collect state-level data, a number of states from the outset stratified their
samples to allow them to estimate prevalence for regions within their
respective states.
CDC developed standard core questionnaire for states to use to provide
data that could be compared across states. The BRFSS, administered and
supported by the Division of Adult and Community Health, National Center
for Chronic Disease Prevention and Health Promotion, CDC, is an on-going
data collection program. By 1994, all states, the District of Columbia, and
three territories were participating in the BRFSS.
Related Information
BRFSS At-A-Glance: Assessing Health Risks in America
Annual report on the activities of CDC's comprehensive state-based
surveillance system. Find out how data are collected. Then learn how
those data are used by people and organizations to measure risk behaviors
09iJ4d)O 14:26:31
About the BRFSS
20f2
http://www.cdc.gov/nccdphp/brfsS/about.htm
for a nation.
How the BRFSS Data are Used
See how states and territories are using BRFSS data to create policies and
initiatives to meet health-related goals and measure their success.
Online Training: BRFSS Overview
This comprehensive overview provides a useful introduction to BRFSS,
and includes information on history of BRFSS, survey techniques, data
utilization, and more.
11<1l1i"1l',;.'''.
1........_"""'~....;........_
HomelFAQslConmctUs
CDC Home I Search I Health Topics A-Z
This page last reviewed November 4, 1999
Centers for Disease Control and Prevention
National Center for Chronic Disease Prevention and Health Promotion
Division of Adult and Community Health
09/14/00 14:26:31
Jefferson County Health and Human Services
AUGUST 2000
NEWS ARTICLES
These issues and more are brought to you every month as a collection of news stories regarding
Jefferson County Health and Human Services and its program for the public:
I. "Teen birth rates take steep dive" - Peninsula Daily News, August 9, 2000
2. "Schools require immunizations" - P.T. LEADER, August 16,2000
3. "Parents right to worry about immunizations" by Cory Reddish - Opinion Forum, P.T.
LEADER, August 16,2000.
4. "Immunization records needed" - P.T. LEADER, August 23,2000
5. "Make informed choice on childhood immunization" by Thomas Locke - Opinion Forum,
P.T. LEADER, August 30,2000
6. "Acting responsibly with Kah Tai property" by David Timmons - Opinion Forum, P.T.
LEADER, August 16, 2000.
7. "Get to the bottom of it" - P.T. LEADER, August 16,2000.
8. "Pet owners celebrate animals in Chimacum" - Peninsula Daily News, August 27,2000
9. "State health board here Sept. 13" - P.T. LEADER, August 30.2000
10. "Family Planning offers teens choice" - P.T. LEADER, August 30, 2000
11. "Rising drug costs, rising concerns" - P.T. LEADER, August 30,2000
12 "Public seeks lower prescription drug costs" - Peninsula Daily News, August 29, 2000
13 "Libraries get videos from disabilities board" - Peninsula Daily News, September 1
. .
Teen birth rates ~~~e.steep dive
....:.-J;_:':r:"~ : :".' ;'.'~ ." . .":. .
Nati~hal Campaign to Pre~rit dropped 38 percent from 1991 to
Teen Pregnancy. "They realize 1999.
:reneration is terrified of disease th~t the ri.sks ~n the 1990s were An~lysts. said HIV/AI~S
.., q~te a ~lt different ~ the became m8.1nstream enough in
- C ,:;' ::-:.. '..-:.;;; . .., I." 'I' .P6~~' tJ1d~~1rOp~~~~}?O~"l?,~he:the :1990s to scare teen-agers,
~ ERIN MCCLAM" ... puttII?-g ()I:.,stlU'ting 18.fI11Ies to!" uS ~ . , B~::."<",:,:"":<,, 'I",. whilif awareness of other STDs
HE AssOCIATED PRESS take Jobs .tn4the boommg- econ. . ".The drop ..:vas .,partIcularly'''':" '., .t.... . al. I ti 'hi h
omy. . '. shatpamong ~ls ages 15, to 17",' was a.an. . me g . .
For every 1,000 girls ages 15 whose' rate fell 6 percent from ~ey S8.1d ad camp8.1gns, com-
to 19, there were 49.6 births last its level. in 1998 to 28.7 births mumty awareness groups and
year - the lowest level silice the per 1,000.": even seeing friends have chi!-
statistic was first recorded 'six Births fell 2 percent' among dren encouraged. teens to be
d~des ago,the .!~a~iona1:Cen- 18.t6~~9.!earolds and ~ per~~t more careful- or stop having
te! for Health StatistIcs's8.1d.:. amongp.lsages 10 to: 1.4! S8.ld sex altogether. .
. The rate dropped, conSIS. the statIStICS center, a diVISIon of Government demographers
tently throughout the 1990s, the federal' government's Cen. edi' 'ted b t' .
falling 20 percent for the ters for' Disease Control and cr. pro-a s. mence orgam-
decade. Prevention. . zatlOns along WIth a swath of
. "Teen-agers frankly are more The teen birth rate fell across other groups - including
conservative sexually," said Bill racial lines, most dramatically churches, parents and school
Albert, spok:~m..~ll for the among black teens, whose rate sex-education programs.
)ne reason: seXually conserVative
ATLANTA - Teen-agers are
3.\o;ng babies at the lowest rate
: at least 60 years, and. every-
:18 is taking credit - from reli-
:ous groups that push absti~
ence to advocates. for, contra-,
:ptives and sex education in
:hools. .
Analysts from several view-
Jmts agreed Tuesday on this
,uch: Teens are more terrified
:an ever of sexually transmit-
:d diseases, and :they are
g-CZ-f5C) PDI\!
$Cll.9olS'require immunizations
;.,'}'he Jefferson County Health (MMR)..
D.~partment4rges,p~n~to:gain .. ~.doseso~,bepatltis B
lt1.e required immuni,~tiQPs. for vaccine.";,,, ,."" '
t.~eir .children prior to school Entering sixth-graders are re-
starting in the faIl. quired to have a second MMR.
'.' Required immunizations for Recommended immuniza-
entry into kindergarten are: tions:
'!, . Four doses of d'iphtheria, · A tetanus booster at age 11-
.tetanus and pertussis vaccine 14, unless it has been received in
(J;>TP or DtaP), provided the last the past five years. After this
dose is given on or after the dose, tetanus boosters are needed
fourth birthday.,_.._._.____.__ ._eyery J 0 years'~
~. ~ Three doses of polio, pro- · Hepatitis B series for all chil-
vided the last dose is given on or dren and adolescents. This. has
after the fourth birthday. been required for kindergarten
· Two doses of measles, entry since 1997.
milmps and ru!?eIla'-vaccfrie-'-,'---These vaccines can be ob-
tained at a private medical.
p~o,vi~e(s offic~ ,~.t:' fl~.~P.~
county., b~~!th 4epl\nl1;l,~,l!t~ ~~
615 sheddan St. in the Castle
Hill Mall. Health department
immunizations clinic hours are
9 'a.m.-noon Mondays and Fri-
days, 1-5:30 p.m. Tuesdays,
and 1-4 p.m. Wednesdays and
Thursdays. Call 385-9400 for
more information.
Sixth-graders can receive the
required and recommended vac-
<:ines at school immunization
clinics. Each school will an-
, nounceits immunization clinic
dates.
.~~ j. L61'1-oER...
~-Ib-oo
I
. Letters
_Parents right to
worry about
. ...
rmmuruzatlons
Editor, Leader:
The article on the relatively low rate
of immunization in Jefferson County
neglected to mention the reasons. why
some parents are choosing not to vacci-
nate their children.
I am encouraged that many parents
are informing themselves about the pros
and cons of vaccination, sorting through
the conventional and alternative opin-
ions and rhetoric, and making infonned
choices. There is tremendous pressure
in our society to vaccinate our children,
and for those parents who educate them-
sel ves about the issue, it is a very diffi-
cult parenting choice'.
There is no question that most vac-
.. cineS3!!:eneJIec.live in the short tenn, but
the bottom lint:l is that the effects. and
side effects of compulsory childhood
vaccination remain largely unknown. Of
tbe millions of vaccine research dollars
being spent, most is spent on. vaccina-
tion promotion and development rather
than the study of vaccine reactions.
The immune system is a very intelli-
gently organized system with certain
procedures that it follows when exposed
to a foreign agent. What exactly are we
doing to the immune system when we
inject a foreign viral or bacterial particle
into our bodies - when it is nonnally
acquired through the respiratory tract -
such as measles, mumps and pertussis?
All vaccines are not created equal. Is
the form being administered the safest
one? Many contain preservatives and'
additives that may in and of themselves
pose health risks. One such preservative
is called thimerosal, a mercury deriva-
tive. contained in many fonns of the
. hepatitis BancH. influenza B vaccine.
What additional substances does the
vaccination contain? What is the effect
of a vaccine on a baby's immune sys-
tem that is still in the early stages of
development? The number of children
(and i!,Qul~s) ,wi!hasthma, a!l~rgies,
chronic infections,-autoimmune diseases
and cancer is on the rise. These are'con-
ditions associated with 'inappropriate
functioning of thl;: immune system. Is
there any correlation with vaccinations?
Are the risks of side effects' of the
immunization greater or less than those
of the natural infection? What is the
probability of a child contracting the
disease in question? Is the immunity
conferred by a vaccine solid and long-
lasting? If not, the disease may bC more
severe when contracted later in life.
We are seeing more vaccines against
diseases that are seldom seen, difficult
to contract, or not life-threatening if
contracted. The hepatitis B vaccine is
expeniive, poorly researched, and its
long-term efficacy unknown. Making it
mandatory stinks of profit over people.
Mandating a vaccination takes the liabil-
ity for any ill effects away from the de-
velopers of the vaccine and physicians,
and puts it into the hands of the state.
Is the public health crusade to elimi-
nate disease being done at the expense
of our children? What are the true risks
and benefits of vaccinations? Based
. upon the current bcX1y of e~iden~e. nei-
ther the extreme pro- nor anti-immuni-
. zatlon position is completely,defensible.
I think that parents have a right to know
the answers to these questions so they
can truly make responsible infonned
decisions.
CORY REDDISH, ND
Port Townsend
t.r: L~AOE1L
~-{~ ~OO
Immunization
records needed
The ] efferson County
Health Department urges par-
ents to gain the immunizations
the state lists as "mandatory
requirements" for children
prior to school starting in the
fall. Health Department offi-
" da:!ii" are "coo'c'erned'that;based
on statewide averages, Jeffer-
son County has a large number
of students who are not immu-
nized against disease.
A child's parent or guardian
may skip the required immuni-
- - zationsby-requesting from the
school district an exemption
fonn. The immunization exemp-
tion reasons are: medical, reli-
gious or personal. No detailed
explanation is required.
"Parents, if they so wish,
can sign this exemption form
and the children are still eli-
gible for participation in
school," said Dr. Tom Locke,
the Coun ty 's public health of-
ficer. "There are consequences
for this, however. If an out-
break occurs, all the exemption
- cbild.r.en_.h!lY.e._.tQ. b~ excluded
from school untilthe'outbreak
is over."
Jefferson County's rate for
exemption from immunization
is three times the state average
..anAthILsec.QndJlighest in the
state. The parents of 290 chil-
dren here have received exemp-
tions for personal, religious or
medical reasons, according to
the local health department. A
total of 196 Jefferson County
children haven't completed their
shots for rubella, measles,
mumps and diphtheria. tetanus
and whooping cough, hepatitis B
and polio.
Public schools are required to
collect student immunization in-
fonnation. The county health of.
ficer uses these records to help
detennine who must be excluded
if an-outbreakoccurs,
"As a practical mailer we're
working with schools to make
sure the records are complete,
because if an outbreak occurs
we want to find out quickly
who is immunized," Locke
said.
To be admitted to school, stu-
dents must have either complete
immunizations or exemption
fonns.
Immunizations for entry into
kindergarten are:
. Four doses of diphtheria,
tetanus and pertussis vaccine
(DTP or DtaP), provided the last
dose is given on or after the
fourth birthday.
. Three doses of polio, pro-
vided the last dose is given on or
after the fourth birthday.
· Two doses of measles,
mumps and rubella vaccine
(MMR).
. Three doses of hepatitis B
vaccine.
Entering sixth-graders are re-
quired to have a second MMR.
Recommended immuniza-
tions:
· A tetanus booster at age 11-
14, unless it has been received in
the past five years. After this
dose, tetanus boosters are needed
every 10 years.
. Hepatitis B series for all chil-
dren and adolescents. This has
been required for kindergarten'
entry since 1997.
These vaccines can be ob-
tained at a private medical
provider's office or .at the
county health department at
615 Sheridan St. in the Castle
Hill Mall. Health department
immunizations clinic hours are'
9 a.m.-noon Mondays and Fri-
days, 1-5:30 p.m. Tuesdays,
and 1-4 p.m. Wednesdays and
Thursdays. Call 385-9400 for
more infonnation. .
Sixth-graders can receive.the
required and recommended vac-
cines at school immunization
clinics. Each school will an-
nounce its immunization clinic
dates.
rp t LEADER-.
<6_Z3'"OC:>
..
,
Make informed choice on
childhood immunization
By Thomas Locke, MO, MPH
Jefferson County health officer
As health officer for Jefferson County. I would like to respond to Dr. Cory
Reddish's letter of Aug. 16 regarding childhood immunizations. Whde I certainly
agree that all parents should make fully infonned choices about their children's
health care. it is important that these decisions be based on reliable. scientific in-
formation rather than the fear-based misinformation that is often invoked against
the use of vaccinations.
The development and widespread use of chddhood vaccinations has fundamen-
tally altered the impact of epidemic infectious diseases on human populations.
Commonplace infections that once resulted in death or disability are now rare (or,
for a few diseases, virtually eradicated). Breakthroughs in molecular and genetic
technology are allowing development of dozens of new vaccines against untreatable
(or difficult to treat) infections.
Immunization is preventive medicine in Its purest fonn. allowing the immune
system to develop protective antibodies to infections before exposure to that infec-
tIOn occurs. "Natural" infection is very different. often resulting In life-threatening
Infections that overwhelm a child before his body's immune system can effec-
tively react.
It is easy to forget the terror of the polio epidemics that followed World War II
or the many deaths of infants and young children caused by diphtheria. pertussis
and measles epidemics. As a young doctor 10 1975, J trained In hospital wards
filled with children battling Hib meningitis. After more than a decade of wide-
spread vaCCination against this disease. I can now count the number of cases that
occur In thIS state each year on one hand.
The effectiveness of childhood vaccinations is unquestionable. But how
about their safety? The vaccines that are currently used for childhood immu-
nization are the product of decades of research and clinical testing. No medi-
cal treatment can be made 100 percent risk-free. Modern vaccines are as close
as we can get to this safety goal. with serious side effects for most vaccines
less than one-in-a-million. The process of approving vaccinations for routine
childhood use is exhaustive. enlisting the dedicated efforts of the world's sci-
entific leaders.
After a vaccine goes into worldwide distribution. it continues to be moni-
tored for potential adverse effects. This accumulated experience of hundreds
of millions of children and adults IS the final measure of vaccine safety. And
thiS worldwide expeflence fails to support any of the fearful speculation about
links between vaccination and autoimmune disease. autism, SIDS. cancer or
other chromc diseases. Unfortunately, this overwhelming research evidence
is routinely ignored or misrepresented by those who are more interested in
spreading fear rather than facts.
Dr. Reddish asks several fundamental questions: "Is the public health crusade
to eliminate disease being done at the expense of our children?" and "What are the
true risks and benefits of vaccination?"
To the first. I would answer that children are the overv.'helming beneficiaries of
public health immunization efforts. not their victims. If the dramatic declines in
infant and childhood mortality in this country over the past century fail to convince
a person of this conclusion, then perhaps a close examination of infectious disease
mortality in Third World nations (where universal vaccination is an unrealized
dream) will put things in' perspeCtive, .
The second question raised by Dr. Reddish - risks vs. benefits _ IS the one
that all parents must ask and answer on behalf of their children. My recom-
mendatIOns to parents are clear. The benefits of vaccination are enormous: the
risks are minuscule.
I certainly respect the right of others to hold different opinions and to seek
lawful exemptions to mandatory vaccination requirements. I urge parents to
make such decisions on behalf of their children with great c~ution and to look
for credible, science-based information. Two recommended websites for reli-
able. unbiased Information are the Centers for Disease Control's National Im-
munlzation Program (www.cdc.gov/nlp) and The Immunization Gateway
( www.immunofacts.com) .
Parents who chose to withhold vaccinations from their children should avoid
international travel, monitor their children for the signs and symptoms of the dis-
eases for which they lack protective immunity, and be aware than unlmmunlzed
children must be excluded from school during outbreaks of vaccine-preventable
disease.
Acting
responsibly
with Kah Tai
property
Editor. Leader:
Since Mr. Hayden chooses to com-
municate his concerns in public, I would
like the opportunity to reciprocate in the
Leader and share with the public my
response to him. I rarely respond to com-
munications delivered in this regard, but
due to the personal disparagement on my
character and values, I feel I need to
make the exception.
Mr. Hayden. I do not know you. I
have never spoken or communicated
with you at any time. Therefore, I do
not understand how you have con-
cluded your assertions against me in
your letter.
I have shared my personal viewpoint
with all parties involved in the discus-
sions about the port's offer to exchange
land with the,citY.J'feellthatth~pro~r"
ties' uudcr lease with the port" should be
purchased by the city. And, with that
goal in mind, all the properties should
be dedicated as open sp~e1natural ar-
eas iri perpetuity.
T.his is hardly a "pave it to save it"
goal.
With respect to public awareness of
the previous studies, I cannot find a plau-
sible reason why the public should not
be allowed the opportunity to be made
aware of the facts and potential issues
surrounding this property. After all, the
reports are matters of public record.
In addition, I see no plausible reason
why we should not examine the issues
raised by these reports more carefully.
In fact, I believe we have a public duty
to follow through with additional efforts
to assure the public that greater environ-
mental risks are not present.
I am reminded of my hometown in
Michigan. I remember when public
officials dismissed concerns about 50
pounds of PBB. a known cancer-
causing chemical, having been
accidentally mixed with dairy feed.
The government officials dismissed
any threat, saying that it was a mere
50 pounds and that the chemical was so
diluted it posed no threat to the pub-
lic.Experts estimate that more than
one-third of Michigan's population
was exposed to this contamination _
myself included.
My family and I would have appre-
ciated it if one of those $80.000-sala-
ried bureaucrats had been more re-
sponsive.
I hope to act in a more responsible
manner with the information I have ac-
quired about the Kah Tai properties for
which the city is responsible.
DAVID TIMMONS
f?r. LC-A-O~
8../fo-O()
Get to the bottom of it.-
Officials from the City and Port of Port Tow~end should pull their ."
resources together and launch a study .of the possibl~ heavy metals and
toxics in the soil anchedrments orKah Tai Lagoon. . .
..... The- prospect.of toxies was raiseq in a recently rediscovered
study done in 198,6 by college students. Findings of cadmium, lead,
copper and zinc were not acted upon at the time, apparently, and
have remained unknown in recent years. Revelation of the old
study has prompted a lot of talk about why ~e original information
was set aside and what motivated its sudden reappearance on the
political landscape while some kinds of land swaps are being
discussed.
The immediate issue here, however, is not about the political
landscape but about the dirt and mud of the physical landscape. Some
of it probably still retains the heavy metals. We don't know where,
how much, to what extent and what the real implications are for those
who use the park. Hundreds of residents and dozens of children tromp
through there every month in a certain state of ignorance. 1ms is a
public health issue.
. City Manager David-Timmons should be given it full head of steam. .
lQ.p..Yrs1l,!tst.ate.or federal support for an immediate study that will
answer the outstanding ,questions. Port Manager Larry Crockett should
join in. \he ]!<ffer~9P County l-J~~lth D.eoartment sboul~..!?"rfDDll its
re:s~~fbilitit;~~*~IWteer eff~risThce'~~~E,6~U:grtQ[;~~~~p~J.{i.:
should be encouraged. . .
It's time to get to the bottom of this open-ended question and get
some reliable information to the community. - Scott Wilson
p,. LLCA-Dc?R.
~...,"-"()
,Northwest
SuNDAY, AUGUST 27, 2000 A7
Pet owners celebrate
.-- --.-.,. ----~~------- .--....
animals in Chimacum__
BY ADRIANA JANOVICH
PENINSULA DAILY NEWS
CHIMACUM - Animal lovers
celebrated their four-legged friends
Saturday at the Jefferson County
Animal Services Auxiliary second
annual Pet Fair,
The free event - which fea-
tured a Rover Run, demonstra-
tions and a variety of critters -
took place most of the day at H.~.
Carroll Park.
People were encouraged to
bring their pets, said Julie
Matthes, event coordinator and
Jefferson County Animal Services
Auxiliary board member.
"We wanted to give people a
chance to get together to talk about
their animals," Matthes said.
"We also encourage people to
adopt animals from the shelter and
get their animals spayed and
neutered. In the lastthree years,
we spayed or .peutered 200 animals
a year." '
More than 100 animal lovers
turned up for the free pet fair. Also
in attendance were two dozen
dogs, a handful of ducks, a couple
of potbellied pigs, one llama and a
lone cat.
near Port Ludlow brought her dog,
Bruno, to the fair.
"He got to sniff and be sniffed,"
Hampton said. "He was licking the
llama on the face earlier. I'm really
pleased. The pigs were great.
There was a better turnout this
year than last yean "
Cat lover
"It's fun to be able to see all the
different animals," Rachel Ander-
son, 16, of Chimacum said. She
brought the cat to the fair.
"She flips out because of all the
dogs. It's good for my cat," Ander-
son said.
"She is going to be shown next Dog competitions
month at the Puyallup Fair. She
needs to get used to being around a Winning the Rover Run for the
lot of people and different animals. second year in a row were Yvonne
My cat saw the pigs and was just' Pepin-Wakefield and Bucky. Last
fascinated." year, Pepin-Wakefield carried her
Drawing the biggest crowd were dog in a basket. This, year, she
the potbellied pigs from Valentine~s___ml!!.khimactually run the race.
Performing Pigs of Gig Harbor. In the Rover Walk, Morgan
The star of the show was Nellie, Osmer and dog, Sara Lee, placed
and her tricks include jumping fll"St.
through a hoop and climbing into a Guest speakers----included
suitcase when it was time to go. Tellington Touch specialist Bonnie
Children took turns petting the Masi of Health Harmony Vistas in
pigs after the show. An obstacle Port Townsend, who gave a
course tested dog agility. demonstration. Masi uses Telling
Noel Gregory ,of Joyce gave Touch to change behavior in
herding demonstrations through- horses, dogs, cats and 'birds.
out the day with his Indian ducks. The fair also featured a handful
Laurie Hampton of Olele Point of pet-related vend6rs.
State health board here Sept. ' 13
On Wednesday, Sept. 13, the
state board of health has its
monthly meeting at Fort Worden
State Park in Port Townsend.
Both morning and afternoon ses-
sions of the meeting are open to
the public.
The Washington State Board of
Health was established by the state
Constitution in 1889 and been pro-
viding a forum for the develop-
ment of state 'health policy since
that time. The board is responsible
for adoption of a wide range of
public health regulations dealing
with food safety, drinking water
g'~ ab ~o-t)
rp~t< L6140eC
protection, communicable disease
control. mandatory vaccination
standards, and on-site sewage sys-
tem standards. Among the duties
of the state board of health is to
"convene regional forums to
gather citizen input on public
health issues" (RCW 43.20.050).
On the afternoon of Sept. 13,
a public forum of this type is
planned, with a focus on two ar-
eas of high concern to North
Olympic Peninsula residents:
child health and well-being, and
access to critical health services.
From 2: 15 to 4 p.m., local com-
munity members and public
health officials will make presen-
tations concerning these priority
problems. From 4 to 5 p.m., time
is reserved for open public testi-
mony concerning these and other
health issues of concern.
In addition to this period of of-
ficial testimony, a variety of in-
fonnation displays will be avail-
able throughout the afternoon
concerning the board's priority
health issues for the current year.
The state board of health is
composed of lOci tizens ap-
pointed by the governor. Dr.
Thomas Locke, health officer for
Clallam and Jefferson counties.
has been a member of tl-Je state
board since 1995, representing
local health officials.
For more infonnation about
the upcoming meeting at Fon
Worden, call Heather Boe, ex-
ecutive assistant to the board. at
360-236-4104 or e-mail
heather. boe@doh.wa.gov.
rt Townsend &. Jefferson County Leader
Family
Planning
offers
teens
choice
The program, funded by
the department of health's
community and family
health division, is offered to
a randomly selected group
of children in these schools,
while clinic services are
..opento all interested adoles-
cents. Recreational activi-
ties which encourage good
decision-making skills. in-
creased self-esteem and
confidence-building are of-
fered in the schools. Partici-
pants are surveyed at the
beginning and end of each
school year, and the Wash-
ington Institute analyzes the
data. Recruitment for the
program will begin in each
school in September.
For more information
about the SHARE project,
contact Cherie Reeves Sperr
at 360-452-2965.
Family Planning of
Clallam County has em-
barked on another year of
state-funded teen pregnancy
prevention in the com-
munity,
Start Helping Adoles-
cents Reach Each Other
(SHARE) was started in
1995 and has served more
than 1,600 children and ado-
lescents in ClaIlam and
Jefferson counties since its
inception. A recent prelimi-
nary report from the Na-
tional Center for Health Sta-
tistics indicates that teen
birth rates are continuing to
drop, in part due to educa-
tional programs.
SHARE services include
onsite educational sessions,
recreational activities, sup-
port groups at both the high
school and middle school
levels, and teen clinic ser-
vices. The agency is cur-
rently seeking matching
funding for a retreat offered
this year at the Olympic
Park Institute.
The SHARE program is
currently providing one or
more of these services at
Blue Heron Middle School
in Port Townsend, Stevens
Middle School and
Roosevelt Middle School in
Port Angeles, Sequim High
School, Port Angeles High
School and Sequim Middle
School.
'PI' LtiA-DErL
g- 30-00
Rising drug costs, rising concerns
Relief being sought for prescription prices; Dicks weighs in
By Janet Huck
leader Staff Writer
Facmg the skyrocketing costs of pre-
.>..:nption drugs, senior citizens are be-
:og forced to choose between paying for
:ood and shelter and paying for medi-
":3110n.
Many are simply doing without their
:Jrescriptions. A Jefferson County dia-
~tjc accidentally dropped a bottle of
:nsulin, so he went without the vital
:-:1edlCme until he could afford a new
:>ollie. And a woman who was recently
released from the hospital for hip sur-
gery couldn't afford the nearly $700
:.IDl1coagulant shots necessary for a less
:1sky recovery.
"We are the richest country in the
....orld. so we should be able to afford to
subsidize prescnptions for senior citi-
zens." said U.S. Congressman Norm
Dicks (D-Bremerton) during his Mon-
;}ay visit in Pon Townsend.
During August, Dicks conducted
::earings in the SIX districts in his juris-
':lctlOn to learn about the problems of
::1e riSIng costs of prescriptions. At
jefferson General Hospital on Monday.
Dc heard a senior citizen advocate say
one of her clients paid $100 for four
::nlls.
The prices of 50 prescriptions most
::ommonly used by seniors have in-
::reased at nearly double the rate of in-
:lation in the 19905. according to
\'ewsweek magazine. locor, a medica-
:lOn for lowering cholesterol. rose 21.2
:>ercent in the last six years, according
:0 the House Government Reform Com-
ffiJttee. And the price for Zoloft, a pill
:or depression, jumped 25.5 percent.
The problem is only gelling worse.
''The bener drugs we take, the longer
,I,'e live and the more diseases we get
lnd the more drugs we need," said Bill
U;:ItDGfL
g---30 40
"Old age isn't for
. I "
SiSSies.
Rusty North
Port Townsend senior citizen
Nemerever, a 25-year cancer survivor
from Pon Townsend.
Even though most private insurance
plans do cover prescriptions, the federal
Medicare program doesn't cover out-
patient prescription drugs for any senior
citizen. Consequently. there are an esti-
mated 13 million elderly Americans
with no prescription drug coverage; they
have to pay full costs for their drugs. For
instance, seniors pay $118.96 for
Norvasc. a medication to combat high
blood pressure. but insured U.S. con-
sumers only pay $61.27 for the same
prescription.
"The prices for medications seem to
be constantly going up, particularly the
ones that make quality of life belter.like
cholesterol and blood pressure prescrip-
tions," said Dave O'Connor. Safeway's
pharmacy manager. in an earlier Leader
interview. He works with senior citizens
to help them find lower prices.
Some seniors blame the pharmaceu-
tical companies. which are making some
of the highest profits in American indus-
try. Rep. Lynn Kessler (D-Hoquiam),
24th Legislative District. said that dur-
ing state legislative hearings into dis-
'f;r:iminatory pricing by pharmace\ltical
companies she discovered that one cor-
poration could make money on a par-
ticular drug whether it sold it for $3.85
or $35.
But Dicks said he doesn't want to
"demonize" the drug industry. "They
could be better corporate citizens. but
we must recognize the prescription won-
ders they developed that have made vast
improvements in many people's lives."
he said. "We don't want to restrict the
development of new drugs."
It costs the drug companies $160
million to bring a new medication to the
public. said Bill Clark. a Kitsap County
pharmacist.
Despite the pressures from senior
citizen groups, the congressional bills
that would provide relief for the high
prices of prescription drugs apparently
are stalled. The Republican bill passed
the House but not the Senate. The bill
would subsidize the purchase of private
insurance coverage for medications. It
would cost between $35 to $40 a month
with a $250 deduction and catastrophic
coverage at $6,000. Dicks said he voted
again;;t it because it didn't work for the
sickest people. The Democratic bill he
supponed would have cost $25 a month
for Medicare coverage with no deduct-
ible and catastrophic coverage at $4.000.
But at $80 billion over five years. it
would cost double the Republican bill.
"The chance for passage [of the Re-
publican bill] this year is in some doubt,"
said Dicks.
Seniors citizens aren't the only ones
caught in the spiral of increasing prices.
Jean Baldwin, director of community
health for Jefferson County Department
of Health and Human Services, said
many insurance companies don't cover
children's vaccinations. Lauri Strong.
executive director for Jefferson Mental
Health Services, said people with
chronic and persistent mental illness
need medication to function in the world
and stay out of mental hospitals. "Some-
times their lives depend on whether they
take their medication," she explained.
But the Medicare and Medicaid system
is so complex they can't always handle
it. she explained.
One single woman, who made only
$700 a month. faced $900 in drug bills.
said Strong.
Without any legislative solution in
sight, senior citizens and others without
prescription coverage are trying to cope
any way they can. Diane Bommer. who
is in charge of JGH's Diabetes Educa-
tion Program. said some of her clients
bought pills from Mexico that didn't turn
out to be the same medication available
here.
Some purchase expired prescriptions.
Some drive to Canada. where govern-
ment price controls keep drug costs at
one-half or even one-third the price of
those in the United States, reported The
Associated Press.
Some stay at home and comparison
shop. Jeri Williams said she regularly
checks prices at WaI-Mart, Costco and
Rite Aid. but she recognizes that it's hard
for many seniors to do that. Still. costs
are so high she is going to drop one of
her prescriptions in favor of garlic pills.
And Jeanne Clendenon. who said she
"choked" when she wrote a check for a
prescription recently, now browses on
the Internet for the best prices.
"I went to Canada and saved one-
third, but on the Internet I saved one-
half out of New Zealand." she swore.
Clark said there is a pharmaceutical
company program that subsidizes medi-
cations. But under RX Assist. the doc-
tor has to fill out the paperwork and the
person's income must be ISO percent of
poveny level.
"It's expensive to live now," said Port
Townsend senior citizen Rusty Nonh.
who takes three or four prescriptions,
checks her blood two to three times. and
gives herself two shots a day to control
her diabetes. "Old age isn't for sissies."
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FRIDAY, SEPTEMBER 1, 2000 AS
Libraries get vide~s
from disabilities board
PENINSULA DAlLY NEWS
PORT TOWNSEND - The
Jefferson County Developmental
Disabilities Advisory Board
donated 15 videos to the Port
Townsend Public Library on
Thursday in an effort to improve
public awareness about disability
issues.
Another 15 videos will be
donated to the Jefferson County
Public Library in Port Hadlock
next week.
The 30 different videos, valued
at $2,898, target general audi-
ences as well as parents, care
providers and people with disabil-
ities. Video subject matter ranges
from documentaries of people liv-
ing with different disabilities to
_ parenting and job skills.
"What we're trying to do is
build community awareness
about disability issues from par-
enting to advocacy," coordinator
Anna McEnery said.
"Some (of the videos) are for
people with disabilities and some
are for the public to just learn
more about the lifestyles of people
with disabilities."
The donation also includes two
CD-ROM disks featuring an
American Sign Language dictio-
nary and an Internet disability
resource listing.
The local volunteer board is
funded by the state. The board
has nine members, but has room
for 15 openings. The board meets
morithly.