Loading...
HomeMy WebLinkAboutM010880 COMMUNICABLE PUBLIC HEALTH HOME VITAL ENVIRONMENTAL HEALTH DISEASE CONTROL NURSING NURSING STATISTICS HEALTH E UCATION JEFFERSON COUNTY HEALTH DEPARTMENT .. 102 SHERIDAN PORT TOWNSEND,WASH.MN (.2 355.0122 '4. it '',.. BOARD OF HEALTH MEETING s HEALTH DEPARTMENT CONFERENCE ROOM 'BOARD MEMBERS: STAFF MEMBERS: B. G. Brown, Member Randall M. Durant, R.S. A. M. O'Meara, Chairman Phyllis Bee, P.H.N. Carroll M. Mercer, 21iearber. ; Joseph Fischnaller, M.D. Gael Stuart, Administrator . MINUTES -a January 8, 1980 9:30 a.m. Meeting called to order by Chariman A. M. O'Meara with all members being present except Dr. Fischnaller due to weather conditions. MINUTES: The minutes of December 5, 1979 were approved as corrected by motion of Commissioner Brown, seconded by Commissioner Mercer. Unanimous. • CORRESPONDENCE: 1. Petitions regarding On-Site Sewage Disposal Permits were submitted by , Roy Robeck representing Forest Hill Stables, Tom. Beavers of Century 21, E> and Harold DeJong of Century 21. Over 450 signatures were on-the petitions requesting the County Commissioners set up an appeals process that is quick, efficient, and fair, suggesting that a board of appeals be made up of people divorced from the Jefferson County Health Department. Also that approval for an on-site sanitary waste disposal permit be appealable to an unbiased licensed soils engineer or sanitary engineer. And to instruct the Sanitarian to be more helpful in an event of a denial, suggesting alternate methods of sewage disposal. Mr. Beavers explained that a number of people wouldn't sign the petition for fear of recrimination. Commissioner O'Meara stated that he hopes the Health Department doesn't have that attitude and explained that a public meeting will be held in the near future and perhaps something can be worked out. Gael Stuart read the letter received from Gary D. Plews, R.S., Program i Manager of D.S.H.S. (attachment #1) regarding alternate on-site sewage disposal system available in the State of Washington emphasizing the fact that Jefferson County has been more than fair in applications of known alternatives. A discussion of the various acceptable alternatives and the f tests made for these followed. Mr. Durant advised that permit applicants seeking an alternate sewage system can get help from the State Health Depart- 1 ment. Mr. Stuart stressed that the Health Department's policy is-to try to make it possible for people to use their land as they wish, not prevent them. After much discussion of the appeal process, Commissioner Brown advised that the Health Board must have the final determination according to the R.C.W. a I OLD BUSINESS• s 1. Proposed revision of Ordinance *2-77, On-Site Sewage Disposal Definitions. Commissioner Mercer moved to set hearing date for •January 28, 1979 at 11:00 a.m. at the Commissioners regular meeting. Commissioner Mercer seconded the motion. Unanimous. I 2. Class IV Water System, proposed ordinance and agreement. The Board discussed the documents handed out at last months meeting. After much a discussion of whether or not to enter into this agreement, Commissioner Brown moved to table until a later date. Commissioner Mercer seconded the •. motion. Unanimous. MINUMMININI ANIONIMMINIONIMINNIN Minutes of the Health Board Meeting January 8, 1980 Page 2 • NEW BUSINESS: 1. Home Health Service. Gael Stuart reported that the analysis for the Aetna Insurance Company for Medicare proposal in Home Health has been completed. The State 'Health Department has reviewed Jefferson County Health Department and approved it for the Home Health Program. A certi- tication will be needed in order for the County to do the billing. Mr. Stuart submitted 2 contracts, with Speech Pathologist and Jefferson General Hospital (attachment #2), requesting the Board's approval subject to the approval of the Prosecuting Attorney. Commissioner Brown moved to approve witting the application for contract with the Aetna Insurance Company and approve the contracts with Waring J. Fitch, Speech Pathologist; and the Jefferson General Hospital subject to approval from the Prosecuting Attorney. Commissioner Mercer seconded the motion. Unanimous. Regarding setting of fees, Commissioner Brown moved to set the fees for the Home Health visits at $32.00 for a Registered Nurse and $25.00 for a Nurses Aid as an estimated figure to meet Medicare Guide Lines. Commissioner Mercer seconded the motion. Unanimous. 2. Flood control zones and,the issuance of on-site sewage permits. (attach- ment #3) To date none of Jefferson County streams have been established as a flood control zone hence the Department of Ecology excerises no regulatory contol. 3. Contract for the West-end services -Health Department. A contract is needed with Clallam County for the nursing services, environmental health and Home Health services.. Stuart will work on the development of the contract for the Boards approval. REPORTS: 1. Public Health Nurse; Phyllis Bee a) Report of nursing services (attachment # $) The WIC Program has been increased to 175 slots. Mrs. Bee reported that lack of office space is a continuing problem. b) Mary Tudor is working 3 days a week now that the contingency money was approved on the MCH Grant. 2. Environmental Health; Randy Durant a) Activities Report (attachment #5) } r • STATE OP' DEPARTMENT OF SOCIAL AND HEALTH SERVICES WASH_ � WASHING TON a m Washi,s saw, `�.. s91 i .Lee Rae attachment #1 Gaserrwr 43100 4 December 19, 1979 RECEIVED E 2179 • dr. Randall Durant, R.S. 4friTP.COLgT7If Director of Environmental Health • NEe4l.7)i:Dot, Jefferson County Health Department S02 Sheridan ='+ Fort Townsend, Washington 98368 i f • Subject: Alternative On-site Sewage Disposal Systems Available in I the State of Washington Dear Mr. Durant: The Technical Review Committee established under WAC 248-96-046 has reviewed a variety of methods and devices over the past four years. Several sets of guidelines have been developed which lay out in detail methods and devices that are available and the applications for each. To date, we have the following sets of guidelines: . 1. Guidelines Governing the Use of Aerobic Treatment Devices 2. Guidelines Governing the Use of Composting Toilets 3. Guidelines for Evapotranspiration Systems 4. Guidelines for Greywater Treatment and Disposal Systems 5. Guidelines for System Alterations and Improvements I B. Guidelines for the Design and Construction of Mound Systems 7. Guidelines for Submission of Information to the Committee The Committee is constantly asked to review unproven black boxes. Much time has been spent with para-professionals and salesmen claiming to have answers. However, when asked for detailed performance information, none is available, and the salesmen go on to another location. We are finding with increased fre- quency salesmen attempting to sell their products to lay groups such as real estate firms, and in some cases, local elected officials. With the misinforma- tion being presented, it becomes very difficult for persons such as yourself to establish a credible relationship with people in the development field. To our knowledge, and this comes from a variety of sources, we have reviewed and developed guidelines governing proven alternatives, and those have been p rovided to you through the mechanisms of the State Board of Health Rules and i Regulations. We know of no proven alternative that you do not have available presently in Jefferson County. I have also noted that among the other 31 Directors of Environmental Health, you have a rather progressive attitude in that you are willing to try new and improved techniques and methods. From a statewide perspective, you are open-minded, and give each person a fair chance with a proven alternative. UMNOMrsts. .awes. ..ems, attachnt 91-A 'Mr. Randall Durant, R.S. December 20, 1979 Page 2 The situation you described in Jefferson County concerning soils is not unique. Unfortunately, we must still rely upon a minimal amount of soil for the alter- • natives we have available. To date, we can offer no solution to lots that have less than 24 inches of permeable acceptable soil above water table and/or impervious strata: We have been approached by two firms who have new devices that show a great deal of promise. The devices are recirculating and intermit- tent sand filters. We truthfully believe its application will be broader,than any alternative we have to date. ether individual units that show promise are the completely recycle and reuse unit and partial recycle units which separates the blackwater and greywater and recirculates either. We still, however, do not have much performance information concerning the systems, and anticipate it will be some months before they are actually reviewed by the Committee. We have noted in our news clipping service a great number of letters being generated discussing your credibility and the acceptability of a variety of devices and/or methods. In one particular letter, a pars-professional is quoted as saying "other counties allow a broader range of alternatives than does Jefferson County". I assure you this is not the case. Upon questioning of the specific person involved, he also admits this is not the case. We do review individual county programs and the latitude allowed thereunder. a. This review indicates that your program is liberal in that you are applying the minimum requirements specified in WAC 248-96. A last point that I would like to stress is that we too would like to provide answers to problem lots. Our mandate through the State Legislature is to seek out new and alternative devices that can provide answers to individuals with ¢, problem site conditions. We sincerely believe we can.provide those answers I given some time, and given some research data. To date, we have provided to you the sum total of our knowledge in form of - guidelines and technical assistance. This knowledge has been obtained from national research projects, northwest research projects, and projects within the , State of Washington. I or my associate, Dave Lenning, would be available to P discuss the alternatives available, their limitations, and applications to you, f your Board of Health, or to your development industry at a time that is mutually convenient. I wish to reemphasize the fact that your department in our assessment has been store than fair in the application of the known alternativesarrived at under the Rules and Regulations of the state. Sincerely, - , Gary D. ews, R.S. . 4.4 Program Manager GDP:par cc: Jefferson County Board of Health, Dr. J.E. Fischnaller, Health Officer Dave Leaning Judy Kennedy r` s 4 w - • attach it f2 CONTRACT FOR PROFESSIONAL SERVICES THIS (TRACT is between the JEFFERSON COUNTY HEALTH DEPARTMENT (Department) and the Jefferson General Hospital (Hospital). The contract is to be effective January 1, 1980. NNEREAS, the Department is in need of the services of a Physical Therapist in Home Health Services; and NMEXEAS, at the present time the Department is unable to provide the services from personnel within its employment; and INEXIAS, THE Hospital states that it has qualified persons to perform the duties and responsibilities set out in the body of this control; NOW THEREFORE, I. IT IS AGREED: (1) The Hospital shall furnish the services of a licensed Physical Therapist for patients eligible for Medicare and Medicaid upon proper referral 1 from physicians or other eligible referring professionals. The Physical Therapist will provide therapy where indicated for eligible patients with special physical problems that interfere with daily living. When indicated, the Physical Therapist will consult with and advise families of patients and appropriate Department staff members. (2) The services to be provided by the Physical Therapist will be in accordance with the standards of the profession and will follow the outline of those services'as set out in the Home Health Services Contract with the } State of Washington, which is attached hereto and by this reference incorporated into this contract as if fully set forth. (3) The Department will pay the Hospital the amount of Eleven Dollars ($11.00) per visit for professional services rendered and shall reimburse for mileage driven at the rate of seventeen cents (17e) per mile 4 I sf ,rrssss■. .s.r•1.a asisiassiamossarm -1 k aet-advent #24t • !� or at such other rate as may be established by Jefferson County. (4) The Hospital shall provide the Department a detailed accounting of the work performed and the mileage driven at the conclusion of each month of the contract. The Department shall make payment for the work performed on or before the 20th day of the month following the month in which the work was performed. (5) The Hospital will perform the required services as outlined in the attached job description. These services cannot be provided by Department personnel. It is understood that the Hospital will provide for the fringe benefits of the Physical Therapists and that neither the Department or Jefferson County will be responsible for F. I. C. A., Witholding taxes or other payroll obligations. (6) The Hospital shall provide malpractice insurance coverage for the work performed under the terms of this Contract in a minimum amount of'$100,000.00 per injury. (7) The Hospital shall not discriminate against any person presenting themself for service based on race, religion, color, sex, age or national origin. The Department shall take affirmative action to insure that persons receive services without regard to race, religion, color, sex, age or national origin. (8) This Contract shall continue until terminated by one or the other of the parties hereto. Termination shall require sixty (60) days written notice by the terminating party. ,�1fe- XCrZ?i EXCcNT . ! 114;zwat. l r4.7e:E.-7,7tt'77T If,/tG 144-' ...IM...MM MMN sue.. " r attadnent #a DATED THIS ` 14 DAY OF January ,1980 } JEFFERSON COUNTY BOARD OF CO*(ISSIONERS BY 7 . O Me a. airman JEFFERSON COUNTY HEALTH DEPARTMENT j54.11 fr. 2 Gael R. Stuart. Administrator • JEFFERSON GENERAL HOSPITAL An ny F. o, Chairma`a Victor J. irks , Administrator L.L?nT•✓JCT 2 ?47rner / -?/ O.�K/J'/criG / 'r.Ar'j' _ 1/I/�'T V(r— • • • JEFFERSON COUNTY HEALTH'DEPARTMENT attachment #2-c HONE HEALTH SERVICES { #kb Description A. General Description Position Title: Physical Therapist Reports To: Director of Nursing Services Educational Experience: Graduated frog an accredited physical therapy curriculum and current registra- tion and certificate as a Physical Therapist Wort Experience Required: Two years' experience as a Physical Therapist dealing with physical restora- .tion and rehabilitation for a variety of disability areas. The Physical Therapist will function as an independent contractor by agreement for therapy services to Home Health Service patients, under all applicable Hone Health Service policies and procedures. It is understood that all billing will be done through Jefferson County Home Health Services. Responsibilities: 1. Assessment and evaluation of HHS patients for physical therapy following a physicians written referral. Develop specific physical therapy procedures and functional activities based upon evaluation. 2. Development of a plan of care in conjunction with the physician, HHS staff. patient and family when physical therapy is medically appropriate and there is a realistic expectation for progress. 3. Teaches, demonstrates and instructs patient, family members and HHS staff to administer plan of care. 4. Participation in case conferences and supervisory visits to insure that the plan of care is being implemented. S. Performs direct therapy treatments as prescribed. 6. Re-evaluation and progress assessment of physical therapy patients, establish new goals for treatment. T. .&emission of assessments, progress notes, visit reports and discharge summaries for inclusion in the patient charts. Reports must be written daily and-incorporated into-the chart weekly. 8. Participation in in-service programs to acquaint HHS staff and referral sources.of physical therapy potential and appropriate uses. 9. Service must be started within ten (10) working days of receipt of the • referral. 10. Plan of treatment and responsibility for the care of the patients rests with Home Health Agency, therefore, the quality of care will be monitored by the Home Health Services Administrator. SIONIIMMIRMISIDD . attachment #2-D ' Jefferson County Commissioners 4# • CD1.RTKDUSC PORT TDMN$RNQ.MASNINDTaN*S9S. ,;a A.M.O'MtARA.DISTRICT 1.CHAIRMAN r CARRa6.M.MERCCR.DISTRICT 3 - -• •6- !.D.SHOWN*DISTRICT S Jaunaruy 11, 1980 The following is an excerpt from the January , 1980, Jefferson County Board of Health Minutes: 1. Hbue Health Service. Gael Stuart reported that the analysis far the Aetna Insurance Ckmpany for Medicare proposal in !bee Health has been Completed. The State Health Department has reviewed Jefferson County Health Department and approved it for the Home Health Pr.cyzem. A certification will be needed in order for the County to do the billing, Mr. Stuart suhnit- ted 2 contracts, with the Speech Pathologist and Jefferson General Hospital (attachment #2), requesting the Board's (awval subject to the approval of the Prosecuting Attorney. Onmissioner Brown moved to approve submitting the application for Contract with the Aetna Insurance Company and approve the contracts with oaring J. Fitch, Speech Pathologist, and the Jefferson General Hospital subject to approval frrrn the Prosecuting Attorney. Cctunissioner Mercer seconded the motion. Unanimous. Regarding setting of fcco, Ccnrnissioner Brost saved to set the fees for the Home Health visits at $32.00 for a Registered Nurse and $25.00 for a Nurses Aid as an estimated figure to meet Medicare Guide Lines. Caimissioner Mercer seconded the notion. Unanimous. These minutes will be approved by the Board of Health at their next Health Board meeting, February 6, 1980. If there are any questions please call. 385-2016. A. M. O'Meara, Chairman Jefferson County Health Board KathyYesberger, Secretary M► mmamiumara imenumma • • attachment #3 STATE OF DEPARTMENT OF ECOLOGY WASHINGTON • TT „ aacOssa= ti Ttily pixy Lae Ray .. November 30. 1979 R E C r v E`' pEC 0473 UEFF. CtryNTY y, Mr. Randy Durant OEM Jefferson County Health Department 802 Sheridan Port Townsend. Washington 98368 . Dear Mr. Durant: Please excuse the delay in replying to your telephone request regarding flood plain jurisdiction. Under the provisions of RCW 86.16.010, the State assumes fuel regulatory control over all waters lying within the State. This authority is exercised • through regulatory orders, designation of flood control zones and the issuance of permits as pointed out in RCW 86.16.020 as enclosed. Because of the Administrative Procedures Act, regulatory control cannot be exercised before Rules and Regulations are adopted through the Public Nearing process. This has been done, but applies only to those flood plains • where Flood Control Zones have been established. To date none of Jefferson County streams have such zones established; therefore, we exercise no regulatory control to date. As in the paste are most happy to make recommendations to the County if a request is made. As you recall we did offer such assistance on the late divisions of Lazy C. properties. I believe that Jefferson County does have the start of a flood ordinance in compliance with the Federal Flood Insurance Program. As soon as the necessary N.U.D. flood maps are made available, the county can exercise the necessary authority, at the local level, much better than the State. Your building department will have the same tools we would use under State authority. { You will note that flood information is now available on the Quilcene, as shown on the enclosed index map. I know your public works department has copies of this report as issued by the Corps of Engineers. I hope this information is helpful to you. Since ly. TER BERGSTROM Resources Management � a WB:vw Enclosures OS REPORT OF NURSING SERVICE attactment,I4 MONTH DECEMBER, 1979 , • Dec. Nov. Dec. 1979 1979 1978 t'I7/ HOW VISITS 173 156 179 2, 7 w OFFICE VISITS 168 211 116 / 9 - NEWBORN 17 25 24 4- ? A UNDER 1 - YEAR 85 67 39 7 5 5.- 1; 1 - 5 93 63 34 5-7 E 5 - 19 21 61 7 1-,-£7 S 20 - 60 36 47 34 ! � ` 60 + ` 138 204 220 `^ c „c a M.C.H. 69 51 84 / C.C.S. 19 16 5 '4 `' WELL CHILD CLINIC 56 45 27 -� P ACUTE Cot UNICABLE DISEASE Flu 4 Flu 42 Flu 14 �� R CONTROL - IMMUNIZATIONS Imn. 147 Imn. 318 Imn. 122 '1- ,"T L' 6 R V.O. 3 6 3 4,4 1 A S T.B. 12 13 1 ' ?� SCHOOL HEALTH 205 815 194 ,i 5 . W.I.C. 25 32 24 - 5342 FOOT CARE 52 48 31 17 / HOME HEALTH (AIDE) 62 59 72 1 4., / HOME HEALTH (P.H.N.) 81 85 111 , /3-_( 4 • 10.1101111101110.11011. 11111.111.11011.1001 11100111. 11 • • .Ctilk45 PUSUC HEALTH HOME VITAL ENVIRONMENTAL HEALTH ARSEASE asersot. NURSING NURSING STATISTICS HEALTH EDUCATION • attachment #5 .1EFFERSON COUNTY HEALTH DEPARTMENT .02 SHERIDAN PORT TOWNSEND.WASH.SAM DOM 345.072 TO: Jefferson County Board of Health 11113K: Randall H. Durant, H.S. Director of Environmental Health DATE: January 4, 1980 SUBJECT: Activities - Environmental Health Section for December 1979. • FIELD WORK: Decrease in number of sewage disposal permits and site evaluations compared to same period last year. Office contact decreased compared to last month. All schools in the county received their annual inspection. Food.program consisted of 27 inspections. OTHER FIELD WORK: Food Complaints Water Other Finals Follow-up TOTAL • 27 6 4 29 4 31 101 CONTACTS: Office, telephone calls, plan review and design Sanitarians: 563 Secretaries: 146 telephone calls 45 office contacts 191 total for secretaries 754 total for secretaries and sanitarians Total contacts for year-to-date: 9,695 (does not include field contacts or food handlers tests) Food Handlers Permits: December - 13 487 year-to-date • • - -... ....a.N a. raw, alit #5-A ' o on a ,.1h eoNo.w Al" 301 vv .a.'^:: vv.... .. w oo o oo $g $ ga0Oos c In N .!1 fA ar1 ,.{ Oa et' tY alInn1 a1 .O v1.p Y1 aO rs 00. - O . 0 `O O O D O O O 0 0 O O. 0 0 m V , t.•a ^ aq.e1 .n.n O vt`� OA. h0 O a0. Qa1 N "{O.i a!1 O N aO' to V3 N . iiin Y ....1.... In 0ri r 0a1 it 34 CM ap AO ^ •„` ^^ .. .... is O .o .n c r .r+r v .ten ev tv c.1 aGGf r. Y es se Cnto rt c. v vv _ A G 0- oO • O a O 0 O Cr .i e•t•4 to .c E 00 Co 0 O0O0G 0" • • • • N "� .-. ei^'1 3J oh m • OG G O +n 0 0 0 .y _ Re .D a A a F va vt arts O R aD Q©_ i1 rs Cr Cr wi-Cr as O et r-.r..CO N CO n'o r1 ea in .O E AA Y L1 44 p aG cc $�a ,(..3, .-1 r+N rt'N rt .d n t' n t{vtt p O O O O 00 O 0 a aO O O. i Y. , a a 4 uM °", W el) .-i .. v 01 OOC3OOOO 00 OOOo N " a ;Psi.'" A; v v tat N a+ O fit 00000OO 00 00 •00 "°` -.+v vv �''6 `'`�"� .dl O • - r+ wo u,OO NOO v^ O .n v1.n vnrn }',r Cr 0 p OO O 60 O O Cr O W n -4 0 vac ev.r3 OO Cu v1O m .n CM hrt 0. a+0 a 0 0a. O.1O . O O •O C tri cr• �. .-t .d.-t.-. Al.i rt N .t.-t .v t•.0 .O C rd in O .4. art Cr Cr a: - m a r ni r.4 .co O-i .O+W J N r4 ... .Ot .Ot t EL c "•`.r. ^ O.e-. ^ _ ., 4 u s1 _ 10 • .-4 4• ao 01 s+ COP co 1.4 it1 GI n 0•1 un N 0 cr O s cc Q -G'O.-c ,-,t O -4 .-t `.� v....("I v v.. .5.v...+ �.c.+'-.N.. ..4 .44:3Da C Caa �'+ d °' ppQp QQ 13 C C �^ N L .� O g O 0 O.P 4 0 0 Q o 0 Q 4 u u 1L. L i j ¢ L T N O N 0 C 3 O. .O r> O. '-t.-t N Q O O O y� w 0. .0 co O N N CO h Q. N rw- el.n n y .-�. ,"i v .O ».0 C O ,A O^. N to Q1 O d N CO W aQ C' to t a ^v •-�..x..r..-. n COsr co .M .#...• .41 # to tt 41 i 4t f io rt 1.4 O Q Q O O O O O O O ° 0 v1 n n n•t rs .O 'C. N V - 0 O O "i r,vw v vvv.tvl v .r.. N F rs. Cr v.r... Y NN NLAI O N w .t.3 r al an tt9 t\.O'Y'ei - n.4 ..4 N "' w 0 0 0 0 0 00 O 0 00 .On E OV .-t - 0 0 0 0 0 co co 00 0 0 • a •E '� r- •O-o ODD • - a, .- •O O.- 03.0 .n 1+1„;,; .n a. u - O O O O O O O O O O 0 O O es t'.t es. e). nN0 hr1 a. ' kr N Q- F 00000 O000 .. u'n C) CO O -..-t cv .-on el m �+ r111]]. . af1•0 .n .O ®O .-1 •-1 N.-1 .4 N .••1 r1 17 F 'C.4 at F 0 O O .!1 an .n ,.. m CD N -.-4 L O. 0 en cm .0. .44 Al.-t_ A. Al• Cu n d 41 rt et < -4 .# 7 . w at en F a0•v1.F © a.r1 r a) c F •.t-n n <n vt c.r c c tv N n c -< < 0 0 0 0 0 0 O O a7. 0 0 0 • L C 1 O 00000 O. 00O0 O 0000000000000 7 c y�F1IIO 1 ^0unOOOCO. .o (2r 1 O O O O an 1n CO OO 0 .00 O ar .. yi O.1 cv 1 43.rt .-4 .4..4 < ® < c n • x .-+ a'.-t in, F N .O c-as ran an r c .4 an ru en G > .-4 as CO r .n e•1 .-4 N 0 ..t r a. .O r N .c -p y 7. VI .t ticansa .na3 c 0.-4 m rC c c.. 4) 41 .4..4 ,.4 OD V L ?1 OP L. L. 1I L OOOO 000 00000 O y i.a Y E ar 00 f, v 0in000OC) u0 " 00 O. 41 lyv u �i v� m 31� i..CO of 41,I r- v3 0 .-e O Cs 03 r- r o A. r, h w C a L. L ?.Co- Cr n+a > tJ .IC to O 0 on O F.O Cu ✓s r .1 F N� .3 a) q CP.q > > n ea tJ O aD 7 C .•c Nc cva e-fr < c n < r,M �� N y "3 U.71:<2••"7¢an Cr Lo Ea y a1• , L el Li 4 .-a u . • ..I ,,pJi" 6gq Laptl p41 0 d • v "144 D E E a Z O a6 2 .C .t fit3 t. v .1 0 T Al 44 u u • AMIIIMMWMOWIL attachment f B • ENVIRONHENTAL HEALTH TOTALS ' • 1978 1979 Septic tank and Drainfield $13,256.50 (491) $11,753.00 (441) �- Site Evaluations 9,295.00 (750) 8,310.00 (662) ' Platting 1,911.00 (47 short, 1,597 (42 Short, 8 long) 8 long) Food Establishments 1,211.25 (33 Restaurants,2,653.50 (91 Restaurants, cocktail) 20 groceries) 840.00 (44 groceries) Food Handler Permits 902.00 (451) 974.00 (487) Installers, Pumpers 593.75 1,203.75 (28) plus 12 paid for 1980 permits) $27,079.50 $27,331.25 • k a r,- SUMMARY 1979 attachment #5-C Activities • a I. SEWAGE Program 1978 1979 1. a decrease compared to1978 491, 441 b) Sewage Disposal Permits Site Evaluations 62 in10% " " 7'a0 6 c) Short Plats 18% " " " " 45 40 1 (d) Long Plats 0% " " " " 8 8 i { 2. Sewage Disposal Permits Site Evaluations TOTAL 1979 441 662 • 1103 -- 1978- 491 750 1241 1977 440 466 906 Average Per Month (sewage disposal permits and site evaluations) 1979 92 1978 - 103.5 1977 - 75.5 Average number of sewage disposal permits per moth for 1978 was 41. In 1979 the average was 37. The average number of site evaluations per month for 1978 was 63. In 1979 the average was 55. 3. Increase in time expended on sanitary sewage: surveys. (Marrowstone Island, Killusit Harbor, Kah-Tai Lagoon Cape George and Mats Mats Areas scheduled for 1980. 4. Increase in follow-ups on existing systems in county. 1972 1979 5. Increase in final inspections. 68 (14%) 136 (31%) 6. Continued education and inquiries on-site sewage disposal-alternative systems. 7. Survey and report on alternative sewage disposal device. II. FOOD Program 1978 1979 1. Increase in inspections. 125 * 408 ' 2. Increase in food handlers permits. 461 * 487 3. Two establishments closed temporarily by Health Department. Two other marginal establishments went out of business. k 4. Overall conditions have improved throughout county. i t • S. Plan to continue program at present level. 4 i a • mirimikommava .•..ter miummi nu""m' " art# It #S-0 • III. WATER Program `.. Increase in water sampling was noted. follow-up on community water supplies made. Survey and inventory of all community water systems (required byDSHS) scheduled for 1980. Also small water systems (Class IV, 9 or less tap), 'plan review being considered. IV. MISCELLANEOUS 1} Schools - All inspected in December 1979. Will continue on annual' basis. This was not done previously on a regular basis due to lack of staff. 2) Contacts in all programs totaled 6,511 in 1978 and 9,695 in 1979. This is a Substantial increase and represents considerable additional office time expended. 3) Better service was given to the public in all programs specially in on-site sewage disposal. Time span between application and inspection was minimized and more time taken to discuss concerns and questions regarding soils, design and lot size. i.e. developed appeal process. 1980. Major Goals Efforts to develop better and more efficient ways to serve the public will continue. Specially in the on-site sewage disposal program. Development of acceptable alternate means of sewage disposal for properties with conditions unacceptable under todays rules and regulations is necessary and is supported by this office. •