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Home My WebLink About2022_11_17_Packet-RevisedHarm Reduction Allison Berry, MD MPH Health Officer for Jefferson and Clallam Counties Harm Reduction •The use of evidence-based practices to reduce the harms associated with a given activity or disorder •A commitment to the fundamental humanity and value of the person served, regardless of their risk behaviors Harm Reduction •Sexual health •COVID-19 Substance Use Disorder SUD in Jefferson County Evidence-Based Intervention Naloxone distribution Syringe services Testing, treatment, and vaccination Outreach services Safer smoking support Syringe Service Programs At every visit, clients receive: •Education on safe syringe disposal •Safer injection education •Naloxone training •Referrals to treatment •Access to primary care •Referrals to social supports Safer Smoking Support Questions? References •Center for Disease Control. What works: evidence-based strategies for your school, 2020. https://www.cdc.gov/healthyyouth/whatworks/what-works- overview.htm •University of Washington ADAI. Opioid trends in Washington State, 2021. https://adai.washington.edu/WAdata/deaths.htm#showdiv1 •Center for Disease Control. What are Syringe Service Programs. https://www.cdc.gov/ssp/docs/SSP-Infographic_print.pdf •University of Washington ADAI. Policy Brief on Safer Smoking, 2022. https://adai.uw.edu/wordpress/wp- content/uploads/SaferSmokingBrief_2022.pdf •Beekman, Daniel. Seattle Times April 2022. Tacoma’s pioneering needle exchange now using smoking supplies to reach fentanyl, meth users. https://www.seattletimes.com/seattle- news/politics/tacomas-pioneering-needle-exchange-now-using- smoking-supplies-to-reach-fentanyl-meth-users/ 2023 Additional Fees and Other Information GENERAL TECHNOLOGY FEE +5% All fees listed below, with the exception of the Food Handlers Permit (FHP), will have a 5% technology fee added Health Officer Administrative Hearing 401.00 Title 8 Administrative Hearing Appeal 401.00 Title 8 Hearing Examiner Appeal 280.00 Title 19 Technical Assistance/Plan Review - Minimum 104.00 Technical Assistance/Plan Review - Per Hour 104.00 Late Fee for Invoices 60.00 See Resolution #88-20 Case Scanning/Technology Fee 36.00 O & M Inspection Report Manual Data Entry & Payment Processing Fee 51.00 78.00 Plus the Auditors Office recording fee 405.00 Plus recording fee and fee for filing & removing Notice to Title ONSITE SEWAGE DISPOSAL Sewage Disposal Permits New Conventional 685.00 Valid for 3 years New Alternative 998.00 Valid for 3 years New septic tank and/or pump chamber only 409.00 Issued in conjunction with an existing sewage disposal system or community system New Community or Commercial: Conventional 865.00 Base Fee - Valid for 3 years Alternative 1,106.00 Base Fee - Valid for 3 years Each Connection 108.00 Add to base permit fee Development and Review Financial Assurance and System Operation Agreements 104.00 Per Hour Septic Permit with SPAAD (conventional)369.00 Septic Permit with SPAAD (alternative)685.00 - Applies to existing installed sewage disposal system; the Technical Assistance/Plan Review hourly rate will be charged for repairs where the applicants require additional assistance Repair - Conventional 343.00 Repair - Alternative 499.00 Repair - Septic tank and/or pump chamber only 205.00 Repair - Community or Commercial: Conventional 433.00 Repair - Community or Commercial: Alternative 553.00 Modification or Reserve Area Designation 311.00 Expansion 648.00 Redesign 207.00 Applies to pending or active but not installed Minor Site Plan Change 75.00 Reinspection 259.00 162.00 Annual Renewal 60.00 Compliance Inspection 99.00 Evaluation of Existing System/Monitoring Inspection Septic system only 402.00 Septic system plus water sample 454.00 Retest/Reinspection 207.00 On Site Sewage - Building and Planning Subdivision Review Base Fee 621.00 Plus Per lot fee Boundary line adjustment or Lot Certification base review fee 243.00 Plus Per lot fee Planned rural residential development review fee 243.00 Per lot fee 108.00 For Subdivision Review, Boundary Line Adjustment and Planned Rural Residential Development Review fees Pre application meeting fee 243.00 Density exemption review fee 155.00 Field Work for Density Exemption Review 104.00 Per Hour Building Application Review: Residential - Individual OSS 155.00 Review after Building Permit issued, is same fee Commercial - Individual OSS 311.00 Review after Building Permit issued, is same fee Community OSS 311.00 Review after Building Permit issued, is same fee Revised Site Plan Review 78.00 Review of resubmission before Building Permit is issued 208.00 Valid for 2 years. Future septic permit application fee will be discounted by this fee amount if submitted within 2 years. Other Waiver/Variance Application 285.00 Waiver/Variance Hearing 466.00 Wet season evaluation 648.00 General environmental health review fee 104.00 Per Hour Licenses 648.00 Operation Monitoring & Maintenance (O, M & M) Retest 259.00 12.00 Annual Certificate Renewal 359.00 Delinquent Renewal after January 31 648.00 FOOD SERVICE ESTABLISHMENTS Annual Permit Fees (Based on menu Complexity & seating - menu changes may change category) Category 1 278.00 Category 2 389.00 Category 3 655.00 With lounge, add 278.00 Separate lounge area With catering, add 389.00 Annual Permit Issued after September 1 50% of fee 50% of Annual Permit Fee Temporary Permits Application Fees Low Risk Foods (Limited to Specific Listed Foods) Single Initial Event/Additional Single Event 67.00 Same menu only Annual (Art Walks, Open House)336.00 Recurring 101.00 Single Event (Medium and High Risk) Medium Risk Food Initial Application (First Event)149.00 Not to exceed 21 days at your location Limited Menu Recurring Event - per location 180.00 Not to exceed 3 days a week at a single location Additional Event (Same Menu Only)86.00 Not to exceed 21 days at your location JEFFERSON COUNTY PUBLIC HEALTH ENVIRONMENTAL HEALTH DIVISION Homeowner Authorization Notice to Title Rescission Recording Fee Repair (see below for specific fees) Applies to existing installed sewage disposal system; the Technical Assistance/Plan Review hourly rate will be charged for repairs where the applicants require additional assistance Annual Operating Permit for Holding Tanks ENVIRONMENTAL HEALTH Installer, Pumper, Operator (maintenance person), Monitoring & Maintenance Specialist or Technician Soil Registration 1 of 2 2023 Additional Fees and Other Information JEFFERSON COUNTY PUBLIC HEALTH ENVIRONMENTAL HEALTH DIVISION ENVIRONMENTAL HEALTH Organized Recurring Event (e.g. Farmers Market) High Risk Food Initial Application (First Event)149.00 Not to exceed 21 days at your location Complex Menu Recurring Event - per location 241.00 Not to exceed 3 days a week at a single location Additional Event (Same Menu Only)86.00 Not to exceed 21 days at your location Demonstration Single Event 67.00 Event Multiple Events - per location 280.00 Permit Exempt 28.00 25% Reduction for 501(c)(3) and households that meet USHHS Poverty Guidelines*75% of fee *With BoH BoCC Resolution & backfilled with General Funds. Late Fee for Temporary Permits 50% of fee Additional (Paid when application is submitted less than 7 10 days prior to the event) Other Food Fees New Establishment 241.00 Food Service Plan Review 121.00 Per Hour; for review and/or approval 2 hour minimum New Owner/Change of Owner 151.00 If paying this fee AND for minor change of floor plan or equipment or for change of menu or style of service, may need to pay for Food Service Plan Review Minor Change of Floor Plan and/or Equipment 151.00 If paying this fee AND for New Owner/Change of Owner or for change of menu or style of service, may need to pay for Food Service Plan Review Change of Menu or Style of Service 151.00 If paying this fee AND for New Owner/Change of Owner or for minor change of floor plan or equipment, may need to pay for Food Service Plan Review Waiver/Variance 121.00 Per Hour; for review and/or approval Reopening Fee 121.00 Per Hour Manager's Course 322.00 Pre-opening inspection 121.00 Per Hour Reinspection First Inspection 180.00 Each inspection after first 300.00 Food Handler Card Reissue Unexpired Food Handler Card 10.00 SOLID WASTE Annual Permit Fees Limited Purpose Landfill 3,310.00 For the first 30 hours, then assess technical rate Closed Landfill 2,498.00 For the first 24 hours, then assess the technical rate Biosolid/Composting Facilities 1,175.00 For the first 11 hours, then assess the technical rate Moderate Risk Facility 1,160.00 For the first 11 hours, then assess the technical rate Inert Waste Landfills 562.00 For the first 5 hours, then assess the technical rate Tranfer Station 2,498.00 For the first 24 hours, then assess the technical rate Other Solid Waste Facilities 848.00 For the first 5 hours, then assess the technical rate Drop Boxes 833.00 For the first 8 hours, then assess the technical rate 104.00 Per Hour Miscellaneous Fees New Facility Application 681.00 518.00 50% of fee Plan, Document and Waiver/Variance Review 416.00 +$109/hour for > 4 hours and 5% of total cost for addt'l hours for Technology Fee WATER Application Fee 248.00 Inspection of well construction, decommission & reconstruction Determination of Adequate Water Supply base fee 155.00 Tech Assist and Document Review is billed at the hourly rate Well Inspection & Water Sample for Loan 207.00 Well Site Inspection-Proposed public water supply 492.00 LIVING ENVIRONMENTS Single Swim Pool (in operation for < 6 months of the year)356.00 Single Swim Pool (in operation for ≥ 6 months of the year)454.00 Single Spa Pool (in operation for < 6 months of the year)312.00 Single Spa Pool (in operation for ≥ 6 months of the year)454.00 Single Wading Pool (in operation for < 6 months of the year)258.00 Single Wading Pool (in operation for ≥ 6 months of the year)454.00 Spray Pool or Pools (in operation for < 6 months of the year)128.00 Spray Pool or Pools (in operation for ≥ 6 months of the year)194.00 77.00 103.00 Reinspection 104.00 Per Hour plus associated lab costs Plan Review 104.00 Per Hour Indoor Air (Tobacco) Compliance Enforcement 104.00 Per Hour Reinspection 104.00 Rebuttal Application 207.00 Exempt Facility Inspection Facility Reinspection Note: 2022 Fees have been adjusted per Ordinance 12-1209-96, Section 4 - Annual Fee Indexing: Fixed amount fees established by this ordinance shall be adjusted annually on the first business day of January (Adjusted Date) by the amount of the increase in the Consumer Price Index (CPIW). The CPIW is the Consumer Price Index - US City Average for All Urban Wage Earners and Clerical Workers, published by the Bureau of Labor Statistics for the United States Department of Labor. The annual fee adjustment shall be calculated as follows: each fee in effect immediately prior to the Adjustment Date will be increased by the percentage increase in the CPIW as reported for the month of September preceding the Adjustment Date. Increases will be rounded to the nearest dollar. A fee shall not be reduced by reason of such calculation. However, fee increases in accordance with this calculation shall not exceed 5 percent per year. Water Recreation Facilities Operation Permit Each Additional Swim, Spa, or Wading Pool (in operation for < 6 months of the year) Each Additional Swim, Spa, or Wading Pool (in operation for ≥ 6 months of the year) Commercial Shooting Facilities 2 of 2