The URL can be used to link to this page

Home My WebLink About09 September County Health & Human Services SEPTEMBER 28, 1993 BOARD MEMBERS: STAFF MEMBERS Robert Hinton, Chairman Richard Wojt, Member Glen Huntingford, Member Larry Fay, Director of Environmental Health David Specter, Administrator Jean Baldwin, Director of Nursing Services J. Peter Geerlofs, M.D., Health Officer Chester Prudhomme, Director of Substance Abuse CITY OF PORT TOWNSEND REPRESENTATIVE: Norma Owsley The meeting was called to order by Chairman Robert Hinton. The following Board and staff members were present: Commissioner Richard Wojt, Commissioner Glen Huntingford, Larry Fay, David Specter, Jean Baldwin, Chester Prudhomme and the representative for the City of Port Townsend, Norma Owsley. APPROVAL OF MINUTES: Commissioner Wojt moved to approve the minutes of August 24, 1993, as corrected. Chairman Hinton seconded the motion, in the temporary absence of Commissioner Huntingford. The motion carried by unanimous vote. ADMINISTRATOR'S REPORT FINANCIAL REPORT: David Specter stated that expenditures are tracking under budget at this time. He added that summer is a slow time for several programs, but with school back in session, there will be more activity. MOBILE DENTAL UNIT: David Specter explained about the Department's mobile dental unit program that serves adults in Clallam and Jefferson Counties. This unit is 100% funded by the Department of Health Services Administration. Last Spring, as an experiment, they added some clinics for Head Start children. These clinics did not accomplish what they had hoped for, so they were discontinued. HEALTH DEPARTMENT 206/385-9400 ENVIRONMENTAL HEALTH 206/385-9444 DEVELOPMENTAL DISABILITIES 206/385.9400 ALCOHOL/DRUG ABUSE CENTER 206/385-0650 FAX 206/385.9401 Health Board Minutes - September 28, 1993 Page: 2 ADMINISTRATOR'S REPORT - Continued Since that time, the Community Action Council applied for and received a two year grant for $25,000 from the Washington Dental Association. The funds are to be used for Head Start children. CAC has asked the Health Department to participate in the grant program. Currently, the Department does not have staff to do additional clinics. Their options are to hire more dental personnel or to loan or lease the mobile dental equipment to CAC, who would provide their own personnel. After a brief discussion, David Specter recommended leasing the equipment to CAC and making arrangements to provide training only. The Health Department would not be involved in the management of the program. Commissioner Wojt made a motion to accept David Specter's recommendation. Chairman Hinton seconded the motion, in the temporary absence of Commissioner Huntingford. The motion carried by unanimous vote. TEEN CENTER IN PORT HADLOCK: Earlier this year the Board approved $6,000 in funding to keep the Teen Center open through 1993. Recently, the coordinator at the center retired. David Specter explained that they are thinking about tuming the coordination and management of the center over to the community group, the Coyote Foundation. This option has been discussed in the past, although they had not planned to implement it quite so soon. The Coyote Foundation has agreed to take over staffing and has hired a coordinator. They will also take over the lease and run the program. The only difficulty they foresee in taking over the operation at this time is that the facility is leased in the County's name and insured under the County's umbrella policy. The insurance is $700 a year for liability. In addition, the Coyote Foundation has applied for non-profit status and the Internal Revenue Service should be sending the certificate soon. They also have received a grant from UGN and the new coordinator will be working on fund raising in the community. David Specter asked if the Board concurred with the strategy. The Board would also need to give the $6,000 that was approved earlier in the year to the Coyote Foundation, rather than to the Health Department to oversee. Commissioner Wojt moved to approve turning the operation of the Port Hadlock Teen Center over to the Coyote Foundation. He also moved to direct that the warrant for $6,000 be made out to the Foundation. Commissioner Huntingford seconded the motion, which carried by unanimous vote. STATE BOARD OF HEALTH MEETING IN PORT TOWNSEND: Executive Director Sylvia Beck of the State Board of Health asked David Specter if they could hold their November 20th meeting in Port Townsend. There will be 20 staff people and approximately 50 people in the audience. They have asked the Health Department to help with the arrangements. They have also requested that the Chairman of the County Board of Health give a brief welcome. They would also like the entire Board to join them for lunch. The Board concurred that the State Board of Health is welcome to hold their November meeting in Port Townsend. PUBLIC HEALTH IMPROVEMENT PLAN; PROGRESS REPORT: David Specter presented a package (see attached) of seven (7) narratives and action plans that the Public Health Improvement Plan Advisory Committee has been asked to review and comment on at their September 30 meeting. There are 16 plans in all that the Committee will review. Health Board Minutes - September 28, 1993 Page: 3 DIRECfOR OF NURSING'S REPORT NEW GRANT OPPORTUNITIES: Teen Pregnancv Prevention Program: Jean Baldwin stated that Jefferson County had a 116% rate increase in teen pregnancy in the past five years. This figure includes school students and dropouts from 14-17 years old. There was a discussion about reasons for such a high rate, including: dropout rates and education levels, lack of education dealing with pregnancy prevention, drug and alcohol use by teens, isolation, depression, lack of teen activities, and child abuse in the home. David Specter added that the Health Department budget for family planning is only $2,000 a year. There are State grants available to schools for funding to deal with teen pregnancy prevention, immunizations and tobacco use. The School Districts are considering these grants and have called the Health Department to ask for help. David Specter explained that they could apply for about $45,000 for the Teen Pregnancy Prevention grant. It is a match grant. The County would provide about $10,000 of the match, the schools would provide the balance. The match money is available from the Health Department budget. Jean Baldwin explained that preliminary plans for the funds could include working with the schools, parent groups and teen groups to create a plan for the community that will deal directly with parent responsibility and changing teens perceptions that getting pregnant at a young age is acceptable. She added that currently they do have clinics that visit the schools to educate teens, but there is not a qualified person at the school every day to counsel teens on pregnancy. It was mentioned that there are full time school counselors, but Chester Prudhomme added that these counselors are often limited in what they can talk to teens about. Immunization Challenge Grant: Jean Baldwin explained that the Health Department handles almost all child immunizations in the County. Currently, Jefferson County is one of the least immunized counties in the State. Any funding that has been received in the past for immunization programs has gone into providing more clinics, rather than updating the clerical system. Their current method of recordkeeping dates back to 1942 and has never been redone on a computer. This grant would allow them to update their records and also improve services. After a brief discussion, Commissioner Huntingford made a motion to direct Staff to pursue the Teen Pregnancy Grant and the Immunization Grant. Commissioner Wojt seconded the motion which carried by unanimous vote. ENVIRONMENTAL HEALTH DIRECTOR'S REPORT Donald Porter: Waiver Request: Larry Fay explained that the design and standards for onsite sewage systems are established in the State WACs. There is a section that does allow the local Board of Health to grant a waiver from State standards. In most cases, these waivers are then forwarded to the State Department of Health for final approval. There are a few exceptions where the local Board can approve a waiver and it does not have to be forwarded. Donald Porter's property is on the Coyle Peninsula. He is requesting two waivers. The first waiver is a request to cross under a small year round stream with a buried sewer force main. The requirement in the WAC calls for 10 foot horizontal distance from surface water, although the Health Board Minutes - September 28, 1993 Page: 4 ENVIRONMENTAL HEALTH DIRECTOR'S REPORT - Continued State does suggest design recommendations that may be used to overrule the standard. Donald Porter has met the State's criteria for design recommendations in this case. Commissioner Huntingford moved to accept Staff's recommendation and approve the waiver to allow the applicant to cross the stream with a buried sewer force main. Commissioner Wojt seconded the motion which carried by unanimous vote. The second waiver request is for reduced drainfield and stream separation. State standards call for a 100 foot separation. The local Health Board can approve an engineered, more complicated system with a separation of not less than 75 feet. Commissioner Wojt moved to approve the second waiver to reduce the setback of the septic field from the stream to 75 feet. Commissioner Huntingford seconded the motion which carried by unanimous vote. The next meeting will be held on October 26, 1993 at 1:00 p.m. MEETING ADJOURNED JEFFERSON COUNTY PUBLIC HEALTH IMPROVEMENT PLAN DESCRIPUON OF THE HEALTH PROBLEM. RISK FACTORS AND CONTRIBUllNG FAcroR~ Priority: HEALTH PROBLEM: Inadequate Community Outreach and Access to Services I Even under national or state health Cl'i!e reform, there will be individuals who do not par.!icipat,,--_ , effectively in the healthcare system, whether because of transportation ~robtems. health ~roblel1)SL belief systems or lack of understanding. It is not uncommon that some of the most needy people are a part of this neglected population and they tend to require a large amount of resources wh~ they do utilize the system, typically thrgugh the hospital emergency room. This problem is not limited to medical care, but also includes issues such as failing septic systems, food handling>--_ mental health and substance abuse trea_tment. Target groups in most need of community oU_tr~ach would include the elderly. infirmed, YOU!)g pregnant women, young men and women with "- sexually transmitted diseases, the homeless, mentally impaired and young children for earty screening and identification. Risk Factor A: Inadequate Outreach to Underserved Populations ------~---- Contributinl! l'actors: Low priority; insufficient resources; high cost service (cost-effectiveness)___ Risk Factor B: Inadequate Access to Public Health Services Contributinl! Factors: Financial barriers; distribution of resources; beliefs al!d attitudes COltRECTIVE ACTIONS TO REDUCE "11m LEVEL OF THE CONTRIBUllNG FACTORS A. Inadequate Outreach to Underserved Populations \. Communitv education regarding the v'!Iue of prevention. health maintenance, and early intervention 2. Home health care I home visits programs - 3. Recruitment and training of outreach workers I case managers - 4. School health education programs , 5. Identify funding sources and grant opportunities to cover unreimbursed costs of outreach 6. Promote outreach programs such as Maternity Support Program, STD Prog!;!D1, Well Child Program Substance Abuse Program, Water Quality Program, Septic Repair loan program B. Inadequate Access to Public Health Services 1. Health reform: universal health insurance coverage 2. Case management I advocacy service 3. Outreach I home visits 4. Education and training on how to use the health system I resources - 5. Recruitment of healthcare professionals, including mid-level practitioners 6. Free or low cost public transit --------.- PROPOSED COMMUNITY ORGANIZAll0NS AND PROGRAMS TO PROVIDE AND COORDINATE A<;;~nYJ"I1IES 1. Physicianl'rovider group 2. Family Plan!1ing 3. Area Agency on Aging 4. County Health & Human Services 5. Hospital District 6. Schools 7. DSHS 8. Community Counseling I Mental Health 9. Community Action , 10. Home Health Agency HEALTH DEPARTMENT { PUBLIC HEALllI ROLE: Policy Development: Develop a statement of policy on outreach as a public health prior~ Assessment: Monitor target populations use of system and resourees. Assurance: Provide education and training Identify funding~QlJrces I grants and provide assistance in obtaining funds Prepare plan and provide leadership to stimulate action by ideni:i!i~<!ggani7ations Prov~de sm Program, Maternity ~rt Services Pro~lI},_ We1Lc:_hil(LProgr~!\1 PrOVIde Substanae Abuse Prevention and Treatment Programs Provide Water Quality Program, Septic Repair loan program ----- Support/expand family planning program --------- EV ALUAUON PLAN TO MEASURE PROGRESS TOWARDS REACHING OBJECI1VES 1. bnnual review of morbidity and mortality statistics 2. ~Ilnual review of utilization statistics 3. Annual summary of assistance { leadership provided to other organizations C:\I23R24\PHIP\WKSIIT14.WKl Draft #1 t:l 5 z ~ != ~ ., 6 II II P ., " " i:l I'll ~ ., 6 6 ., .... ~ '" ., " ~ 0 .~ i:l ~ ~ c ~ " 0.. .~ <, ~ .Q ., '" ~ ~ ~ ~ OJ "'OJ 5 .. 0 0 II ~ '" '" u '" "" ., ~ ., ~ [q " ... [q ~ 2: lil OJ f" ~ :s .~ "" - ., urn ~ ~ .. '" ... .,:0 - ., o(! 6 ~~ !i ., 5 lil ., <, OJ '", ~ '" .E; ~o ~ '" 'u El -ll e >'" 6 ..... ~ .. ........ ., ., '. IS ., ~ 'S: a " ~ QU " :; ~~ 8 '" ~ - '" ~ ., ~ aiil !:~ ci; " .!:i <l: It .. t:l Z != p I'll ~ .... ~ ~ 0 II .~ ~ 'E ~ 0 ~ c- " u'" ~ " .~ 5 ., ." f"~ lil uO 'a. ~ ~ ~~ ., il< ~ ~ el< 0 Q~ ... .!:i i:l:l a Il i il '" .. ~ e g g u ~ ~ g. ~-g ;~ ~ ~ ...l I'll o ~ l'< ~ =: c- ';' '" El 8." e ., lil (j ~il2 "".. i,; ~ g ~ ~ ::, ~ .!:i0,,<: t < lC Q .. .; ~ co ~ &: :: .. i lC II '" .... '" >- il ...l .. ~ ~ <0 ~ >~ ~ " :;I ~ ., - ... r~ o 6 ~ ~ \.) .9 l'< " ~ "t:j ~ ~ '" " -l "" " < -ll "<: ~ ..'" =:.!:i lil :0 (; JEFFERSON COUNTY PUBLIC HEALTH IMPROVEMENT PLAN DESCRIPTION OF lHE HEALlH PROBLEM. RISK FACfORS AND CONTRIBU'I1NG FA(''TORS -~- Priority: HEALlH PROBLEM: Health Education 2.A Many public health problems stem from inadequate health education. Peopte often suf~~_ injury or illness due to a lack of knowled~e about proper sanitation, safety or a disease avoidance. Health education is a fundamental public health seIVice; it is the foundation for prevention, early inteIVention and ultimately health care cost containment. For example, child abuse rates can be mitigated throu~h parentin~ education. The same applies to unwanted pregnancy, SIDs, HIV/AIDS, etc. Risk Factor A: Coutributiul! Factors: Low Prioritv ___ I~norance of public risk; fundin~; lack of direction from federal, state, and local policy makers Risk Factor B: Awareness Coutributiul! Factors: Recognition of risks; lack of "teachable moments"; planninl( of priorities CORRECTIVE ACTIONS TO REDUCE 'I1lE LEVEL OF TIlE CONTRIBUllNG FACfORS A. Low Priority 1. Adopt local policy on the importance of health education in public health; allocate % of local public health fundinl( to healtjl education 2. Define and communicate level of public risks, costlbenefits 3. Formalize education function within Health Department: dedicated staff; leadership role. 4. 5. B. Awareness 1. Ne~otiate with community re~ardinl( level of "acceptable risk" 2. Establish an "Education Action Team" 3. Identify "teachable moments" and make resources available to address these situations_______ 4. Define the education component of each public health pro~ram, to include consumer, prof~~onal or community audiences 5. PROPOSED COMMUNITY ORGANIZATIONS AND PROGRAMS TO PROVIDE AND COORDINATE ACTIVITIIES I. County Health & Human SeIVices 2. Schools I 3. Cooperative Extension 4. I:!ealt"-<:;1!!U'roviders 5. Hospital District 6. Board of Health 7. 8. 9. 10. HEALTII DEPARTMENT / PUBLIC HEALlH ROLE: Policy Development: Develop a policy statement on the importance of health education in public heal!h Assessment: Assess level of health awareness and education in high risk populations Assess current health education seIVices beinl( provided in current pro~raJ!!S_ ,1ssll!ance: Provide/enhance comprehensive School Health Education Prow-am Formalize education function within Health Department and develop adig" plan Define the education componant of each public health pro,,-am Disseminate educational materials to community or~anizations Provide leadership in health education amonl( community or~anizations EV ALUA TION PLAN TO MEASURE PROGRESS TOWARDS REACIIING OBJECI1VI11i 1. Monitor health awareness levels amon~ hiJ(h risk population 2. Completion of action steps 3. Recommended policy accomplished 4. C:\l ZlR24\PJUYIWKSlffi6.wKl Draft #1 t:l Z f:: ~ ~ ~ ~ o ." U " ~ fil !f Will:" Ill: ~ 6 ~ U I:l 0<" ~I:..o.. ~ e oCl g i o Jl = tt -s " " "" .~ :is " C>, '" ." .S '6 & ~ ~ ~ II !:! ." C>, ." II ] [ ~ 'a ~ .~ i:l ." .S ~ ~u~ ." <; " .il '" 0 t:l..6~ ~~~ ~ " ~ " Ei ..... ." !L~ I:l 'l -ISoCl " ~ " . '" w " ~ Q ill i: is ., .. .S ." ~ .e ~ ~ ~ ., ~ :is ~ II " " " -s '1< " Cl ." " " " .. :~ - il " 1; is C> .~ Ei ~ " II " " .r " .:: ill ~ ~ ." II ~ ~ " " " J '" ~ ~ <>:: ~ 1; " o ..... .. .S ~ " " (:; to;; ~ ~ ." ~ " 6 I:l .l?, ~ tl ~ Z " f:: ~ ::> "" ::::. l'<l .~ II ill ~ ~ ~ ~ .'" oCl 6 " C>, ~ ." 0 "c C>, Ufil '" "c ;..1lI: " " .. 6 ~ ~~ ~ .S .'" .~ 1; ~ ~ " e=< 5i, &: Q a:: 01:.. ... '" ~ '" >- -l ~ < 6 )l .g W g -l." l'<lt.!l o -s =- ll. :l ~~ ~i :='-4 '" Ill: o ~ .E- .... (:; .... ." I:.. C>, ~ ;0 .... 0 Ill: '-4 )l ~ o Ill: ll. ~ := 6 .~ w tl -6 t.!l -s - " :1: "c "ll " '-4 ~......_-. .. l! :J , It " t: < a: " ~ ~ co ~ :;: .. ~ a: ~ ::: (; JEFFERSON COUNTY PUBLIC HEALTH IMPROVEMENT PLAN DESCRIPTION OF lHE HEALlH PROBLEM, RISK FACTORS AND CONTRIBUllNG FACTORS Priority: HEALlH PROBLEM: Communicable Diseases 2.B This I'roblem ranj\es from incomplete childhood immunizations, to sexually transmitted diseases, HIV/AIDS, hepatitis, J(iardiasis, tuberculosis, influenza, diseases brouj\ht back by travelers anlj_ others. Some communicabte and contaj\ious diseases are presently under control due to public health measures, while others such as HIV/AIDS, are not. Still others such as TB and measles, which were once under control, are re-emerJ(inj\. Risk Factor A: Immunization levels , Contributing Factors: Access; beliefs and attitudes; schoot health proj\rams Risk Factor B: Unsafe Behaviors Contributing Factors: Poor personal hyJ(iene; unsafe sex; environmental factors CORRECTIVE ACTIONS TO REDUCE lHE LEVEL OF lHE CONTRIBUllNG FACTORS A. Immunization levels I. Evaluate barriers to immunizations (cost, hours, location, etc.) 2. Publicize outbreaks of communicable_and contaj\ious diseases. 3. Community education (proactive; ne1Mipaper articles; speakers) 4. School health education -- 5. Identify those at risk, i.e. elderJy, newborns, and children. 6. Provide immunizations and vaccines. B. Unsafe Behaviors I. Education tarj\eted to at - risk populations, i.e. food handlers, day care workers, schools, adolescents, correction facilities, substance abusers. 2. Condom distribution. 3. Peer helper prowams. 4. Traveler education and immunization. S. Drinkinj\ water prowam. PROPOSED COMMUNITY ORGANIZAll0NS AND PROGRAMS TO PROVIDE ANI> , COORI>INATE ACTIVrnIES I. County Health & Human SelVices 2. Schools (enfor~ment of immunization standards, W AGD 3. Local physicians and providers (report and treat communicable diseases; education.) 4. Jefferson General (Emerj\ency department, home health) S. Area Aj\ency on AJ(i.!!&Jsenior access.) 6. I>S!!~(Iicensinj\ day care facilities / enforcement.) 7. Nursinj\ homes {immunizations.) 8. Rest~urants (Edcuation/food handlers) 9. Family Planninj\ (Education, condom distrubution, SID exam/treatment) 10. Community Action (access L<;sues, Head Start Prowam) II. Cooperative Extension (Water proJ(f~~ 12. COAST (Education, condom distribution, advocacy) HEALlH DEPARTMENT / PUBLIC HEALlH ROLE: Policy Development: Assessment: Monitor incidence and prevalence of communicable diseases Monitor compliance with food, septic and immunization rej\ulations --- - ; Assurance: Provide community-health education, School Health Program (teach the teachers) Provide communicable disease preventionJ!1vestij\a.!!on, control anli foJIQ-",-=-"I'.... Provide Immunization Pro~m, SID Proj\ram, HIV/AIDS Proj\ram Provide Travelers Immunization / Education ProJ(fam Provide Liquid Waste Proj\ram, Water Proj\ram Provide Food Proj\ram, Livinj\ Environments Progt'llm Support and encoura~e disease reportiol!: by area providers --~-- Support/expand fa!!!i!YJ:>.lanninj\ prowam EV ALUAll0N PLAN TO MEASURE PROGRESS TOWARI>S REACHING OBJECnVES 1. Annual review of morbidity statistics and trends 2. Annual review of compliance statistics 3. Measure contact statistics witb tarj\et populations (% of population contacted.) 4. C:\I Z1R24\PlIIP.Wf:SlfflS.WK1 Draft #2 '. " (:l ~ z != t ~ ;:l {l " 'S " I'll e ij ., ~ ~ ~ ~ "- ia "0 ~ e .., z "ll 6 ~ ~ 6 ~ 0 " ~ " '", 'to "- " \1 " :g U - " " ~ .~ "0 "- " ~~ II ::J .., t ""<Ill:> -G "< ~ l:> " 'S U ~ .~ " ." .~ ~ ~ t:J :;: " ~ 'u :g "- :.6 ~ ~ ~ ~o'" t "0 6 .S .Q ~ " ij 1r "E St)~ ~ ::J "ll t !l: .~ .~ ~ ] & ~ :i: II II .. 'S ~ :s.~ -0: " ~.3 cil ~ '-I <>: "< -0: f-; <Il ~ <Il >- ...l ~ < ::s ~ ~ " ,..l .~ 1'llC) o " ~:c ... i:l ~ .~ ~ ~ :='-' (:l z p ;:l I'll S Z o U<Il ""~ ~6 Q~ ~ a '", ';; ~ ~ " .~ II "< a 1: <.':l iJ ~ EO [5 .~ ~ ~ <Il ~ Il!:~ S 6 u .~ < .~ Cl.. ::J I>( ::J <Il EO ~~ ::s ; o ~ ... ~ ~ := " \1 g ~ ~ ~ .~ ~ CI .~ ~ " C) ~ :is >1a~ U (5 ,,-v ~ '" ~":%. ::J~",,>1::> ~~6r2ii:~~ 8 I I I I I ...~. '. ~ ~ i Ii: -< 0: o ., l> !i: .. ~ 0: f .. ~ 0: 13 ::> (j JEFFERSON COUNTY PUBLIC HEALTH IMPROVEMENT PLAN DESCRIPTION OF THE HEALTH PROBLEM. RISK FACTORS AND CONTRIBUTING FAGrORS Priority: HEALTH PROBLEM: Alcohol and Drug Abuse 4 I The impact of substance abuse on both individuals and society is enormous, and includes birth defects and complications, accidents, infectious disease, crime, violence, child abuse, medical complications and family dysfunction. The most commonly abused substances in our community are alcobol and various drul(S. Cocaine use continues at a hi~h rate in Jefferson County, and there are also reports of heroin use. Amon~ local youth, LSD use has been increasinJ(. CiJ(arette smokinJ( must also be included in the catel!Ory of substance abuse, especially by minors. Risk E"ctor A: A. Crime ContrjbutinJ! Factors: B. Eratic law enforcement; lack of treatment access; lack of prevention proJ(fams Risk Factor B: A. Community Dysfunction CO'1ltributinJ! Factors: B. Public attitude; lack of education; isolation CORRECllVE ACllONS TO REDUCE THE LEVEL OF THE CONTRIBUTING FACIDRS A. Crime I. Evaluate and modify laws to provide effective and appropriate enforcement 2. !~and and simplify access to treatment 3. Seek fundin~ for expansion of bi~b priority pro~rams 4. B. Comml\Dity DySfl\DctioD I I. Educate the public re~rdin~ root causes and contributin~ factors 2. Expand prevention proJ(fams 3. Involve local community and institutions in P<Jlicy devetopment and plannin~ 4. Educate the public re~ardin~ substance abuse and tbe treatment process S. Provide on~oinJ(, effective institutional (schools, etc.) proJ(fams for early intervention and support 6. Expand treatment accessibiltiy in isolated areas 7. Adopt druJ(-free work place policies, no-smokin~ policies 8. Establish parentinJ( proJ(fams 9. Expand recreational proJ(fams ! facilities for teens PROPOSED COMMUNITY ORGANIZATIONS AND PROGRAMS TO PROVIDE AND COORDINATE ACllVITIIES I. County Community Alcobol and Drug Abuse Center 2. !!"spitat 3. Health Department 4. SchooL. S. !lar Association 6. DSHS 7. Law enforcement a~encies 8. Courts 9. DSHS 10. Employers I HEALTII DEPARTMENT I PUBLIC HEALTH ROLE: Policy Development: Adopt a policy reJ\ardin~ committment of liquor tax revenue and profits to prevention and treatment of alcoholism - - Assessment: Assess availablility and scope of community prevention programs Assess substance abuse use rates in community Monitor law enforcement and conviction rates Identify biJ(h risk populations and priority problem areas -~-~ Assurance: Provide comprehensive assessment, treatment and prevention programs Provide school-based prevention and early intervention!suPP<Jrt proJ(fam Provide leadership and facilitate community involvement in public policy development. -.._-~- Work witb employers to establish appropriate policies, procedures and - support systems Establish community task forces for priority problem areas StrenJ\then County Substance Abuse Advisory Board -------- EVALUATION PLAN TO MEASURE PROGRESS TOWARDS REACHING OBJECflVES I. Review State/local treatmen~ health, crime statistics on a reJ(ular basis , 2. Establish local monitorinJ( systems C;\123R24\PHIJ\WK~Hr17.WK1 Draft #1 . ~. . ~.. I. . . I. ~ .2 ~ :Io:c ~ C Ic.d ,c 1 i t C ~ ~ 11 ~I ~el ~ ~~~ .~~~ b fI) 6 ~ 6 6 I 'i;lc~ ~ .~ ~ ~ ~ ~ ~ 6 ~ il~ g ~ oS' ~ ~ ~ .~ II ~ ~:~ ~ ~ ~ i ~! ~.~ ~ l::>::C U ~ ~ c ::( 5 .~ E: ; 5 g ti I ~ '5 IU ::: <:l3 I:l1 t'Q:: g ~ :: I~~.:l ~ 0." ~ ~ ~ t:.; ~ .!:i I 'l: I:i ~ .!:i ~.!:i ~ cJi ~ r,,?C fGj:~cC~ i~~:~~ ~;;~cc~ '1~'(?T~I?:C>"C' . ". ~ '. I' . l . I . I 1.1 .... . .I! I lli . . .' .2 . . . :1 8 fI) '51 ~ II ~ I ~'. ~ .t ~. ~ .... ~ I.' . ~ ~ I .'~ . . ~ .,s; :. I%l t.JS . ...."" "" h ~. :"" 'OJ .... ~ ~ ~ .' ~ ~!.' ~ ". ~ .] '. . I J 1.'.1.'. I . . .' . . . .' '. - ." .... I '. . . . I : . .. .' . .. ". ~ I 0 '. .' . . . . .6 I .. .' ~ 11 ~ . . ! . ~ . .~. ~ I U . . . \.) ~ I I . J ~ i ~c=::c ::?{C;t~{= .:.:..=:: -.7' ;U', :~t:r:. C '.: ~ '1'~=:C)S :.'::s . . ~ I es . es :z: I~! . ~ ! I p 1l P 1l ~ ~d ...1 il ' ~ ~~ I ~ ~ I ; :tc--- :t I ii JEFFERSON COUNTY PUBLIC HEALTH IMPROVEMENT PLAN DESCRIPTION OF TI-IE HEALTIJ PROBLEM. RISK FACTORS ANI> CONTRIBUlll~Q FACrORS Priorily: HEALll1 PROBLEM: Environmental Ilazards 13 Environmental hazards include the impact of contaminants as well as exposure to endemic or naturally occurring environmental threats. Contaminants include issues such as disposal of I hazardous waste generated by small businesses (e.g. drY cleaners; boatyard; auto shop) a0<1___ households (e.g. motor oil, paint, garden chemicals) hazardous chemical spills (e.g. we had a mercury spill in 1992 and a fuel spill in 1993), air -'lualily (e.g. mill smoke), and our ability to deal ~j~_ disasters which might involve dangerous materials (e.g. a tanker truck accident) Endemic environmental illnesses include diseases transmitted by animals (e.g. rabies, lyme disease, or paralytic shellfish poisoning), as well as diseases resulting from a breakdown in infrastructure caused by natural disasters, such as floods or earthquakes. Risk Factor A: Environmental contaminants ContributinJ! Factors: Small quantity waste/household hazardous waste: solid waste sites; air quality --- Risk Factor B: Endemic environmental illness --- Contribulinl! Factors: Vectors; breakdown of infrastructure: shellfish PSP/Domoic acid CORRECTIVE ACTIONS TO REDUCE lHE LEVEL OF lHE CONTRIBUTING FACTORS A. Environmental contaminants 1. Provide education / increase awareness of direct and indirect impacts of contamjnants 2. Provide convenient and affordable mechanisms to store and dispose of small quantity hazardouse waste 3. Conform to Moderate Risk Waste Plan 4. Provide appropriately designed solid waste sites 5. Enforce laws against promiscuous dumping I 6. Disaster planning B. Endemic environmental illness 1. Education 2. !'stablish local policy/ordinance requiring rabies vaccination 3. Monitor and post warning sign at recreational shellfish beaches 4. Vector control 5. pisaster planning -- PROPOSED COMMUNITY ORGANIZATIONS AND PROGRAMS TO PROVII>E AND COORDINATE ACTIVITIIES 1. Health Department 2. ~tate Department of Health 3. ~tate D"partment of Ecology 4. ~ooperative Extension 5. Animal Control Service 6. Veterinarians 7. Public Works 8. Sherrif / Police 9. Red Cross 10. Schools 11. Health providers 12. Coast Guard , HEALllI DEPARTMENT / PUBLIC HEALlH ROLE: Policy Development: Establish rabies vaccine policy / ordinance Establish promiscuous dumping policy / ordinance Assessment: Epidemiologicat studies Monitor incidence of enironmental related diseases -~--~ Assess level of public awareness -~---- Assurance: Provide solid waste program Provide livinJ;~ environmenm prO.ll'am _.~---- Provide education Participate in disaster planning ------------ ----------.----- -.---..- ~VALUATION PLAN TO MEASURE PROGRESS TOWARDS REAClllNG OBJECnVES 1. Recommended policies accomplished 2. Periodically evaluate public awareness 3. Annual review of disease statistics C:\12lR24\I'HlPIWKSIIT18.WKl Draft #1 Cl z !=: ~ ~ o U t;~ ~~ QU ~~ 11 '" ~ :~ '" u i"! - :l ... '5 'E "".... 6 ~ 0 g E} ~ ::::. ~ 5 "." L, ~ ~ ~ ~ " ~ "" u ~ ~ .~ CIS .9 :is .!; '" <i: -g ~ lj ." ::;;; .~ a .~ 3 ." ..... ij ." t:: .a ~q s- ~~~ I'J ~ :g g .2 g ~ . ~ u ~ El, .. .!<l ~ .... "t:J a "t:J '" .~ <> .~ Q~~~ oS ~ .!; tl ij ." ~ ~ u ..... C, ~ ~ .L, " ." 8" ." ~ .!;'ll .. ~ ~ :s ~ "0 t .. -4 I '" ..... ~ ~ ~ ~ "" -s ~ .Ef ~ ct .\l ~ .!<l Q '" ." s .~ ~ .. ." ~ 6 .'" ~ :g til tl a ..... ~ Cl 5 i: ~ 1:1 ~ 6 " ~ '", ;J :l .. ~ ~ ." '" ." " ~ - -.g ~ ~ ~ l;j ." 6 '" c,\:l u -.: 0 .~ "" ... .~ U '" - ." .Q " 0 f-~ ij C " - ~ uO ~ "" .~ ~ "" " - .. I>lf- ~ ~ :l ." Ei; ~u <> ~~ -< ~"" ~ Ql1. JEFFERSON COUNTY PUBLIC HEALTH IMPROVEMENT PLAN DESCRIPTION OF THE HEALTH PROBLEM. RISK FACTORS AND CONTRIBUTING FACi"ORS Priority: HEALTH PROBLEM: Undiscovered Epidemiological Health Problems 14 , 'Ihis problem is one broul(ht on by inadequate assessment and monitorinl( capabilities. For example, there may be a sudden increase in an otherwise rare disease or health problem within a population. This could be a chance occurrence, or it may be due to some environmental or behavioral factor (e.l(. discharl(e from a factory, an infected restaurant worker.) In Jefferson County, we have recently experienced a cluster of conl(enital cardiac anomalies, an unusual number of ldiomas (a type of brain tumor) and a dramatic increase in the rate of teen prel(nancies. ReJ(lllar collection and monitorinl( of health statistics, and effective communication amo~L-___ healthcare providers and consumers, can help to disclose the existence of such problems. EpidemiololtY is the scientific investil(ation of such problems to determine whether there are any root causes. Risk Factor A: Inadequate monitorinl( Contributing Factors: Inadequate data collection; inadequate communication amonl( providers and consumers; lack of available and/or qualified personnel Risk Factor B: Inadequate assessment Contributing Factors: Inadequate/incomplete analysis; low priority CORRECTIVE ACTIONS TO REDUCE THE LEVEL OF THE CONTRIBUTING FACI"ORS A. Monitoring 1. Increase awareness reJ!;3rdinl( risk and need for reportinl( of health data / monitorinl( ~---~._- i 2. Enhance systems for data capture and trackinl( 3. Evaluate costlbenefit of health screeninj!;S 4. Establish mechanisms for provider / consumer communication of health problems 5. Evaluate cost / benefit of dedicated staffinl( for monitorinl( and assessment 6. InvestiJ!;3te opportunities for joint effort with adjacent counties / State B. Assessment 1. Increase awareness reJ!;3rdinl( risk and need for assessment 2. Define role of State personnel 3. Evaluate cost / benefit of dedicated staffinl( for monitorinl( and assessment 4 lnvestil(ate opportunities for joint effort with adjacent counties / State 5. - 6. PROI'9SED COMMUNITY ORGANIZATIONS AND PROGRAMS TO PROVIDE AND COORDINATE ACTIVITlIES I. County Health & Human SelVices 2. State Department of Health 3. Hospital 4. Healthcare providers 5. Media 6. Board of Health 7. Adjacent counties health departments I 8. 9. 10. HEALTH DEPARTMENT I PUBLIC HEALTH ROLE: Policy Development: Develop policy rel(a~dinl( role of local health department in monitorinl( and assessment of health status and problems - Assessment: Data collection and analysis Routine investigation -- Assurance: Provide Education Provide leadership I coordination of data collection activities Explore joint opportunities Screeninj!;S (if determined to be desirable) --- EVALUATION PLAN TO MEASURE PROGRESS TOWARDS REACHING OBJECTIVES 1. Routine review of health data 2. Assil(ned staff 3. Recommended policies accomplished 4. I C;\l t'lRZ~\PHIP\WKSHT22.WKJ Draft #1 c:l Z P ~ I%l ~ ~, o .f:; u ~ ~tne. ~ ~ ~ ~ 0 "a - ~ ~ Q U ~ i5~-.l '" ~ '" >< ..l"03 ~ u < .~ o 2 .~ \Xl Ei ..l-lJ I%l .~ O~., ~ " Il ~ ~ :a ~ ~ ~ ~:8~ iil::i:i: := " {j ~ ~ ~ ~ t-'l ~ .... ~ .ll ~ _ u <u ~ b ~ <u " <u tii ~ ~ 5.es. .g 2 ~ " "-" ~ ~ ~ c:l Z P 6 ~ .~ I%l <u ~ 1 u'" <u ... ~ ;; ~6f s~.:: / ., ~ ~ 6 .'" " .u ~ Ei ~ u ~ :; ~ .. "a ~ -.l "t'i 't: "a .~ e. ~ "- ~ o -.l 6 .~ ;; o ~ ~ &l ~ - .. 6 ~ Q l~ .~ ~ o -.l ;; ~ S .. ~ ~ 0. ~ * 'c iJ) "a ~ ~ ~ 002 U) 's: 1'3 "T:2 '::;: 50 .~ g .g Ei <u " ~-S.:: ~ 'g ij :a l.:::l a ~ il~~ ~ 5. ~ ~ 6~:Rg~ ',.., u \J _ r.., 11 ~ fJ 2 ~ :::J ,~ 'U .1l _0 8-:t3 :c .... '" ;:: ~ 1j ~ ::' .~.~ .g ~ ;::; '.Ii ::ao -. c: .S! ~ CIS II) '_ ~ .g "0 ~ ~ 'q ,Ill ~ a ~ :::J ~ U i:'; U \0'.1 C'!J 1'3 q;a 1'3 ~ t; ~ Q"lo..l -.. 5 .~ 'tl 0 ~ .-=: - -lJ " .!; ~ o Ill: ... ~ := . "03 ., " .~ Il ~ ~:a - 0 0 ~ "5 """ c..... Q.; .~ ~ -S -8~~ ::i ~:i: II ~ * ~ ~ iU :a:s ~ 1l 2- 'S i:l " " m .~ ; u~u ~ il 211 ;.c--, 11 ~ :; .2 :g~ o " ~I%l ~ "ij '" ~cn .!:i! ~~ :a 6h !'O <<J &l ~ ... 1:) k .~ 0 <"'~ ~ .~ otl\O:: l 2 li .. ~ t: c 0: o g i a ~ $ ~ 3 JEFFERSON COUNTY PUBLIC HEALTH IMPROVEMENT PLAN DESCRIPTION OF TIlE HEALTH PROBLEM. RISK FACTORS AND CONTRIBUTING , FACTORS Priority: ilEAL TlI PROBLEM: O<x:upationat I Workplace Health Problems 15 Workplace related injuries and illnesses be can enused by exposure to ha7'lrdous material., air qualitv, noise. or blood, which enn contribute to vision or hearinj( loss, respirato~_____ disease, cancers, liver damaj(e, various blood- borne diseases and even death. The most common types of workplace injuries are musculo-skeletal (sprains, strains, back inuries, etc.) caused by overexertion, improper er.."nomics and danj(erous work environments. One emerJ(inj( i..ue relates to cumulative trauma disorders, such as carpal tunnel syndrome, brouJ(ht on by repetitive motions. In Jefferson County, we also have a number of hal1Irdous industries includinj( 10j(f(inj(, boat buildinj( (hal1Irdous chemicals), the paper mill, and fishinj(. The risks and/or serverity of occupational inujuries and illnesses can be mitij(ated by proper facilities and equipment, information, traininj(, eduention and support to assure that conditions are as safe as possible for workers. Risk Factor A: Exposure to hal1Irdous materials ContributinJ! Factors: Manufacturinj( processes; materials storaj(e and handlinj(; unsafe behaviors R~s!factor B, Occupational injuries ContribulinJ! Factors: Hij(h risk industries; unsafe behaviors, emer.."ncy response CORRECfIVE ACTIONS TO REDUCE TIlE LEVEL OF THE CONTRIBUTING FACfORS A. Exposure to huardous materials I. Information, education and traininj( re~a!dinj( hal1lrdous materials storaj(e and handlinj( 2. Enforcement of exisitinj( laws and rej(ulations 3. Education and traininj( reJ(3rdinj( use of safety equipment 4. Substance abuse prevention, education, intervention 5. Equipment echan.." proj(fam 6. -- B. Occupational injuries I. Emerj(ency response traininj( and coordination 2. Education and traininj( reJ(3rdinj( proper er~onomics 3. Immunil1ltion aJ(3inst blood-borne disease 4. Provide proper safely equipment ----~ 5. Substance abuse proj(fams 6. PROPOSED COMMUNITY ORGANIZATIONS AND PROGRAMS TO PROVIDE AND COORDINATE ACTIVITII~ I. Employers I employers group 2. OSHA / WISHA 3. EPA 4. Department of EcoloJ!.'{ I 5. Sherrif I Police 6. Hosptial 7. EMS 8. Labor & Industries 9. County Health & Human Services to. IIEALTlI DEPARTMENT / PUBLIC IIEAL'llI ROLE: Poli.oy Development: Asses.fment: Occupational health data analysis I monitoring Epidemioloj(ienl studies Assurancc: Provide screening services Provide Hep B immunizations Provide information and eduention (educate the educators) Mobilize employers j(fOUP Assure adequate waste disposal mechanisms are available in the community~ -~-- EVALUATION PLAN TO MEASURE PROGRESS TOWARDS REACHING OBJECfIVES I I. Annual review of occupational health data 2. 3. C:\12JR24\PltIP\WKSHfl9.WK1 Draft #1 . o z i= ~ ~ .~ - ~ ~ 'a o ~ u ~ ~ ~ s rzlO': = ... 0 QOtj =sif~ '" !is >< ~ < 1j :Ii rzl ti' ~ 0 '" o ~ 51 1tJ.........~ '"'01"" ~ Q g ~.S! '" ~ ~ '5 ~!}OI iil~:lJ ~ ~ s ~ .51 'a ! ~ " <:ro i ~ ... ~ ~ .!l ~ " ~ .$' .~ 'a '5 ~ ~ '" II 8 ~ is .~ ~ -5 " "- '" ,5 .5 " ::, .!l " " ~ " .:; is .~ ~ ~ <>. "'<l " ~ i ~ ~ .." 1l -il " 'a "\l ~ is '." " .5 ~ ~ ~ "- '" ~ -~ '" .~ 5 l:1 .!l " ~ Vj '" 6 .~ '& .., .!l ~ ~ 'S " :g <.!l ~ :5 B .~ ; .5 ".... i;l 0 o Co ~ .~ e ~ Go ~ II ~ ~~ " S" ~~ ~-- 1j " ]. 5 . ~ ~ "-~ 01"" o 6 ... .~ '" "'"5 !}OI u ~ 8..... ~ -lj ~ 5 ~ co .~ .~ t ~:; .. ~ ~:! ~ -~ .~ ~ E: cO ~ ~ is ~ .~ El .8" 0 I .~ i3 <: (if ~ ~ ~ a .~ ......... .~ :s " ;} u " '" 6 !;} !:! .!l '" I is " '" " ~ " .:; '" .5 .51 .::; -15 'OJ E t;:; .. ~ .. N , co o t c "' o ~ N I;: co ~ ~ .. ;: .. . N "' .. N ::: ;; HYDRAULIC PROJECT APPROVAL (R.C.W. 75. 20 . J. 0 0 ) (R.C.W.75.20.J.03) DEPARTMENT OF WILDLIFE 600 CAPITOL WAY N. OLYMPIA WASHINGTON 98501-1091 (206) 753-5897 [@APPLICANT NAME Porter Donalda 1121 STREET OR RURAL RooTE P.O. Box 545 CITY Molalla jg}WAT~R ~QlJARTER SECTION SECTION NW 20 ~CONTACTPHONE(S) 503 829-6426 r.jlCONTROL NUMSER W 0J.-85822-0J. ~ WRIA 17 STATE OR TRIBUTARY TO ZIP 97038 1EJ79 mJ 08 [D] TYPE OF. PROJECT ~ewe...!: ...L:Ln!L _ _ __ Crossing TOWNSHIP 27N RANGE(E-W) CooNTY OJ.E Jefferson TIME LIMITATIONS. [] TMIS PROJECT MAY BEGIN . Jul J. J.993 [] AND MUST BE COMPLETED BY october 1 J.993 THIS APPROVAL IS TO BE AVAILABLE ON THE JOB SITE AT All TIMES AHD IYS PROVISIONS FOll~D BY THE PERMITTEE AND OPERATOR PERFORMING THE WORK_ SEE IMPORTANT GENERAL PROVISIONS ON REVERSE SIDE THAT ARE ALSO PART OF THIS APPROVAL. J.. Conduit alignment shall be nearly perpendicular to the water- course as possible. 2. The conduit shall be installed at sufficient depth so that subse- quent disturbance of the bed of the watercourse is avoided. 3. If the method used is boring or jacking: (ba) pits shall be isolated from surface water flow; () All drainage water removed from the boring or jacking pit shall not adversely impact fish life; and (c) Prov~sions of subsections (4) (a), (b), (c), and (d) of this sect:Lon shall not apply. 4. If the method used is trench excavation: (b) (c) (d) Trenches shall be excavated in the d~ or shall be isolated from the flowing watercourse by the installation of a cofferdam, culvert, flume, or other approved methodi Plowing, placement, and covering shall occur in a s:Lngle pass of the equ:Lpment; Disturbance of the bed as a result of the plowing operation shall be held to a minimum; and P~ovisions of subsection (3) (a), (b), and (c) of this sec- t:Lon shall not apply. (a) DEPARTMENT OF WILDLIFE r--. . f... . I~_~ , .!E~F COJ::rv L hEALTH L.EPY. , I i SEPA: Exempt HABITAT BIOLOGIST, Tim Rymer ACENt! Phil Henry P-2 APPllCAHT - FISMERIES - AGENT - INVESTIGATOR - REGION - OLYMPIA: (206) 457-2719 DIRECTOR . . , HYDRAULIC -PROJECT APPROw.L ~ May 27, 1993 (oppll...,t ohould refer to thia date In all correapondence) PAGE Z OF 2 PAGES ...,N'PLICNlT IW4E .!2J Porter, Donalda I r.l CONTROL NUMBER ~ 01-85822-01 ~. The uppermost 12 inches of the trench shall be backfilled with clean, washed pea gravel and the stream bed shall be returned to pre-project condit10n. -6. Excess spoils shall be disposed of so as not to re-enter the wa- tercourse and revegetated to prevent erosion. 7. The conduit approach trench shall be isolated from the water- course until laying of the conduit across the watercourse takes p~ace. '8. Alteration or disturbance of banks or bank vegetation shall be held to a minimum and all denuded areas shall be revegetated or otherwise protected from erosion. LOCAT;DN: Just south of South Point in Hood CanaL cc: /Roats Engineering 1949-A 7th Avenue NE POUlsbotaWA 98370 Attn: rry Gagnat r- fE'.C"'" or -.'. j , . __co, _ 1 j .u\ B m3 I I' JEFF CC:'::)TV L-,. ~FAllHLE,,'Y. _ , ",' REQUEST FORM FOR WAIVER FROM (WAC 248-96) WAC 246-272 Items (1) through (8) must be completed to process waiver requests from WAC 248-96. The local health department must approve the request and complete items (9) and (10) before the waiver is forwarded to the Department of Health for their decision. Please read and follow instructions noted on the reverse side. The instructions correlate to the numbers in parentheses. INDMDUAL REQUESTING WAIVER: (1) Name: Roats Engi neeri ng Address: Post Offi ce Box 730 Pou1sbo, WA 98370 Phone: (20~ 779-3939 LOCAL HEALTIl DEPARTMENf: (2) Name: Jefferson County Health Dept. Address: 615 Sheri dan Port Townsend, WA 98368 Phone: ~06) 385-9444 Property identification: (3) 3003 Thorndyke Road, Jefferson County - Lot No.6, Block No.1, Goodfellow's Manhattan Beach Tract - Section 20, Township 27N, Range IE W.M. ************************************************************************************ Please provide the following detail: WAC Number (4) I Requirement in WAC (5) Waiver SouS!"ht (6) WAC 246-272-140 (1) I 10' horizontal distance from ICross surface water with buried (WAC 248-96-100) (1) I surface water to non-perforated I sewer force main I pressure sewer I TECHNICAL JUSTIFICATION: (7) Lot 3 of Goodfellow's Manhattan Beach Tracts has building site but no area for SSAS. Community pressure drainfie1d with sand filter will be installed on Lot No.6. Stream crossing will be with 2" diameter sched 80 PVC force main inside a 4" diameter DIP sleeve extending la' on each side of stream (See attached sketch). APPUCANTS ~ PAP.rF"'7 .tY..v~ SIGNATIJRE:~~ TITLE: -e.,~ ..r;u;-......_......~ATE: //:?7"#d' **~************** ***************************************************************** LOCAL HEALTIl DEPARTMENT COMPLETES Local Health Department Action: (9) Date Received: ( ) APPROVED. Submit with justification to DOH office noted on reverse side. ( ) DISAPPROVED. Return to applicant. COMMENTS (especially concerning reasons for action): " fe/ :~ \ ;y',,~ JUN 08 1993 " ,-, ~ ., "C I, '" " '" "1 Cho/(rrt}{) WH~~~' 2f~. Q'5 TInE PARTMENT OF HEALTIl COMPLETES Department of Health Action: (ll) Date Received: ( ) CONCUR. Return to Local health Department for granting of waiver request. ( ) DO NOT CONCUR. Return to Local Health Department for denial of waiver request. COMMENTS (especially concerning reasons for action): SIGNATIJRE: (12) TIUE DATE: . , '... ;;'T/-^' 1 (f;! (YO. I '.Lw 01 )- .....:1 Ifrj ;: r IU _ il IW ~ n ' c: -, r" L I ~~'_' _ ,J ~+- L.OT Z. p,eOPosj :S" #&'H/172'1 'Kr;7r~O~ (/8DKM ---- - ------ --~ q ..... ( / , , / ,/ LOr 4> LOT 7 /" LtfrrAAt..S <D so ~ 5.1.=/0% ..0' P~oP~Ic"..z> "%74",1/'1 Jl/4Y P~OPO$4""..o 37.3P/f!"", -""OU!:$' 5CJflL.;;',' / /....=..;.0' --- . \! O~ 1"1\", _~- ~ :Je- $1 ~""p H'/G# . If,,/YK 1--Y . \ -::;:: w/?/€.-e. -. ~j/y~- - vA" L.- - ROATS ENGINEERING P.O. Box 730 POUlSBO, WASHINGTON 98370 Phone 779.3939 Ifrr-9C#M.e:;;Vr rc:> $'T-""e'/?/-f' c/f"t?.:F.$/4/6 j.t//?/j/d:,e PeDOEST . ROATS ENGINEERING P.O. Box 730 POUlSBO, WASHINGTON 98370 Phone 779-3939 Joe .0. ",q.-,?/c /73 E - //' s.:>:7 / SHEET NO. CALCULATEDBV A~_ ~..-:t7/~4;r- OF DATE /.h "7/?:? ./ -'" '" CHECKED BY DATE SCALE z "/<7i/C ,sC.A/,ra. e,....~&".i ~.z.;) ~ CP~.P.t-e;e :c>.o 44 ere> Prc- p/.Pc- " ..; 4- Sc.h'.:::o ..;$,p / CL.52 D/P "t._ ___"'~_ "" ~ /-:/~ .x2W"'~ aLPC-,e:$ 57"""""........;=..= TV p/...&>"r -' PFlOOOCT2Of.l !~II5hlnsI2Q5.1(PBiIrJ)/~/31~.G_-',Ol411.TOOnllfmJNETOU.FREE1.1OO-22S-63aJ