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, ~ISEASE CONTROL
PUBLIC HEALTH
NURSING
VITAL
STATISTICS
ENVIRONMENTAL
HEALTH
HEALTH
EDUCATION
JEFFERSON COUNTY HEALTH DEPARTMENT
802 SHERIDAN PORT TOWNSEND, WASH. 98368
1206) 365-0722
HEALTH BOARD
Minutes: January 23, 1990
ROARD MEMBERS:
STAFF MEMBERS:
B. G. Brown, Chairman
Larry W. Dennison, Member
George C. Brown, Member
(Position Vacant) Director
Environmental Health
Kathy Stafford, Administrator
Irene Senior Pomeroy, Director
Nursing Services
.J. Peter Geer lofs, M. D" Heal th
Officer
CITY OF PORT TOWNSEND
BF;PRESENTATIVE:
Karen Chang
The meeting was called to order at the appointed time by
Chairman B. G. Brown. The following Board and staff members were
present: Commissioner Larry W. Dennison; Commissioner George C.
Brown; Administrator Kathy Stafford; Director of Nursing, Irene
Senior Pomeroy; and Environmental Health Specialists Linda Atkins
and Celia Kadushin.
APPROVAL OF
moved to approve the
Commissioner George
unanimously.
MINUTES: Commissioner Larry Dennison
Minutes of December
Brown seconded the
19, 1989
motion
as presented;
which passed
Health Board Minutes: January 23, 1990
Page:
2
ADMINISTRATOR'S REPORT
Hiring An Environmpntal Hpalth Director: Kathy Stafford reported
that the last advertisement was successful in eliciting resumes,
phone calls, and positive responses. The final date for
application is February 20, 1990. She requested that a Board
Member attend the review of applications on February 22, 1990 for
the purpose of selecting applicants for interviews. It was also
requested that the three Board Members be present on March 7, 1990
for the interviews.
Approval of Organizational Chart~
completed organizational chart for
that the chart be adopted.
Kathy Stafford presented the
approval. The Board concurred
Rpnewal of Solid Waste Enforcement Grant: Kathy Stafford presented
the grant renewal in the amount of $31,972 to the Board for review.
The local share will be $10,658 for a total of $42,630. This is
the same annual amount as last year. This contract is for a two
year period. This amount is already in the budget for 1990, The
grant will be submitted to the County Commissioners for approval.
Jefferson-Clallam County Contract: Kathy Stafford reported that
she met with the Health Department Administrator of Clallam County
who said that they are asking for an increase in the hourly rate
for nursing services. The increase requested is from $25 an hour
to $30 an hour. Environmental Health is still satisfied with $35
an hour. The maximum on the contract has been $5,000 and this will
remain the same, The verbal approval of the Jefferson County Board
of Health was sought, before the contract is presented to the
Clallam Board. The Board concurred that the increase is
reasonable.
DIRECTOR OF NURSING REPORT
WI~ Outrpach Program: The Director of Nursing Services, Irene
Senior Pomeroy, reported that' the County was informed by the WIC
Office that the County is only serving 28 percent of the families
eligible for this program. These statistics were received from the
Department of Social and Health Services. They requested that the
County increase their case load. There was only enough
money made available to increase the load from the 210 clients to
260. The WIC Outreach Program will be seeking these 50 clients
from the Discovery Bay area starting April 1, 1990. An extension
Health Board Minutes: January 23, 1990
Page:
3
DIRECTOR OF NURSING REPORT - continued
(WIC Outreach Program) of Nutritionist and WIC Certifier hours will
be needed, but this budget increase and the cost of scales for the
Outreach Clinics, is reimbursable from the State program funding.
AIDS Education: Irene Senior Pomeroy spoke wi th Dr. Geer lofs
regarding AIDS Education as there is concern regarding the
Sheriff's Department receiving this education. The rules in the
Omnibus Bill do specifically provide for training and education for
law enforcement, correctional, and health care workers. The
Sheri ff r s Department does fall under the correctional aspect of the
Bill. A proclamation is being considered which would state that
the Jefferson County Health Department will offer 2-4 hours
training and education sessions for all county employees who desire
it and that it is strongly recommended for parks and recreation
workers and that the training would be required for law
enforcement, correctional, and health care workers. They do not
know where the City Police would fit in this or how the County
would enforce such a proclamation. The cost of Time Release and
the timing of the sessions was considered.
Kathy Stafford suggested that another way to offer AIDS Education
to County Employees is to offer it through the Wellness Committee
and hold optional sessions at noon. These sessions could be
separate from the sessions needed to educate the Sheriff's
Department. The Board of Health saw no reason to object to AIDS
Education for County Employees.
Flll Vaccine: Irene Senior Pomeroy reported that the Health
Department has about 130 doses of Flu Vaccine left and they would
like to offer these free of charge to those county employees who
need them. There appears to be an unverified epidemic of
influenza. Chairman B.G. Brown noted that several years ago the
County offered this service for a few hours in the courthouse,
which was to the County's advantage as it kept the employees
healthy and at work. Irene Senior Pomeroy passed out an
information sheet on Influenza.
Hepatitis A: Irene Senior Pomeroy reported that the Health
Department has been giving out a lot of hepatitis vaccines. Extra
clinics have been offered on Thursdays. The schools have been
notified of the current outbreak~ A press release has been sent
to the Port Townsend Leader, it should be in the January 24, 1990
issue.
Health Board Minutes: January 23, 1990
Page: 4
DIRECTOR OF NURSING REPORT - continued
Space Shortage: Irene Senior Pomeroy reported that the working
hours had to be rearranged to try and get use of desk space for
people. The STD person works after ho~rs from 4:00 p.m. to 8:00
p.m. to have space. Yuko Umeda has never had space for her AIDS
program. She wants the Board to be aware of the space problem and
that the space is diminishing very quickly.
Commissioner Dennison suggested that Frank Gifford of Public Works
be contacted to see if there is any way to work with the space
available now. Kathy Stafford was directed to write to Mr. Gifford
to let him know the Health Department is running out of space.
ENVIRONMENTAL HEALTH REPORT
~oy Robeck Variance Request: Environmental Health Specialists,
Linda Atkins and Celia Kadushin were present as was Roy Robeck, the
Real Estate Agent representing the seller. Bob Reed, the designer
of the proposed septic system, appeared after the Variance Request
was heard and gave his view of the situation at that time,
Linda Atkins reported that she inspected Lot 37, owned by Mr.
Sankwich in Tala Shores, Division III. She found about 30 inches
of usable soil in one hole and down to 14 inches in the other hole
for the primary drainfield. Below that she found a layer of very
compact, fine sand with distinct mottling. She stated that it
appeared there was some good soil on top but that this turns into
a very compact layer that is retaining water and is saturated.
Linda Atkins recommended that Roy Robeck contact a professional
engjneer to consider an alternative system as our regulations
require a minimum of 36 inches of usable soil for a conventional
system. During the site inspection she found 30 inches of usable
soil for a pressurized drainfield. When she recommended that the
engineer be contacted, Mr. Robeck said that wasn't what he wanted
and advised he wanted to come before the Health Board. Linda
agreed to meet with the designer, Bob Reed, on site on January 9th,
which was after a heavy rain. The water in one of the holes on
site on Lot 37 went to the surface and on the other it went down
about 24 inches. She couldn't really re-evaluate the holes under
these conditions. On January 17th she went back on site with Celia
Kadushin; there was water in one hole on Lot 37 at 24 inches and
at 44 inches in another hole. She did not change her mind about
the situation and still recommended that a professional engineer
be consulted for an alternative system. The other problem with the
site is that it is on an 18 to 22 percent slope, with the surface
of thj s being hea.vi ly forested and the ground u.ndulating. The only
place where the soil was down to 35 inches was on a hummock. The
house is planned for a spot above the site.
Health Board Minutes: January 23, 1990
Page:
5
ENVIRONMENTAL HEALTH REPORT - continued
(Foy Robeck Variance Request) Roy Robeck suggested a curtain drain
to resolve the situation but it was pointed out that the curtain
drain would have to be installed through a wet season to determine
its effectiveness. There would still be the problem of the
irregularity of the site itself if the curtain drain did work. The
depth of the soil is not the only consideration, the composition
of the soil is also at issue. Roy Robeck stated that he has an
elder 1 y seller who does not want to wai t. He wanted to know if
there was some way this could be resolved now.
Celia Kadushin informed Mr. Robeck that although a conventional
system isn't possible; an alternate; pressurized distribution
system is a potential solution. She stated that although it may
be a little more expensive than the conventional system, she thinks
that costwise it may not be so great an expense. Mr. Robeck asked
if a curtain drain would still be necessary? Celia Kadushin stated
that it would be. Commissioner Dennison pointed out that the
inadequacies of the soil depth have to be dealt with too and that
an alternative system could solve the problem.
After further discussion the Board came to a consensus to not
extend a permi t for a convent ional sept ic system. Seeking a
professional engineer's design for an alternative was recommended.
Later, the designer, Bob Reed appeared. He was informed that an
engineer's design for an alternative system was suggested. He
pointed out various soil conditions and systems designed by
engineers. Commissioner Dennison and Chairman B. G. Brown
explained the problems with the land, the top soil, and the
drainage and discussed the options with Mr. Reed. Mr. Reed also
pointed out that the sand would filter water, that it is not hard
pan. Linda Atkins explained to Mr. Reed that sometimes you have
a soil that is not actually cemented glacial till, but it is still
impermeable. Mr. Reed stated that he realized the Board had made
their decision, but he wanted to be sure they had all the
information.
~ape qF'org.. Perm:! ts-, Culvert Drainaq.. Probl em: Environmental
Health Specialist, Celia Kadushin, reported that Roger DeJarnette,
Property Manager for the Cape George Colony, called to tell her
that Mr. Michael Roy was interested in beginning to build on his
property but there was a problem. He found a culvert from the main
road, Cape George Road, that overlies the back of the Colony. Mr,
DeJarnette took Ms. Kadushin out and showed her the culvert. This
culvert affects two pieces of property which have approved permits.
Ms. Kadushin met with Earl Wells of Public Works, Maintenance &
Operations1 to get an idea of how much water is coming out of the
culvert and what can be done to maybe relocate it or block it.
Earl Wells said that as the culvert is in a natural drainage area,
Health Board Minutes: January 23, 1990
Page:
6
ENVIRONMENTAL HEALTH REPORT - continued
(Cape Gporge Permi ts; Culvert Dra inaqe Problem) he would not
relocate it or block it. The problem is that the culvert drains
right behind and across the drainf ield of a permit holder. The
other concern is that if the property across the street is
developed, the additional drainage may affect Lots 25 and 26.
Since the County okayed the permit it was suggested that the County
find a way of diverting the culvert as a solution. The question
as to who pays for costs of this project if a solution is possible
was mentioned.
After further discussion it was decided that the Publ ic Works
Department will be notified of the problem with the culvert
regarding Cape George Colony Division IV, Lots 25 and 26 (with Lot
25 being the main concern), PublIc Works will be asked to
determine what it would cost to divert the drainage from the
drainfields. Costs, and who has the responsibility to pay them,
will be considered and addressed when more information is
available.
The next regular meeting will be held Tuesday, February 20, 1990.
MEETING ADJOURNED
.JEFFERSON COUNTY
BOARD OF COMMISSIONERS
LfU~J
B. G. Brown, Chairman
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