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Home My WebLink About02 February COMMUNICABLE DISEASE CONTROL PUBLIC HEALTH NURSING VITAL STATISTICS ENVIRONMENTAL HEALTH HEALTH EDUCATION JEFFERSON COUNTY HEALTH DEPARTMENT 802 SHERIDAN PORT TOWNSEND, WASH. 98368 (206) 385-0722 HEALTH BOARD Minutes: February 17, 1987 BOARD MEMBERS: STAFF MEMBERS: B.G. Brown, Chairman Larry W. Dennison, Member George C. Brown, Member William J. Glasser, M.P.H. Mary Catlin, D.O.N. and Administrator J. Peter Geerlofs, M.D. CITY OF PORT TOWNSEND REPRESENTATIVE: Glenn Ison *********************************************************************** ********************************************************************* Chairman B.G. Brown called the meeting to order in the presence of all Board members, staff members with the exception of Dr. Peter Geerlofs, Health Officer and the City Representative present. APPROVAL OF MINUTES: meeting were approved by motion Commissioner George Brown. The Minutes of the January 20, 1987 of Commissioner Dennison, seconded by NURSING SERVICE REPORT: Mary Catlin reported the following past month: Director of Nursing/Administrator, regarding Nursing Services for the * The Department is still searching for a Nurse Practitioner. * There are still a number of rash and fever cases in the Chimacum School District, which are not measles. * There is a film that is being used in rural Washington, to provide school age children with information about AIDS. Ms. Catlin asked if the Board would support a preview of this film for the parent Health Board Minutes: February 17, 1987 Page: 2 organizations of the County's school districts. After discussion of the need to start such a program, the public health role in this issue and the possibility of developing an informational program with the hospital, the Board concurred that Ms. Catlin proceed to preview the film and develop a program as suggested. * With regard to the Department's coverage of newborns, the Hospital is discharging a large percentage of mothers six hours after delivery. Mary explained to the Hospital representative that the home visits made by the Health Department are aimed at high risk infants and are done within the first two weeks they are home. This visit is not a substitute for the teaching that has traditionally been done at the hospital. The hospital may be doing their own home visits in the future. Family Planning Request for Use of Facilities: Ms. Catlin submitted a site use request explaining more about the Family Planning proposal to use the Health Department facilities for evening clinics. This proposal would help the department provide better services for Sexually Transmitted Disease (STD) patients through the use of the Nurse Practitioner that works with Family Planning. Commissioner Dennison moved that the Board endorse the Nursing Director's request to seek community approval (public and medical) of the Family Planning request to hold evening clinics in the Health Department facilities. Commissioner George Brown seconded the motion. Health Advisorv Board: The members to serve on this Board would ideally come from groups that use the services of the Health Department (Schools etc.) and people with special backgrounds like financial services. A resolution to create this Board will be developed, setting forth the function of the Board, terms of office of the members, etc. Commissioner Dennison moved to direct the Nursing Director to draft a resolution and bylaws for an advisory board. Commissioner George Brown seconded the motion. Environmental Health Section Move to Courthouse: Ms. Catlin submitted a cost estimate for this proposed move. ENVIRONMENTAL HEALTH DIRECTOR REPORT: Bill Glasser reviewed his monthly written report and noted the following: * There were 127 telephone inquires regarding sewage disposal during the month of January. This averages five inquires on this subject every day. * Francesca Keep has been hired to help with the Food Sanitation Program. Proposal to Administer Proqram to Approve Class IV Water Systems: Approval of Class IV (two to nine hookups) Water Systems is presently handled by the State Department of Social and Health Services and Mr. Health Board Minutes: February 17, 1987 Page: 3 Glasser is requesting that the Health Department take over the approval process which would help expedite the processing of these applications and in turn clear up many sewage disposal permits that are waiting for this approval. The local Health Board would take over the responsibility of granting variances. Mr. Glasser estimates that to administer this program would require another half time employee and asked the Board to take this proposal under advisement. He would work up a proposal outlining program components, needs assessment, resource demand, cost of administration and a proposed fee schedule. The proposed fees could cover approximately 60% to 70% of the cost of the program. After discussion of the fees DSHS charges for this approval, the length of time for DSHS approval, the possibilities for staffing this position, and the number of sewage disposal system permits that such a program would effect, Chairman Brown stated that he would like some more information from DSHS on their program. Commissioner Dennison asked that cost figures be developed for the options available regarding the administration of this project. Chairman Brown stated that if another Sanitarian is hired that he be hired to do whatever needs to be done. Priority for the Sanitarians workload needs to be developed. If a part time sanitarian is hired to do just this work, Chairman Brown added, that would be a poor use of man power. Bill Glasser will have a proposal prepared for presentation at the next Health Board meeting. Response to the Sartain Situation: Bill Glasser reported that he and Janet Welch made a site inspection of the Sartain property in Quilcene (Lords Lake Road) on January 8, 1987. The following findings were made by Mr. Glasser: * Setback from the Little Quilcene River, in Mr. Glasser's opinion, is 75 feet and is acceptable for protection of public health. This setback will be made a matter of record. * The system mayor may not be partially installed in fill. The system is subject to annual performance monitoring and the Sartain's will install inspection ports in each lateral. * The area to the north of the existing drainfield will be set aside as a reserve drainfield. * Primary and reserve drainfield areas shall be beyond the 100 foot protective radius of the existing well head. * An accurate "as built" of the septic system will be provided by the installer. No further action is deemed necessary or appropriate, Mr. Glasser concluded. Request for Variances Re: Hunt Property at Bridgehaven; June & Thor Bjornstad: Bill Glasser explained that Mr.& Mrs. Bjornstad's property (Lot 16 Division 2, Bridgehaven) was not approved for a sewage disposal system because of a lack of usable area, and because the septic system was to be installed in fill material. Mr. Bjornstad is Health Board Minutes: February 17, 1987 Page: 4 requesting approval for a designed sewage disposal system which requires that the Board grant the following variances: 1) Ten foot variance from lot width (Ordinance 1-69). The lot is less than the required 70 feet across, 2) 600 square foot variance from total lot size. The lot is less than 9,000 square feet, 3) Setback variance of forty feet. The setback from the drainfield and the boat canal is less than the required 100 feet, being actually 60 feet by Mr. Glasser's measurements, and 4) Installation of septic system in other than native soils. Mr. Bjornstad stated that the only variance that was mentioned to him was the one required from lot size. Almost all of the lots in the plats of Bridgehaven Division 1 and 2 are sixty feet wide and approximately the same area as this lot. Division 2 was approved as a subdivision in 1964, and there are over thirty houses built in this area on essentially the same size lot. After discussion of the setback from the bulkhead and how it was measured, Bill Glasser reported that the drainfield could be situated on the lot in such a manner that will meet the 75 foot setback. The lot size variance and native soils variance were then discussed. Chairman Brown noted that the precedent for installation of septic systems in this soil has been set by the number of previous systems approved in this area. Commissioner George Brown moved to approve the variance from lot size as requested, which will include width and square footage. Commissioner Dennison seconded the motion. Proposed Policy reo 3efferson County PUD #1; Performance Monitoring for Alternative Systems: Performance monitoring is required on all alternative sewage disposal systems approved for use in the County, Bill Glasser reported (Sand filter systems, mound and pressure distribution systems). The Health Department doesn't have the staff required to do this monitoring and Mr. Glasser is proposing that this responsibility be transferred to Jefferson County PUD #1. This has been done in the past by a contractual arrangement with the property owner and the PUD. Bill Glasser will discuss this proposal with Jefferson County PUD #1 and develop the necessary legal documentation that will make this a requirement of the procedure for approval of an alternative system. MEETING ADJOURNED JEFFERSON COUNTY BOARD OF HEALTH $~o~j B. G -Brown, C airman /' ar~: . Denn1son, Member ~'~ ,.-0 /!" '!Fc (I (;;j.z. .'- ;Jr-e./ ~ - -~~'''"''l-t. _ George Brown, Member .. ::w Dece~ber 11, 1760 \ ' ~\~t r5\ \ \~ ry I.'. ~ VI. David Goldsmith, Administrator Jefferson County Health Department 1302 Sheridan Fort Tovmsenc, .,;2. 936$ Dear I-i'. Goldmith: Re: Application for Sewage Disposal Permit"Lot 16, Bridgehaven. Also John Hayes' letter of July 11, 1980 on sa~e subject. ~ince our meeting on October 29, 19$6, I have researched the subject matter through avail2.ble material in the Seattle Public Library. I have studied the State Rules and Regulations for on-site sewage dis- posal and have also read pertinent parts of the U. S. Environmental Agency's design manual on on-site disposal systems. I consulted w~th my friend Robert Seabloorn, Professor of Sanitary Engineering at the University of Washington who offered several helpful suggestions. Finally I cor~erred with David Lenning of the State Department of Health in Ol)~pia. During my conversation with Mr. Lenning I refrained from mentioning the location of the subject lot, asking only interpre- tations of specific paragraphs in the State Rules and Regulations booklet. In view of the above, I now am in a better position to co~nent on the reasons for rejecting the ori~inal application, as outlined in Mr. H2.yes' letter of July 11, 19$0. 1. Lack of useable area for initial and reserve drainfield area. 2. Please refer to the submitted drawing showing the proposed on-site sewage disposal system. From personal inspection of your soil log holes I have determined that the soil type is between type 2 and 3 as classified in the State hules and Re- gulations booklet on pg. 14. Using the more conservative fi- gure gives 0.8 gal. of effluent per day per sq. ft. of infil- trative surface area and using 120 gal. per day as specifiea on page 18 of the manual for a one bedroom house, it follows that 150 sq. ft. of infiltrative area is required. Using a 30" wide trench, 60 lineal ft. of trench is required. "":e pro- vide two runs of 35 ft for a total of 70 lineal ft. Area for future replacement drain field is also indicated. The spacing between trenches is 7 ft. which is adeouate to meet ~tate re- quirements and the drain field co~~ences 75 ft. from the bulk- head wh~ch you indicated at our meeting as being acceptable. All other separation distances of both the septic tank and the drain field have been met as per State requirements. The lot has been filled to a depth of 32-)6". Sewage dispo- sal systems must be placed in original soils, not fill. The depth of fill mentioned is in error. Following is a de- scription of the fill operation as it took place. (Snapshots showing various phases of the oper2.tion will be provided). A mixture of clay and loam had been d~ped on the site when the boat canal was dredged. At that time the site elevation was probably 2-3 ft lower than the present grade. All the clay and loam soil was scraped away by a bulldozer and stock- piled on adjoining lots. This operation removed all the soil "" . . dOh~ to the mean high water elevation, which was about 6-7 ft below the present site grade. At this level a sandy loam soil was encountered. Sand fill was brought in by truck and the site was filled to within 12-18" of the present site level. Then the original clay and lo~ that had been scraped awey was spread over the top for~ing the existing surface. As can be seen by your soil logs, three show compact sand under the top strat~~ of clay and loam. Hole #1 is in the north- east corner of the lot, close to the road, where evidently the original soil was not renoved in order to safeguard a- gainst undermining the existing road. The proposed drain field is in the area sho~ing ccnp&ct sand. Interestingly, when I di"c\Jssed the matter 0:; fill \dth ;',1'. Lenning he said that undera.situation such as I aescribed it was probable that the State woulci allow an exception, subject to further reviei'; . 3. T~e site was previously denied on ~ugust 1, 1975. l~.~~" 0_. cc~r7'(, ~ ~ ul~iL~r,...t:~l1C:' b:>: since tl:.,~ ClL~Y :".llC. .io,:--:. f::Cl2. e.::::.L~,l..SCi Oll t..L~; ,~::.t.(_. L.~~ i"ill. ol_Grcticn 0.e~,cri=tcc~ l.~:H.>.:;r i..:> ',::;~ "GLi.=: 0:11y i:\-..:-_Y t8 ;-,::-:-Lt-~ t-~:~:: cite 'Tp?rcEEblsn, s.!lC 1'.'~;ere- 2S c. fill i? not fe~'lerc;~lly &llo',:ecl by tile ~tate Hegulations, this was not knovm to the owners and Lr. Lenning' 0, stater:1ent mal:es it probable that the fill as installed 1';ill meet the State requirements. ~he gross land area of the lot- from the bulkhead to the centerline of the road and 60 ft wide is 8,400 s~. ft. This is considerably less tha~ S~ate requirements for subdivision lots approved after June 30, ISoL. .I\~nether to anpl" these rules to subdivision lots a~nroved be- fore the above date' is' up to the locc.l health officer, Lr".. Lenning said. r.o11ever, since more than 30 disposal systeffi~ have been installea in Briagehaven, most of them on similar dimensioned lots, this should not be a problem. V:ith the above explanations and clarifications and with the drawing of the proposed on-site sewage disposed systeD, which by the .ray bears Professor'Seabloom's seal and si~nature, we believe we have fulfilled your re2uest and hope that you "fill re-exar:ine the original application for on-site sewage disposal on Lot 16, Bricgehaven. Very truly yours, ~rt~v~- ,C't~4-tr~ B. Thor ;~tad for J.if1.; Gilbert Hunt, owner of Lot 16 ~/fJ!JJ fyl:1,11 7 v ,p/I lIDJ [g (Q; F ;; ili\} - - J L!j -' t ;'~: : L}FUtSOCi i'>/,,:'N r'/ 2.1\:,?~.')' CF. February 10, 1987 Jefferson County Board of Commissioners 802 Sheridan Port Townsend, Wa 9368 Gentlemen: We hereby repectfully petition the Board of County Commissioners to grant an area requirement variance for Lot 16, Division 2, Bridgehaven. The gross land area of Lot 16 is 8,400 sq. ft., which is slightly less than the requirement of 9,000 sq. ft. However, since more than 30 permits have already been issued for Bridgehaven lots, most of them being the same size as Lot 16, we hope you will grant this variance re- quest for Lot 16. Bill Glasser, Director of Environmental Health, has arranged for me to be heard at your regular meeting on February 17, 1987. ~t:1Y ~o~W B. Thor B~ad for N/Ii Gilbert Hunt, owner of Lot 16. J 1--:.; q ,.-: ......'.j C~ :=s c: ~ i:-.' c+ ,,-- '-,) :::_' \-:L c.- o 1---';; ~-'" 'i J ,~ -::; ::.:; L." o ,:; ::::; c+ '< L; C , 0-; ~ o f- -~ 1/ " <-.:.> :f, . c..: Q " ~. I [--1. C' ,.J l',', 0-; "' .' ''''' ~!I 1JV. . r~ W)J I " Jefferson County Health Department Site Use Request Request: For Port Townsend Family Planning to use the Health Department facilities for an evening clinic site. Purpose: To increase the access to women's health care for low income women in Jefferson County. - to improve the coordination and quality of existing family plan- ning services, pregnancy detection and referral, early continuous prenatal care, diagnosis and treatment of sexually transmitted diseases, and access to WIC Nutrition Program for pregnant women. Background: In 1986 Family Planning estimates that 111 Jefferson County women had to travel to Port Angeles to receive exam services since there is no local site providing uncompensated women's health care to low income women. The Health Department could provide clinic space to meet this need. Both the Port Townsend Family Planning and the Health Department currently provide pregnancy detection, counseling and referrals. There is duplication of incomplete services since neither site is currently doing female internal exams. Coordination would provide a complete service in one site instead of three. With less duplication of services more time could be spent on pre- vention. The Health Department is mandated to provide services for sexually transmitted diseases (STD). We can not meet the acceptable community standard in providing this service: ::!~ : - with the increasing complexity of concurrent infections and drug resistance in STDs it is preferable to have a nurse practitioner screen and diagnose STDs rather than have a R.N. diagnose and treat under M.D. protocols. This improves the quality of care and decreases the county's liability for malpractice. - the H.D. is not doing diagnose STD in women. practioner training. female exams which are necessary to The H.D. lacks supplies, equipment and Cost to County: This p~oposal is budget neutral. Family Planning is paid for by Title XX for low-income women. They also use a sliding scale and have fund raising projects. A sliding scale for STD diagnosis, treatment and counseling could be used though no patient would be denied treatment for inability to pay. Administration, practitioner time and supplies for family plan- ning clients would be provided by the Family Planning Program. They plan to use volunteer receptionists. The H.D. would supply 1 ~ space during evening hours (estimated 2-4 times a week), gonor- rhea and syphilis lab supplies, incubator, STD forms, and pay practioner time by the hour for gonorrhea and syphilis patients. This is what the H.D. currently provides and pays for. Phase One: Invite community input from County Commissioners, and the Medical Society. Invite other practioners providing uncompensated care to clients to be involved. Confirm administrative plans, service, billing, referral, publicity, and logistics. Phase Two: Family Planning begins using the H.D. clinic space for their clients. STD clients are handled by the H.D. in the customary way. Begin estimation of increased demand for STD services generated by Family Planning Clinic and the H.D. budget impact. (Current case load is 12 patients a year.) Phase Three: Family Planning and STD services are both available to clients attending the evening clinic within monies budgeted in 1987 for STDs. As the potential health benefits and cost-effectiveness of this plan outweigh the disadvantages, we request immediate approval to begin community discussion. Thank you for your consideration ~~ Mary Catlin DNS 2