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HomeMy WebLinkAbout03 March COMMUNICABLE DISEASE CONTROL PUBLIC HEALTH NURSING VITAL STATISTICS ENVIRONMENTAL HEALTH HEALTH EDUCATION -=:P -.;~~ JEFFERSON COUNTY HEALTH DEPARTMENT 802 SHERIDAN PORT TOWNSEND, WASH. 98368 (206) 385-0722 HEALTH BOARD Minutes: March 19, 1986 BOARD MEMBERS: STAFF MEMBERS: B.G. Brown, Chairman John L. Pitts, Member Larry W. Dennison, Member Randall M. Durant, R.S. Charleta Handly, P.H.N. J. Peter Geerlofs, M.D. David Goldsmith, Adminis- trator CITY OF PORT TOWNSEND REPRESENTATIVE: Glenn Ison *********************************************************************** ********************************************************************* Chairman B.G. Brown called the meeting to order at the appointed time. Commissioner John L. Pitts was present as well as all staff members except Dr. Geerlofs. Commissioner Larry W. Dennison was not in attendance. APPROVAL OF MINUTES: The Minutes of January 15 and February 19, 1986 were approved as read by motion of Commissioner Pitts, seconded by Chairman Brown. NURSING REPORT: Charleta Handly, P.H.N. reported that follow up work is still be done in conjunction with the Environmental Health Section and the Port Townsend Paper Company mill with regard to reported cases of Legionnaire's Disease at the mill. Tests were sent to the State laboratory on two people, one of which came back positive. There have been reports of more employees suspected to have the disease and treatment has been started for them. The disease is treated like pneumonia. The T.B. cases in the west end continue to be treated. Emergency Medical funds were provided for the one man that was hospitalized, but the County will have to pick up the deductible which will be about $370.00. The State T.B. consultant is keeping tabs on these cases and making sure they continue to receive medication. Health Board Minutes: March 19, 1986 Page: 2 An AIDS conference is scheduled the evening of April 9, 1986, which is being arranged through the hospital and the medical society. A speaker will be provided by the Virginia Mason Hospital in Seattle. All health providers are being invited. At the close of the conference, the role of health providers to provide public education in the community will be discussed. There was an erroneous raa~o renort that there were three deaths from AIDS in Jefferson County, which ;aused many phone calls to local health care providers. David Goldsmith reported that there have not been any deaths in the County from AIDS. One person who was treated at the hospital here and then later diagnosed to have, AIDS eventually died somewhere else. When a person with the disease dies, the records are returned to the patients place of residence which may be where the confusion starts. The State Superintendent of Public Instruction is providing in-service instruction for all school districts on AIDS. They are also working on addressing the AIDS issue in the school policies. The State consultants visited the Health Department immunization program, as well as the MCH grant programs. also done by the State on the WIC program. to review the An audit was David Goldsmith and Charleta spent a day with a representative pf CHIMUS, the State Computer Program for gathering Health Department statistics. The department was on this program in the past, but dropped it because the information was not provided in a timely manner. The State now claims the turn around time for information has been improved and that a lot of adjustments have been made. This information, David Goldsmith added, would be used to do the quarterly and year end reports for grants and would save the County money if it works as the State claims. The nursing staff has been working with the following agencies and community groups: Senior Providers, Senior Information and Assistance, Chain Links, Child Abuse Council, State Child Protective Services, Community Action Council, Interagency Council, Consumer Health Information Center at the Library, Alcohol and Drug Abuse Prevention Task Force, Safety Conference at Fort Worden (presented by the Washington Traffic Safety Council), State School Nurses Conference. An organizational meeting was held two week ago by the Library to establish the Consumer Health Information Center. A good cross section of people from the community were present. The health related books have all been put in one section and other books have been put on order for this Center. Charleta handed out forms for recommending books for inclusion in this Center. The requests will be reviewed and a determination made regarding their inclusion in the Center. Health Board Minutes, March 19, 1986 page:3 The Health Department will be involved in some way in the community Health Fair. What type of involvement will be discussed at the next general staff meeting. The Health Fair is scheduled for May 10 at the Hospital. Commissioner Pitts reported that he had submitted the information collected by the Health Department at last year's County Fair on smokeless tobacco, to the State Board of Health. He talked with the Chairman of the State Board of Health and also received a letter from Dr. Beare, Secretary of the State Board of Health stating that the matter will be considered at the Board's February 12, 1986 meeting. HEALTH OFFICER REPORT: None ENVIRONMENTAL HEALTH DIRECTOR REPORT: There were 27 food inspections performed during the month of February, Randy Durant reported. The number of permits and site evaluations decreased slightly from the number for the same period last year. Two short plats were reviewed. Income is several hundred dollars ahead of last year's pace. Activities during the month: * Two food borne illness complaints involving a local food service establishment were investigated. State Food Consultant from DSHS was here to provide consultation and training on the food program. Port Townsend School District was contacted regarding the School Safety Program and playground equipment. Inspection of the Peninsula Fellowship Christian School was done. A final inspection was done for the Swan School's (private) new location. Plan approval and building permit approvals were completed for the new Sea Breeze Store and a new Fish Restaurant across from Memorial Field. Work was done with Dr. Sherwood (veterinarian) in submitting a raccoon head to the State laboratory for rabies testing. A lady and her husband were bitten but neither of them contracted rabies. The paralytic shellfish poisoning surveillance season is beginning. Every year, beginning in April, a regular schedule of sampling is arranged with the State laboratory (two dates per month). The sports shellfish beaches are tested by the County and the State does the sampling and testing on the commercial beaches. Randy Durant attended two water quality meetings. The summary final report for the Port Townsend Paper Company's Sludge application project for 1985 was reviewed, and the pre-application questions for 1986 were discussed. * * * * * * * * * Health Board Minutes, March 19, 1986 Page:4 * The annual evaluation of the PTPC solid waste site was also completed. Under the new State Solid Waste regulations ground water monitoring of this site is required because of the slaker grits and other types of materials that are dumped there. Another option to avoid this ground water monitoring requirement would be to dump the slaker grits at the County landfill and only dump boiler ash at this site. Follow up was done on the Swanson holding tank on Marrowstone Island. That tank is being pumped satisfactorily and the annual fee has been paid. This also includes the holding tank that was approved at the store in Port Ludlow. A lot of time was spent on review, and coordination of information with the State on the Sample's alternative septic system project. The time from sewage permit application to issuance of a sewage permit has been running between two and three weeks. Jean Chou will be doing on-site sewage inspections when the food program is more up to date. * * David Goldsmith advised that the City of Port Townsend is finding some very high organic loads in the sewage treatment plant. This may be coming from septic tank dumping. Randy Durant further reported that a lot of time has been spent by him and his staff on waiver and variance requests and the Board may want to consider charging a fee for excess time spent on these requests, in the future. Letter from VFW Post #7498 in Hadlock re: Annual Food Service Permit Fee: Randy Durant reported that he had received a letter from the Hadlock VFW regarding their annual food service permit fee. Being a fraternal organization they pay a reduced fee of $45.00 for their annual food permit, but they are asking a change in status to a Non- Profit organization which are not charged a fee. David Goldsmith suggested that if the organization is non-profit then they should be able to produce proof from the IRS of their non-profit status. David Goldsmith added that criteria needs to be developed and applied equally across the board to all organizations. These annual permits require inspection services each year by the Health Department staff, Randy added. Chairman Brown noted that it is not a question of the time the Health Department staff spends, it is a question of the County performing this service for the community. These organizations are performing a service to the community and does the County want to make a contribution to that effort or not. If the County had the staff available there would be no question, but when the staff level is low how much of this type of service can be done for free is an issue. Health Board Minutes: March 19, 1986 Page: 5 How the County can generate the revenue to provide staff to do the work to provide the services necessary to protect the public is the issue at hand, Commissioner Pitts added. The County does not have the latitude to raise taxes so user fees have to be utilized. Commissioner Pitts moved to require that VFW Post #7498 of Hadlock be asked to provide IRS proof of their non profit status before a status change will be granted by the County. Chairman Brown seconded the motion. David Goldsmith will write a letter to VFW Post #7498. Gardiner Community Center; Water: The Gardiner Community Center will start providing quarterly water samples for testing. The bills for the sample bottles should be sent to the Parks and Recreation Department. Randy will check to see if the new well that was drilled for the Community Center when it was remodeled, was ever approved by the State. ADMINISTRATOR'S REPORT: Administrator, David Goldsmith, reported that the Health Department will be advertising for the position of Administrator of Nursing Services. This person will take over some of the duties and responsibilities of the former Nursing Service Director. Senior Citizens Foot Care Program: After a meeting with the Senior Citizens, it was determined that this program will be moved to the activity side of the Port Townsend Community Center. The Senior Citizens will provide privacy screens for the program's use. School Nursinq Program Contracts: The school program contracts were reviewed by the Health Department Nurses and will now be renegotiated with the schools. An attempt will be made to be more specific in these contracts about the services that the Health Department will and will not provide. The schools need to understand that the Health Department is the community resource for health related issues. School staff training time and workshops are going to be sought, to take some of the emphasis off the Health Department staff doing all of the field work. Crippled Child Service Proqram: The Health Department is now implementing the Crippled Child Service Program which was previously done by the State. The State may increase funding levels to accommodate this program change. Title I, Developmentally Disabled Funds: The Department has reapplied for Title I Developmental Disability Funds for children. Because of the needs of some of these clients the funding has been totally depleted and these would be additional funds needed to continue. * * * Commissioner Pitts reported that on April 10, 1986 at 7:30 p.m. in the Quilcene Community Center the Soil Conservation District will be hosting a meeting regarding the Quilcene Bay decertification. Actions taken in this regard over the last year by the County and the Soil Health Board Minutes, March 19, 1986 Page:6 Conservation District, as well as what will be done with the two State grants received by the County, will be discussed at this meeting. The Hood Canal Coordinating Council will also be introduced to the community at this meeting. A meeting has been arranged between Commissioner Pitts and Hospital Administrator Vic Dirksen for Friday regarding the Washington Health Choices program that will be presented in communities through out the State. This program relates to provision of future health care. Waiver Request: Waterfront Pizza: The basic request submitted by Waterfront Pizza is a waiver to the Food Service Ordinance section which requires public restroom in a food service establishment, Randy Durant reported. This involves an existing establishment, known formerly as Upper Crust Pizza, which has been acquired by Town Breakfast, Inc. to now be called Waterfront Pizza. A waiver was given in 1977 to Upper Crust Pizza for this location to include seating. There has been seating provided as stools around the counter for a number of years at this location. Originally the new owners were to seek a written approval from the Lighthouse Cafe owners for use of their restrooms for the pizzerias clientele, but this did not work out. The waiver request now is based on the fact that there are up to seven other food establishments in this vicinity that have public restroom that their clientele could use. Randy stated that this is an existing establishment which had a previous waiver. It is basically pizza only, for mostly take out (only 8 seats). Should the Board approve the waiver, Randy recommended that in the case of new establishments being constructed, that the County hold to the public restroom requirement because a burden may be placed on existing establishments who have restrooms and must maintain them if this is allowed to any greater degree. An administrative variance is being granted with regard to a request about painting the ceiling and then replacing it by January of 1987. Commissioner restrooms and previous owner. Pitts moved to grant the variance approve the waiver for the seating Chairman Brown seconded the motion. regarding public as granted to the Alternative Sewaqe Disposal System Proposal; Charles Samples: Randy Durant introduced Bob Leach, Engineer for the Samples and the PUD, who then gave a presentation on the alternative sewage disposal device known as the AIRR Recirculating Sand Filter System manufactured by Spec Industries, Inc. (See also Health Board Minutes of Aoril 17, 1985). Mr. & Mrs. Samples, Roger Owley of Spec Industries, inc. and John Floyd Manager of Jefferson County PUD #1 were all present. After his presentation, Mr. Leach answered the following questions regarding this system: Health Board Minutes, March 19, 1986 Page:7 Q. How does the system work as far as not putting any more than the 192 gallons of water per day limit on the drainfield? A. There is a water meter that will be read on a regular basis every two months, which will provide an on-going check of the amount of water being used. The AIRR system is designed to handle 720 gallons per day which is sized for a somewhat larger facilities than a single family dwelling. Q. What happens to the system if the owner decides to leave for a period of time? Does the media or culture suffer? A. The system could be left on and it will continue to cycle, or the master shut off valve could be turned off. There is a low volume shut off float in each of the tanks so that if nothing is produced the system will shut down to protect the pumps. Since this is an aerobic process all of the food for the system comes from the sewage itself. The media will dry if not used, but this does not cause any problems. The system is self starting and can simply be turned on and will operate after a period of no use. Mr. Leach then presented a summary sheet with the activities that have taken place on this project since it proposal. Mr. Leach met with Randy Durant to discuss the changes needed in the PUD contract (which includes the Operations and Maintenance Manual) with the Samples for the management of this project. The 17 conditions suggested for attachment to the septic permit, by the Health Department were also discussed. Mr. Leach advised that many of these conditions are redundant and are already addressed in the contract. The contract has been reviewed by the applicant and PUD's Counsel, who noted a few minor matters that need to be rectified. The applicant and the PUD are negotiating regarding fees and operation of the system, and the applicant and the patent holder are negotiating regarding responsibility in case of a system failure. These matters should all be resolved within the next two months. Mr. Leach asked that the Samples be allow to proceed with the construction project and that the building permit be issued. A conditional septic permit could be issued that would be finalized upon completion and execution of the management contract. Chairman Pitts asked the nature of the 20+ conditions, which Randy advised he would explain during his presentation after which the discussion continued of the King County approval of this same type of system. Randy Durant then reported the following regarding this system and the events since the April 1985 meeting after, providing the Board members with a copy of a letter to the applicant from Dr. Fischnaller; the Health Board Minutes: March 19, 1986 Page: 8 D.S.H.S. response to this system; and a copy of the Health Board Minutes from April 17, 1985: Since March of 1985 the staff had looked into the use of this system in other areas and a report on those findings was made at the April 17, 1985 meeting with all parties present. After the variance was granted by the Board (subject to approval by the Washington State D.S.H.S), Mr. Leach proceeded with preliminary design of the system. Plan development, telephone calls with D.S.H.S. and the Department have been on going since that time. D.S.H.S. approved guidelines for sand filter systems in 1981. The first generation AIRR devise met those requirements. The third generation AIRR device (proposed for Samples project), with a change in media in the filter itself is currently under review by the State and not on their approved list. The State Health Department has reviewed this particular plan along with the waivers as far as set backs, etc. that were part of the original motion allowing the system and have concurred with those items as stated in their letter. They wanted it made clear that the responsibility and authority to approve the devise is with the local Board of Health and the Health Officer. The State can concur with the local decision but that does not constitute approval of the system itself for use in any other location in the State other than the Samples' property. The State feels that this is a good opportunity to gather information has far as quality of treatment that the system will provide. The major requirements outlined by the State were that Operations and Maintenance (0 & M) be provided by a public entity which the PUD will provide and that there be an agreement, in the contract, as well as one of the conditions of issuance of the permit, that the property owner would agree to replace the coarser filter media with the 1981 media should the quality of the effluent not meet the minimum established levels. The minimum effluent quality levels have been established somewhere in between what was originally indicated that the devise would perform at the March 1985 meeting and better than what would be produced out of a septic tank. These levels are in the contract and will serve as the baseline for evaluation. All technical aspects have met the intent of the motion made by the Board in April 1985. The following items are to be done: 1) Response from the Prosecuting Attorney and 2) the formalization of the contract between PUD, the Samples and Spec Industries. The County is reviewing the contract for content regarding 0 & M. Randy Durant recommended that if the Board approves issuance of the sewage disposal permit that the following be a part of the motion: 1) Approval of the devise does not constitute approval of the devise anywhere else in the County, only on this site. 2) The system must meet D.S.H.S. system installation and operation recommendations. 3) The Jefferson County Health Department conditions of permit Health Board Minutes: March 19, 1986 Page: 9 issuance must be met. (The 17 referred to earlier by Mr. Leach). 4) Approval of the contract by the Prosecuting Attorney. Randy further stated that the request today to actually issue the permit for construction prior to the contract being finalized is, in his opinion, premature, based on the Board's original motion. Commissioner Brown advised that his understanding of Mr. Leach's comment was that the PUD will be responsible for the monitoring and their Counsel has reviewed the contract and stated that the contract does meet the needs. In response to Commissioner Brown's question about any real problems that may be encountered in the finalization of the contract, Randy advised that he couldn't see any, it is just a matter that the contract is not yet finalized. Mr. Samples stated that when this project was first discussed with the Board a year ago, this project was estimated to cost between $5,000 and $8,000. Right now the cost is estimated to be somewhere between $15,000 and $18,000. The increase in cost can be contributed to the development of the 0 & M Manual/Contract. This document has redundant requirements in it, Mr. Samples continued and stated that he is totally dissatisfied with the amount of delay and additional stress put on his health, by the County and others and he would like to get on with construction. There is no reason why the building permit can not be issued at this time. If it is necessary to put some kind of constraint against the sewage permit, then Mr. Samples added, he can understand that the signing of the 0 & M Manual might be that constraint, not all of the other things that have already been covered in the contract document, to protect all parties, the County included. There is no other 0 & M Manual like this in this County or anywhere else for a single family dwelling. The construction that they are asking be allowed to start, is the installation of concrete items, such as retaining walls, skirt drains, etc., nothing to do with the drainfield. The drainfield area will not be touched until there is a dry season. Randy added that along with the approval of the above mentioned items, the County will be required to monitor the site on occasion and keep a file on this project. The testing and monitoring costs between the PUD and Mr. Samples are covered in the contract, but the costs incurred by the County on this project are not covered. The Board needs to consider if any annual monitoring and/or field time fees needs to be charged. Discussion of this issue followed with Mr. Samples stating that he does not understand why there are all of these redundant testing and monitoring requirements. Mr. Samples further stated that he knows of other permits issued in this County that require some additional monitoring by the Health Department, which are provided at no cost to the owner. Mrs. Samples added that the results of the tests being made by the PUD are also being sent to the Health Department. Health Board Minutes: March 19, 1986 Page: 10 Commissioner Brown advised that he is not aware of any permits issued that the County is providing extra work for and not charging the property owner. The example that Mr. Samples indicated, Randy Durant advised, is a system that is not installed yet, but the same condition stating hourly fees for extra work provided by the Health Department is on that permit. Randy clarified that he was not talking about tests, but was referring to the Health Department staff being on site at least once a year and being required to keep a running file on the test results that the PUD is providing. John Floyd suggested that there will be benefits derived from this project by this County, D.S.H.S. and certainly by the PUD and he is reluctant to ask the Samples to pay for information that is being developed for the benefit of the PUD as well as for the Samples. The Board's primary concern and charge is to see that the health and welfare of the County is provided for, even on an alternative system. They have to make sure this system works. The PUD is putting money into this project to provide information to evaluate this system, Chairman Brown added and stated that if the County is in fact gaining some information from this project that is beneficial to all of Jefferson County rather than just Mr. Samples then a different light is put on who should pay the bill. Commissioner Pitts moved to approve the request for this system with the conditions that have been written and asked that Randy develop a fee schedule as indicated to charge for those things that are of the benefit to the Samples. If the pursuit of collecting information, is for the County's benefit then the County should assume some of those fees. In the interim the Prosecuting Attorney should review this legal document and it will be finalized before the construction of the actual system (not the bulkheads and the preliminary work), before the system is turned on. Bob Leach stated that they would like to parallel track the construction of the project including all the elements of it and the finalization of the contract. This would mean construction of the whole system, but not using the system until the contract is finalized. Commissioner Pitts clarified his motion to say that three things be set up to approve the system: 1) The 17 conditions as outlined and listed on the sewage disposal permit be observed, 2) the fee schedule to be developed by Randy and approved through the Department and 3) the Prosecuting Attorney sign off on the operations procedures in the contract. The question is, Chairman Brown asked, what can happen before the construction? You indicated that you would not want to see them do anything with the septic system but go ahead and do their bulkheads and the amenities to this thing but not the drainfield. What they are saying is that is they would like to proceed with the total project other than utilization of of the system. Health Board Minutes: March 19, 1986 Page:ll Mr. Samples said that the building permit should be issued without any constraints on it whatsoever, at this time. The septic permit would only have the contingency on it, that the 0 & M Manual be signed by all parties before use. The contractjO & M Manual has been reviewed by several attorneys and the County is not unprotected at all. Commissioner Pitts then stated that his primary concern is that the County's legal counsel (Prosecuting Attorney) reviews the ContractjO & M Manual and signs off on it. As far as he is concerned they can construct and develop the system. Randy interjected stating that "issuing the building permit and the sewage disposal permit, but not utilizing the system until the contract is reviewed and approved by the Prosecuting Attorney." Commissioner Brown seconded the motion and thanked the Samples for attending the meeting. MEETING ADJOURNED JEFFERSON COUNTY BOARD OF HEALTH /' ~ B.'G. Brown, Chairman John L. Pitts, Commissioner ( /}~;:P-:/',_, hJ;?A, ,J#~ -7:72 ~,V.,,?':- - ~' ' ?'?r.?~7~7tL 't-? /F'Y?-?-?7:;3, Y / - I 7P7~n~/?;;/-?t <0/ t7 _' /. L./ ~ ;?"~77-;YZ// /--uZ"Z"7 -p~", ~ 777?/{Y'/}'i!-7 L ' t - . ~-/7p"OZ;?P-7 ?? .;2-;;'--~' /2/ /-)-77r~ 7/);1 . - '?2/;C1-7-//~;2.-Y~~;f!f 17-/f-7/ r?l?-. ~;;-Z-d-----/Y'~T-r/L?: ,-n/ -77-7<c/ /-, ~;'f'-:Z/~ ;;?-~?:; :1-'- /p't-~-+/ ';~77(} "C:Y;?-7-?;;-r;?--;/,AA-'-;;r' /)~Y2:?~/~::/ ,7~;2-7/'i7 ~-,,;-.y-, ~~':.:2~--Yfr-7~ /J--o. ~-?;:7 ,[ -71/ -;;;'7?V/ )?'77/"fX /~ ij-"Y/?"?- ::ZO'7~ <~~ '~-~P7? ~~,:2"'::7<7 ,,/oil. r.? 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'A ' ,j 'Ii'. _\ h: . ,: < ,I , i , , Publir~:--. 2 tir:.es: April :98~, anc May 7. :98E ~" ~v , PUBLIC NOTICE ChA~G2 :X M~E::NG ~A~~ ~he mo~th:y meetl:1f of the Jefferson County Hea:th Board has bee!~ cha:lged to the :.:::11'"6 T...~,esc.i2'::/ c)f e3ch mont:n at 1:30 :p.m. i:l~ ~.:ile basement Confe:-ence Room o~ the Jefferson County Multi-Services Bu~ldi~G, 802 SheI"idan, ?or: :ow~~se~d, W2. 92S68. This change becones effective ~,~~ the May meeting: which w~l~ be .ey: ~v:c:.. '} j2 C, 1986. :EFFERSON COUN:Y BOARD OF COMMISSIONERS ~?L/~' ;ohrl L. Pitts, Chajrmarl BOCC ':'C: