HomeMy WebLinkAbout02 February
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JEFFERSON COUNTY HEALTH DEPARTMENT
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Minutes: February 16, 1983
Board Members: Staff Members:
B.G. Brown, Chairman
A.M. O'Meara, Member
John L. Pitts, Member
Randall M. Durant, R.S.
Phyllis Bee, P.H,N.
Joseph Fischnaller, M.D.
Gael Stuart, Administrator
All members were prl'sent when Chairman Brown called the meeting to order.
MINUTES: By mo~ion 9f Commissioner O'Meara, seconded by Commissioner Pitts
and unanimously passed, the minutes for the meeting on January 19, 1983
were approved.
APPEAL OF SEPTIC S STEM APPLICATION DECISION: C.A. McCONNACHIE: Attorney
enn A ra am repr sente Mr. c onnac ~e. an y urant rev~ewed evidence
regarding this matter, beginning in January, 1981 when application was made
for a septic pe:tit in conjunction with plans to remove the existing house
and rebuild on is one-acre lot on Mats Mats Bay. The application was de-
nied due to hi h water table, lack of suitable soil, and inadequate area for
a drain field, given the locations of the bay, a creek, and two wells. As a
result of an appeal to the Health Officer in March, 1981, in which Mr.
McConnachie indicated the existing system was failing at times, Mr.
McConnachie was informed that, as long as the existing structure was being
used, repairs to the existing septic system would be approved, but that a
mound system would be the only type which could be used to replace the
existing drainfield. He was also informed that remodeling or replacement
of the existing home would be considered for approval following repair of
the existing drainfield. A report from an engineering firm indicated that
the existing system is not failing and that, with specified precautions, a
conventional septic system would be adequate on this lot. Mr. McConnachie
submitted another permit application in November, 1982 based on remodeling
and improving the existing house. The Environmental Health Director and
the Health Officer maintained their position of March, 1981, and the permit
was not approved. (Documents: Attachment I)
Commissioner Brown noted that any failure in the existing system could be
due to the tank not being pumped and to disrepair of the drainfield, stating
that, given the age of the system and the number of years it had operated
acceptably, repair of the existing system could be feasible. Mr. Abraham
added that the proposal is to reduce the house from three to two bedrooms
and install water-saving fixtures,
It was clarified that WAC 248-96-040 permits repair of an existing system,
but stipulates that repairs be the best possible, Although the Health
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Health Board, February 16, 1983
Page 2
Department staff feel a mound system would be the best replacement system,
such a system could also fail.
Commissioner O'Meara made a motion to permit repair of the existing system
with a conventional septic system designed by an engineer and approved by
Mr. Durant, Commissioner Pitts seconded the motion. Unanimous.
APPEAL OF SITE EVALUATION: JOSEPH MURRELL: Ed Benn represented Mr. Murrell
on this matter. Mr. Murrell wishes to sell his Bridgehaven lot, but feels
he is essentially prevented from doing so because an August, 1982 site
evaluation indicated site conditions are unacceptable for a septic system,
This is in conflict with an October, 1978 site evaluation which condition-
ally approved the site, The lot does not provide an acceptable area for a
drainfield which is both 100 feet from a neighbor's well and 75 feet from
the beach, (Documents: Attachment 2)
There was discussion of the similar problems involving a number of lots at
Bridgehaven, and of the Shorelines Permit application now in process in
which affected lot-owners are seeking permission to use some fill and place
bulkheads in order to prevent further erosion along the bank. In some
cases, this may also increase lot size, and could possibly, although not
necessarily, affect septic permits. Mr. Murrell's lot is one of those in-
cluded in the Shorelines Permit application,
The Board decided to take no action regarding Mr, Murrell's appeal until
the Shorelines Permit application has been processed, Mr. Benn agreed that
this was reasonable,
APPEAL OF SERTIC SYSTEM APPLICATION DECISION: CHARLES LAWS: Mr, Laws was
accompanied by John Ekstrom, septic system designer, during this discussion
of his proposal to install a mound system on his lot at Cape George Village.
In this case, conditional approval of the site had been given during site
evaluations in 1975 and 1977, but the site was found to be unacceptable when
a permit application was made in July, 1982. This is another area where
soil conditions are generally poor and there have been a number of septic
system failures as the area has developed, (Documents: Attachment 3)
Points made regarding this particular lot included: l)The soil is slowly
permeable, requiring a greater area and depth to accommodate a septic system
than permeable soil. 2)Mr, Ekstrom has designed a mound system, with fill
carefully taylored to this site, which he feels would be adequate for this
lot and will meet State regulations. 3)Mr, Ekstrom feels there is a 100
percent reserve area available should replacement of the system become
necessary, Mr. Durant does not feel there is an adequate reserve area,
4)The house Mr. Laws intends to build would have only one bedroom, with
water-saving fixtures and a two-bedroom mound. 5)Mr. Laws is willing to
add a covenant to the deed which would preclude enlargement of the house
and would require water-saving fixtures. 6)Mr, Laws is willing to have the
system closely monitored, and agrees to immediately undertake repair or
replacement of the system should failure occur. 7)Installation of this
system, with careful collection of data, could provide valuable information
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Health Board, February 16, 1983
Page 3
regarding a mound system on this small a lot (12,000 square feet) with
slowly permeable soils, and would be pertinent to future sewage disposal
in this Cape George area,
Mr, Durant stated that the major factors in mound system failures have been
construction in the area, lack of control of surface water intrusion, and
slowly permeable soils, He further stated his belief that a replacement
system could not successfully be installed in the same area, should this
mound system fail, He pointed out that if the proposed system is installed,
it could affect future decisions regarding other borderline or unacceptable
lots in the area. Mr, Durant recommended that, if the Board chose to allow
installation of this system, the design be submitted to the State Health
Board representative for review and approval,
Dr. Fischnaller said there is no way for Mr. Laws to hold the County harmless
should the system be approved and fail, and neighbors who might be affected
by any failure would probably have legal recourse against Mr, Laws and the
County.
Commissioner O'Meara made the motion to approve installation of a mound
system on this lot contingent on approval of the State Health Department.
Commissioner Pitts seconded the motion, Unanimous.
Mr. Laws was instructed to submit a current system design to Mr, Durant for
transmittal to the State,
ENVIRONMENTAL HEALTH SPECIALIST CONTRACT: JOHN HAYES: Mr. Stuart reported
that an ~nquiry to Clallam County regard~ng the possibility of Clallam County
employing Mr. Hayes, then allowing him to work in Jefferson County three days
a week by contract, so that Mr, Hayes would be eligible for insurance and
other benefits through Clallam County resulted in their proposal that his
salary scale be increased to that of Clallam County (Letter: Attachment 4).
Clallam County has a higher scale: $13.67 per hour, as opposed to the $13,18
Jefferson County now pays. He stated that he felt it would not be fair to
other contract employees of comparable status to pay Mr, Hayes more, and
therefore recommended against a contract for services with Clallam County,
Commissioner Pitts made a motion not to pursue a contract with Clallam
County, but to present the contract at $13,18 per hour between Mr. Hayes
and Jefferson County to Mr. Hayes. Commissioner Brown seconded the motion,
Unanimous.
WAIVER OF 100 FOOT CONTROL RADIUS: QUILCENE LITTLE LEAGUE PARK WELL: Mr.
Durant reported that the State Health Services Division would consider
approval of the 100 foot radius waiver. The well is 85 feet from one pro-
perty line. However, they want the County to try to get a restrictive
covenant on the 15 feet of the neighboring property which completes the 100
foot radius, first, The Board instructed Mr, Durant to contact the property
owner and request a restrictive covenant.
NURSING DIRECTOR REPORT: Mrs, Bee submitted the monthly report for January,
19~3 (Attachment ~) and the annual report for 1982 (Attachment 6). Mr.
Stuart requested that Mrs. Bee be allowed to present her report at the
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Health Board, February 16, 1983
Page 4
beginning of the meeting in the future so that she can be excused from the
meeting during the environmental health matters, The Board also felt this
would be advantageous, and will hear her presentation first when no one is
waiting to meet with the Board. They also suggested that her written report
would be adequate unless she wanted to report additional information, and
that if they have questions regarding the written report, they will ask her
to appear as early in the meeting as possible. Otherwise, she may be
excused from the meeting entirely.
ENVIRONMENTAL HEALTH DIRECTOR REPORT:
the month ot February, 19~3 (Attachment
for 1982 (Attachment 8),
Mr. Durant reviewed the report for
7), and submitted the annual report
HEALTH OFFICER REPORT: Dr. Fischnaller reported that he and Mrs. Bee have
applied to attend a seminar regarding treatment of tuberculosis next month.
ADMINISTRATOR REPORT: Mr. Stuart presented the Budget Report for 1982
(Attachment 9).
MEETING ADJOURNED: The next regular meeting will be on March 16, 1983.
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January 21, 1983
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Board of Cr.unty Co;c;:;]issioners
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Re: C.A. ;.jcConnachie
Septic tank
Dear Sirs:
Hr. C.A. ;.lcConnachie has requested that I ask you
for review of the denial of a buildinS per~it to
remodel his house at Mats Mats because of the refusal
of the Health Department to approve the septice tank
system proposed.
This is. not a case of new construction, but of
re~odeling an existing hume. In fact. the new plan
\.-JQuld ~liminate one bedroom that new c":xists in the
house. Mr. McConnachie is quite willing to improve
the system, but feels that the plan insisted upon by
the Health DeparL~e~t is not workable, and he has
engineering opinion which confirEs that.
Mr. McConnachie requests that you set a time for
hearing this matter, so that he may have a review of
the Health Deoartment findings.
Thank you for your attention to thi~ matt~r.
Sincerely,
GLE:n: ABRAHAH
GA:pb
cc: Health Cepartment
C.A. I.jcConnachie
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JEFFERSON COUNTY HEALTH DEPARTMENT
B02 SHERIDAN AVENUE
PORT TOWNSEND, WASHINGTON 98351
(206) 385-0722
SEWAGE DISPOSAL PERMIT
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PARTIAL REPAIR 18I
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TYPE OF M NO. OF , q SITE"
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NN REJ'DYAL Of 00 l-;A.JOO DISTLRBANCE Of SOIL IN THE PROPOSED 00 APPROVED ffiAINFIElD a:I
AREA YAY C?EATE SITE CONDIT1~ TI'AT tJ(E LNACCEPTABlE FOO THE INSTAUATIoti OF A ....8
SEY'}\GE DISPOSAL SYSTEM. NN QW>lGE IN BUILDING 00 SEWAGE DlSPOow.. PlANS (INCUDIt.G
PLU'3WS STUBOUT LDCA nON) NIDlW L9CATION OF mUSE OR DRAINFIELD INVALIM TES THIS r
PERMIT U>lLESS PRIOR N'PROVAL IS OBTAINED FRQ'\ THE HEALlH DEPARn-aff. (Call Health Dept:.
for final inspection),. '
Drainf,eld Lenqth ' 'Nidth :: Depth , Lines Tanl< SIze Gal
COMMENTS::/ wovl-J }.1'kli 10 "BTEitJ .:t. cn"'OCOMPARTMENTS)
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APPROVED .." . DATE- INSPECTED PARTIAUFIN~L DATE
I certify that this system: ....as installed in a ',:"annec ~pproved by the Heallh Department.
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'lI~FFERSON COUNTY HEALTH DEPARTMENT
802 SHERIDAN PORT TOWNSEND. WASH. 98368
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November 16, 1982
C. A. McConnachie
Route 1, Box 525
Port Ludlow WA 98365
Dear Mr. McConnachie:
Re: November 15, 1982 sewage disposal application for sewage disposal system
replacement repair on Lots 93 and 94, OlYDpuS Beach
Enclosed are copies of the March 18, 1981 letter from Dr. J. E. Fischnaller,
Health Officer, and my letter of October 6, 198~ to your engineer for your
information. As per Dr. Fischnal1er's letter, our position has not changed.
Site conditions are extremely poor for on-site sewage disposal. If a house
was not already there no se~age disposal system could be approved for the
property,
Hence, a mound system is the only system we can consider that might function
on the property. Further consideration and reviey of your property is subject
to submittal of a specifically engineered mound design for the property to
this office and the Department of Social and Health Services,
If you have any questions or co~ents please contact this office.
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Randall M. Durant, R.S.
Director of Environmental Health
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cc: Mr. McConnachie, 217 Alder St., Edillonds WA 98020
Dr. J. E. Fischnaller, Health Officer
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JEFFERSON COUNTY HEALTH DEPARTMEN
802 SHERIDAN PORT TOWNSEND, WASH_ 98368
(206)38500722
October 6, 1982
Randolph R. Sleight, P.E., P.L,S.
Reid, Middleton & Associates, Inc,
121 5th Avenue North
Suite 200
Edmonds, WA 98020
Dear Mr. Sleight,
RE: C. A. McConnachie Sewage Disposal System - Lots 93 & 94,
Plat of Olympus Beach, Sec. 4, Township 28N, Range IE -
Remodeling Existing home,
Thank you for your letter of Sept. 30 which we have considered.
We must again reaffirm the conclusions that were previously made
in February and March 1981. The site is basically unacceptable
for on-site sewage disposal. We have had continuing problems
in the area with existing sewer systems "hich have failed and or
fail seasonally. The system next door failed last year. Mr.
McConnachie informed us th1 existing system ~as inadequate and
we felt it did snrface "ith increased useage, (drainfield in
blackberry patch). Basea on site conditions observed, I'm sure
this is or would be the case if the home was remodeled.
Therefore, as per Dr. Fischnaller's letter of March 18, 1981,
a mound is the only repair option we can consider. Other points
you made in your letter regarding attempting to lower the water
table and use of ,~~w.?ater use fixtures are good.
Should you have any questions or comments, please contact this
office.
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R&~DALL M. DURANT, R.S.
Director of Environmental Health
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Reid, Middleton & Associates, Inc.
JC:FF. COU;,TY
SePtem~~A~li~ ffi2T.
Engineers · Surveyors · Planners
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Mr, Randall M. Durant, R.S.
Jefferson County Health Department
802 Sheridan
Port Townsend, Washington 98368
Dear Mr. Durant:
We have been engaged by Mr. C. A. McConnachie to review the sewage disposal system
serving his residence at Mats Mats Bay and to recommend acceptable modifications
to accommodate his remodeling plans for the existing structure,
The proposed new construction consists of providing a new double garage/boat
storage area located on the southerly side of the existing structure, leveling
the foundation structural members of the house, and some interior/exterior re-
modeling of the existing structure. The contemplated remodeling would result in
the conversion of the existing 3 bedroom residence to 2 bedrooms.
On August 15, 1982 I visited and reviewed the soils on the subject parcel: Lots
93 and 94 Plat of Olympus Beach according to the plat thereof recorded in Volume
3 of Plats Page 19 records of Jefferson County.
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The existing soils are comprised of the following two classifications:
"S...antown Gravelly Sandy Loam, 0 to 8 Percent Slopes
This nearly level to gently sloping soil is in lowland seep spots of terraces
along the toeslopes of moderately steep, hilly glacial terraces.
The depth to the cemented layer is 20 to 30 inches, The A horizon ranges from
dark brown to very dark grayish brown in color. The B horizon ranges from brown
to dark brown and dark yellowish brown.
This soil is somewhat poorly drained. Permeability is moderately rapid above
the cemented layer and very slow in the cemented layer. Roots penetrate to the
cemented layer. This soil holds about 2 to 4 inches of water available for plants.
Runoff is slow, and the hazard of water erosion is slight. A perched water table
is at a depth of 1/2 to 1 foot during the rainy season. Annual precipitation
ranges from 17 to 25" inches. "
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Mr. Randall M. Durant, R.S.
September 30, 1982
"Cassolary Sandy Loam, 0 to 15 Percent Slopes
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This nearly level to rolling soil is on upland terraces.
range from 5 to 10 percent."
Although a complete percolation test was not completed during my site inspection,
these soils types exhibit a typical percolation rate of approximately 10 min./in,
to 15 min./in. in the A horizon and significantly slower perc rates at deeper depths.
In most places slopes
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These rates suggest that the horizontal and vertical flow via percolation into the
groundwater aquifer is slow enough to allow purification to meet health standards.
Also, from visual inspection of the site topography, the equal potential lines of
the underground aquifer do not flow toward the creek to the west but instead
essentially follow the existing 7.5% slope toward the bay, approximately- 120 feet
a,way.
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_<_From my field investigation it is apparent that the existing drainfield system is
~J~;~-not failing, as was indicated in Dr. Fischnaller's letter to Mr. McConnachie dated
-~ March 18, 1982. The system has apparently been in continuous satisfactory service
for the past 30 years and shows no visible evidence of leaching into Mats 1'1ats Bay
or sewage surfacing from the existing septic tank.
~Although this site does not meet all of the present standards for soil depth and
depth to a high water table, we believe that these shortcomings can be mitigated
by shallow installation and installation of interceptor/french drains with visqueen
vapor barriers on the downhill side.
Thus, given the existing conditions and the owner's plans, we feel that by com-
pleting the items listed below an acceptable system can be provided for this site.
These items, which must be strictly adhered to for installation of a modified
conventional drainfield system, are as follows:
1. Construction of the drainfield and new 1,000 gallon septic tank
shall be completed during the summer months to prevent undue
compaction.
2. Interceptor lines wi.th visqueen/barriers must be installed to
insure the lowerih~ or the existing water table at least l~ feet.
3. Select fill/topsoil to a depth of at least 1 foot shall be imported
to cover the additional lineal footage added to the existiog system.
4. - Monitoring ports constructed of rigid 4" PVC per SOR 3034 to be
constructed to periodically check system service ability and water
quality.
5. Maximize use of low water consumption devices, including:
a.' Low flush toilet.
b. Shower head nozzel with flow restrictors.
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Mr. Randall M. Durant,
September 3D, 1982
R.S.
We have considered the use of a mounding system for this site and conclude that
the installation of such a system would serve no apparent purpose, especially
since leaching at the toe of the fill could easily occur on this 7.5% slope.
The mound systems work much better on more level topography.
. .
We request that you approve the concept of rehabilitating and expanding the existing
conventional system based upon the foregoing considerations. We believe that such
an improved system would result in a very satisfactory situation for the existing
residence and for the remodeled structure. Please reply,
Very truly yours,
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Randolph R. Sleight, P.E., P.L.s.
cc: Mr. C. A. McConnachie
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PUBLIC HEALTH
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JEFFERSON COUNTY HEALTH DEPARTMENT
802 SHERIDAN. PORT TOWNSEND. WASH. 98368 12061 38S-0722
March 18, 1981
C.A, McConnachie
217 Alder Street
Edmonds, WA 98020
Dear Mr. McConnachie:
Re: Appeal session for sewage disposal permit application for new residence
(replace existing residence). Lots 93-94, Olympus Beach, Mats r~ats Bay
As you have indicated, sewage does surface on top of the ground from the ex-
isting septic tank and drainfield. This department would approve a repair
as per WAC 248-96-040. Site conditions previously observed were:
1. High water table
2. Lack of suitable soil for on-site sewage disposal
3. lilck of adequate area due to lot size and close proximity to
Mats Mats Bay, a creek on west property line, your proposed
well site and the neighbor's existing well.
These conditions do not meet the standard requirements of WAC 248-96 and
any repai r may be subject to fail ure.
Because of these conditions a mound system is the only system we can consider
for replacement of the existing failing drainfield. These guidelines were
provided to you on this date.
Submit plans to r.lr. Bill"Liechty, DSHS and this office for review. Work to
divert surface and sub-surface water away from the drainfield area should be
done at this time.
The remodel or construction of a replacement home would then be reconsidered
after approval of repair of existing sewage disposal system.
Sincerely,
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. J.E. Fischnaller, M.D.
Health Officer
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. .802 SHERIDAN. PORT TOWNSEND. WASH. 98368 12061-~722
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February 6, 1981
C. A. McConnachie
217 Alder Street
Edmonds, Washington 98020
Dear Mr. McConnachie:
Re: Sewage Disposal permit application - replace existing sewage disposal
system for proposed new residence on lots 93 & 94, Olympus Beach,
Mats Mats Bay
It is with sincere regret that I must inform you your site cannot be approved
for on-site sewage disposal pursuant to the rules and regulations of Jeffer-
son County Ordinance No. 2-77. The reasons for this decision are as follows:
1. High water table
2. Lack of suitable soil for on-site sewage disposal
3. Lack of adequate area due to lot size and close proximity to
Mats Mats Bay, a creek on west property line, your proposed
well site and the neighbor's existing well.
As per our discussion on January 15, 1981 at the property, if you are aggrieved
by this decision, you may appeal to the Jefferson County Health Officer, J. E.
Fischnaller, M.D. (385-0722). Dr. Fischnaller's next scheduled day in our
office is February 18, 1981.
If you have any questions or comments please contact this office.
rely,
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Director of Environmental Health
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cc: Dr. Fischnaller
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- 802 SHERIDAN AVENUE
PORT TOWNSEND, WASHINGIQ.N 98358 RECEIPT NO. _ If? 9 (,
- (206)385-0722 R teE I V f ~ - . _ r,/
Q/oI<;.r SEWAGE DISPOSAL PERMIT DATE I-.')t)- ~
Submit in Duplicate t d 02 '8 f
INSTAllER ,S' II (I [,1
BUILDER C ~. J.1r ;;'v> He hE
C /J. /1 f aJJ!/FJC.jIiH
Owner
:J ,? If lJ ~ (~ ')r /2;~~ou~rr 11 771. - t. ~-SG:.
Address 'l~o;J6~Pf: Phone,'
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}v. ~IS
11- c' J<< c s :> r>f Pr.<iP
Directions lor locating site 11 p1!oX i
!.()V,..c..I../;", ~fftT,..,.f' Ivln-TS
INSTALL NEW SYSTEM 0
REPLACE SYSTEM_t5Sl
PARTIAL REPAIR 0
TANKlDRAINFIELD 0
I RelTi.
SE6
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TYPE OF NO. OF SITE flPIi'~ l(
BUILDING I~ BEDROOMS BASEMENT 5 -SIZE i IlR PH /..
D AW DEiiTAILED PLOT PLAN BELOW. STUB OUT PLUMBING ABOVE FOUNDATION FOOTING
~ S '.7 SOIL LOGS
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Dig two holes per site, (min.) [/1:8"
~' deep. 2' dia . SO' apart & flag-': '-c. ,Is _.
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ANY CHANGE IN BUILDING OR SEWAGE DISPOSAL PLANS (INCLUDING PLUMBING STUBOUT
LOCATION) AlID/OR LOCATION OF HOUSE OR DRAINFIELO INVALIDATES THIS PERMIT UNLESS
PRIOR APPROVAL IS OBTAINED fROM THF HFAI TH nFPARTMFNT ---
Drainfield Len th Width De III /I Un s Tank Size Gal.
COMMENTS: C'1' '/...4. ['.c.:f ~ E~~ 3 8LL-~rrwo COMPARTMENT~)
~ ~~ ~ -oW u.-4 ~ 7?- f).R~~~ 'C~ 14111-#
-r 13~.# t[ ;;:W.-J a 8~~~-,..., 1-h~ c~-rtfi ~'":1 ~
APPROVED DATE INSPECTED PARTlAUFINAL DATE
I certify Ihatthis system was installed in a manner approved by the Health Department.
INSTALLER'S SIGNATURE
('C. '(";,T,q.5;--7r.5, r;/,d 3 -..2J -P-
JCHDI1,78
DATE
DATE INSTALLED
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Joseph Murrell
1559 Sumao Lane
Anaheim, California
10 JanuaI'Y' 1983
Jefferson County Board of Health
802 Sheridan
Port Townsend, Washington 9836S
HE: APPEAL OF HEALTH DEPARTI4ENT ADVERSE SITEtVALUATION SURVEY <F LOT 31, DIVISION 7
BRIDGEHAVEN
Gentlemen:
Referenoes:
a. Site Evaluation Survey dated 6 October 197$. (Encl #1)
b. Site Evaluation Survey dated 26 August 1982. (Enol #2)
c. My letter to the Jefferson County Health Officer dated 20 NO'I'ember 1982.(Enol#3)
o. Jefferson County Health Officer's letter to me dated 15 December 19S2.(Encl #4)
I appeal the adverse site evaluation survey oontained in reference b and Dr
Fisnaller's letter contained in reference d for the reasons outlined in reference c.
Further, it is obvious from Dr Fisnaller's letter that less than adequate procedures
were utilized by the Sanitarian in the 6 October 197$ site evaluation 'Ilhich resulted
in IllY purchase of the property and of paying taxes on it since that time.
Ed Berm of Ol,vmpic Investmel}ts, Inc. will represent me at the Board of Health
meeting SCheduled for 9:30 AM Ii JanuaI'Y' 1983.
Sincerely ,
~. i ,"..~ ~~'J..e/'
". \.... V\ '.
. .
,AOSEPH MURRELL
.'. ~
Applicant:
()J )'mri~ Tmr"'.etP->QRt.~
No.: 4875
Fee: $15,00
Date: 10-6-78
Sec. 16 Twn. 27N Rg. IE
JEFFERSON COUNTY HEALTH DE?ARTMENT
Multi-Service Building' 2nd Floor .
802 Sheridan Avenue
Port Townsend, Washington 98368
385,0722
Chimacum, WA 98325
Lo t 31. Di v , ~ _ll.l:idMbayen
LEGAl.. DESCRIPTION 1011/., BLK.,I..Oll
Fir~t Lot on Inside of spit
DIRECTIONS FOR LOCATING SITE (DRAW MAP ON BACK)
Address:
Rt 1, Box 407-T
Phone:
437-2212
map attached
THIS DOES NOT CONSTITUTE
APPROVAL OF A BUILDING OR
SEWAGE DISPOSAL PERMIT.
Site size 120 x 42 x 120 x 106
A.)
Seller PUllet Sound Exchange CorD.
Buyer Guzman
I request this site evaluation for
1
single family .residence or
INSTRUCTIONS: A minimum of two soil log holes at least 4 feet deep, 2 feet diameter. and 50 feet apart must
be dug in the proposed drainfield area and flagged before the evaluation IS made.
...... *... *
A site evaluation of the above property was made on
and your request has been:
n,.rnh,.:Jor '\ 1 Q7R
.
by this department
o APPROVED - Pending submission of a completed sewage disposal permit application.
[i] CONDITIONALLY APPROVED - Providing conditions listed below are met and submission of a
completed sewage disposal permit application.
o DENIED.
COMMENTS: *
*
Locate draintield minimum of 75' from beach
Maximum two-bedrooms due to small lot size
Sewage disposal permit cannot be issued until water system approved
by John Maxwell, Dist. Engineer, Water Supp~ & Waste Section, Health
Services Division, Mail Stop LD-ll, Olympia, WA 98504 (753-4152).
*
Soil Log:
1) 0 - 42" sand
2) 0 - 42" sand
Respectfully,
(~::t~,~~~,
SANITARIAN I.
Randall M, Durant, R,S.
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SITE EVALUATION REPORT
",FFEh::>ON COUNTY HEALTH DEPT.
UNACCEPTABLE
4689
Recelpl No:
540.00
Multl.Service Building
H02 SllOlidan Avenue
Pori Townsend, Washington 98368
(206) 385.0722
Joseph R, Murrell
Fee.
Dale.
Aug ~ 26, __1.9~2
Appllc..nl
815 Van Buren
Sec.
16
Twn
27
lE
Rg __.--
Addre55
Port Townsend, WA. 98368
Bridgehaven Div. 7, Lot~___---
l6\IAI De.cupl,Of'l (D... 61),. LOU
Telepnone
385-0883
IHI::' HlPOHT OOES NOl CONSTITUTE APPHOVAl OF A
UlJllDING OR SEWAGE DISPOSAL f't:AMlT THOSE:
f~t Iit.illS ~HAll l:;( GRAtJIED ONLY uPOtJ APfJLlCATION
MW WILL BE HI VIEWED IN ACCORDANCE WIT H
cur~()IJIONS AND HfGULAIIONS t::XI~TING ON THE DAH.
Of !tt[ PfF4MIT J."PPlICATION THIS kl:POHT IS NOT A
PlHMlT APPLICATION
Site Size
120 X 42 X 120 X 105
_.---_._~
OIl.Cl>Ofl,IQllOCAlIflQ ~Ill' (D,aw map on backl.
Seller
Jose.JllL.R.~Jlxrell
Buyer
I rcQueSllhlS Slle evaluallon for
1
Single laml1y residence or .
INS! RUCTIONS: A mln,mum 0' Iwo soil log hole' allea,' 4 lee' deep, 2 'eel d,amelel. and SO leel apa<' musT be aug ,n Ihe p,opo;ed
droll 1Il11t,.Jd area and flaggod belofP thp 6~aluallon H. made_ See attached instruction sheet .
A ~11t:: t:lfdluCillon 01 me aDo...e property was m<lde on ~
pr(."..H~lly hd.~ Loeen founCl
_~/ll~2~~~.____-~~---~ Dy Inls Ot-piHllnCnl dnO Ihe
o ACCEPT ABLE. Sool ana s"e cona",on. a'. acceplable 10' tnS'allal,on 01 a sewage a,sposal s,slem, oS '"qu'.SI",' 00'"'' unde'
eJ.lsllOg condlllons and regulallOns
o CONDITlor'ALLY ACCEPTABLE. 5011ano "t. cona,lions al. acceplableIOlIO"all.."on 01 a sewage a,sposal s,slem. as "'que,,ea
above, unoef eXIsting conOII.ons ,and tegulatlOns, prOVided THE CON 0IT10NS SET OUT BELOW
ARE MET.
)tX UNACCEPT ABLE.. 5011 and site conditions. are unacceptable lor InslaUalion 01 a septIc tank system
COMMENTS It is with sincere regret, based on site conditions observed, that I must infonn
you your site cannot be approved for on-site sewage disposal pursuant to the
rules and regulations of Jefferson County Ordinance No. 2-77. The reasons for this decision
are as fDllows:
1. Based on current infonnation, ~annot meet setback requirements between beach
and sewer system and between sewer system and neighbor's well.
2. Based on current information, lacks sufficient useable area.
If sufficient .useable area can be specifically shown on site as per our discussion,
then the lot could be re-evaluated.
Please note that any person aggrieved by this decision may appeal to the Health Officer
J. E. Fischnaller, M.D. (385-0722).
SOIL lOGS
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Randall M. Durant, R.S.
ENvIRONME:.NT Al HEAL TH SPECIALIST
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Joseph lJ.urrell
1559 SumaC Lane
Anaheim, California
20 November 19B2
J. E. F:!.schnaller, M. D.
Jefferson County Health Officer
802 Sheridan
Port Townsend, Washinfton 9$368
RE: SITE: EVALUATION REPORT3 LOT 31, DIVISION '7 BRIDGEHAVEN
Dear Dr Fischnsller
References: a. Site Evaluation Report. dated 26 August 1982.
b. Site Evaluation Report. dated 6 October 1978.
I appeal the Health Department decision to del\Y a favorable site evaluation on Il\Y
property, Lot 31, Division 7 Bridgehaven as indicated in reference a for the following
reasons:
a. My son and I purchased the lot in late 1978 based on the favorable site
evaluation contained in reference b Which approved the lot for a maximum of a tw
bedroom home with the intention of living on the property. Due to health reasons
we find we carmot live in this area therefor we intend to sell the property but
have been prevented from doing so by' the conflicting site evaluations.
b. Infozmation from people in the Bridgehaven epit area indicated the well
in question was in place long before the site evaluation was made in October of 1978.
c. The lot has not changed in size nor has the legal description since 1978
therefor I cannot understand the lack of usable area. I do understand that llome of
the inside lots at Bridgehaven were approved for septic systems with the provision
that they be bulkheadad and filled out to the original lot line due to erosion. I
could live with that requirement.
d. It is also my understanding that septic
.in some instances at a 75 foot distance standard.
to applying those standards in our situation.
system~ and wells have been approved
I request consideration be given
In conclusion, I feel the decision of the Health Department to deem our lot unacceptable
for building purposes and therefor unsellable is unreasonable and unfair in light of
the previous approval on Which we based our decision to purchase the lot and request
that decision be reversed.
Since rely,
J03EPH tIDRRELL
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50:: SHE_qiOAN PORT T.OWNSfND WASH 98368
1206) 385C722
Dec~mber 15, 198~
Joseph Hurrell
1559 Sumac Lane
Anah eim CA 92802
l\.'ar ~lr;:,. ;'j\]rre11:
lour letter of November :?O
1982 11as been receiv~d 3nd
appealing o~r adverse site evaluation
has come to my' attention only today.
of Sept2rilh,,-:r 1,
I havl:..' been
<:l'..;<1Y.
It dppcJrS th<.it ~lr. Durant, when he first examined yuur pruperty L)!1 UL,tubc..:r ),
1978, was not aware of the existence of a (vell in the vicinity. ["rith the
inEor:nation at his d:i.5pc-sal at that time, his action was correct. He advis,:d
that you could probably put in an on-site sewage system. You will note on yuur
copy of the site evaluation report that no promises were made; tile report
prc'minently displays the legend, "This does not constitute approval....".
hThen ~lr. Durant again examined the property the presence of the well impaired the
area you might use for your septic system. No part of the system may legally
be p13Ctc'd T...Jithin 100 fe'2t or a well. On the other end of the pre'perty therv
DlIJSt be dt le;3.st a 75 tUt,t setba.:k frori; the beach. This lea\',-'::,; very little
spa2e uf12ncllnib2red.
[t is barely pos3ible that a careful survey might show enough LlIlJ to put a
septic system on, but u11ti1 this is shown, we hav~ no optilJn but to den} a
St-"'~',}h';:;' dispL)~al or bui lding permit.
Yuu hdV~:' th2 ri.'2:~it tl' appeal direc:tly to the county Board of HeaLth i::1 ~h::TSOn
()r by some0n2rerrt's~nLing vou. '[he Board meets at 9:30 d,m. on the t~lirJ
\';,.'C:llL-'Sl!,lV ot \..,<1t.'I: rh)llth at thL' flc,:lth D~:>partm",'nt.
rim sorry I d'"lolt hav0 d better answer for you.
SLnc<;.~rely,
F i" l'h n:'l] 1.," r", :1.1).
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:-tote: Carbon paper Dot ne-ces.s.ary, as forms are impregnated with chemical which automatically
reproduces the written material on each underlying copy.
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FiJ~ Original and First Copy with
Department of Ecology
Sl':COnd Copy - Qv,;71er'$ Copy
Th.i..-d Copy- Driller"s Copy ~~c.:
, -.:--
~---~ ----..----- ---- - ----
Application No. .
WATER WELL REPORT
__~"-:' :_~_~TE OF WASHINGTON
(1) OWNER: Nam._-.5~NDJt/ t'.J1~~y-- Address__ _
(2) LOCATION OF WELL: C4unty.c:;:, r F,
, '- ~
Permit No.
_~~ ____.~~ Sec___.._ T_._------1'l_. R_W:M.
Bed..rin.g and distance from section aT subdivision comer
'.
(3) PROPOSED USE: Dom_. Jil' Industrial 0
Irrigation 0 Test WeD 0
Municipal 0
Oth... 0
(4) TYPE OF WORK: awn..... nurn_ of weD
eu more than one)....
New weD J1f Method: Dug 0
ne.p.n<<l 0 eabl< 0
Reconditioned 0 Rotary 0
Bond 0
Driven 0
:I_O
(5) DIMENSIONS:
Drtll~7 ....
Diameter of well _~ inches.
Depth of completed weD...--h "7 'ft..
(6) CONSTRUCTION DETAI1.S:
Casing installed: -'>- - Diam. from ~ tL to ----'-Z tL
'I'hTeaded 0 _- Diam..:from. ~ ft.. to _ ft..
W~ded ~ _- Diam. from _ ft.. to ~ ft._
Perforations: Yes 0 No ~
Type of pe...-forator UbI!""
SIZE of pe.dorations
perlorations from.
perforations :from
perforations from
in. by
ft. to
ft. to
ft. to
Screens: y", ll' No 0
Manuf.ac:tur"C'a Name
Tn- ",-",,' /V / ~ S oS Model No
DUm.. _ Slot!dz.e _ from ~ tt.. to ~:tL
Diam. _ Slot size _ fiom ~ It. to ~:tL
Gravel packed: y", 0 No J?
Gravel placed from
Size of gravel;
ft. to
Surface seaJ; Yes 0 No ur To what depth?
l4oIter"...aJ used in _1
Did 2DY st::rHt2 contaiD unusable water? Yes 0
Type at water? Depth m &t::r.tt"'"
Mfihod of se:ali.Dg strata n#f
(1) PUMP: Manufacturer'. "'.-
Tn><'
HP
(8) WATER LEVELS: ~e~ce~~i~~...
Static level Y' i't. 'belo'w top of well
Art..e:sian p~ 'The. per square inch Da+-
.Artesian 'Water is controlled by
(Cap, valve.. etc.)
(9) WELL TESTS:
DrawdoW'n is amount WGter levll!:I is
lowered below static level
No ~ If yes. by whom?
f'L draw-down after
Was a pump test made? Yes 0
yj el d: gal./mi:n. wttb
Recovery data fti.nie taken as zero when pump turned off) (water level
mea5ured from weD top to water level)
Tim<
Wckt' z..e.o.rI 1
I
i
Time Water Le-ve~ I Tim.e'
I
---- --.-:::::---,-- ------
WateT :t.n:>eE
Dat~ of test
Bailer test /0 I'al./min.. wi~.---.-l't. drawdown af'te:r ~ ""rs..
Artesta..n BOlli; I'_p.m... Date.JL.J#/ ~ ~
Tvnperature 01' W3ter_ W.a..s a chemical analysis made? YI!S 0 No!{
(10) WELL LOG:
Formatilim: Describe bll' colof', Cha.Tac~~'" riz~ 01 material and dru.cture. and
.hoto thiCkneSS of aquilers and the kmd and natul'e 01 the Tn4teriaI in each
riratum penet7'ated.. with at least one entTV lOT each change of formation.
f y~~~ / -IFR~Ml;O
in-
~ )'7:''':' " } ~ _/ .....4 .~--'.L 0
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S- D - .j - /war---.." .6~1 (.7
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Worklrtarterl I" Completed...-.. - III
WELL DRILLER'S STATEMENT:
This well was " r -"__"I . J ,. and this report is
true 10 the best of my know ledge and belief.
NAME_~_~~___"_______'____
(Person, firm, or corporation) (T)--pe or print)
.
Ad S-Lg-' ...J
dress.__c _:___ n ~ -.--..-----------.---------.--.---..---------
[Signed)uM-- . ,- ,~ f-L#.-!(wk~u.---------.u---
LiC€llSe NOn_.:!u.2:s::::____u_m_.__n__ Da"'-_-j/./j'__________. 19.~.3
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Charles Laws
P.O, Box 161
WinloCk, Wa. 98596
February 16, 198)
Chairman and Members
Jefferson County Health Board
On the basis of a site re-evaluation (1-)1-77), lot #12 of
division 4 in Cape George Village was conditionally approved for
a two bedroom house. Since August of 1982 the owner has attempted
to acquire an on-site sewage system permit.
This attempt has included four meetings with Mr. Randall Durant,
Environmental Health Director and two with Dr. J.E. Fisc hnaller,
Health Officer, to satisfy the conditions of approval.
~r. John Ekstrom, o~-site sewaEe disposal designer in Kitsap
County, has developed an~ desiEned plans for a fill system
e~gineered to the soil con~itions of that lot. He also has met
with ~r. Durant and Dr. ?ischnaller and at this point in time it
a~~ears that acquirin~ a permit is impossible under any circum-
stance.
As the site evaluation has been and is presently a part of the
permit application process, then it would seem consistant that an
apDroved status on the first part would be carried on to the permit,
provided that all required conditions are met or exceeded. There-
fore. this is a request ~hat the conditionally approved site-
evaluation (1-]1-77), Which falls within the 1976-82 permit
~equirements, be allowed as the basis of a valid approved permit
because of the following:
A. The topo~raphy, surface water and soil conditions have
not changed since 1975.
B. The soil classification of 1975 has been verified in 1982
and labeled as slowly per~eable ( during wet season).
C. The conditions as recommended in the site-evaluation will
be met or exceeded by a beeter curtain drain and a smaller house.
D. Additional conditions will be included that meet the
criteria for this soil classification, double tanks, fill system
drain field (two bedroom house size) and low volume water faucets.
E. In addition, the fill system would be subject to periodic
i~s~ections and i~mediate repair if the drain field requires
improvement.
r
2
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,.
F. The fill system may be ~onitored and the data collected
to be used by the local health deDartment for future reference to
the Department of Health and Social Services.
This/on-site fill system is designed for one particular lot
which is consistant with the local health board's poLicy of
individual evaluation of each site.
Another logical approach might be the oonsideration of a variance
for fill system site condi~ions. Specifically the 24 inch mini~um
of original, undisturbed and unsaturated soil, as recom~ended in
Guide-lines for Fill Systems (~ay, 1980) be modified as follows,
As the system is designed, the top of the natural soil is to be
plowed. leaving 12 to 14 inches of undisturbed natural soil. To
this could be added ad1itional plowed natural soil from the house
site. which would then be of suf:icient depth to meet the guide-
line rece~mendation. ~r. John Ekstrom has already adjusted the fill
material formula to compensate for this condition. It has been
observed and docu~ented that fill O~ Dound systems that ;;cve bee~
correctly designed have built-in forITulas to co~pensate for
excessive water infiltration. p~or quality native soil and high
water ~sage. This ~i~ht account for the ve~y h~gh success rate of
these sys terns.
The fill svstem would be installed durin€ the dry season as
recom~en~ed. The owner will gCc~c~tee t~at ~he drain field will
oe ~ain~~ned at a=ceptable st~n~crds.
In surr,-,~a~v... .As -:::>e:r- ".-;J"C 248-96-011- 2stablish ~esign s--ca!"!caras
to ac~o~odate lon~-term disDosal o~ sewa~e...and WAC 248-95-46,
Alternative devices and methods. this owner requests of the
Jefferso~ County 30ard of Health, the issuance 0= an app~oved
Dermit fo~ an on-site se~~ge disposal fill sys~e~. This system
will be cesiEned to the best of our technical knowledge c~d cost
co~sider~tions. It will work 2~propri~tely and be maintzined to
such sta~daras as presently exist for on-site sewage was~e syste~.
I thank you for hearing ~y request and it is hoped that t~is is
sufficient infor~atio~ for you to understand ~y problem.
Re~pectfully yours,
~
, _:. -- ~:......- .....-'
....... ~--- --- -
Chuck Laws
....;;t.
I
'" COM~'U~JICABlE
, O'l'SEASE CO~'H~Ol
.
PUBLIC I-"EAl TH
NURSiNG
VITAL
ST A ilSTICS
ENVIRONMENTAL
HEALTH
HEALTH
E~UCATION
x
802 SHERIDAN PORT TOWNSEND. WASH. 98368
(206) 385-0722
December 6, 1982
John Ekstrom
4338 Seabeck-Holly Road
Brernerton WA 98312
Dear Mr. Ekstrom:
Re: Mound proposal redesign for Chuck Laws--Lot 12, Div. 4, Cape George
Village
I am sorry I must inform you as per DY letters of August 6 and October 27,
1982 the site cannot be approved for on-site sewage disposal pursuant to
the rules and regulations of the State Board of Health (WAC 248-96), I
wish I could offer some recommendations to provide an acceptable on-site
method of sewage disposal.
Thank you for all your efforts and cooperation. Any person aggrieved by
this decision may appeal to the Health Officer, J. E. Fischnaller, M.D,
(385-0722) .
~l~
'~ ~
Randall M. Durant, R.S.
Director of Environmental Health
RHD/sa
cc: Chuck Laws
Dr. J. E, Fischnaller, Health Officer
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PU8UC HEALTH
NU?SrNG
VITAL
5T A TISTICS
ENVIRONMENTAL
HEALT.H
HEALTH
EDUCATION
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JEFFERSON COUNTY HEALTH DEPARTMENT
802 SHERIDAN PORT TOWNSEND. WASH. 98368
(206) 385-<]722 .
October 27, 1982
John Ekstrom
4338 Seabeck-Holly Road
Bremerton YA 98312
Dear Hr. Ekstrom:
Re: Preliminary mound proposal, Lot 12, Division 4, Cape George Village,
Section 13, Township 3ON, Range 2W for Chuck Laws
I am sorry I am unable, due to unacceptable site conditions (soils, lot size,
seasonal vater table) and experience in the area to grant preliminary approval
of the site for the preliminary DOUnd design you proposed. Please note that
percolation rates for Dounds should be measured at 18 to 24 inches minimum,
Percolation boles on the site ueasured 'only 10 inches. Also, "slowly
permeable" soils require greater area and depth to remove the effluent from
the fill area than do permeable soils. As mounds are new and alternative
Yith liInited use and follow-up in Washington State, any site considered for
a mound in Jefferson County must have 2 feet of permeable soil for considera-
tion. We might consider acreage size parcels with slowly permeable soils as
per the guidelines.
Also note a 30 foot setback between a mound and lower property lines and/or
any cut is necessary. There is a cut area right at the back lower lot line
that ranges from l~ feet to appro:ri1nately 5 feet.
I Yish I could be of more assistance in this matter. What this area really
needs is a sewer.
As Jefferson County does 'not 'license designers, "e require a professional
engineer for alternative system designs.
I thank,You for your cooperation in this matter. Any person aggrieved by
this decision may appeal to the Health Officer, J. E. Fischnaller, M.D.
(385~722) .
~el~~
~~,~
Randall M. Durant, R.S.
Director of Environmental Health
R.'ID/sa
cc: Chuck Laws
Dr. J. E. Fischnaller, Health Officer
.
.
. .C(;tl'.'ll~ICABLE
, D':'SEt..S~ CONTROL
F,lSLlC HE Al TH
~~URSING
VITAL
STATISTICS
ENVfRO~~.~ENTAL
HEALTH
HEAl.lH
E.:>UCATION
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/
802 SHERIDAN PORT TOWNSEND, WASH. 98368
(206) 38S-p722
August 6, 1982
Mr. Chuck Laws
P.O. Box 161
Winlock, WA 98596
Dear Mr. Laws,
RE: Sewage disposal permit application for Lot 12, Div, 4,
Cape George Village - Section 13, Township 30N, Range 2W
On August 5, 1982, I evaluated 3 backhoe soil logs. It is with sincere
regret, based on site conditions observed, that I must inform you your site
cannot be approved for on-site sewage disposal pursuant to the rules and
regulations of Jefferson County Ordinance No. 2-77, The reason for this
decision is as follows:
1, unacceptable soils for on-site sewage disposa~ and seasonal high
water table.
Due to the limited lot size I am sorry I have no recommendation at this time.
Experience in more recent years in this area has shown the area to be very
poor or unacceptable for on-site sewage disposal with failures and/or seasonal
failures of existing drainfields,
Because of the soil conditions observed and what I have discussed I am
sorry I must make this decision even though the site had a marginally accept-
able site evaluation in Jan. 1977, in regards to home location and placement
based on a July, 1975 soils evaluation.
Please call me with any questions you may have. Please note that any person
aggrieved by this decision may appeal to the Health Officer, J. E. Fischnaller,
M.D. (385-0722).
C:;;;;)~~~,
Randall M. Durant, R.S,
Director of Environmental Health
R1-ID: fks
cc: Dr. J. E. Fischnaller, Health Officer
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BUILDER
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JEFFERSON COUNTY HEALTH DEPARTMENT
802 SHERIDAN AVENUE
PORT TOWNSEND, WASHINGTON 98368
(206) 385-0722
SEWAGE DISPOSAL PERMIT
Submit In Duplicate ,'DNAOCEPI'ABLE
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Address Phone
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RECEIPT NO. J.;E;t:, 7
DATE I' 2.-'t2-
INSTALLER L'NOSE'" "3"'''5,
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INSTALL NEW SYSTEM &J
REPLACE SYSTEM 0
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Directions lor locating site
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TYPE OF NO. OF SITE
BUILDING t RAt'\ ~ BEDROOMS I BASEMENT I{r=s. .SIZE II--, \ 10 50\.' rn rn
DRAW DETAILED PLOT PLAN BELOW. STUB OUT PLUMBING ABOVE FOUNDATION FOOTING lii ~
SOIL LOGS 3 8/5/82 !2 :::!
Mottled thruo# ~ ~
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18"-54" hardpan
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ANY CHANGE IN BUILDING OR SEWAGE DiSPOSAL PLANS (INCLUDING PLUMBING STUBOUT
LOCATION) AND/OR LOCATION OF HOUSE OR DRAINFIELD INVALIDATES THIS PERMIT UNLESS
PRIOR APPROVAL IS OBTAINED fROM THF HFAITH n~PARTM~NT
Drainlield Length Width Depth # Lines Tank Size Gal.
COMMENTS: I I C'>o..' "" (TWO COMPARTMENTS)
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APPROVED DATE INSPECTED PARTIAUFINAL DATE
I certify that this system was installed in a manner approved by the Health Department.
RECEfV
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Buyer r. ~-n-i r'-_ Tr")h
~ site evaluation of the above property has been made on
";~,1 i,' 1 =" 1.'~7C:
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by this depcrwner.t and your reqclest for
.,,:'o:--r.....)'.'~ "')1"" .;.l:.n--.' n. .(";1':'1;";, .-r:::", ",,_~......,~
has been
D APPROv:=:D;
Pending submission of a site plan and application for a sewage
disposal permit.
CJ CONDTIIOlli'.LLY APPROVED; providing conditions listed below are met.
D DENIED
C')!.:MENTS,
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S"il log: 2 ro,r feet d"ep
Yours truly,
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Sanitarian _ }{;J::". nIl ~. !.iurant, .-~. ....
Enc1: Cocy for buyer
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Date 1-31-77
SITE EVAllJATI'1-I RECORD
Sec.
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TO:
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Lot 12, Div. 4, Cane GeoIrle Villaqe
Legal Description
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"<lole ::'rive-2nd lot left from ridge
Directions for locating site
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This does NOT constitute
approval of a Building or
Sewage Dispcsal Permit.
Site size
90' x 130'
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Seller
T~ade
Buyer
:Uatt
A site evaluation of the ab~ve pr~perty has been made on
1-31-77 (~o..("I"luation of 7-15-
Date
by this department and your request for
~--roval for 14' x 66' 2-bedroom ~~bile ho~e
has been
~APPROVED; Pending submission of a site plan and application for a se'~ge
disposal permit.
G CONDITIONALLY APPROVE!); providing conditions listed below are met.
~ DENIED
C'l-'JHENTS:
Vprv 1 imited b:>-,soil 12-20" deep over dense clay sand to hardpan. Curtain
rr:.d n ~y h.... r~-'1~J' r?d. Twe-lve inches r.1n1rnum fill will be requ1.r;ed in drainfield area.
w~v.~,~ n~ 7-hPrlrnom ~ouse will be aoproved. Max1muu ~mount of o~ainfield will be required
S,.,il log:
Yours tntly,
Sani tarian
1!3no.~all !'.. Durant, n.S.
C{', /fd-nK dx'1'5fi/>H '" K.,.,.pp Y-3c-?J
OHD 4/75
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CLALLAM COUNTY
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_A'9'~.".c~~~i':!,..o'7""""_~""'~ ~Ji
'ft;'J ,~-",,~;'.; ~ ;\'n:"~",,, ~... -' ~~. FEB 7 '83. COURTHOUSE
. ~c>-Y.r.e~.. 11!1 ~ <f _, ~ ~ t'.M ~ ~ 223 EAST FOURTH STREET
':EFF. ct5l5N;~ELES. WASHINGTON 98362.3098
IiEALT1:i .D''''~ (206) 'S2.7831
~ ..SCAN 575.1011
Board of County Commissioners
VIKI L WITSCHGER. DIRECTOR
January 31, 1983
Mr, Gael Stuart
Public Health Supervisor
Jefferson County Health District
802 Sheridan
Port Townsend, WA 98368
RE: John Hayes - Lab Techriician
Dear Mr. Stewart:
It has been a pleasure talking with you about the possibility of bringing
John Hayes under Clallam County's Personnel System and Jefferson County
contracting for his services,
After reworking the figures, I have come up with the following breakdown
for your consideration:
SALARY:
Clallam's Share: (16 hours/week)
Jefferson's Share: (24 hours/week)
Clallam Personnel System Salary Level (40 hour/week)
$ 758.47/month
1137,72/month
$ 1896. 19/month
ESTIMATED BENEFIT COSTS (25%) ABOVE SALARY:
Clallam
Jefferson
$ 189.62
284.43
ESTIMATED TOTAL COST EACH (WITH BENEFITS):
Clallam
Jefferson
($13,67/hour)
($13,67/hour)
$ 948.09/month
1422. 15/month
$ 2370.24/month
$ 11,377.08/year
17,065.80/year
I have discussed this matter with the Board of Clallam County Commissioners
and they have agreed to the concept of putting John under the County's
Personnel System at the Environmental Health Specialist level, This will
be subject to a contract for services with Jefferson County being signed.
Jefferson County would agree to pay for John's services at the rate of
$1137,72 per month, plus $284,43 per month to cover benefits and adminis-
tration. Total reimbursement will be $1422,15 per month. ($17,065.80/year,
$13,67/hour).
,
,
Letter to Gael Stuart
Jefferson County Health District
January 31, 1983
Page -2-
I understand you are preparing the 1983 contract between'Jefferson County
and Clallam County which would be effective January 1, 1983. If this
arrangement is agreeable to you, please include it in the draft contract
you send to the Board. If you have any questions, please give me a call,
Thank you for your cooperation. I look forward to hearing from you,
Sincerely,
2Jd~- d 2!dd
Viki L, WitsChger~
Personnel Director
VLW: lw
1ft-f<::Pc.hme.nr .5
JEFFERSON COUNTY HEALTH DEPT.
MONTHLY REPORT OF NURSING SERVICE
Date of Report February 1, 1983 c;?2 ~ ~
For Month of January Phyllis ~ee. Director of Nursing
Number of IThis Number of I Year to Date
clinics clients seen
his Month, Last Month Month Last Month
Well Child Clinics 8 7 75 I 64 7"-
Foot Care Clinics 9 9 69 73 69
19 flu 13 fl u 19 flu
IlTJT1unization Clinics 4 4 112 75 11;>
12 Nutr 9 Nutr 12 Nutr,
WIC Clinics 5 4 45 37 45
VD 2 0 2
TB 3 2 3
Other ColTJT1unicable Di seases Chickenpox
Newborn Visits 11 14 11
Child Development Visits 17 2 17
Schools . 386 273 386 ,
.--
COlTJT1unity Activities
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TO:
FR0i'1:
DATE:
RE:
J:i -# Q'c/",,'nR.n-l- b
JEFFERSO~1 COU!HV HE.';l TH DEPARTMENT
802 Sheridan Street
Port Townsend, HA 98363
,
Jefferson County Board of Health
Jefferson County Health Department
January, 1983
1982 AWlU..';L REPORT OF ACTIVITIES OF DIVISION fJF NURSING AND CLIP/ICAl
SERV I CES OF JEFFERSON cou:nv HEALTH DEP.I\RTHENT.
Com~i1ed by staff of Jefferson County H~alth Department
,/'l' , ': ' {J
'd~ X/.JJ" i -~.
\
Phy111S Bee
Director of Nursing
.
.
.
III
VI
VII
VIII
TABLE OF CONTENTS
I
MATERNAL CHILD HEALTH.
1
/
a. Well Child clinics ., .'
b. Crippled Children's Services
c. WIC. , . .. ,....
d. Infant and Child DeveloD~ent Program
e. Newborn Services
f. Other Child Health .. . . . .
g. Pregnancy Testing. . . . .
1
2
3
3
4
5
5
II
COM~IUNICABLE DISEASE CONTROL (other than TB)
5
a. Immunization Clinics .. .. . .
b. Communicable Disease Investigating and Reporting
c. Asian Refuqees .. .
d. Venereal Disease Clinics
5
6
6
7
7
7
8
8
ADULT HEALTH
a. Foot Clinics for Senior Citizens.
b. Senior Citizens Health Screening
c. Other Adult Health
IV
TUBERCULOSIS CONTROL
9
9
9
9
10
10
10
10
10
10
11
11
12
13
a. TB Patient Services
b. X-Rays . . . .
c. Skin Testing
d. TB Hospitalization
e. TB LaboratorY . .
f. Nursing Services
v
SCHOOL NURSING
a. School .District 50 - Port Townsend
b. School District 49 - Chimacum
c. School Di s tri ct. 48 - Qui 1 cene
d. School District 46 - Brinnon
INFLUENII\ CLINICS . ...
NURSING DIVISION STAFF FOR 1982-83
SU~o\M1l.RY .. . .......
13
SUMMARY OF SERVICES BY TYPE
.
I MATERNAL CHILD HEALTH
,
The intent of Maternal Child Health clinical and oreventive services is
to reduce infant mortality and the incidence of preventable diseases
and handicapping conditions among children, to reduce the need for in-
oatient and long-term care services, to increase the number of children
(especially preschool children) appropriately immunized against disease,
and the number of all children, especially low income children receiving
health assessments and follow up diagnostic and treatment services, and
otherwise promote the health of mothers and children.
Jefferson County Health Department Nursing Division applied for and re-
ceived a grant of $32,728.00 from DSHS to provide programs in t~ese areas.
We received an additional $14,944.00 of Federal money for our Child
Development program, and $2,000.00 to purchase an Impedance Audiometer,
making a total grant of $49,672.00.
Well Child Clinics, Crippled Children's services, W.I.C., Infant and
Child Development program, and Newborn Services are activities covered
under our grant proposal. The other income in this program is $3,163.24
from fees in Well Child Clinic, a grant of $3,575.83 from Developmental
Disabilities for the Infant and Child Development program, adding up to
total income for these programs for 1982 of $56,411.07.
.
In addition CCS paid directly to provider for examinations and treatment
of handicapping conditions for 44 children from Jefferson County, A
little over $20,000.00 was spent for these Jefferson County children by
the State CCS services. The total is not complete yet as all bills were
not received and paid by December 31. The applications, arrangements,
counselling and follow-up is made through the nurses in the Health
Department.
~. Well Child Clinics
These clinics are held in PortTllwnsend, Quilcene and Chimacum. There
were 847 infants and children seen in the clinics.
Well Child Clinics in Port Townsend 69
Number of children s~en in Port Townsend 625
Well Child Clinics in Chimacum 12
Number of children seen in Chimacum 98
~ell Child Clinics in Quilcene 12
Number of children seen in Quilcene 124
.
The services offered in these clinics include:
Medical History
Blood and Urine Tests
Oevelopmental Assessment
Vision Screening
Audiometry
Nutritional Evaluation and Counselling
Infant and Child Care Teaching and Counselling
-1-
~
Twenty-four per-cent of the children seen had abnormal findings which
warranted a referral for further care to a physician or other health
care professional, or a revisit for follow-uo in the Health Department,
The total number of referrals was 198. The number of conditions exceeds
the number of referred children as some children were referred for more
than one problem. In addition over.100 children were referred to immuni-
zation clinics for continuation and/or completion of their immunization
series.
TABLE I # %
Ears and hearing problems 44 21
Musculosketal problems 10 4
Nutriti on 6 2
Eyes and vi s i on 6 2
Development 14 7
Low hematocrit 24 12
Abnormal findings in urine 12 6
Need further evaluation by phys i ci an 76 37
Other 16 9
Tota 1 208 100%
The children are seen on this schedule:
.
Schedule of appointments for children 0-6 years
2 months of age--check up, Immunization, HCT test, urine test
4 months of age--check up, Immunization, DDST
6 months of age--check up, Immunization
9 months of age--check up, DDST
12 months of age--check up, Immunization, Impedance
18 months of age--check up, Immunization, Imoedance
2 years of age check up, DDST, HCT, urine test
3-6 years of age -- check up, DDST, vision and hearing, Impedance,
HCT, urine test
Cooperation with local physicians is excellent and consultations and
exchanges of health information occurs regularly.
b. Criopled Children's Services (CCS)
Forty-three applicants' (age birth to 21) were screened for diagnostic
and therapeutic services for handicapoing conditions. Of these, 15
were new applications. The eligible children received both in- and
out-patient care including medical, surgical, laboratory and other
diagnostic services. A Public Health nurse is assigned 10% of her time
in this program.
.
Funding in CCS at the state level was reduced in 1982, and restrictions
were put on coverage for some conditions, principally otitis media and
surgery for myringotomies. The majority of the referrals from
Jefferson County were the children with these disorders, so we have attemp-
ted to assist parents to find other funding sources for these problems.
-2-
Conditions evaluated and/or treated in 1982 are:
/
Communication disorders 24
Musculosketal 7
Heart defects 7
Cleft palate and lip 1
Cystic fibrosis 1
Other birth defects 3
.
c, WIC (~omen, Infants and Children)
This program is largely funded by the U,S. Department of Agriculture
through the State and is known as the Nutritional Program for Women,
Infants and Children (W.I.C.) Clients identified in WIC clinic as hav-
Tng nutritional defects and low income receive correctional foods through
a voucher system. Nutritional counselling is provided by a Qualified
nutritionist and the Clinic nurse. Clients are evaluated physically by
measurements of height, weight, and blood test. Their present food in-
take is evaluated, along with physical findings, and any high risk factors
present to determine eligibility. Repeat visits for recertification are
every six months. Under grant contract we have 185 slots now.
During the year of 1982 we had 200 slots available for people in
Jefferson County. We were unable to find enough eligible clients to fill
the openings. Our caseload averaged about 165 participants. Outreach
and oublicity, including a feature newspaoer article was done to attempt
to reach more eligible people.
.
Clients are seen and evaluated on self referral, referral from physicians,
other agencies, and other Health Department programs, The total number
of WIC clinic visits in 1982 was 438 clinic and 153 nutritionist visits
for a total of 591 client visits.
A Registered Nutritionist serves under contract for counselling and
teaching WIC participants. This teaching is in addition to the counsell-
ing and teaching by the Clinic nurse at the time of certification.
This program benefits the client by providing nutritional food (i.e. eggs,
milk, juice, cereals, cheese, dried beans, baby formula) by individually
prescribed vouchers each month. Physical orogress is monitered, and
the client or Dar~nt receives good nutritional and health teaching.
d. Infant and Child Development Program
.This program is funded by a Federal grant for Washington State, and by
funding from Developmental Disabilities.
The goal of the Infant and Child Development Program is to provide each
child in eastern Jefferson County between birth and three years of age
with the opportunity to achieve his maximal developmental level,
physical and behavioral.
.
The program objectives are to foster and support prevention measures;
provide early identification of need through Screening and Assessment
-~
.
~ ~~~
.
services; provide follow-along evaluation and parent guidance services;
and provide short and long term developmental and health intervention.
Consultation and ancillary services will be obtained and coordinated
as part of the child's program as appropriate.
In order to achieve the program goal, these services will be provided
in a way that will maximize, not diminish, the parent-child relation-
ship and family involvement. The parents will have the primary respon-
sibility for implementation of the program. Parental support will be
provided as necessary to help them carry-out this responsibility.
The program will be maintained in the home, appropriate to this age
group, to provide an optimally nurturing environment.
This program is done by a clinical nurse specialist in MCH/DD.
There were 37 referrals made to the program in 1982. Thirty-three of
these children required complete screening exam, 30 required follow-up
care in their homes, and three were referred to other agencies for care.
Four required on-going intervention services by MCH/CHN.
In addition to direct service with clients the nurse orovided educational
inservices and consultation to improve observational skills to people
who are examining newborns and infants. These In-service classes and
consultation were given for:
Cl asses # PeoDle
. Office nurses 5 6
Other nurses 2 4
Parents 1 10
Other agencies 5 42
The Clinical Nurse Specialist gives consultation services to Health
Department nurses, the PNP in l'lell Child Clinic and WIC, teachers and
others worki ng with chi 1 dren. Soci a 1 vlOrk servi ces, mental health pro-
fessionals, physical therapists, and communication disorder specialists
give services to the children under this program under the contract.
e. Newborn Services
Public Health nurses made 202 contacts on referral from hospital staff,
physician, patient request, or record surveillance. The PHN visited 96
mothers and new infants to assess-the condition of both, and ,the need
for teaching and/or guidance. There were nine home deliveries in
Jefferson County in 1982.
These were often high risk or premature infants, or post partum teenage
mothers. The visits were made in hospital after delivery, at home, or
by telephone. Forty-six mothers were sent letters offering services
as personal or telephone contact was not possible. ,Many new mothers
were seen in WIC and WCC.
.
-4-
.
Jefferson County Health Department provides informational packets for
new parents, These packets contain information on immunizations,
nutrition, infant safety, infant feeding, growth and development. how
to obtain birth certificates, post partum care, and a brochure on
Health Department services.
,
One hundred fifty of these packets were distributed by PHN through in-
patient obstetrical facilities and on home visits,
f. Other Child Health
A variety of activities is included in this category. Audiometry
(tympanograms) was done for 46 individuals on referral from physicians
or clinics. We received a grant of $2,000,00 for the purchase of a new
Impedance Audiometer. We have the only one in Jefferson County, For
this reason we get many referrals from physicians for this screening
service,
A staff nurse attended a 5.1.0.5, (Sudden Infant Death Syndrome) to get
current information on this condition. She also worked with staff at
Jefferson General Hospital, sheriff and police deoartment, prosecuting
attorney, funeral directors, and physicians telling them of the Public
Health nurses role, and setting up an informational meeting in
November, 1982 with a speaker from 5.1,0.5, N.W. Regional Center at
COHo There were no 5.1,0.5. deaths in Jefferson County in 1982.
g.
Information and education, sometimes through home or office visits were
provided to families of children with illnesses, communicable diseases,
nuisance diseases, etc. Consultation with mental health workers, pro-
tective children's services is also part of the nursing section's services
to children and their parents,
Pregnancy Testing
Pregnancy testing is done by appointment by PHN's in the office.
Counselling, and pamphlets on fetal development, changes during preg-
nancy, nutrition, etc. is provided to those with positive tests. Clients
wishing to terminate their pregnancy are referred to Family Planning
Clinic for counselling.
.
In 1982 we did 54 pregnancy tests.. lhese clients were given counselling,
referred to physician, WIC and other appropriate services,
II COMMUNICABLE DISEASE CONTROL (Other than TB)
a.
Immunization Clinics
.
Immunization clinics are held every Tuesday at the Port Townsend office.
At these clinics 2,622 doses of vaccines of various sorts were given,
Some of these were for international travel and inclijded certificate
validation. Because of the state regulations governing the reporting
requirements for use of this vaccine most physicians elect to send
their patients to Jefferson County Health Department clinics for
immunization.
-~
.
.
.
lie have continued our irrmunization audit program sending reminders to
parents of children who fail to return within two months after scheduled
visits are due. This program continues to be effective with an increase
in the number of children completing their immunizations in the recommen-
ded time. The effectiveness of this is shown in the fact that we have
h~d no reported cases of diphtheria, tetanus, whooping cough, polio,
~kasles or rubella in 1982.
Iomunizations are offered at the Quilcene and Chimacum Well Child Clinics
on a drop-in basis. This assists the parents in those areas to have
their children's immunizations done without the trip to Port Townsend
for our Tuesday clinics.
School immunization laws were revised for the 1979-80 school year to
require exclusion of elementary school children who were inade~uately
immunized or whose parents failed to file a waiver because of medical
exemptions or religious or ohilosophic objection. This law now includes
all school children in elementary and secondary schools. The cooperation
of all the public and private schools in Jefferson County has been
excellent.
Because the great oush to bring children into compliance is over we have
s~aller numbers of school age children in our clinics for immunizations.
b.
Co~unicable Disease Investigating and Reporting
Poor public compliance of reoorting the minor communicable diseases such
as chickenpox, imoetigo, mumos, makes an accurate account of these im-
oossible. We are closely monitoring and investigating reports of rubella
and measles as these diseases are being erradicated by the use of vaccines.
In 1982 there was one reported case of rubella in school--it was not
serologically confirmed. We are planning to offer all adult school em-
ployees and volunteers measles-mumps-rubella vaccine in 1983 to attempt
to eliminate the :>eople susceptible to these diseases.
c.
!os i an Refugees
Public Health nurses, in the course of their community activities not
infrequently find refugees. Additionally, reports of arrivals are
received fro~ Federal Immigration Services, and/or D,S.H.S. Since the
name of the sponsor is usually provided, contact can often be accomplished.
Refugees frequently have been resident in camps in Asia prior to travel
to the U.S.A. and have commonly had some health screening of variable
quality prior to deoarture. In spite of this, the incidence of
tuberculosis is relatively high.
Refugees are usually given general health screening by private
ohysicians. Evaluation for TB including X-Rays is done by the Health
Officer. Refu~ees soeak or read various lanquaaes. To aid communica-
tions, some orinted ~aterial in the language"of"the Asian countries is
available, but some refugees are illiterate. Often interpreters are
available. Because of the language barriers, obtaining patient coopera-
tion is difficult and very time consuming. We are particularly fortunate
in that Dr. Fischnaller speaks several languages.
-f-
. .~ ,
_._._..U... ..".,.",.,.....~,..._
.
.
.
The volume of refugees seen in our clinics has greatly decreased in 1982.
The refugees we screened were negative for tuberculosis and as of
December, 1982 we have no refugees in Jefferson County receiving Health
Department services. Many refugees move to Seattle or other large cities
where they can associate with more of their mm countrymen.
d.
/
Venereal Disease Clinics
The V.D. clinic is held most days bebleen 3-4 p.m. In 198'J....a total of
28 patients were seen. Patients are examined and soecimens taken as
necessary. The specimens are sent to Jefferson General Hospital or to
the State Laboratory in Seattle. Medications are provided as needed for
the treatment of gonorrhea and syphilis. Clients with other sexually
transmitted diseases are referred to physicians.
III ADULT HEALTH
a.
Foot Clinics for Senior Citizens
Clinics are held in Port Townsend, Chimacum, and Quilcene. These are
very highly utilized. To prevent long waiting time for appointments
we have increased the number of clinics to four times a month in
Port Townsend, three times a month in Chimacum, and two a month in
Quilcene. They are conducted by a Licensed Practical Nurse who has
had snecial training in foot care. She is assisted by volunteers.
This is one of the rKlst popular programs for seniors. Many elderly
citizens are unable to do this care for themselves and have experienced
much oain and discomfort until this service became available throuoh
the Health Department. In 1982, 925 clients were seen at our foot'
clinics. This represents an increase of 3% over 1981.
TABLE II
Distribution of Clients by Geographic Area
Area # of Patients
% of Total
Port Townsend 414
Chimacum 323
Quilcene 188
45%
35%
20%
Total 925
100%
. The age of people seen in our foot clinics varies from 60 years to 94
years, with the average age being 74. The regularly scheduled clinics
ea.ch month are:
~clinics in Port Townsend
3 clinics in Chimacu.n
2 clinics in Quilcene
-7-
.
There are regular volunteers who assist in each clinic. We are indebted
to them for their regular faithful attendance and assistance. They con-
tribute 792 hours a year,
In 1982 we asked for a 52.00 donation from clients--on January, 1983
tpis will be raised to 53.00. This donation will pay less than half
the cost, but it is all we feel these senior citizens can afford,
Donations collected in 1982
Salary and transportation in 1982
Supplies .
Cost to County for 925 clients
51,934.45
5,399.86
200.00
3,665.41
b. Senior Citizens Health Screening
These clinics are done by nurses. from Clalla~ County on a bi-county grant
and are held in Port Townsend, Chimacum, Quilcene and Gardiner. Eligibil-
ity consists of attainment of ace 60. Services are PHN conducted and con-
sist of general medical history and exa~ which includes audiometry
tonor~try, stool for blood, urine, pap smear for women, multiple chemical
screen on blood sample, plus blood count and he~atocrit. There were 43
clinics and 231 Health Screens done. The progra~ has had funding cuts
and had to eliminate some of their clinics in both counties. The program
is funded through the Office of Area Agency on Aging and will continue
to be done by a grant from OAAA through Clallam County.
.
c. Other Adult Health
Public Health nurses provide service in response to a variety of expressed
needs. Referrals are received from physicians, other agencies, from
families and self referral. Examples of service include teaching on nu-
trition, medication, and health problems, investigation of various other
needs in order to Make appropriate referrals to other community resources.
Nurses give talks to groups on various health needs and services as
requested.
A nurse is usually available in the office for counselling, blood pressure
monitering, and to help with finding the appropriate source of help, or
other services as needed.
.
TABLE III
Clinic Services Provided by Service
Height and weight
Nutrition counselling
Communicable disease counselling
Blood pressure rnonitering
General counselling
Medical referral
Audiology
PKU testing
Rashes
Head lice or scabies
Referral to other Health Department services
Referral to other agencies
Type*
12
8
60
W
36
l~
22
5
8
14
32
28
*These are aporoxiwate numbers as our last ouarter computer printout is
not yet available.
-~
4It d. Services to West End of Jefferson County
Under contract with Clallam County Health De~artment, nursing services
are provided by a Public Health nurse based in Forks. She visits
Western Jefferson County one or two days per month. She made 68 home
and office visits, and visited the school 18 times giving 291 units of
service to school children. These were vision, hearing, scoliosis screen-
ing and follow-uo and health counselling.
IV TUBERCULOSIS CONTROL
a. TB Patient Services
Basic functions are diagnosis, treatment, prophylactic treatment plus
follow-up of patients with quiesent disease who are at risk of develop-
ing tuberculosis. Tuberculosis is classified as follows:
Class I
Class II
Tuberculous exposure, no evidence of infection.
Tuberculous infection without disease. Positive
skin test with no symptoms or other clinical evidence
(X-Ray, bacteriologic, etc.) of disease.
Tuberculous infection with disease with specification
as to various clinical findings.
Class III
4It
During the year 86 people had TB skin tests. Most of these were for
employment. Eighty of the tests were negative and required no follow-uo.
Nine peoole were Class II and were put on prophylactic medication and
follow-up. Five of these were clients referred by private physicians
and nursing home and we supplied medication and follow-up at no cost to
the client. Prophylactic medication is usually ordered for one year.
There were no Class III active clients identified in Jefferson County
in 1982.
b,
X-Rays
Twenty-two X-Rays were taken for Jefferson County Health Department and
read by Dr. Fischnaller along with several films from outside sources.
X-Rays for patients in this service are taken under an arrangement
Jefferson County Health Department has with the Port Townsend Medical
Clinic. For those oatients who are suspect or known cases,
Jefferson County Health Departments pays for the X-Ray, X-Rays taken
in compliance with state codes requiring chest X-Rays for certain occupa-
.tions such as school personnel, nursing home personnel and read by our
Health Officer are charged for.
c. Skin Testing
Eighty-six skin tests were given and 6% were positive and investigated
and followed as needed.
4It
-9-
.
.
.
d.
TB Hospitalization
It was not necessary to authorize hospitalization for any TB patient
from Jefferson County in 1982.
e.
Tll Laboratory
Smears and/or cultures were done for diagnosis of tuberculosis. We
send these specimens to the State Laboratory in Seattle where they are
done at no cost to Jefferson County Health Department.
f. Nursing Service
Nurses supervised home care for patients recelvlng treatment. This
suoervision is essential because of the relative frequency of drug re-
actions, and possible need for a change in or termination of treatment.
Monthly vision checks for acuity and color vision are necessary when a
patient is on one particular TB drug. Hearing tests are necessary with
another. Monthly evaluations to detect any evidence of liver damage
as a result of a TB drug is another evaluation the PHN's do. Home visits
are also necessary as a part of the effort to identify sources of TB
infection and to assess spread to contacts of known active disease.
V SCHOOL NURSING
PHN visit the schools and do vision screening for all children in grades
K, 1, 2, 3, 6, 9. Color vision screening for grade 5 students.
a. School District 50 - Port Townsend
In the 1981-82 school year the nurses from Jefferson County Health
Department spent 232 hours in screening and other services in the schools,
TABLE IV
Required Screening done in School District #50
Number Screened Number Referred
Vision 536 35
Hearing .44] 17
Scoliosis 409 4
Totals 1,386 56
Nurses made 108 visits to Port Townsend schools.
b. School District 49 - Chimacum
In the 1981-82 school year the nurses from Jefferson County Health
Department spent 223 hours in screening and other services including
travel in Chimacum School.
-10-
.
.
.
TABLE V
Required Screening done in School District #49
Number Screened Number Referred
Vi s i on 431 25
Hearing 356 14
Scoliosis 257 10
Totals 1,106
49
Nurses made 69 visits to Chimacum schools,
c. School District 4B - Quilcene
In the 1981-82 school year the nurses from Jefferson County Health
Department made 28 visits to Quilcene School spending 79 hours in
screening, other services and tr~vel.
TABLE VI
Required Screening done in School District #48
Number Screened Number Referred
Vision 179 7
Hearing 119 1
Scoliosis 90 0
Totals 385 S
d. School District 46 - Brinnon
In the 1981-82 school year there were 19 visits made to Brinnon School
taking 34 hours.
TABLE VII
Required"Screening done in School District #46
Number Screened Number Referred
Vision 35 0
Hearing 35 0
Scoliosis 25 0
Totals 95 0
During the 1981-82 school year there were three staff nurses and the
Nursing Director in the Health Department.
-11-
-
.
.
.
L
When the Home Health Agency was transferred, the two nurses who worked
in both schools and Home Health transferred to Jefferson General Hospital,
one on a full time and one on a part-time basis. Because of this change
we now only have two nurses to do all the general Health Department
programs and school nursing. It is impossible to provide the same amount
or nursing services to the schools, The Director of Nursing and the
school superintendents agreed to have volunteers do the vision and
hearing screening, and the nurse screen all who did not pass.and make
referrals. The P.E. teachers will take care of the scoliosis screening
and referral after they have been taught by the nurses.
We began this program and have trained volunteers. The response was
very good. It is taking longer than anticipated for the nurses to do
the rescreening and referrals, so the scoliosis program will not begin
until February or March.
Other health services are provided by telephone consultation, or if
necessary a visit. The addition of a part-time nurse for the school pro-
grams is needed.
VI
INFLUENZA CLINICS
Influenza vaccine is purchased under State contract. In previous years
Jefferson County Health Department received a grant to cover the cost of
the vaccine and supplies. This year there were no grant monies available,
but since it is a very needed program it was continued with a charge of
$2.00 each which covered the cost of the vaccine. The nurses time was
provided by Jefferson County Health Department.
Influenza vaccine is available to anyone in Jefferson County, but is
recommended for those 60 years or over and for "high risk" individuals
of any age. Those defined as high risk are those having heart conditions,
chronic lung conditions, chronic renal disease, diabetes, etc,
The influenza vaccine is composed of killed influenza viruses and is
given by injection. The vaccine administered in 1982 offered protection
against three influenza strains which recently caused disease in
North America--A/Brazil, Bangkok, B/Singaoore. One dose of vaccine
provides protective levels of antibodies against these three strains
of influenza in 70 to 90 oercent of adults,
Clinics were held at:
Chimacum Community Center
Port Townsend Recreation Center
Quilcene Community Center
Brinnon Booster Club
Jefferson County Health Department
Vaccine was also available at our weekly inmunization clinics, and at
other times by ap~ointment. We administere~ vaccine to 525 individuals.
-12-
....~~~
.
.
.
VII
NURSING DIVISION STAFF FOR 1982-83
Phyllis Bee - Nursing Director
Charleta Handly - Staff nurse
Jeanne Hibbard - Pediatric Nurse Practioner
Mpry Tudor, CNS - Infant and Child Development Program
Christie He1se11 - Nutritionist
Catherine Merrill, LPN - Foot Care
Hannah Singhose - Staff nurse West Jefferson County
Phyllis Hart - ' MCH clerk
Colleen Parker - ,IIC clerk
Consultants
Jessie Graham - Physical Therapist
Patti Biro - Communication Disorder Specialist
Anne Marie Mende - Mental Health Consultant
V I II SUMMARY
All nursing services as mandated by the state regulations are being
carried out, and all activities in compliance with the objectives
written in our grants. Other services, such as schools, foot care,
and programs to meet community needs are done as time and money permits.
Emphasis is placed on teaching clients and others in the community
skills and knowledge to aid them to take more responsibility for their
health, as well as to cope with health related problems.
Staff members have the opportunity for inservice and continuing educa-
tion provided locally and by other agencies such as WIC, MCH, Immuniza-
tion Unit, etc.
The members of the nursing staff appreciate the support of the
Jefferson County Commissioners as our Board of Health.
Phyllis Bel!, BSN
Director of Nursing
-13-
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COMMUNICABLE
DISEASE CONTROL
PUBLIC HEALTH
NURSING
VITAL
STATISTICS
It rfachrn-..n+<
ENVIRONMENTAL
HEALTH
7 "<-,""-~.
HEALTH
EDUCATION
JEFFERSON COUNTY HEALTH DEPARTMENT
802 SHERIDAN PORT TOWNSEND, WASH. 98368
(206) 385.0722
To: Jefferson County Board of Health
From: Randall M. Durant, R,S.
Director of Environmental Health
Date: February 8, 1283
Subject Activities of Environmental Health Section for January, 1983
Other Field Work:
Food
6
Complaints
2
Water
8
Other
16
Finals
5
Followup
20
Total
57
Contacts: Office calls, telephone calls, plan reviews:
Sanitarians:
Secretaries:
355
60
171
231
586
office contacts
telephone
total for secretaries
total for secretaries and sanitarians
Total contacts year to date 586 (does not include field contacts or food handler
tests)
Food Handler pe~its: January--58
Sewage disposal system repairs 1983--2
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ENVIRONMENTAL HEALTH TOTALS
January 1983
1982 1983
Septic Tank and Drainfield $585.00 (11) $ 760,00 (12)
,
Site Evaluations ,
240.00 (7) 460,00 (9)
Platting 110.00 (2 short) 85.00 (1 short)
Installers, Pumpers 200.00 (5) 750,00 (13)
Well Site Inspections
Food Establishments
Restaurant, Cocktail 80 7 , 00 (18) 1,923,50 (29)
Grocery 300,00 (11) 520.00 (12)
Food Service Plan Review'S 40.00 (2) 75,00 (3)
Food Handler Permits 46.00 (23) 114,00 (58)
$2,328,00 $4,687.50
COIIMVNICABlE
, DISEASE CONTROL
"
p...;auc HEALTH
t-;URSING
VITAL
STATISTICS
ENVIRONMENTAL
HEALTH
f::I Hach,....,en+ 't
HEALTH
EDUCATION
-.
JEFFERSON COUNTY HEALTH DEPARTMENT
802 SHERIDAN PORT TOWNSEND. WASH. 98368
(206) 385,"'22
ANNUAL REPORT OF ACTIVITIES
ENVIR010IENTAL HEALTH SECTION
1982
Randall M. Durant, R.S.
Director
CONTENTS
I. On-site Sewage Disposal
II. Food Service Sanitation
III. Water Supplies
IV. Other Environmental Health Programs
V. General Information
VI. Public Health Regulations Listing
~~.
I. On-site sewage disposal
A, Number of applications
/ 1. Sewage disposal permit. application (3 County)-256 (Average 21/mo,)
2. Site evaluation applications-190 (Average 16 per mp.)
3, Short subdivision applications-29 (Average 2,5 per mo,)
B. Final inspections .of septic tanks and drainfields-48 (19%)
C. Sewage disposal system repairs and/or replacements-25
D. TWo mound systems were installed-total in County-3
E. Regular contact with the Water Supply and Waste Section of DSHS was
made in regards to alternative methods of on-site sewage disposal.
F, TWenty commercial septic tank installers and two septic tank pumpers
were licensed.
G. Reviewed and approved City of Port Townsend and Jefferson County
Building permits when related to on-site sewage disposal, Provided
consultation to the Jefferson County Planning Department for sub-
divisions, shoreline development and environmental assessments.
H. Annual review of on-site management reports-Kala Point Condominiums
and Garden Court Apartments
I. Almost all sewage disposal permit designs were done by the County
Sanitarians.
-1-
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II, Food Programs
'->.."- "'....
A.
In 1982 there were 57 restaurants of which 14 have cocktail permits,
5 meat markets, 12 tavernS, 4 bakeries, 39 grocery stores, and 4
school kitchens, Total number of permits issued was 121.
/
B.
Total inspections-229, Restaurants are inspected 2 to .3 times per
year, twice a year for taverns, one or more times for grocery stores~
and at least twice a year for meatmarkets and bakeries.
C,
Tempory food service permits issued-71 with 28 inspections. There
was no fee charged for most of these permits because they were non-
profit organizations and no fee is charged for them.
D. Plan reviews for new establishments or remodeling of existing establish-
ments-23 including consultation,
E. Food Handler tests and permits-557,
F, Epidemiology-4 epidemiologic surveys.
G. PSP-Paralytic Shellfish Poisoning Surveillance Program. Participated
with DSHS in monitoring beaches, providing public information, and
submitting samples to the State Lab.
III. Water Program
Performed 9 proposed public well sites and 12 private well construction
inspections. Information was provided on request to the public regarding
development of public and private water supplies, We had hacteriological
water sample bottles available to the public from Clallam and Kitsap
County's water labs of which 170 were sold. Upgrading and follow-up
of existing public water supplies was done in coordination with DSHS.
IV. Other Environmental Health Programs
A. Solid Waste-inspected and evaluated operation of drop boxes and
sanitary landfill.
B. School and County Swimming Pool-provided inspection of school food
service facilities and checked chlorine and PH levels at swimming
pool. Reviewed and approved one additional private school.
C. Rabies follow-up on all reported animal bites-approximately 25.
Also coordinated with State Lab the shipment of animal heads when
necessary for testing-2 in 1982.
D. Chemical and Physical Hazards-gathered information on air quality
complaints and passed them on to the Olympic Air Pollution Authority.
We also gathered information on complaints on cases of herbicide
spraying of timerlands and referred them to DSHS. We provided
information on formaldehyde and it's health effects, and information
on who provided tests on formaldehyde levels.
-2-
~ ,.
V. General
Environmental Health staff level for 1982 was an average of 1.5 f. toe,s.
There were 6,891 office and telephone contacts handled by the secretarial
staff and sanitarians. This was an average of over 500 contacts per month.
The'total does not include foodhandler tests or field work. There were
101 complaints related to miscellaneous environmental situations such
as sewage, garbage, animals and other nuisances~ We provided information
on request in other public health areas such as birds, turtles, pesticides
and "no smoking" regula tions ~
The environmental health staff represents Jefferson County in the exchange
of information with other'State and County agencies that have health-
related requirements within their regulations~ Theses agencies are the
Washington State Department of Social and Health Services, Washington State
Department of Ecology, State and Federal Departments of Agriculture, State
Fisheries, and Olympic Air Pollution Control Authority,
The approximate percentage of time spent in each environmental health
program was:
Sewage 58%
Food 23%
Other programs 11%
Water 8%
-3-
,
j
:, . '- ...
VI, Public Health Regulations
A. Water
/
1.
2.
WAC 248-54
WAC 248-98
Public Water Supplies
Swimming Pools
B. Solid Waste
1, RCW 70.95 Solid Waste Management Act
2. WAC 173.301 Minimum Functional Standards
3. Jefferson County Ordinance 2-77
C. Liquid Waste
1. WAC 248-96 On-site Sewage Disposal Regulations
2. Jefferson County Ordinance 2-77 Sewage Disposal
D. Food
1, WAC 248-84 Food Service Sanitation
2. WAC 248-86 and 248.87 Food Workers
3. Jefferson County Ordinance 2-77 Food Service Sanitation
E. Living Environment
1, Jefferson County Subdivision Ordiance
2. WAC 248-64 Primary and Secondary Schools
3. WAC 248.72 Camps and Parks
4, WAC 248.75 Mobile Home Parks
5. WAC 248.50 General Sanitation
F. Vector Control
1. WAC 248.100.450 Rabies control
Tbe Department also has indirect responsibilities in other City, County and
State regulations.
-4-
--
.'
JEFFERSON COUNTY FOOD PROGRAM 1982
Permits Issued
/
d C
T
1
Port Townsen ountv ota
Restaurants and Schools 39 22 61
.
Taverns 6 6 12
. .
Groceries 19 20 39
Meat Markets . 3 2 5
.
Bakeries . 3 1 4
.
Total 70 51 121 .
Temporary Permits--71
Inspections Made
p
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T
1
T
art owns en Qunty ota
Restaurant 99 52 I 151
.
Tavern 14 15 29
Grocerv 30 19 49
Total . 143 , 86 229
Temporary Food Service Inspections--28
Total Inspections--257
Food Handler Permits--557
New Food Service Establishments
Remodeled or Reopened
Bela Via
Back Alley Tavern
Tso's
Wine Cellar
The Store (Coyle)
Milo's On The Beach
Chandler's
Clipper Ship
Uptown Tavern
Outer Limits (Dan's Bar and Grill)
Denny I s Lanes
Ace of Cups
Lido
Salal (Town Breakfast)
Reed's Deli
.'
JEFFERSON COUNTY FOOD PROGRAM 1982
(Continued)
Plan Reviews
/
Jay's Regular Stores, Inc.
Papa Rox (not opened)
Oyster Patch (not qpened)
Bel Avia (2)
Chandler's (2)
Tbe Store (Coyle)
James House
Clipper Ship Fruit Stand
Milo's Catering Service
Denny's Lanes
The Sandwich Shop (not opened) (2)
Reed's Deli
Inn Season Catering
Tso's
Ace of Cups
Lido
Manresa Inn
Town Breakfast + Salal (2)
-'
EPIDEMIOLOGIC SURVEYS 1982
Tylenol--Questions referred to FDA
1. 1 Rainbow (not confirmed) shigella
2, 1 TAB (not confired)
3, 1 Home Foodborne I11ness--fami1y of 3 (not confirmed
4. 1 Yersinia enteroco1itica (Tofu)
. .
Total Expenditures 1982
562.00.10 Personal Service
562.00.20 Supplies
562.00~31 Professional Services
562.00.30 Other Services
562.00.60 Capital Outlay
134 Total
BUDGET REPORT 1982
Budget
143,246.08
9,350.00
60,902.00
26,209.50
1,100.00
$240,807.58
Balance Unexpended
Total Revenues 1982
334.62 State Grants
Environmental Health
346.52
346.53
346.54
346.56
Water
Solid Waste
Env. Health Fees
Food
Subtotal
Nursing Service
346.70
349.00
Other Fees
Other Charges
Subtotal
Total Revenue
$47,672.00
350.00
200.00
26,460,00
4,320.00
$31,330.00
5,520,00
600.00
$6,120.00
$85,122.00
Excess Revenue
Tax Revenue 1982
Tax Revenue 1978
Total Budget 1982
Total Budget 1978
$17,562,56
$11,937.00
$126,185.52
5122,074.11
5240,807.50
$157,863.00
Arfsc.h,......"f- :9
Health Department 134
Actual
140,120.66
,
7,342.45
56,239.26
19,143.13
399.52
$223,245.02
Health Department 134
$54,928.41
360.00
270.00
24,257.50
7,288,50
$32,176.00
6,062.95
3,892.14
$9,955.09
$97,059.50
Note: Tax revenue required the last year of Olyopic Health District from
this County $146,000.00