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HomeMy WebLinkAboutBoard of Health December 3 20021 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 DISCLAIMER: This document contains the Whatcom County Council or Committee minutes, as approved. However, unless an attested signature page is attached, they are not the final approved minutes. WHATCOM COUNTY COUNCIL Board of Health December 3, 2002 The meeting was called to order at 10:35 a.m. by Council Chair L. Ward Nelson in the Council Chambers, 311 Grand Avenue, Bellingham, Washington. Present: Absent: Barbara Brenner None Laurie Caskey- Schreiber Sam Crawford Seth Fleetwood Dan McShane Sharon Roy 1. PUBLIC SESSION Phillip Whitson, 2807 E. Crestline Drive, stated he is a licensed engineering geologist and a licensed sewage system designer. He has some ideas for the onsite sewage regulations. He distributed a letter (on file). 2. ONSITE SEWAGE REGULATIONS Regina Delahunt, Health Department Director, stated the draft is the concept, but it is not time yet to take action on it. They would like additional input from the community and the stakeholders. There was discussion about the process of adopting the regulations. McShane asked the number of septic design consultants. Chris Chesson, Environmental Health Supervisor, stated there are about 20 who are licensed by the State. Whitson stated the State Board allows everyone in the state two years to get their designer licenses. At the time this was implemented, they were all licensed through the County and allowed to practice in the state on a limited license until they can take the State exam. Brenner stated the changes are pretty big and will result in a big cost change for people. Chesson stated the ordinances creating the Drayton Harbor Shellfish Protection District and Portage Bay Shellfish Protection District were to look at Board of Health, 12/3/2002, Page 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 DISCLAIMER: This document contains the Whatcom County Council or Committee minutes, as approved. However, unless an attested signature page is attached, they are not the final approved minutes. onsite sewage systems to further protect the resources. An interlocal agreement with the City of Bellingham directs them to review and revise Lake Whatcom watershed regulations. The Public Health Advisory Board looked at the concept of creating an onsite sewage system (OSS) shoreline management zone, consistent with the current County shoreline management program boundary of 200 feet. It would help protect shellfish resources as well as surface water. The existing Lake Whatcom rules are more stringent than the existing State regulations. Many of the deleted requirements were developed before they knew about proprietary devices, aerobic treatment units, and sand filters that provide a known degree of treatment for sewage. They also made administrative changes, such as the language of "health officer" to "director" and changes to the enforcement section. They would like to direct all appeals and enforcement activities to the Hearing Examiner and Whatcom County Code (WCC) 24.07. They propose deleting the Sewage Control Appeals Board so all appeals go to the Hearing Examiner. Regarding the 200 foot OSS shoreline management zone, no OSS's would be permitted for new construction within 100 feet of a surface water body. Currently, one can get a variance and a reduced setback with the addition of an alternative device. They would not grant variances for new construction in the 0 -100 foot zone. Brenner asked what they would do for a small site that is high up and dry, and next to a stream. Chesson stated they rarely run into situations like that. There is almost always some other place that one could go on the property. If that were to happen, there are other options, such as an easement on another person's property. Brenner stated she would like a legal answer on whether the County is able to do that on those few exceptions. Delahunt stated a person could appeal the decision, but the Health Department will not grant a variance. The person could appeal to the Hearing Examiner. Brenner stated the Hearing Examiner can't go against the law. Chesson stated the Hearing Examiner can grant variances when there is a hardship, but not for State law. Crawford asked the reason for going from allowing a variance with certain controls to not allowing a variance. He asked if there are failing systems allowed in variance areas. Chesson stated the reason was just for additional resource protection. Nelson asked if that is in the current shoreline regulations. Chesson stated he did not know. Board of Health, 12/3/2002, Page 2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 DISCLAIMER: This document contains the Whatcom County Council or Committee minutes, as approved. However, unless an attested signature page is attached, they are not the final approved minutes. McShane stated there are variance procedures in the shoreline regulations. Crawford asked if it is correct that there is no problem, and yet they are removing the option. Chesson stated that is correct. Crawford stated they are taking away the variance option. He asked how many people take advantage of the variance. Chesson stated fewer than five people per quarter use the variance option. That number includes variances from wells. It's hard to say if there are any problems. Delahunt stated that with the current variance procedure, they are allowing people to get down to 50 feet of a water body. Nelson stated the only reason they are doing this now is because it is political, and they are working on shorelines. Delahunt stated that if a system fails, and it was fifty feet from a water body, the probability of contamination entering the water body would be much greater. There wouldn't be a lot of treatment within those 50 feet. If the distance was 100 feet, there would be additional treatment. It is an added measure of protection. Crawford asked the current regulation of installing septic near a well. Chesson stated the drain field needs to be 100 feet away. One can get down to 50 feet from the septic tank. There are reductions allowed with pre- treatment. One can get down to 50 or 75 feet. No changes are proposed to that right now. Roy stated the whole point of this is shoreline protection. There must be some reason that 100 or 200 feet was picked by the State. Chesson stated the 100 -foot setback is in the State code. He's never found any technical justification for that distance. Delahunt stated 100 feet is the standard that is used. Scientifically, she didn't know the difference between 90 feet and 100 feet. However, there is a big difference between zero feet and 100 feet. One hundred is the accepted standard in most states. Nelson stated the current regulations have a lot of different distance zones that didn't make sense. Caskey- Schreiber stated they might not need to see problems until they fail in 20 years. Brenner stated the shoreline management thing deals with more than the shoreline. It should have to do more with the types of soils. That's the way septic systems are designed. She asked if there is any information about the difference in the cost of a standard one and a standard two. Chesson stated most of the devices Board of Health, 12/3/2002, Page 3 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 DISCLAIMER: This document contains the Whatcom County Council or Committee minutes, as approved. However, unless an attested signature page is attached, they are not the final approved minutes. that meet treatment standard two also meet treatment standard one. There won't be a significant cost difference between aerobic treatment systems. Brenner asked if they let people do septic systems now that do not meet treatment standard two. Chesson stated they do. A conventional gravity drain field does not meet either treatment standard one or two. Devices have to go through the testing protocol to make sure they meet the standards. Delahunt stated there are two types of systems. In non - critical areas with good soils and a deep water table, one can have a standard, in the ground system. That's not what the treatment standards refer to. In a more critical area, a person is required to put in a pre- treatment device before the in- ground system. Those treatment devices have to meet standard one or standard two before going into the ground. Brenner asked the cost of a pre- treatment device. Chesson stated the cost range is $5,000 to $10,000. Nelson stated that is just the cost of installation, and does not include maintenance. Delahunt stated there are over 120 aerobic treatment units, which are a type of pretreatment device, in the county. Fleetwood asked for a description of an onsite sewage system that works. Chesson described how a septic tank and drain field work. Delahunt stated the treatment devices go before the drain field in the process. It is an added measure of protection. Fleetwood asked the common situations where there are problems. Chesson stated inadequately designed and constructed or older systems; what one puts in to the system, and; the strength of the wastewater are all examples of problems. Brenner asked if a person who maintains a system that is in good soils would be affected. Delahunt stated a septic system has a lifespan of 30 years. The permit requires a reserve area designated on the property for a replacement system when the current one wears out. Roy asked the number of septic systems in the county. Chesson stated there are about 26,000 systems in the county now. Roy asked how often they are checked. Chesson stated the County responds when there is a complaint. Delahunt stated the Environmental Services Division staff does special work in the Lake Whatcom watershed. They review 20 percent of the systems each year. Board of Health, 12/3/2002, Page 4 DISCLAIMER: This document contains the Whatcom County Council or Committee minutes, as approved. However, unless an attested signature page is attached, they are not the final approved minutes. 1 They also do surveys in specific areas. In those areas, there is at least a five 2 percent failure rate. 3 4 Roy stated there might be logic to getting the very best system in up front. 5 It would pay down the road in terms of water quality. 6 7 Caskey- Schreiber stated many fail because the maintenance has to be done 8 every six years and it costs a lot. It's not very glamorous, and people forget about 9 it. 10 it Brenner asked if it is just as effective to maintain a regular system than to 12 get a new standard two system, which will still have to be maintained. She hears 13 that failure of a system depends on the maintenance put into it. Delahunt stated 14 there is no specific data on what maintenance does. It depends on certain factors, 15 such as soil type. In general, they do a good job of treatment. If it is right near a 16 water body, it could travel into the water and they would never know it. If they put 17 in a pre- treatment system, they know that the waste will be pre- treated before it 18 even goes into the ground. 19 20 Chesson stated that in the Lake Whatcom watershed, they deleted the 21 additional setback requirement to a drainage ditch, which is already established by 22 the State and County sewage control regulations. There was no technical 23 justification for that additional setback. They deleted the minimum slope 24 requirements for the same reasons. 25 26 (Clerk's Note: End of tape one, side A.) 27 28 Chesson continued to state that another change was to a current prohibition 29 of system installation in certain soils. There are specific State and County rules 30 that establish criteria for those conditions, so there is no technical justification for 31 this additional restriction. 32 33 They've changed the minimum septic tank size requirement to be consistent 34 with existing State regulations. They've deleted the requirement that an OSS 35 permit be posted in the premises. The department has copies of all permits for 36 property owners. Lastly, they've deleted tables pertaining to minimum soil depth, 37 vertical separation, and additional depth to seasonal water in the watershed. 38 39 Brenner referenced page five of the Board of Health packet. They will create 40 more administrative appeals if the variance is eliminated. Delahunt stated all 41 appeals had to do with the Lake Whatcom watershed because they couldn't meet 42 the existing requirements. The appeals board would allow an alternative system. 43 They were adding an appeals step in the process, and now they are just making it 44 legitimate without going through the appeals process. 45 Board of Health, 12/3/2002, Page 5 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 DISCLAIMER: This document contains the Whatcom County Council or Committee minutes, as approved. However, unless an attested signature page is attached, they are not the final approved minutes. Brenner referenced Board of Health packet page eight, subsection (3). She asked if they are not licensing and bonding designers. Delahunt stated the State licenses and bonds designers now, not the County. McShane referenced the definition of "Cuts and /or banks." Not many slopes are 45 degrees. He is concerned about shoreline bluffs. Include language that if located near a cut bank or bluff that is 45 degrees, it should be reviewed under the critical areas ordinance. Delahunt stated the guys who go out into the field are getting better about thinking about the critical areas ordinance. Nelson stated he would like to see the technical information on various slopes and what they require. Brenner referenced Board of Health packet page 13. She asked if they do local licensing of installers, and what they need to know. Chesson stated an installer is required to pass an exam, have a State contractors bond, and to earn one continuing education unit (CEU) per year for license renewal. Brenner referenced Board of Health packet page 17. She asked if a septic tank equals treatment standard two. Chesson stated it does not. One would need a treatment unit and drain field. Brenner asked what happens if someone has to retrofit their system. Chesson stated a designer would look at all components of a system to make sure they meet the code. If the tank is fine, and there is something wrong with the drain field, one would have to install the treatment device. Brenner asked the cost of the treatment device. Chesson stated the cost for a treatment device is about $5,000. Brenner stated she would like to take a course on this information. McShane referenced Board of Health packet page 25. They are trying to protect water resources, so there are new distances based on shoreline. There are a lot of creeks that aren't shorelines because they aren't navigable. Someone could be 30 feet from a drainage ditch or curtain drain, which might flow a short distance straight into Drayton Harbor, California Creek, or Lake Whatcom, for example. He's a little worried about that. If there is a drainage ditch, the odds are there are some impermeable soils, which is why water has to be drained away. They are creating a conduit from a septic drain field or leaking tank to the water body they want to protect. They may want to have a more protective number in general. These would only apply in the shoreline zone. However, someone outside the shoreline designation might have a ditch that would flow straight into the water body. Require the distance to be greater in the water resources protection overlay areas. Brenner referenced Board of Health packet page 38, subsection (a)(i). If someone has an existing system, and upgrades to a standard one system, and Board of Health, 12/3/2002, Page 6 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 DISCLAIMER: This document contains the Whatcom County Council or Committee minutes, as approved. However, unless an attested signature page is attached, they are not the final approved minutes. wants to make the house larger, there will be a huge amount of cost to move the system. Delahunt stated this is for someone with a little tiny cabin within a hundred feet of the water body, and who decides to put up a 5,000 square foot house. Brenner stated that is an extreme. Someone who wants to put in an extra bedroom is more the norm. Delahunt stated that in their experience, they see people all the time who have small cabins and turn them into big mansions. Brenner requested the Health Department to put in a square footage expansion limit. Delahunt stated they could modify it to allow a certain percentage for expansion. Brenner asked if they are going to put together a committee that includes experts. Nelson stated they should put this in a Council committee, and invite the stakeholders to comment. They don't need to set up an outside committee. Brenner stated she would like to see something sent to those people who live near those bodies of water so they know what is in store for those people. Caskey- Schreiber stated this does not involve retrofitting. Chesson stated it applies if a system fails. Roy stated the Council committee agendas are published. An advisory committee put this together in the first place. They are covered. Delahunt stated she wants to make sure the Lake Whatcom folks understand what is happening. Nelson asked Ms. Delahunt to prepare a press release about the issue. Delahunt stated she will let the Council office know when to put this forward in committee. OTHER BUSINESS Don Vesper, Environmental Health Services Manager, spoke regarding live - aboards in Drayton Harbor. There is evidence of coliform contamination in the harbor. Most of the contamination seems to be in the proximity of the industrial pier and not in the monitoring stations around the boat harbor. Control activities have been discussed. They are examining the Shilshoal Bay process, which puts a dye tablet into the holding tanks of the boats when they come in to moorage. Docks have facilities for pumping out the holding tanks at the marina. They have a no discharge policy in place at the marina. Board of Health, 12/3/2002, Page 7 DISCLAIMER: This document contains the Whatcom County Council or Committee minutes, as approved. However, unless an attested signature page is attached, they are not the final approved minutes. 1 2 Nelson asked if all ships coming into the marina have holding tanks. Vesper 3 stated he did not know. He did not know if the Canadian boats have the same 4 requirements. 5 6 Nelson asked Mr. Vesper to get together with Geoff Menzies about some of 7 these concerns. He has concerns about foreign vessels and fish processing 8 facilities. 9 10 Geoff Menzies, citizen, stated the gray water issue came about because of 11 fecal coliform violations in the Blaine Marina. The fecal coliform levels are ten times 12 the shellfish standard in the commercial marina and three to four times the shellfish 13 standard in the live- aboard area. Gray water can carry fecal coliform bacteria. The 14 question during a shellfish meeting was weather the County Health Department has 15 any jurisdiction over gray water discharge. The way Shilshoal deals with it is 16 through an educational program to make sure boaters know that there is a 17 problem. They encourage people to use the shore side facilities. Regarding onsite 18 systems, the recommendations that came out of the Drayton Harbor shellfish group 19 should be found in these regulations. 20 21 22 3. WEST NILE VIRUS 23 24 Dr. Greg Stern, County Health Officer, stated the West Nile virus is in a 25 group of arthropod -borne viruses. Six species of mosquitoes are potential carriers 26 that have been identified in Whatcom County. The virus is related to Japanese 27 encephalitis. From 1999 to a week ago, there have been over 3,800 cases of West 28 Nile virus in humans in 45 states. Of the people who do get infected, only one in 29 twenty develop a mild illness. Eighty percent are asymptomatic. Only one in 150 30 get a sever neurological diseases. The risk of getting the disease and dying 31 increases with age. It is also seasonal, from mid -July to early December. There is 32 no specific treatment. Vaccines are available for horses. The primary response is 33 taking preventive measures, such as wearing long sleeved clothes, wearing 34 mosquito repellant, and addressing mosquito habitat control. 35 36 Brenner asked the incubation time and risk to young children. Stern stated 37 incubation is about two weeks. He has not seen information on the risk to children. 38 39 Don Vesper, Environmental Health Services Manager, stated they did expect 40 to have horses, birds, or other cases of West Nile virus within the year. This 41 disease has moved from the East Coast to the West Coast since 1999. This year 42 has been the most severe in terms of number of cases and deaths. 43 44 The Health Department has already started planning for West Nile virus and 45 mosquito control. They are doing surveillance on birds and large animals. They are 46 also planning a prevention message for the community. They have scheduled 47 training in February for managers of public lands, such as city and county park and Board of Health, 12/3/2002, Page 8 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 DISCLAIMER: This document contains the Whatcom County Council or Committee minutes, as approved. However, unless an attested signature page is attached, they are not the final approved minutes. public works departments. They have discussed with the State Department of Health (DOH) about how mosquito control will be done throughout the state and the barriers to mosquito control. Local training with partners is scheduled in January. The Health Department has some capacity to respond through surveillance and tracking human cases as they occur, but there are limitations. The State DOH requires them to do certain surveillance activities. Those are going to be hard for the Health Department to do because the County doesn't have the personnel resources. The State does not plan to provide any funding to assist the County with those requirements. The Health Department will be able to maintain surveillance data. They are not set up to do mosquito control through the Health Department. If that is needed in the long -term, the County Council may need to form a mosquito control district. That is a possible long -term solution. Brenner asked if there are nutritional supplements that people can take to be less susceptible to West Nile virus, and if the West Nile virus goes directly to the brain and spinal cord. Stern stated there is some question about whether there is a higher attack rate in people who have a compromised immune system. It's not clear right now. He doesn't know about any supplements or dietary information. This virus causes a systemic illness. There isn't anything he knows of that someone can do to prevent from getting the illness. Crawford asked if the fatality rate is six or seven percent. Nelson stated that is the amount of people who has symptoms. There are many more who don't get symptoms. Crawford asked if people would get West Nile virus in Whatcom County and who would show symptoms. Stern stated Whatcom County probably would have people with symptoms. Crawford asked the chance that someone who shows symptoms will die. Stern stated 80 percent who get infected would not know it. Twenty percent will have mild symptoms. One in 150 who get symptoms will get severe symptoms. (Clerk's Note: End of tape one, side B.) Crawford stated it seems that there isn't much they can do about it other than prevention. He asked if it likely that someone in Whatcom County would die from this. Vesper stated there is a lot of variation in the likelihood. The number of cases in the Midwest was high, but dropped off on the West Coast. It's difficult to predict what they will experience. They know the virus is present in the community, and it's likely that people will become ill. Crawford asked at what point they consider a mosquito abatement district. Vesper stated that could be created by a citizen referendum. The districts can be very local or countywide. They are funded through a property tax assessment. Board of Health, 12/3/2002, Page 9 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 DISCLAIMER: This document contains the Whatcom County Council or Committee minutes, as approved. However, unless an attested signature page is attached, they are not the final approved minutes. When they decide it is necessary depends on what the community wants and what their experience is. Stern stated the assumption is that someone in Western Washington could die from West Nile virus in the next year or the following year. They need to assume that Whatcom County is not that different from the rest of the country. They have a chance to prepare for it. The degree of response should not be based on headlines, but should be based on the knowledge that this is inevitable. They are not going to get rid of West Nile virus or all mosquitoes. They are going to try to control it and reduce exposure. The degree of response must be measured and must not be based on headlines. When people think of mosquito control, they think of heavy insecticides. That can be done, but it is the least effective and has the most environmental impact. There are other measures to kill eggs and larvae. There is some biological control using bacterial predators and fish to control the populations. It's important to get the evidence on what is effective and the risks of the intervention methods. Do the education. This is about controlling the inevitable, as opposed to eliminating it. Vesper stated the response would be similar to a response for something like influenza. They can do a lot with prevention messages and targeted interventions for mosquito control in populated areas. Caskey- Schreiber stated the community is well aware that this is coming. OTHER BUSINESS Nelson stated he attended a community health care access summit. There were over 200 attendees. Workshops included a variety of topics on the business of health care. Some of the discussion was about health care districts. The Board of Health will play a role. Regina Delahunt, Heath Department Director, stated the community forum emphasizes that there is a crisis in Whatcom County and other places regarding access to quality health care. She submitted the Standards for Public Health in Washington State that dictate that all local health jurisdictions should meet to show they are providing adequate health care. She would like to go over these standards with the Board of Health at some point. The State did an assessment of the Whatcom County Health Department to see how it measures up to these standards. She has not received the report yet. She would like to bring the results forward to the Board of Health when she gets them. There are standards for access to critical health care services. The local public health jurisdiction has a responsibility to assure that people have access to health care services. They don't have a responsibility to provide health services, just to assure access. Their responsibilities are to make sure information is collected and available to the community; look at the information and analyze the Board of Health, 12/3/2002, Page 10 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 DISCLAIMER: This document contains the Whatcom County Council or Committee minutes, as approved. However, unless an attested signature page is attached, they are not the final approved minutes. information for trends; be involved in planning and collaboration efforts to reduce gaps in the areas of health service, and; make sure that health care is provided at a quality level in the community. It is a huge issue. Whatcom County is a small jurisdiction. All the partners are going to have to help. Nelson stated federal dollars are available to help with this. The State legislators are also getting involved. Brenner stated the section regarding oral health should say "fluoride availability," not "water fluoridation." Water fluoridation is not the best way to solve the problem. Nelson stated this is a State document. Delahunt stated she will let the State know. ADJOURN The meeting adjourned at 12:20 p.m. Jill Nixon, Minutes Transcription These minutes were approved by Council on January 14—, 2003. ATTEST: Dana Brown - Davis, Council Clerk WHATCOM COUNTY COUNCIL WHATCOM COUNTY, WASHINGTON L. Ward Nelson, Council Chair Board of Health, 12/3/2002, Page 11