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Home My WebLink About2024/03/26 - BOH Packet MASON COUNTY = COMMUNITY SERVICES Building,Planning,Environmental Health,Community Health MASON COUNTY BOARD OF HEALTH March 26,2024 3:00 PM Commission Chambers HEALTH411 North 5'Street ® Shelton,WA 98584 Meeting ID: 834 8034 3274 Passcode: 721009 DRAFT AGENDA 1. Welcome and Introductions Chair 2. Approval of Agenda—ACTION Board Members 3. Approval of Minutes (January 24,2024)—ACTION Board Members 4. Report from Health Officer Search—POSSIBLE ACTION Board Members 5. Public Health Week Proclamation—ACTION Dave Windom 6. Health Officer Report Dr. Keri Gardner 7. Administration Report David Windom a. Fiscal Report 8. Environmental Health Report Ian Tracy a. On-Site Sewage Advisory Commission Applications b. Basic Sanitation Policy c. Street Vending d. Shellfish Closure Response Plans e. Abatement Fund Discussion 9. Community Health Report Melissa Casey a. Substance Use Prevention Presentation Ben Johnson 10. Other Business and Board Discussion Board Members 11. Public Comments 12. Adjourn If special accommodations are needed,please contact McKenzie Smith at(360)427-9670 ext.589 or msmithkmasoncountMa.gov Mason County Public Health 415 N 6't'Street,Bldg. 8,Shelton WA 98584, Phone(360)427-9670 ext.400 Fax(360)427-7787 MASON COUNTY BOARD OF HEALTH PROCEEDINGS 411 North 511 Street,Shelton,WA January 23,2024 Attendance: Randy Neatherlin,County Commissioner;Kevin Shutty,County Commissioner; Sharon Trask, County Commissioner;Dr.Keri Gardner,Health Officer;Peggy VanBuskirk,Hospital District No. 2;Miguel Gutierrez,City of Shelton;David Windom,Public Health and Community Services Director; Ian Tracy, Environmental Health Manager;Melissa Casey,Community Health Manager;Christina Muller-Shinn, Community Health Program Assistant;Rachel Hook,WIC Coordinator;McKenzie Smith, Clerk of the Board; and Dedrick Allen,MasonWebTV 1. Chair Shutty called the meeting to order at 3:02 p.m. 2. Approval of Agenda Cmmr.Neatherlin/Cmmr. Trask moved and seconded to approve the agenda with the addition of the selection of Chair and Vice-Chair after and to enter into contract with the Department of Health and Clark County for backup Health Officers. Motion carried. 3. Approval of Minutes Cmmr. Trask/Peggy VanBuskirk moved and seconded to approve the minutes as presented. Motion carried. 4. Selection of Chair and Vice-Chair Cmmr. Shutty nominated Cmmr.Neatherlin as Chair. Motion carried. Cmmr. Trask nominated Keri Davidson as Vice-Chair. Motion carried. 5. Department of Health Contract and Clark County Health Officer Contract Dave discussed the contract with the Department of Health and the contract with Clark County for alternate Health Officers. Cmmr. Shutty/Peggy VanBuskirk moved and seconded to contract with the Department of Health for an alternate Health Officer. Motion carried. Peggy VanBuskirk/Cmmr. Shutty moved and seconded to contract with Clark County for an alternate Health Officer. Motion carried. 6. Health Officer Report Dr.Keri Gardner shared funding will be awarded through the Syndemic Grant from Washington State in June for$185k. This will be used to start clinical services such as Hepatitis C,purchasing a van to deliver these services,and hire a Pro Re Neta(PRN)or Registered Nurse(RN)to administer those services. A more detailed plan depends on the skillset of the individual hired. Dr.Gardner shared that she accepted a position in Utah at a free clinic as Chief Medical Officer but will continue as Health Officer until a replacement can be found. Dr.Gardner also discussed communicable diseases. There is a mumps outbreak in Philadelphia. No new cases of tuberculosis have occurred;however there are still high rates of latent tuberculosis. There was a spike in COVID in late December and early January. Influenza A and B are circulating widely. It is encouraged to get the flu vaccine. 7. Administration Report Dave discussed the year end financial report. Cash flow is typical. There was a large increase in revenue in August from the late influx of new Foundational Public Health Services(FPHS)money. Money was sent back at the end of 2023 due to using COVID money. This year more FPHS funds will be spent. There has been a high fund balance. In the spring the Treasurer took out funds for investments. Fund balance by revenue source: State funding 32%,Federal funding 32%;opioid settlement 9%;County contributions 8%; and fees and permits 22%. Higher revenue months correspond with incoming FPHS funding. Contracts will be renewed the first week of July. The negative in December is due to funds sent back to the Department of Social and Health Services (DSHS). Local Public Health jurisdictions,the Department of Health,and the State Board of Health all have to agree on the disbursement of funds or funding will not be available. Expended funds were less than budgeted. Expenses are salaries and wages 41%,benefits 18%, services 33%, and internal 5%. A breakdown of spending per person per fund type is also available. There is $218k in opioid funding. Public Health is working with North Mason on prevention. There is potential to use some of the funding for the clinical service program and substance use programs. The City of Shelton signed an Interlocal Agreement with the County to combine settlement dollars. It has been a typical flu year. It is predicted to have around 150 flue deaths across the state. There is nothing in the epidemic status. Peggy added that there have been no Respiratory Syncytial Virus (RSV)problems either. Dave shared after January 31 there will be no more tests ordered from the State. There has not been a lot of need for vaccinations. Tracking is being done differently. There is now an influenza-like illness dashboard which shows flu,RSV,and COVID. The protocol for COVID has not changed. If you test positive and are symptomatic you need to stay home for five days. You must be fever free for 24 hours. When returning to work you must wear a mask for five days. 8. Environmental Health Report Ian shared Inspect2Go,a fully online food inspection program, should be ready to implement at the end of February/beginning of March. Rabies vaccination clinics are being explored and funding is being looked into. License renewals and annual reports are in process. The$233k South Sound Grant contract from Pierce County was received for water quality. $40k is for scope and permit application for replacement of grinder stations in the North Bay area. The remaining funding would be used for pollution identification and hiring a two-year temporary water quality specialist. A copy of a draft regulation for the drinking water code was provided. Part of the regulation is from Water Resource Inventory Area(WRIA)requirements and the Hirst Response regarding the Growth Management Act. This part of the regulation will move from County Code Title 6 to Title 17. The remainder is small changes to update language,minimum amount of water required for a home from 800 gallons per day to 400 gallons per day per connection. This will be consistent with neighboring jurisdictions. Another change is when connecting to a Group B Water System a satisfactory bacteria test must be done. Ian provided an update on a potential abatement fund. There is no funding mechanism for solid waste abatements on properties. FPHS funding is a potential idea. The way the County Code is written is if an abatement is done and not paid back,the property would be foreclosed upon and go up for tax title sale. It is not recommended to remove that from the County Code. There is a mechanics lien where when the property sells,the lien will be paid. The lien type referred to in the County Code would require the property to go to tax title sale. 9. Community Health Report Melissa shared there is an emphasis to get the Community Health report data available in real time on the dashboard on the Public Health page and www.healthymasoncogpty.com. Some of the biggest priorities is meeting with the Epidemiologists to evaluate current programs to assess if the intent and purpose of those programs are being met and if there is room for improvement. There are reports available on Housing and Treatment Sales Tax(TST). A nurse position is being transitioned from COVID to bringing Public Health into the community for chronic disease prevention,work with the YMCA obesity prevention program, fall prevention for seniors,and reaching out to community partners to figure out how to make programs more accessible. Rachel shared flyers for the WIC launch date on March 1. WIC will be open Mondays,Wednesdays, and Fridays at the YMCA. Rachel will be participating in the Farmer's Market Nutrition Program and will be giving out food program benefits for up to$86 for fresh fruits and vegetables. World Breastfeeding Week will be celebrated in August and an event will be planned at the YMCA with goodies to be passed out for free. 53%of all babies born in America are born on WIC. Cmmr.Neatherlin suggested partnering with Jeremy Hicks for a fall prevention program. Christina shared a report on historical trends with the five-year syringe exchange program. There has been a total of 2,236 engagements. 749 have been unique individuals. On average individuals are getting supplies for 3.7 people. 8%of engagements did not receive syringes but received Naloxone or wound care. About 1 million syringes have been exchanged. 19%of individuals received a behavioral health referral,21%received a referral to recovery support. 72%of individuals are white, 23%American Indian and Alaskan Native. 20%go to Belfair,24%Skokomish,and 55%Kamilche. 17%of individuals experienced or knew someone who experienced an overdose in the last thirty days. 44%of visits received Naloxone. In 2023,over 2,000 Naloxone kits were distributed and there were 444 successful opioid overdose reversals. 56%of visits request fentanyl test strips and about 56% receive wound care supplies. Needle litter is reduced significantly when there are syringe exchange services available. 2020 is when there was a large onset of illicit fentanyl and overdose rates skyrocketed. There was also a big shift in drug use administration from injection to smoking. 10. Other Business and Board Discussion Dave shared Public Health is getting ready to do the"Point-in-Time"(PIT)Count on January 26 and January 27 is the Blue Zones kickoff. Melissa added the PIT Count is coordinated by Crossroads Housing and Youth Protection. There will be pop-up resource fairs in downtown Shelton and in Belfair. 11. Public Comments Constance Ibsen asked if there will be wastewater testing done in the North Mason/Belfair treatment plant for diseases? The biosolids department shared a grant for rural utilities to apply for and receive a free automatic sampler and flower meter package. 12. Adjourned at 4:25 p.m. ATTEST MASON COUNTY,WASHINGTON BOARD OF HEALTH MASON COUNTY,WASHINGTON McKenzie Smith,Clerk of the Board Darrin Moody,Hospital District#1 Miguel Gutierrez,City Council Kevin Shutty,Commissioner Randy Neatherlin, Commissioner Sharon Trask,Commissioner Peggy Van Buskirk,Hospital District#2 Gary Plews,Fire Commissioner Keri Davidson, Shelton School Board Proclamation National Public Health Week April 1-7, 2024 WHEREAS, the week of April 1-7, 2024 is National Public Health Week and the theme is "Protecting, Connecting,and Thriving: We Are All Public Health"; and, WHEREAS, since 1995, the American Public Health Association, through its sponsorship of National Public Health Week, has educated the public, policymakers, and public health professionals about issues important to improving the public's health; and, WHEREAS, a person's health status can differ drastically due to differences in the built environment, environmental quality, community context, access to healthy food, access to education, and access to health care; and, WHEREAS, there is a significant decrease in health status among persons who are more likely to face social determinants that negatively impact health, such as racism, poverty, adverse childhood experiences, transportation barriers, and lack of economic opportunity; and, WHEREAS,public health professionals help communities prevent,prepare for,withstand, and recover from the impact of a full range of health threats, including disease outbreaks such as the COVID-19 pandemic, tuberculosis, natural disasters,and disasters caused by human activity; and, WHEREAS,public health action,together with scientific and technological advances,has played a major role in reducing and eliminating the spread of infectious disease and in establishing todays' disease surveillance and control systems; and, WHEREAS, studies show that relatively small strategic investments in disease prevention can result in significant savings in health care costs; and, WHEREAS,efforts to adequately support public health and the prevention of disease and injury can continue to transform a health system focused on treating illness into a health system focused on preventing disease and injury and promoting wellness; and, NOW,THEREFORE,BE IT RESOLVED,that the Board of Mason County Commissioners hereby proclaims April 1-7,2024 as National Public Health Week and encourages all county officials,employees, schools, and residents to observe this week by celebrating the value of public health in improving the quality of life for all its communities. Signed this day of March 26th,2024. Randy Neatherlin, Kevin Shutty, Sharon Trask, Chair Vice-Chair Commissioner From the Director's Desk March 2024 I�No Spring is here! It's been a very busy couple of months since the last board meeting. We've opened our WIC clinic in partnership with the YMCA Mason Hospital. This is the only partnership I know of in the state that is built like this. The feedback we have gotten from the community is that this is a service that has been very much missed. We're very excited to get the WIC clinic up and running. After a brief spike this winter, Covid has begun to calm down again. The CDC has changed its guidelines for COVID-19, putting them more in line with guidelines for flu and RSV. This year we have begun a process where we will be taking a hard look at our own processes and outcomes from the programs that we manage. We are getting some software on board that will help measure our performance indicators to show whether meeting our strategic goals and moving the needle of improving the health Mason County. This will be a fairly lengthy and slow process to start, once it's in place, will be able to have a public-facing dashboard to allow the public to look at what we are doing and how well are doing it. I will be in Spokane helping to host the NW Rural Health Conference as the chair of the Washington Rural Health Association which means I will attend the BOH meeting via Zoom. We will also be missing Melissa, the community health manager, as she's home having a baby! We wish her all the best as she starts this new adventure. The legislature finished the session with no real impact on health funding. Our funding for the next year will be relatively stable. We will see seasonal trends in fee-for-service activities mostly through the environmental health program. I am forecasting no changes in grants or consolidated contracts that will affect our budget significantly. Other legislation that would affect public health has been relatively minor this year. We have already begun working with DOH and or public health partners to develop the decision package to be included in next year's budget which will need to be complete by July. Our search for a health officer continues. We put out a request for qualifications and received one packet from a very qualified candidate. A committee of board members interviewed the candidate, and the interview committee will be making a report to the board with a recommendation at the Board of Health meeting. Until the board selects a candidate a contract is signed, Dr. Gardner will continue to be our health officer. David Windom, MSHS Director Environmental Health Briefing TO: Mason County Board of Health FROM: Ian Tracy, Environmental Health Manager DATE: March 261", 2024 ITEM: On-site Sewage Advisory Committee (OSAC) Membership -Application for Renewal SUMMARY: James Medcalf is a current member of the OSAC holding one of the Designer positions. He has served on the committee since its reformation in 2019 and has applied to extend his service for another three years. REQUESTED ACTION: Board discussion and call for vote if appropriate. ATTACHMENTS: Application MASON COUNTY COMMISSIONERS 411 NORTH FIFTH STREET SHELTON WA 98584 Fax 360-427-8437, Voice 360-427-9670, Exf. 419;275-4467 or 482-5269 rasa i AM SEEKING APPOINTMENT TO / �� %� ��/ Q�l-S//�� E�...3� F`�i1�J�so NAME: � ADDRESS: PHO—NE.- CITY/ZIP: VOTING PRECINCT: ` WORK PHONE: AREA IN THE COUNTY YOU ----------------------------------------------------------------------------------- COMMUNITY SERVICE EMPLOYMENT: (IF RETIRED. PREVIOUS EXPERIENCE) (ACTIVITIES OR MEMBERSHIPS) COMPANY: �� 'C��YRS G�* fetil- �a1��Ge, gP POSITION: r�V�P.� �les�/��er COMPANY: YRS POSITION: ----------------------------------------------------------------------------------------------- In your words, what do you perceive is the role or purpose of the Board, Committee or Council for which you are applying: /fie% [,.,:'/A '040 6C I"�G iY,- f��Ce��eS What interests, skills do you wish to offer the Board, Cokpmittee, or C and ��e�.c��c� Please list any financial, professional, or voluntary affiliations which may influence or affect your position on this Board: (i.e. crea e a potential conflict of inteAest) o j`rtausfeAe Your participation is dependent upon attending certain trainings made available by the County during regular business hours (such as Open Public Meetings Ac nd Public Records).The trainings would be at no cost to you.Would you be able to attend such trainings? 'r6s" Realistic7�09qafte h time can yo a this position? l fonthly� Weekly Dail ®ffice Use Only .. -- -- Appointment Date '_,�ature Date Term Expire Date Environmental Health Briefing TO: Mason County Board of Health FROM: Ian Tracy, Environmental Health Manager DATE: March 261", 2024 ITEM: On-site Sewage Advisory Committee (OSAC) - New Member Application SUMMARY: Art Witson has applied to become a citizen member of OSAC. Art is a current member of the Clean Water District Advisory Committee holding one of the citizen positions. REQUESTED ACTION: Board discussion and call for vote if appropriate. ATTACHMENTS: Application and application addendum. �$oN coalyaA MASON COUNTY COMMISSIONERS 411 NORTH FIFTH STREET SHELTON WA 98584 _-— Fax 360-427-8437; Voice 360-427-9670, Ext. 419;275-4467 or 482-5269 1854 ]AM SEEKING APPOINTMENT TO Onsite Sewage Advisory Board NAME: Arthur E. Whitson, Jr. ADDRESS: PHONE: ( CITY/ZIP: VOTING PRECINCT: WORK PHONE: AREA IN THE COUNTY YOU LIVE) ------------------------------------------------------------------------------------------- COMMUNITY SERVICE EMPLOYMENT: (IF RETIRED, PREVIOUS EXPERIENCE) (ACTIVITIES OR MEMBERSHIPS) COMPANY: The Boeing Company, 37.5 Years YRS POSITION: Systems and Environmental Engineer COMPANY: US Environmental Protection Engineer, 2 YRS POSITION: Hazardous Waste Environmental Engineer -------------------------------------------------------------------------------------------- In your words, what do you perceive is the role or purpose of the Board, Committee or Council for which you are applying: TThe board in the case of the Mason County Onsite Sewage Advisory Board is made up of stake holders and industry professionals. I he purpose of the body is to assure the Mason County unsite wastewater treatment policies, procedures and regulations are consistent with the State and Federal standards. The other purpose of this Board is to advise the Mason County Health Department with new emerging wastewater treatment technologies and techniques pl,is solving wastewater ns-gi 1ps and release events that nr.C@Sannally onri ir What interests, skills do you wish to offer the Board, Committee, or Council? I have an educational and professional working background in estuarine ecology, civil engineering (registered in Washington), and system and reliability engineering.s d those skills to solve many vexing problems at the Boeing Comfy and now as a Port of Grapeview Commissioner_ One of these projects included solving airplane FAA deicing constraints without violating Federal, State and Local storm water regulations. Recently I brought the Port of Please list any financial, professional, or voluntary affiliations which may influence or affect your position on this Board: (i.e. create a potential conflict of interest) Mason County Clean Water District Advisory Committee Citizen member. Your participation is dependent upon attending certain trainings made available by the County during regular business hours (such as Open Public Meetings Act and Public Records).The trainings would be at no cost to you. Would you be able to attend such trainings? yes Realistically, how much time can you give to this position? x Quarterly Monthly Weekly Daily Office Use Only 03/15/202 Appointment Date Signature Date Term Expire Date I am seeking appointment for the Onsite Sewage Advisory Board Candidate Information Arthur E.Whitson, Jr. Community Service • Port of Grapeview Commissioner District 1 • Mason County Clean Water District Advisory Committee Citizen member. • Former member on The Bainbridge Island Harbor Commission 1993 - 1997 • Former member on the Comprehensive Planning Committee for Bainbridge Island Harbor Commission Employment History • The Boeing Company, 37.5 Years Systems and Environmental Engineer • US Environmental Protection Engineer, 2 years Hazardous Waste Environmental Engineer In your words,what do you perceive is the role or purpose of the Board, Committee or Council for which you are applyin . The board in the case of the Mason County Onsite Sewage Advisory Board is made up of stake holders and industry professionals.The purpose of the body is to assure the Mason County Onsite wastewater treatment policies, procedures and regulations are consistent with the State and Federal standards. The other purpose of this Board is to advise the Mason County Health Department with new emerging wastewater treatment technologies and techniques plus solving wastewater issues and release events that occasionally occur. What interests,skills do you wish to offer the Board,Committee,or Council? I have an educational and professional working background in estuarine ecology, civil engineering(registered in Washington), and system and reliability engineering. I used those skills to solve many vexing problems at the Boeing Company and now as a Port of Grapeview Commissioner. One of these projects included solving airplane FAA deicing constraints without violating Federal, State and Local storm water regulations. Recently I brought the Port of Grapeview Septic system back into compliance with inspection and pumping requirements and consulted the Mason Benson Club how to go about maintaining the septic system before it failed. Please list any financial, professional,or voluntary affiliations which may influence or affect your position on this Board: (i.e. create a potential conflict of interest) Mason County Clean Water District Advisory Committee Citizen member I do not have an issue with taking during work hour training Environmental Health Briefing TO: Mason County Board of Health FROM: Ian Tracy, Environmental Health Manager DATE: March 261", 2024 ITEM: Basic Sanitation Policy SUMMARY: The purpose of this policy is to provide guidance to staff and ensure consistency when they encounter non-permitted living conditions. Over the past 5-7 years our county has experienced an explosive increase in the number of complaints related to people living in tents, recreational vehicles, campers, sheds, cars etc. Complaints such as multiple RVs, sewage, solid waste and un-permitted structures. Initially our enforcement efforts adhered to Mason County Code and the result was the movement people and their associated sanitation issues from one property to the next all over the county. The root public health problems are basic sanitation issues that expose people and the environment to sewage and unpermitted burning or landfilling of solid waste. By chasing people all over the county we were not eliminating the public health threat, just changing the location with no control over where that new location might be. We also quickly found that we do not have adequate staff to enforce the code for most of these complaints. Planning and Environmental Health jointly began exercising enforcement discretion for these cases. We chose to defer enforcement action for certain portions of the code if there were no public health threats identified. This approach has been effective at mitigating public health threats, aligns with our current funding and is similar to the approach used by neighboring jurisdictions. REQUESTED ACTION: Board discussion. ATTACHMENTS: Draft policy • � . MASON COUNTY Public Health & Human Services Enforcement - Basic Sanitation for Non-Permitted Living Conditions The purpose of this policy is to protect public health and uphold the intent of existing regulations by identifying our enforcement discretion in response to the current economic, behavioral, and social challenges. This policy does not address building or planning codes. Problem Statement Mason County Public Health and Human Services (MCPH) is aware that many people are living individually or communally in non-permitted housing (including tents, recreational vehicles, converted out buildings, etc.) with a lack of potable water, sewage disposal, and solid waste disposal. This is most often due to their inability to find or afford appropriate housing and/or personal health challenges. However, living in substandard housing and discharging sewage to ground, unapproved drain fields, cesspools, pit privies, dry wells, etc. represent a public health and environmental risk. Accumulation or improper disposal of solid waste leads to public health and environmental impacts. Applicable Regulations • Mason County Code 6.72 Solid Waste and Biosolids Handling and Facilities Regulations • Mason County Code 6.76 On-site Sewage Regulations • Mason County Code 16.22 Mobile Homes and Trailer Parks • Mason County Public Health On-site Standards • RCW 35.21.915 Hosting the homeless by religious organizations • Washington Administrative Code 51-50-2900 Plumbing Systems Policy Statement It isthe policy of MCPH and the Mason County Board of Health that staff will work with the property owner, occupant(s), Mason County Code/Law Enforcement staff, or other involved parties to ensure: • Sanitary management of wastewater. • Sanitary management of solid waste. • Prevent public health threats and degradation of shellfish harvesting areas. MASON COUNTY PUBLIC HEALTH, COMMUNITY&ENVIRONMENTAL HEALTH 415 6TH ST., SHELTON,WA 98584 SHELTON: (360)427-9670 X400 BELFAIR: (360)275-4467 X400 Basic Sanitation for Non-Permitted Living Conditions The property owner has the ultimate responsibility to ensure proper disposal of all sewage and solid waste on their property. Our intent is not to criminalize people living in these situations. Rather, our intent is to stabilize people where they are and provide time for them to improve their living conditions. This policy applies to any property within the boundary of Mason County. Policy Summary MCPH staff will follow the guidelines in this policy when they identify non- permitted living conditions via building permits, onsite sewage system (OSS) inspection reports, a complaint, agency referral or sanitary survey, etc. If there is an approved onsite sewage system on the property that has capacity for connection, then it may be used to properly handle sewage generated on the property. If there is no approved on-site sewage system or public sewer system connection then staff may authorize temporary occupancy of the property as prescribed in this policy. See Appendix A for definitions not included in Mason Couty Code (MCC) Titles 6 or 16. This policy does not identify approval criteria for siting Homeless Temporary Encampments. Temporary Encampments encompass several types: Continuous- Stay Shelter, Emergency Shelter Facility, Temporary Shelter Site, Resident Safe Park, Temporary Tent Encampment, Unsupported/Unsanctioned Encampment. Appendix A contains definitions of these terms from https://www.commerce.wa.gov/wp-content/uploads/2020/09/hau-ofah-shelter- guidelines-2020-2023.pdf The MCPH Director may extend compliance dates depending upon progress demonstrated by the property owner not to exceed 12 months. After this extension has expired, the property owner may appeal to the Health Officer and finally the Board of Health for more time. If the property owner is not able to comply after additional granted time, MCPH staff will evaluate the Enforcement and Penalty options specified in Title 15 - Development Code and Title 6 Sanitary Page 2of13 Basic Sanitation for Non-Permitted Living Conditions Code. Installation and use of pit toilets for sewage disposal shall not be permitted nor considered an adequate form of sewage disposal in Mason County (MCC 6.76.065(3)). Outdoor plumbing fixtures are discouraged, but this policy does make allowance for them if certain conditions are met (see Attachment A). Unoccupied structures and vehicles that are not connected to water service or discharging wastewater are not subject to this policy. Property owners and/or Sponsor will provide adequate pest-proof garbage containers with frequent disposal at a permitted solid waste facility. This policy does not preclude other county departments or state agencies from taking enforcement action within their jurisdiction. No permit fees apply to the temporary circumstances covered in this policy. Applying this Policy Table 1 below describes compliance requirements for waste management when people live primarily in travel trailers, recreational vehicles, park models, tiny homes, or other structures with plumbing fixtures where an on-site sewage system or public sewer connection is currently installed or is practical to install within six to 24 months. Table 2 provides waste management requirements for "Temporary Encampments" located on undeveloped properties with no onsite sewage system or public sewer connection, and it's not practical to provide either in the next six to 24 months. A Temporary Homeless Encampment as described in Table 2 is any sanctioned or unsanctioned homeless camp operated by the City, County, or faith-based and non-governmental organizations with a 501(C)(3) status that is a charitable organization. Table 3 provides waste management requirements for "Temporary Encampments" located on developed properties with an approved onsite sewage system including a system that may require supplemental portable services adequate for a temporary encampment at that location. Page 3 of 13 Basic Sanitation for Non-Permitted Living Conditions Attachment A describes compliance requirements/actions where plumbing fixtures installed without permits are identified. Compliance with this policy will be ensured by completing the following: 1. MCPH staff provide property owner(owner) and occupants with information on: A. RV sewage disposal sites such as parks and other facilities. B. List of certified pumpers. C. Guidance for sanitary connection to OSS or portable holding tank. 2. MCPH staff will refer owner and occupants to Community Family Health to evaluate their eligibility for assistance programs. 3. MCPH staff will serve a written Notice and Order/ Notice of Violation (Order)to the owner/occupants of the property. Owner/occupant is required to submit a plan for management of wastewater and solid waste on the property on the Waste Management Plan (WMP) form provided by the department. 4. Recreational vehicles, park models, tiny homes, yurts, and converted outbuildings etc. being used as a single-family residence are all considered to generate the following volume of sewage based on water source. A. Plumbed water- 60gal/person/day. B. Hauled water supply - 5gal/person/day. 5. If the OSS serving the property has no as-built on file, MCPH staff will recommend the system be evaluated by a state licensed designer to determine its functional status and capacity. 6. Owners/occupants mustdemonstrate adequate sanitation and waste management through consistent compliance with and execution of the approved WMP. 7. Onsite sewage system disposal may be augmented by use of pumpable portable sanitation units such as sinks, showers, chemical toilets and bathrooms. These units must: A. Have adequate capacity for all grey and black water wastes. B. Be pumped out and waste disposed of in an appropriate off-site designated waste disposal treatment location. 8. Staff will inspect the connection to an existing onsite sewage system or to an adequate portable sanitation unit to ensure that it is sanitary and leak free. 9. If at any time the owner/occupant is no longer in compliance with the WMP, MCPH staff will review MCC code and policy to determine appropriate enforcement action. Page 4 of 13 Basic Sanitation for Non-Permitted Living Conditions Mason County Board of Health Randy Neatherlin, Chair Date Page 5 of 13 Basic Sanitation for Non-Permitted Living Conditions Table 1:Travel trailers,Recreational Vehicles,Park Models,Tiny Homes,or other structures with Plumbing fixtures Condition Observed Waste Management Owner Responsibilities Enforcement Timeline MCPH Staff Extension Director Extension Health Officer on the property Plan Extension Scenario#1 On board holding tank For an RV,submit WMP or One month for WMP. Up to six additional Up to 12 additional At Health Officer's No OSS available. for RV with waste contract with certified months for installation of months for installation discretion up to 12 management plan(WMP) pumper,or contract for and 12 months for installation of new OSS. of new OSS. additional months. One or more living or pump contract, place a chemical toilet on new OSS. units on the property. site. Condition:Progress Owner must appeal to OR has been made and Owner must appeal to Board of Health Notify staff of any spills. field inspection reveals Health Officer for (BOH) Contract for chemical that sewage is being additional time. for more time. toilet or temporary Apply for a permit and handled correctly. holding tank to handle complete installation of If final deadline not both grey and black new OSS. met,staff will evaluate water. the enforcement and penalty options AND specified in EH Policy and Code. Provide adequate containers and proper and frequent disposal of solid waste generated on the ro ert Scenario#2 Additional living unit(s) Submit WMP. One month for WMP. If final deadline not met, N/A N/A OSS installed. may be connected if OSS staff will evaluate the is not in failure. Notify staff of any spills. enforcement and Single Family penalty options specified Residence connected. If it is not feasible for OSS in EH Policy and Code. to serve the additional Additional living living unit(s),then refer to unit(s)present. Scenario#1. Provide adequate containers and proper and frequent disposal of solid waste generated on the property. Page 6 of 13 Basic Sanitation for Non-Permitted Living Conditions Table 1 Continued Condition Observed Voluntary Compliance Owner Responsibilities Enforcement Timeline MCPH Staff Extension Director Extension Health Officer on the property Agreement(WMP) Extension Scenario#3 Living unit(s)may be Submit WMP. One month for WMP. If final deadline not met, N/A N/A OSS installed. connected if OSS is not in staff will evaluate the failure. Notify staff of any spills. enforcement and No Single Family penalty options specified Residence connected. If not feasible for OSS to in EH Policy and Code. serve the living unit(s), One or more living then refer to Scenario#1. u n its. Provide adequate containers and proper and frequent disposal of solid waste generated on the ro ert . Page 7 of 13 Basic Sanitation for Non-Permitted Living Conditions Table 2:Temporary Encampments located on undeveloped property with no access to approved wastewater treatment and disposal.Intentionally placed by owner/sponsor.i.e.City of Shelton Mitigation Site. Condition Observed Waste Management Owner Responsibilities Enforcement Timeline MCPH Staff Extension Director Extension Health Officer on the property Plan Extension Temporary Sufficient chemical toilets Submit and implement a One month to submit and Two additional weeks to One additional week to Camp may remain at encampment. for grey and black water, WMP that includes Contract implement WMP submit and implement submit and implement a documented with handwash station, with a licensed and certified WMP if progress has WMP if progress has location with an No OSS or other company to provide been verified. been verified. implemented WMP at approved wastewater OR adequate port-a-pots and the Health management system. potable water for If final deadline not met Officer's discretion up Portable restroom trailer handwashing and cooking. for submittal of WMP, to 12 months with adequate toilets, staff will evaluate the showers and enforcement and Owner must appeal to handwashing. penalty options Board of Health specified in EH Policy (BOH)for more time. Portable kitchen trailer and Code. for cooking and If final deadline not handwashing or other met,staff will evaluate mechanism/methods the enforcement and approved by EH to penalty options provide safe water and specified in EH Policy wastewater and Code. management. Potable water for handwashing and cooking. AND Camp may have to move to accommodate contractor access for maintenance. Property owners and/or Sponsor are responsible for providing adequate containers and proper and frequent disposal of solid waste generated on the property. Page 8 of 13 Basic Sanitation for Non-Permitted Living Conditions Table 3:Temporary Encampments located on pro erties with OSS. Condition Observed Voluntary Compliance Owner Responsibilities Enforcement Timeline MCPH Staff Extension Director Extension Health Officer on the property Agreement(WMP) Extension Temporary OSS Is determined to Submit and implement a One month to Implement Two additional weeks to One additional week to Camp may remain at encampment. treat 60 gallons per WMP that includes Contract WMP. submit and implement submit and implement a documented person per day. with a licensed and certified WMP if progress has WWMP if progress has location with an Approved OSS company to provide been verified. been verified. implemented WMP at installed and potable If number of persons adequate chemical toilets the Health Officers water available. exceeds OSS capacity: and potable water for If final deadline not met discretion up to 12 Sufficient chemical toilets handwashing and cooking. for submittal of WMP, months. for grey and black water, staff will evaluate the with handwash station. Enforcement and Owner must appeal to Penalty options Board of Health OR specified in EH Policy (BOH)for more time. and Code. Portable restroom trailer If final deadline not with sufficient toilets and met,staff will evaluate handwashing. the Enforcement and Penalty options Portable kitchen trailer specified in EH Policy for cooking and and Code. handwashing or other mechanism/methods approved by EH to provide safe water and wastewater management. AND Camp may have to move to accommodate contractor access for maintenance. Property owners and/or Sponsor will be responsible for providing adequate containers and proper and frequent disposal of solid waste generated on the property. Page 9 of 13 Basic Sanitation for Non-Permitted Living Conditions Requirements for the allowance of or decommissioning of plumbing fixtures A. Outdoorfixtures(sink or shower, etc.whether plumbed to water or not): 1 . Current O&M inspection on file. 2. Plumbing fixture discharge must be plumbed into the septic system or remove fixture. 3. Exceptions: a. Hose bib on property okay. b. Exception: Fin or Shellfish wash sink ok if it is located near shore and served by hose. c. Exception: Raw vegetable wash sink ok if nearvegetable garden and served by hose. B. Plumbing removal in a building not approved for plumbing: 1. Remove all plumbing fixtures such as sinks, showers, tubs, toilets. 2. Cut interior pipes atthe wall or floor,fill first few inches of pipe with expanding foam or cement. 3. Water line must be cut and capped one foot outside the building. 4. Sewer line must be cut outside the building and either removed or filled with cement or expanding foam. 5. Septic tank or cesspool (if present) shall be decommissioned or removed with documentation submitted to MCPH. Hose bibs and hydrants are exempt. Page 10 of 13 Basic Sanitation for Non-Permitted Living Conditions Charitable is used in its generally accepted legal sense and includes relief of the poor,the distressed, orthe underprivileged;advancement of religion; advancement of education or science;erecting or maintaining public buildings, monuments, or works; lessening the burdens of government; lessening neighborhood tensions; eliminating prejudice and discrimination; defending human and civil rights secured by law; and combating community deterioration and juvenile delinquency. Continuous-Stay Emergency Shelters offer sponsored living arrangements where households have a room or bed or temporary portable tiny house shelter assigned to them throughout the duration of their stay in a sanctioned and sponsored location. The targeted stay may range from six months to one year and is renewable by the permitting body. Emergency Shelter Facility is defined as a building locally permitted to provide emergency shelter for people experiencing homelessness. This includes re-use of existing buildings and new buildings. This designation requires a certificate of occupancy issued by the local jurisdiction. Living Unit- Includes tents, RVs, travel trailers, sheds, yurts, or other places where people live, sleep, or recreate. Managing agency means an organization identified as the manager of a temporary encampment that has the capacity and expertise to organize and manage a temporary encampment. A "managing agency" may be the same entity as the sponsor. Owner is the property owner as identified in the County Assessor records. Resident Safe Park is an arena or location where people can live in their RVs or cars without standard hookups, but where there are features such as: security, property management, potable water, bathrooms and showers, garbage collection, electricity and access to social support services. This is essentially a non-profit coordinated, temporary RV park and is movable from one location to another. It doesn't usually have typical hookups as in a campground but may be located in a large parking lot or athletic field or commercial property or the grounds of a church. Sponsor means: 1. A government entity(e.g., city or housing authority); or Page 11 of 13 Basic Sanitation for Non-Permitted Living Conditions 2. A religious organization that is recognized bythe Internal Revenue Service as exempt from federal income taxes as a religious organization, and that expresses its religious mission, in part, by organizing living accommodations forthe homeless; or 3. Nonprofit organization. Temporary means not affixed to land permanently and not using underground utilities. Temporary Encampment as used in this context means: "Not affixed to land permanently and not using underground utilities." (WA DeptofCommerce definition) There are several forms of"Temporary Encampments" including, but not limited to: • Unsanctioned temporary homeless tent encampment • Temporary supported emergency shelter • Sponsored temporary portabletiny housevillage • Designated temporary vehicle resident safe park arena • Otherforms of temporary encampments, such as for events orsocial or religious gatherings. Temporary Encampments are generally limited to periods of six months to a year, depending on location, and may be renewable. Temporary Shelter Site is a structure or a location permitted to provide temporary shelter for people experiencing homelessness. Tents, mitigation sites, resident vehicle safe park arenas, or hosted encampments of portable tiny houses are examples of Temporary Shelter Sites. This designation requires use approval, as required by the local jurisdiction. This could be conditional or temporary use permits, or a zoning letter stating approvals required. Temporary shelter structures referred to as portable "tiny shelters" or "tiny homes" or "wooden tents" that do not have interior plumbing or kitchens are allowable facility types, in addition to other models approved by Commerce.This designation requires use approval,as required bythe local jurisdiction.This could beconditional ortemporary use permits, or a zoning letter stating approvals required. Temporary tent encampment means a group of homeless persons temporarily residing in tents or other temporary structures on a site owned or controlled by a sponsor with services supervised by a managing agency. Page 12 of 13 Basic Sanitation for Non-Permitted Living Conditions Unsupported/ Unsanctioned Encampment is an encampment of tents or vehicles consisting of unrelated individuals occupying a location or facility without permitting, sanction or support of non-profit organization or government agency. May be located on private property if sanitation requirements fortemporary encampments are met. Waste Management Plan(WMP) is a written plan submitted bythe owner/occupant or sponsoring entity that includes: • Methods of wastewater management. • Capacity based on the proposed number of occupants. • Source of potable water and method of delivery. • Contract with a certified septic pumper for removal of all grey and black water. • Description of solid waste management and disposal. WAC 51-50-2900 Plumbing systems shall be used as a guide for minimum number of fixtures to be provided. At a minimum the following shall be met to be considered adequate: • One toilet shall be provided at a ratio of 1:15 persons. • Showers at the ratio of 1:8 persons. • If three or more sanitary portable toilets or bathrooms with showers are required, at least one shall be ADA accessible. • All shall be set back at least 40 feet from all property lines. • Hand-washing stations shall be provided in both the toilet area and food preparation area. The "owner", "sponsor" and "managing agency" shall ensure compliance with the WMP, Washington State laws and regulations, the City of Shelton Municipal Code, and Mason County Code concerning, but not limited to, drinking water connections, food handling and storage, solid waste, sewage and electrical systems. The "owner", "sponsor" and "managing agency" shall coordinate with MCPH and arrange for inspections by state and local agencies to ensure such compliance and shall implement all directives that result within the specified time period. Page 13 of 13 Environmental Health Briefing TO: Mason County Board of Health FROM: Ian Tracy, Environmental Health Manager DATE: March 261", 2024 ITEM: Request For New Food Establishment Permit Type - Street Vending SUMMARY: The department has received several requests to permit a new Food Establishment type which is commonly referred to as Street Vending. This type of food establishment has a lower cost of entry for those looking to start a food business, at the expense of limitations to the food menu. Thurston County currently offers this type of establishment permit and they are in their second year of allowing this type of establishment. REQUESTED ACTION: Board discussion. ATTACHMENTS: Program Summary • • MASON COUNTY Public Health & Human Services Street Vending Food Establishment Mason County Food Safety Program has been approached by approximately 5 small businesses to practice street vending in Mason County.Thurston County currently has a pilot program running for its 2nd year providing this opportunity. There are multiple reasons why someone wants to street vend. Description: A Food Street Vendor is a Food Establishment that sets up with a pop-up facility and equipment like a Temporary Food Establishment but is not associated with an Event.These vendors use tents as food cover protection and ice chests as cold-holding storage. Cooking equipment and hot-holding equipment vary depending on the menu items, but can be BBQ's, Smokers,fryers, grills, crock pots, roasters, etc. Handwashing is a temporary set up, with no direct connection to running hot water and buckets collect the grey water to be disposed of at an approved location. The difference between a temporary food establishment and a Street Food Vendor Establishment is the vendor is not operating at a coordinated planned community event.They pop-up at various and multiple locations to serve food direct to the consumer. With no fixed location and structure associated with Street Vending this would place them in the category of a Mobile Food Establishment with the following key differences: Street Food Vendor Mobile Food Establishment Cold-Hot hold and cook-serve only Vehicle or cart No on-site food prep L&I approval Tent required for overhead cover Fully equipped self-contained unit Extensive setup needed Service direct from unit Limited Menu Minimal set-up at service site. Commissary required Commissary optional (Menu and vehicle dependent) Temporary hand washing set-up Associated Benefits: ➢ Lower start-up costs for food business. ➢ Establishment can provide services to rural parts of community. MASON COUNTY PUBLIC HEALTH, COMMUNITY& ENVIRONMENTAL HEALTH 415 6TH ST., SHELTON,WA 98584 SHELTON: (360)427-9670 X400* BELFAIR: (360)275-4467 X400*ELMA: (360)482-5269 X400 ➢ No Washington State L&I inspection approval required or extensive wait time for inspection to be completed. ➢ This permit will allow them to street vend and participate in coordinated planned community events just like a Mobile Unit. ➢ Specific businesses will be able to invite them to set up adjacent to their location for additional food service in that area and offer seating in the business. (Wineries or Breweries) ➢ Operation routinely inspected. Associated Risk, Concerns, & Burdens: ➢ All the trust would be on these operators to fulfill all food safety requirements every time they set up. ➢ Food safety during operation includes monitoring all temperatures cold-hold, cooking, and hot- holding, and only operating for a set time. ➢ Conducting cleaning and sanitization throughout the service time on site. Always having sufficient supplies to fulfill these food safety practices. ➢ Weather affecting cooking and hot-holding temperature or cold-holding temperatures. Wind and rain can possibly cause cross-contamination if the facility becomes insufficient. ➢ Other government agencies will have requirements associated with the setup and locations to include Fire, City, and County. ➢ Other Food Industry business operators may find this unacceptable due to them having invested time and money into brick n mortar or Mobile Establishments. Following all the requirements to operate a food establishment. ➢ Street Vendor operators will have more restrictions than a Mobile Food Unit and must follow the strict variances approved. Every time they set up. No changes are allowed to the approved facility set up, food safety processes, or menu items without adequate notification to public health and approval received. Commissary requirements Concerns and Burdens: ➢ Street Vendor Operators will have to conduct all preparation of foods at a commissary every day of operation prior to service on-site. They will also have to get their warm water for the temporary handwashing here. ➢ Returning to a commissary every day of operation to conduct final warewashing and equipment cleaning and sanitizing. Gray water disposal. ➢ Storage of dry goods and cold-holding goods must be done at commissary. (Not all commissaries allow this.) ➢ Storage of Street Vendors facility set-up and equipment. ➢ Availability of commissaries in Mason County is limited. 2 Washington State Retail Food Code (WAC246-215) Definitions&Codes: "MOBILE FOOD UNIT" means a readily movable food establishment. "TEMPORARY FOOD ESTABLISHMENT" means a FOOD ESTABLISHMENT: (a) Operating at a fixed location, with a fixed menu, for not more than 21 consecutive days in conjunction with a single event or celebration, such as a fair or festival: or (b) Operating not more than 3 days a week at a fixed location, with a fixed menu, in conjunction with an APPROVED, recurring, organized event, such as a farmers' market. "VARIANCE" means a written document issued by the REGULATORY AUTHORITY that authorizes a modification or waiver of one or more requirements of this chapter if, in the opinion of the REGULATORY AUTHORITY, a health HAZARD or nuisance will not result from the modification or waiver. TT COMMISSARY" means an APPROVED FOOD ESTABLISHMENT where FOOD is stored, prepared, portioned, or PACKAGED for service elsewhere. 09170 Food and equipment protection--Overhead protection. The PERMIT HOLDER and PERSON IN CHARGE shall ensure overhead protection is provided at the site of operation of the MOBILE FOOD UNIT for all FOOD handling activities. 09175 Food and equipment protection--Food and food service supplies. The PERMIT HOLDER and PERSON IN CHARGE shall ensure that all FOOD, EQUIPMENT, UTENSILS, and other FOOD service supplies are contained on the MOBILE FOOD UNIT, at the APPROVED COMMISSARY, at the APPROVED SERVICING AREA, or as otherwise APPROVED in the plan of operation. 09140 Handwashing--Handwashing facilities. The PERSON IN CHARGE of a MOBILE FOOD UNIT shall ensure that a separate HANDWASHING SINK for EMPLOYEES is accessible at all times of operation; allows convenient use by EMPLOYEES; is located within 25 feet of FOOD preparation, FOOD dispensing, and WAREWASHING areas; is installed as specified under 05210; and includes soap and paper towels. 09126 Commissary usage. (5) Depending on the menu and plan of operation, the MOBILE FOOD UNIT operator must have access at the COMMISSARY to: (g)Adequate space for the sanitary storage of FOOD, EQUIPMENT, UTENSILS, LINENS, and single- service, or single-use articles. 06100 Indoor areas--Surface characteristics(FDA Food Code 6-101.11). (2) In a TEMPORARY FOOD ESTABLISHMENT: 3 (a) If graded to drain,a floor may be concrete, machine laid asphalt,or dirt or gravel if it is covered with mats, removable platforms,duckboards,or other APPROVED methods to effectively control dust and mud. (b)Walls and ceilings must be constructed from a material that protects the interior from the weather and windblown dust and debris. 4 Environmental Health Briefing TO: Mason County Board of Health FROM: Ian Tracy, Environmental Health Manager DATE: March 261", 2024 ITEM: Closure Response Plans for Lilliwaup and Tahuya SUMMARY: In September 2023 the Washington State Department of Health (DOH) downgraded portions of the shellfish growing areas near the mouths of Lilliwaup Creek (Hood Canal #5) and the Tahuya River (Hood Canal #6). The County is required by RCW to complete a Closure Response Plan (CRP) for each downgraded area and submit them to DOH within 180 days. Staff completed both closure response plans in conjunction with DOH staff and submitted them before the March 12t" deadline. REQUESTED ACTION: Board discussion. ATTACHMENTS: Lilliwaup CRP, Tahuya CRP . • . MASON COUNTY (itT} Public Health & Human Services Lilliwaup Closure Response Plan March 12, 2024 A committee of citizens, businesses and government is launching a plan to: - Reduce water pollution. - Meet state and federal water quality standards. - Ensure that water quality standards are maintained. Prepared by Vladimir Nekrutenko, IRS Environmental Health Specialist Mason County Public Health & Human Services (360) 427-9670 ext. 122 VNekrutenko(o-)-masoncountywa.gov Page 1 of16 Table of Contents Definitions of Acronyms Page 3 A. Purpose of the Lilliwaup Closure Response Plan Page 4 B. Background Information and History Page 5 C. Strategy for Water Quality Improvement Page 7 Appendix A: Rating Classification for On-site Septic Systems Page 15 Appendix B: Non-point Pollution Guidance Chart Page 16 Page 2 of16 Definitions of Acronyms CFU- Colony Forming Units CRP- Closure Response Plan CWD- Clean Water District DOH- Washington State Department of Health ECY Washington State Department of Ecology MC- Mason County MCD- Mason Conservation District MCPH- Mason County Public Health NEP- National Estuaries Program NSSP- National Shellfish Sanitation Program OSS- Onsite Septic System Septic O & M- Septic system operation and maintenance SPD- Shellfish Protection District LHCWC- Lower Hood Canal Watershed Coalition RCW- Revised Code of Washington Page 3 of16 A. Purpose of the Lilliwaup Closure Response Plan Background On September 14, 2023, DOH downgraded the classification of 14.1 acres of Hood Canal 5 shellfish growing area near the mouth of Lilliwaup Creek from Approved to Conditionally Approved. The classification change was made in response to DOH marine monitoring station 186 failing to meet the NSSP water quality standards for Approved Classification. Washington State code mandates that counties are to implement a SPD program following a shellfish growing area classification downgrade: RCW 90.72.045 "The county legislative authority shall create a shellfish protection district and establish a shellfish protection program to address causes of pollution within one hundred eighty days after the department of health, because of water quality degradation due to ongoing nonpoint sources of pollution, has, after June 11, 1992, closed or downgraded the classification of a recreational or commercial shellfish growing area within the boundaries of the county." In May 2021, Mason County passed Ordinance No. 2021-023 amending the Title 6 Sanitary Code, adding chapter 6.88 which establishes the Mason County CWD; a countywide SPD encompassing all portions of Mason County that drain to Puget Sound (see Figure 1). Since the District's founding, work to improve water quality throughout the county has been ongoing, including in and around the Lilliwaup downgrade area drainage. Mason County Public Health developed this CRP in cooperation with stakeholders affected by the Lilliwaup area downgrade to provide leadership, planning, and collaboration in improving the water quality of Hood Canal. Who is involved? • The citizens of Mason County • Mason County Shellfish Growers • Washington State Department of Health • Washington State Department of Ecology • Mason Conservation District • Washington State University-Mason County Extension • Washington Sea Grant Program, University of Washington •Squaxin Island Tribe • Mason County Public Health and Human Services Page 4 of16 B. Background information and history Description of the Lilliwaup Watershed Lilliwaup Cove is a small shallow inlet within Hood Canal 5 located at the mouth of Lilliwaup Creek with the drainage basin encompassing approximately 18.4 square miles (11,795 acres) of land across Mason County (see Figure 2). Lilliwaup downgrade area compromises 14.1 acres of shellfish growing area southeast of the mouth of Lilliwaup Creek and Marine Sampling Station 186, and northwest of Marine Sampling Station #185. The creek goes through significant seasonal fluctuations in water level and is affected by beaver activity closer to the mouth of the creek, affecting the flow direction of the creek. A salt marsh tidal estuary exists at the mouth of the river, bisected by the approach embankments of a bridge along North US Highway 101. The estuary, as well as the wetlands and timberland that surround it, serves as habitat for deer, seals, otters, beavers, salmon, and large flocks of various shorebirds and waterfowl, among other species. Also situated at the mouth of Lilliwaup Creek is the shoreline community of Lilliwaup, Washington, home to about 50 residential properties all served by individual onsite septic systems. Some of these properties act as secondary residences or vacation homes for their owners and are typically occupied sporadically during the summer months. There are a dozen shoreline properties in Lilliwaup that line the northwestern boundary of the downgrade area. Most are in the Unclassified portion of the shellfish growing area. Lilliwaup has 2 public access beaches: Lilliwaup State Park located North of the inlet where residents can walk the shoreline during low tide; and South Lilliwaup south of the inlet. There is a small amount of seasonal boat traffic around Lilliwaup, although the community lacks amenities such as a marina, public boat ramp, pump out station, or mooring buoys. Consequently, activity in the area is limited to mostly day-use vessels and personal watercraft. Most of the Lilliwaup Creek drainage basin consists of timberland. Surface water monitoring, shellfish harvest, and classification history Since August 2022, Mason County staff have utilized Clean Water District funding to collect monthly fecal coliform samples from the Lilliwaup Creek as part of a countywide ambient monitoring program. Beginning in April 2023, staff also began collecting an additional water sample from the Lilliwaup Creek in coordination with DOH marine sampling events in the Hood Canal 5 growing area. In addition, much of the Lilliwaup drainage basin consists of timberland primarily within Olympic National Forest without any significant bacteriological impact on shellfish growing area. Therefore, closure response efforts have been and will continue to be focused on developed parcels in the area around Lilliwaup and approximately half a mile upstream of Lilliwaup Creek (see Figure 3). Page 5 of16 The rest of the areas upstream of this point are considered unlikely to have any influence on water quality in Hood Canal 5. Our focus area encompasses the community of Lilliwaup to include, the shoreline properties, the tidal estuary at the mouth of the creek, and a strip of residential properties along the length of Lilliwaup Creek (see Figure 3). Mason County staff will continue documenting the wildlife activity at the tidal estuary at the mouth of Lilliwaup Creek, specifically various shorebirds and beavers (see Image 1). Since establishment of the CWD, water quality staff have only recorded one fecal coliform sample result that exceeded the set limits at Lilliwaup Creek (see Table 2). We suspect that wildlife activities have a significant impact and might be a potential source of bacteria for Marine Water Sampling Station 186. Mason County staff will continue documenting wildlife activities at Lilliwaup drainage area. History of Shellfish Harvesting and Water Quality in Lilliwaup Drainage Basin 1990 - DOH begins marine water monitoring at station #186; area goes on to attain an Approved classification. 2008 - DOH reclassified 9.9 acres shellfish growing area at the mouth of Lilliwaup Creek to Unclassified. 2013 - Shoreline Survey identified an indirect impact in an unclassified portion of the growing area. The Indirect Impact was identified as a grey water discharge from parcel 323301100000, which is in both the Approved and unclassified portions of the growing area. The parcel was closed by DOH. 2018 - Mason County Public Health conducted a site visit with the residents and observed adequate wastewater facilities on the property (parcel 323301100000). No grey water discharges were observed. Parcel was reopened. 2021 - MCCWD is established to serve as a countywide SPD. 2022 - Station 186 fails the NSSP standard for an Approved classification due to an estimated 90th percentile of 48.7 FC/100mL. 2023 - 14.1 acres of Hood Canal #5 are downgraded from "Approved" to Conditionally Approved due to Station 186 failing the NSSP standard (see Table 1). The standard for approved shellfish growing waters is fecal coliform geometric mean not greater than 14 organisms/ 100 mL with an estimated 90th percentile not greater than 43 organisms/ 100 mL. Page 6 of16 Growing Area Reclassification DOH Marine Sampling Station 186 has been monitored continuously since September 1990. The area of Hood Canal 5 southeast of station 186 maintained Approved status until September 2023, when it was downgraded to Conditionally Approved, due to failure of Station 186 to meet NSSP standards with an estimated 9011 percentile of 48.7 FC/100mL. (See) The Conditionally Approved area is closed to harvest from May 1 through October 31 of each year based on seasonal water quality conditions. C. Strategy for water quality improvement Goal: To continue taking steps to: Reduce water pollution. Meet state and federal marine water quality standards for commercial shellfish harvest. Ensure that marine water quality standards are maintained. Since the founding of the Mason County Clean Water District in 2021, Mason County staff and interagency partners have done and will continue to do the following to improve water quality in the Lilliwaup Hood Canal 5 growing area: Monitor marine and freshwater quality. Identify and control onsite septic system pollution sources (see Appendix A) Review and manage non-point pollution sources, (see). Identify and control agricultural pollution sources through education and referral to the Mason Conservation District. Educate community members about their impact on local surface water quality. Page 7 of16 Figure 1 . Mason County Clean Water District & Lilliwaup Downgrade Area I � I I I I Jefferson Grays Harbor Kitsap Lillwaup Belfair I I I I I Tahuya I Allyn I Union Legend Lilliwaup Creek Q Clean Water District boundary i I_ _I County bounda -- Shellfish Gro Ing Area Clas ' Ication A roved Conditional Unclassified Shelton r m c a n m m F — Mason Lilliwaup Thurston Olympia qN Hood N 0 2.5 5 10 Miles Canal �V Page 8 of16 Figure 2. Lilliwaup Drainage Basin Legend ' , O Lilliwaup Creek Drainage Basin Lilliwaup Creek Minor Water Courses I _, County boundary Shellfish Growing ti° Area Classification NFD.Roaa Tenas Lake Approved Melbourne Conditional Mint Lake —Mersh -_ J Unclassified L ill Inwaup _ swarn`p.,v- Miller i ond a � SA DD'L� MoUNTArIN t , � J _ - r Price Lake Ljilliwaup Hood Canal / .- N 1 9 0 0.25 0.5 1 Miles /y 2513 R DOW Page 9 of16 Figure 3. Developed Parcels and Existing Sampling Sites Within CRP Focus Area Legend O 625ft Lilliwaup Creek Drainage Basin Developed 0 parcels within the drainage basin Lilliwaup Creek OMason County surface water sample sites jDOH marine f` monitoring stations 0 Failing LI-002 Meeting standards Shellfish Growing 3 Area Classification Approved Conditional Unclassified LI7001 of d 186 Lildi aup C0ATOInity C I'ub t01 LI-003 - 185 Hood Canal N 101 g '0 6.13 0.2' 0.5 Miles I1 I ITI I h -Sample site LI-001: Lilliwaup Creek, sampled from under the bridge along US-101; Only accessible during low tide -Sample site LI-002: Lilliwaup Creek, sampled from N Lilliwaup St., -0.4 miles north from US-101 -Sample site LI-003: Lilliwaup Creek, sampled from Recreational shellfish beach turnout off US-101. Only accessible during low tide Page 10 of16 Table 1 . Marine Sampling Station 186 DOH Data Sample Event Fecal Date Type Time Tide SWT Salinity Coliform 8/7/2019 Regulatory 10:39 Flood 18 24 33 10/2/2019 Regulatory 9:22 Ebb 12 16 1.7 12/4/2019 Regulatory 10:41 Flood 11 30 1.7 1/21/2020 Regulatory 10:23 Flood 8 30 1.7 3/3/2020 Regulatory 9:18 Flood 8 11 2 5/13/2020 Regulatory 9:22 Flood 12 5 79 7/28/2020 Regulatory 13:27 Ebb 21 12 22 9/8/2020 Regulatory 11:18 Ebb 17 24 1.7 11/4/2020 Regulatory 12:03 Ebb 12 12 22 2/24/2021 Regulatory 12:39 Flood 9 4 1.7 4/19/2021 Regulatory 11:34 Ebb 14 6 7.8 6/29/2021 Regulatory 10:18 Ebb 23 8 540 8/30/2021 Regulatory 13:43 Ebb 17 24 21 10/26/2021 Regulatory 12:11 Ebb 11 10 17 12/8/2021 Regulatory 12:26 Ebb 11 15 4.5 3/23/2022 Regulatory 11:37 Ebb 11 5 7.8 5/23/2022 Regulatory 12:35 Ebb 17 11 2 7/26/2022 Regulatory 17:50 Flood 25 13 33 9/20/2022 Regulatory 15:30 Flood 19 24 1.8 10/31/2022 Regulatory 12:50 Ebb 12 9 130 2/1/2023 Regulatory 13:34 Ebb 6 5 2 3/16/2023 Regulatory 12:41 Ebb 9 16 1.7 4/25/2023 Regulatory 10:14 Ebb 11 21 4.5 6/14/2023 Regulatory 16:29 Flood 19 9 6.8 7/27/2023 Regulatory 12:25 Flood 19 26 1.7 8/23/2023 Regulatory 11:33 Ebb 19 27 1.7 9/25/2023 Regulatory 14:07 Flood 14 25 49 10/4/2023 Regulatory 12:01 Ebb 14 6 6.8 10/19/2023 Regulatory 11:20 Ebb 12 6 33 11/16/2023 Regulatory 9:58 1 Ebb 7 3 1.7 Page 11 of16 Figure 4. Rolling Estimated 90th Percentile for DOH Marine Sampling Station 186 (2019-2023) Station 186 (Lilliwaup Drainage Basin): Fecal Coliform Rolling 90th Percentile 70 60 J E 50 0 o _ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - LL 40 Failing(43 FC/100mL) E 0 30— — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — 0 Threatened(30 FC/100mQ 20 LL 10 0 CD CD H H N N N N N N N N N N N N N N N N N N N N N N N O O O O O O O O O O O O O O O O O O O O O O O O O O O N N N N N N N N N N N N N N N N N N N N N N N N N N N n r n n r r n n r r n n r r n n r r n n r r n n r r n N N N N N N N N N N N N N N N N N N N N N N N N N N N CO W O N N V CO CO O N N V C\O W O N N V CO CO O N N V C\O W O Page 12 of16 Table 2. Mason County Water Quality Data for Lilliwaup Creek Mason Longitude Fecal 90th Sample County Site Latitude Site Sampling Event Coliform/100 Geomean Percentile Notes Date Site ID ml total 8/2/2022 LI-001 47.463806 -123.114029 MC PHHS Ambient 15 9/7/2022 LI-001 47.463806 -123.114029 MC PHHS Ambient 8 10/18/2022 LI-001 47.463806 -123.114029 MC PHHS Ambient 95 11/8/2022 LI-001 47.463806 -123.114029 MC PHHS Ambient 20 12/4/2022 LI-002 47.467753 -123.115558 MC PHHS Ambient <5 15.6 Many dead salmon,seagulls,beaver- chewed logs 1/10/2023 LI-002 47.467753 -123.115558 MC PHHS Ambient 5 12.5 2/6/2023 LI-002 47.467753 -123.115558 MC PHHS Ambient <5 10.9 3/7/2023 LI-001 47.463806 -123.114029 MC PHHS Ambient <5 5.8 4/4/2023 LI-001 47.463806 -123.114029 MC PHHS Ambient <5 4.2 4/25/2023 LI003 47.4609006 DOH Coordinated <5 4.2 123.1131004 Sampling 5/8/2023 LI-003 47.4609006 123.1131004 MC PHHS Ambient 3 3.8 6/6/2024 LI-003 47.4609006 123.1131004 MC PHHS Ambient 20 5.2 DOH Coordinated 6/14/2023 LI003 47.4609006 123.1131004 Sampling 85 9.6 7/11/2023 LI-002 47.467753 -123.115558 MC PHHS Ambient 8 11.0 7/26/2023 LI-002 47.467753 -123.115558 DOH Coordinated 10 13.2 Lots of beaver activity in the area Sampling 7/26/2023 LI-002 47.467753 -123.115558 DOH Coordinated 30 21.0 Lots of beaver activity in the area Sampling 8/8/2023 LI-002 47.467753 -123.115558 MC PHHS Ambient 5 15.9 Family of ducks upstream;beavers working to divert creek 8/23/2023 LI-002 47.467753 -123.115558 DOH Coordinated 40 13.7 Sampling 9/12/2023 LI-001 47.463806 -123.114029 MC PHHS Ambient 25 17.2 DOH Coordinated Pouring down rain,first big rain of the 9/25/2023 LI-002 47.467753 -123.115558 Sampling 340 34.8 season,1.41 in precipitation/last48 hours,many salmon observed in creek 10/2/2023 LI-002 47.467753 -123.115558 MC PHHS Ambient 15 30.3 Many salmon/Sampled two days before DOH Hood 5 11/7/2023 LI-002 47.467753 -123.115558 MC PHHS Ambient 4 29.0 12/5/2023 LI-002 47.467753 -123.115558 MC PHHS Ambient 12 22.8 12/20/2023 LI-002 47.467753 -123.115558 DOH Coordinated <5 15.8 100+ducks,geese,gulls in tidal Sampling estuary downstream of sample site 1/3/2024 LI-002 47.467753 -123.115558 MC PHHS Ambient 5 6.8 DOH Coordinated -50 ducks,geese,gulls in tidal estuary 1/22/2024 LI-002 47.467753 -123.115558 Sampling 10 6.3 downstream of sample site/upstream of DOH sample site 2/12/2024 LI-002 47.467753 -123.115558 MC PHHS Ambient <5 6.3 Ambient monitoring sample, 57.61 scheduled to align with DOH sampling To meet state standards, fecal coliform must not exceed a geometric mean of 100 FC/100 mL in a 90-day period, nor exceed 200 FC/100 mL in a single sample. Page 13 of16 Image 1 . 100+ Seagulls Observed in Lilliwaup Tidal on aw � Page .r 14 . . Appendix A: MCPH Rating Classification for OSS Sanitary Surveys Rating Criteria for Meeting Classification Action No Apparent • Completed/sigrec W.'G Permit on file at MCPH;or provided by Problem owner at time of inspection and entered into record • No illegal repairs or alternative performed on OSS • All applicable setbacks and conditions in effect at the time of permitting are in place No Records • No completed/signed SWG permit or As-Built on file at local None health jurisdiction;or provided by owner/occupant. • No Concern,Suspect or Failure conditions were observed Complete as-built if possible Concern Concerns include but are not limited to: For unpermitted alterations, • System with no records and drainfield less than 100 feet from expansions, repairs,connections surface water or wells or new construction, consult on- • Improper use of designed reserve area site department regarding • Vehicular traffic and/or pavement on OSS components enforcement options. • Roof drains or other drainage/infiltration systems potentially impacting the OSS Note property records • Unpermitted expansion or modification of existing structure(s)or addition of new structures or RVs that impacts the OSS • Unpermitted work conducted on OSS • Excavation or excess fill within the OSS area;or a cut down slope of the OSS that has the potential to impact the performance Suspec' • Drainfield area is saturated Mail suspect letter • Collected water sample(s)from property at or above S00 FC/100 mL and a positive non-visual dve test confirmed by Ozark Follow up with wet season dye Underground Laboratory test • Collected water sample(s)from property,less than 500 FC/100 nil- and positive visual dye test by MCPH Note property records Failure • Sewage on the surface of the ground Enforcement • Sewage discharged directly to SW or upon the surface of the ground(unless the discharge is under permit from Ecology) Note property records • Sewage backing up into,or not draining out of a structure caused by slow soil adsorption of septic tank effluent Notify WDOH Shellfish Program • Sewage leaking from a septic tank, pump tank,holding tank,or if failure discharges to shellfish collection system beds—commercial or • Any component of an onsite sewage system or public sewer recreational connection found to be broken,in disrepair,or not functioning as intended • Inadequately treated sewage effluent contaminating ground or surface water • Collected water samples from property at or above 500 FC/100 mL and positive visual dye test by MCPH • Cesspools or seepage pits where evidence of ground water or where surface water quality is degraded, or inadequately treated effluent contaminating ground or surface water • Non-compliance with OSS standards stipulated at the time of the permit approval,or with building standards stipulated at the time of constructed/modified • Straight discharge(greywater or blackwater)from any indoor plumbing, including RVs is observed and documented Appendix B: GUIDANCE FOR WATER QUALITY COMPLIANCE IN MASON COUNTY, WA • DRAFT 411/14 • FINAL 5/20/14 • REVISED 4/25/17 • SEND INITIAL UNABLE TO VERIFY COMPLIANCE PROCESS STOPS CONTACT LETTER PROBLEM / REQUESTING ACCESS FOR SITE VISIT.CHECK WITH IN COMPLIANCE VISIBLE NOTICE& DEVELOP TIMELINE&MAKE REPAIR *REFERRAL SURROUNDING FAILURE ORDER COMPLIES (MAY TAKE SEVERAL MONTHS) PROPERTY OWNERS FOR 1.SEPTIC SYSTEMS DYE PERMISSION TO (+) NONCOMPLIANT POSTED FOR NONOCCUPANCY WATER ACCESS THEIR QUALITY VISITS SITE PROPERTY. [��k SANITARY SURVEYSAMPLE, TO INSPECT COMPLIANCE PROCESS USE CHART POSSIBLE DYE TEST SITE VISITS, BELOW TO AND/ORENOT \ NO ISSUE OR NO DYE STOPS DETERMINE SAMPLE OR CITIZEN COMPLAINT WHICH FOR CE POSSIBLE INITIAL NOTICE& HEARINGS MAY AGENCYTO POLLUTION CONTACT ORDER NONCO EXAMINER INDICATE REFER LETTER& NONCOMPLIANT WATER 2.PET WASTE EDUCATION POLLUTION INCOMPLIANCE MATERIALS COMPLIES COMPLIANCE PROCESS STOPS EDUCATION 3.WILDLIFE COMPLIANCE PROCESS STOPS SOURCE IN ROW CHECK WITH MCD OR WSDOT 4.$TORMWATER SOURCE IN ROW SOURCE NOT IN:ROW REFER TO UNKNOWN/MULTIPLE SOURCES BOX MCPH REFERS POLLUTION ISSUSE REFERRALAGENCY REGULATION 5.SEWER CHECK WITH COS OR MCU.REFER TO ECOLMPIIVATESEWER70 ECOLOGY1.SEPTIC SYSTEM/ MCPH WAC 246-271/RV HOLDING TANK MASON COUNTY TITLE 6.76 ANIMALS MCPH SEND INITIAL2.PET WASTE MCPH MASON COUNTY TITLE 6.72.30 WITH WATER CONTACT LETTERTEMPORARY CORRECTIVE ACCESS REFERRING TO CDACTION&FARM 3.WILDLIFE/ NONE NONE 6.LIVESTOCK MANAGEMENT PLAN URBAN WILDLIFE ANIMALS SAMPLE TO 4.STORMWATER MCPW RCW 90.48.080 WITHOUT DETERMINE IF UNABLE TO VERIFY POLLUTION COMPLIANCE CITY OF SHELTON/ WATER POLLUTION COMES PROCESS STOPS S.SEWER MC UTILITIES/ MASON COUNTY TITLE 13.04 ACCESS OFF PROPERTY ABLE TO VERIFY POLLUTION ECOLOGY FOR ALLYN&BELFAIR 6.LIVESTOCK WASTE MCD/MCPH RCW 90.48.080 7.UNKNOWN OR MULTIPLE EXTENSIVE WQ SAMPLING. REFER TO CORRECT AGENCY POSSIBLE SOURCES MAY TAKE MONTHS. WHEN SOURCE(S)DETERMINED Page 16 of16 . • . MASON COUNTY (itT} Public Health & Human Services Tahuya Area Closure Response Plan March 12, 2024 A committee of citizens, businesses and government is launching a plan to: - Reduce water pollution. - Meet state and federal water quality standards. - Ensure that water quality standards are maintained. Prepared by A Stepan Environmental Health Specialist Mason County Public Health & Human Services (360) 427-9670 ext. 511 Mason County Tahuya Area Closure Response Plan Page 1 of 15 Table of Contents Section A. Purpose of the Tahuya Area Closure Response Plan Page 3 Section B. Background Information and History Page 4 Section C. Strategy for Water Quality Improvement Page 6 Figure 1. Mason County Clean Water District and Tahuya Downgrade Page 7 Area Figure 2. Tahuya River Drainage Basin Page 8 Figure 3. Developed Parcels and Existing Sample Sites Within the Page 9 Closure Response Focus Area Figure 4. Station 217 Rolling Estimated 90th Percentile (Graph) Page 10 Table 1. DOH Marine Station 217 Sample Results, Last 5 Years Page 11 Table 2. Mason County Tahuya River Sample Results Page 12 Table 3. Mason County Caldervin Creek Sample Results Page 13 Appendix A. MCPH Rating Classification for OSS Sanitary Surveys Page 14 Appendix B. Guidance for Water Quality Compliance in Mason County Page 15 Mason County Tahuya Area Closure Response Plan Page 2 of 15 A. Purpose of the Tahuya Area Closure Response Plan Background On September 14, 2023, the Washington State Department of Health (DOH) downgraded the classification of 30.7 acres of the Hood Canal 6 Shellfish Growing Area near the mouth of the Tahuya River from Approved to Prohibited. This classification change was made in response to DOH marine monitoring station 217 failing to meet the National Shellfish Sanitation Program (NSSP) water quality standards for Approved classification. Washington State code mandates that counties are to implement a shellfish protection district (SPD) program following a shellfish growing area classification downgrade: RCW 90.72.045 "The county legislative authority shall create a shellfish protection district and establish a shellfish protection program to address causes of pollution within one hundred eighty days after the department of health, because of water quality degradation due to ongoing nonpoint sources of pollution, has, after June 11, 1992, closed or downgraded the classification of a recreational or commercial shellfish growing area within the boundaries of the county." In May 2021, Mason County passed Ordinance No. 2021-023 amending the Title 6 Sanitary Code, adding chapter 6.88 which establishes the Mason County Clean Water District (MCCWD); a countywide SPD encompassing all portions of Mason County that drain to Puget Sound (see Figure 1). Since the District's founding, work to improve water quality throughout the county has been ongoing, including in and around the Tahuya downgrade area drainage. Mason County Public Health & Human Services developed this closure response plan (CRP) in cooperation with stakeholders affected by the Tahuya area downgrade to provide leadership, planning, and collaboration in improving the water quality of Hood Canal. Those involved include: ■ The citizens of Mason County ■ Mason Conservation District ■ Mason County Shellfish Growers ■ Lower Hood Canal Watershed ■ Mason County Public Health and Coalition Human Services ■ Washington State University, ■ Skokomish Tribe Mason County Extension ■ Washington State Department of ■ Washington Sea Grant Program, Health University of Washington ■ Washington State Department of Ecology Mason County Tahuya Area Closure Response Plan Page 3 of 15 B. Background Information and History Description of the Tahuya River drainage basin and CRP focus area The Tahuya downgrade area comprises 30.7 acres of shellfish growing area situated in a cove at the mouth of the Tahuya River; the longest river on the Kitsap Peninsula, with a drainage basin encompassing approximately 50 square miles (32,000 acres) of land across both Mason and Kitsap counties (see Figure 2). The Tahuya River sees significant seasonal fluctuations in water level and is often visibly turbid throughout the wettest parts of the year. A salt marsh tidal estuary exists at the mouth of the river, bisected by the approach embankments of a bridge along NE North Shore Road. The estuary, as well as the wetlands and timberland that surround it, serves as habitat for deer, seals, otters, beavers, salmon, and large flocks of various shorebirds and waterfowl, among other species. Also situated at the mouth of the Tahuya River is the shoreline community of Tahuya, Washington, home to about 100 residential properties all served by individual onsite septic systems. Many of these properties act as secondary residences or vacation homes for their owners and are usually only occupied sporadically during the summer months. About a dozen shoreline properties in Tahuya line the northwestern boundary of the downgrade area. Tahuya does not have a designated public access beach, so recreational shellfish harvest and other shoreline activities have historically been limited to private tidelands. There is a small amount of seasonal boat traffic around Tahuya, although the community lacks amenities such as a marina, public boat ramp, pump out station, or mooring buoys. Consequently, activity in the area is limited to mostly day-use vessels and personal watercraft. Another notable drainage near the downgrade area is Caldervin Creek, a smaller stream which flows through Tahuya and empties into the intertidal area at the mouth of the Tahuya River, just north of the downgrade area boundary. The last -0.5 miles of Caldervin Creek are flanked on either side by rows of houses, which are all served by individual onsite septic systems. During prolonged rain events in the winter months, the streambed has been observed to funnel "king tide" waters from Hood Canal up into the surrounding neighborhood, resulting in minor to moderate seasonal flooding that affects approximately 20 households. Aside from the aforementioned notable features, the remainder of the Tahuya River drainage basin mostly consists of timberland and isolated vacation communities situated around small lakes located far from the river valley. With this in mind, county closure response efforts have been and will continue to be primarily focused on developed parcels in the area around Tahuya and Caldervin Creek, as well as the lower -5 miles of the Tahuya River (see Figure 3). Mason County Tahuya Area Closure Response Plan Page 4 of 15 Surface water monitoring and classification history DOH marine station 217 has been monitored continuously since June 1988. The portion of the Hood Canal 6 Shellfish Growing Area around station 217 maintained Approved status until September 2023, when it was downgraded to Prohibited. Station 217 first reached Threatened status when it exceeded an estimated 90th percentile of 30 FC/100 mL in June 2021. It later reached Failing status when it exceeded an estimated 90th percentile of 43 FC/100 mL in October 2022, resulting in the downgrade (see Table 1). Since August 2022, Mason County staff have utilized Clean Water District funding to collect monthly fecal coliform samples from the Tahuya River as part of a broader countywide ambient monitoring program. Beginning in April 2023, staff also began collecting an additional water sample from the Tahuya River and Caldervin Creek in coordination with DOH marine sampling events in Hood Canal 6. These two streams are the most prominent freshwater drainages flowing into the waters around station 217. Since monitoring began, county staff have not recorded any fecal coliform sample results from the Tahuya River that failed to meet state standards (see Table 2). Caldervin Creek has returned one elevated sample result: 590 CFU/100 mL on July 26, 2023 (see Table 3). Classification and monitoring timeline June 1988 — DOH begins marine water monitoring at station 217; area goes on to attain and maintain an Approved classification. May 2021 — MCCWD is established to serve as a countywide SPD. June 2021 — Estimated 90th percentile for fecal coliform at station 217 rises to 36.2 after a fecal coliform sample result of 540 FC/100mL is recorded on June 29, 2021 following an unprecedented "heat dome" event, classifying the station as Threatened (see Figure 4). The previous day's high temperature was 107°F, recorded at SeaTac Airport. August 2022 — MCCWD countywide ambient monitoring program begins, which includes monthly fecal coliform sampling of the Tahuya River. March 2022 — Estimated 901h percentile for fecal coliform at station 217 rises to 52.4 FC/100 mL, classifying the station as Failing. April 2023 — Mason County staff begin taking fecal coliform samples from the Tahuya River and Caldervin Creek in coordination with DOH Hood Canal 6 sampling events. September 2023 — 30.7 acres of shellfish growing area around station 217 are downgraded from Approved to Prohibited in response to the station's Failing status. Estimated 901h percentile at station 217 remains >43 FC/100 mL. Mason County Tahuya Area Closure Response Plan Page 5 of 15 C. Strategy for Water Quality Improvement Goal: To continue taking steps to: ■ Reduce water pollution. ■ Meet state and federal marine water quality standards for commercial shellfish harvest. ■ Ensure that marine water quality standards are maintained. Objectives: Since the founding of the Mason County Clean Water District in 2021, Mason County staff and interagency partners have done and will continue to do the following to improve water quality in the Tahuya Hood Canal 6 growing area: ■ Monitor marine and freshwater quality. ■ Identify and control onsite septic system pollution sources (see Appendix A). ■ Review and manage nonpoint pollution sources (see Appendix B). ■ Identify and control agricultural pollution sources through education and referral to the Mason Conservation District. ■ Educate community members about their impact on local surface water quality. Mason County Tahuya Area Closure Response Plan Page 6 of 15 Figure 1. Mason County Clean Water District and Tahuya Downgrade Area Jefferson Grays Harbor Kitsap a c Lilliwaup a V Belfair I a I o ap yaR I I _ I I I Tahuya Allyn I I Union I Legend 0 Clean Water District boundary ,1. County boundary Shellfish Growing Area Classification Approved N � Prohibited Shelton Unclassified I Tahuya __ Mason Thurston -� I Hood Cana! 0 I 5 10 Miles. Olym is JJ Stepan Mason County Environmental Health Mason County Tahuya Area Closure Response Plan Page 7 of 15 Figure 2. Tahuya River Drainage Basin Crosby 0 o1\Y'Rd-N.W11 I Lake Holly , Hintzville Tahuya a Eldon 1763,ft t m Mamma jo l Hamma \ 1 J s'Pd�eµ ft ,� I c - I ° 41 1 k,5� << I a I L►illiwaup Nation ewattor I 1535ftBeIY r Legend 01 Tahuya River drainage basin cN' Sunset Bea Tahuya River i Minor watercourses Shellfish Growing Area Classification o``r5 o a Rqute `; l 0 Approved Tah�Y,a �2 o 2� J Conditional 627ft N Prohibited Union 777 - 0 1 2 Miles A Restricted * 633 ft t 0 Unclassified A Stepan Mason County Environmental Health Mason County Tahuya Area Closure Response Plan Page 8 of 15 Figure 3. Developed Parcels and Existing Sample Sites Within the Closure Response Focus Area r T 7 -- CD-003 _ L i _ L - TA-001 �C-- Now, �Z CD-002 __ I/ TA-002 CD-001 � l Tahuya __ 217== -_-; UM215 4l ❑ IN 218— 0 0.1 0.2 Miles LL — --- FYI Z � J G�0 1 1 Lj- r Va I —1 248 El Legend 0 Tahuya River drainage basin Developed parcels CD-003 within Tahuya River ��.- r-- TA 01 �_ drainage basin era.,i r CD-002/ O Mason County surface 232 CD-001 water sample sites ElRiver/creek r-217ll 215 t11� 245 216 ❑ DOH marine 218 monitoring stations Failing ❑ Meeting standards N - 219 251 Shellfish growing area A ❑ classification 220 244 Approved 0 0.25 0.5 Miles ❑ ❑ Hood Prohibited 1 221 250 Canal Unclassified l lJ Stepan Mason County Environmental Health Mason County Tahuya Area Closure Response Plan Page 9 of 15 Figure 4. Station 217 Rolling Estimated 90th Percentile (last 5 years) Station 217 Rolling Estimated 90th Percentile (last 5 years) 70 60 50 Failing (43 FC/100 mQ 40 30 Threatened (30 FC/100 mL) 20 6/28/21 Heat io Dome Event 0 00 00 M M M M M M 0) O O O O O O -1 -1 N N N N N M M M M M M ci ci ci ci ci ci ci ci ci N N N N N N N N N N N N N N N N N N N N N N N O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N .z3- a) 00 Ln a) r, r, N � -4 M M 00 00 � 4 a) a) O to oo M M loo O �--1 '-1 to Ln � M -4 O �--� N r-I O N O O O N O "I N O O N r-I N M N O N N N N M O "I N _1 N O 0\1 —1 N Ln tD 0000 O N \-I (\ri Ln n 0\1 -1 N tD 0000 O N M Ln n a) O N M IzT LOO 0000 O O c-I O O O O O c-1 c-I O O O O O c-I O O O O c-I c-1 O O O O c-1 O O O O O c-1 Mason County Tahuya Area Closure Response Plan Page 10 of 15 Table 1. DOH Marine Station 217 Sample Results, Last 5 Years (Sep. 2018 - Oct. 2023) Sample Date Event Time Tide SWT Salinity Fecal Geomean Est.901n Type coliform (last 30 Percentile samples) (last 30 samples) 09/04/2018 Regulatory 14:43 Ebb 20 25 1.7 5.3 19.9 11/19/2018 Regulatory 14:23 Ebb 8 18 1.7 5.0 19.3 02/28/2019 Regulatory 10:32 Flood 5 5 1.7 5.0 19.3 04/15/2019 Regulatory 14:38 Ebb 12 10 1.7 4.6 17.7 05/09/2019 Regulatory 10:01 Ebb 17 14 23.0 4.8 19.2 06/27/2019 Regulatory 14:48 Flood 18 24 1.7 4.8 19.2 08/07/2019 Regulatory 12:56 Ebb 20 25 4.5 4.8 19.2 10/02/2019 Regulatory 11:19 Ebb 12 21 2.0 4.8 19.2 12/04/2019 Regulatory 12:36 Ebb 10 27 4.5 4.6 17.3 01/21/2020 Regulatory 12:42 Flood 7 25 7.8 4.7 17.7 03/03/2020 Regulatory 11:26 Ebb 9 3 1.7 4.6 17.7 05/13/2020 Regulatory 11:12 Ebb 14 15 23.0 4.9 19.7 07/28/2020 Regulatory 11:19 Flood 21 22 13.0 5.0 20.3 09/08/2020 Regulatory 09:23 Flood 19 26 1.7 4.6 18.1 11/04/2020 Regulatory 10:09 Ebb 12 15 33.0 5.0 21.1 02/24/2021 Regulatory 10:46 Flood 8 8 1.7 4.8 20.9 04/19/2021 Regulatory 09:38 Flood 14 6 9.2 5.1 21.8 06/29/2021 Regulatory 08:28 Flood 23 19 540.0 5.9 36.2 08/30/2021 Regulatory 11:45 Flood 17 22 4.5 6.1 36.6 10/26/2021 Regulatory 10:16 Flood 11 9 79.0 6.5 43.5 12/08/2021 Regulatory 10:33 Ebb 9 9 13.0 6.3 39.7 03/23/2022 Regulatory 09:32 Ebb 11 8 170.0 7.3 52.4 05/23/2022 Regulatory 11:02 Flood 16 2 33.0 7.7 56.8 07/26/2022 Regulatory 16:01 Flood 26 21 1.7 7.0 51.3 09/20/2022 Regulatory 13:31 Flood 19 21 2.0 7.0 51.3 10/31/2022 Regulatory 10:38 Flood 12 22 70.0 7.9 60.4 02/01/2023 Regulatory 11:22 Flood 5 5 1.7 7.9 60.5 03/16/2023 Regulatory 10:19 Flood 6 2 2.0 7.3 57.2 04/25/2023 Regulatory 08:13 Flood 10 3 2.0 6.9 54.7 06/14/2023 Regulatory 14:16 Flood 19 21 1.7 6.4 52.1 08/23/2023 Regulatory 09:46 Flood 19 26 4.0 6.6 52.4 10/04/2023 Regulatory 10:01 Flood 14 17 1.7 6.6 52.4 Est. 90th percentile key: >30=Threatened r >43= Failing Mason County Tahuya Area Closure Response Plan Page 11 of 15 Table 2. Mason County Tahuya River Sample Results (August 2022 — Feb. 2024) Mason FecalGeomean, Est. 90th Site Site Coliform, County Sampling Event Sample Date last 5 Percentile, Latitude Longitude Site ID CFU/1 00 samples all samples 7 47.373834 -123.044956 TA-001 MCCWD amb mon 8/2/2022 40 47.373834 -123.044956 TA-001 MCCWD amb mon 9/6/2022 15 47.373834 -123.044956 TA-001 MCCWD amb mon 10/17/2022 20 47.373834 -123.044956 TA-001 MCCWD amb mon 11/7/2022 80 47.404636 -123.007526 TA-002 MCCWD amb mon 12/19/2022 13 26.3 47.404636 -123.007526 TA-002 MCCWD amb mon 1/9/2023 25 23.9 47.404636 -123.007526 TA-002 MCCWD amb mon 2/7/2023 5 19.2 47.373834 -123.044956 TA-001 MCCWD amb mon 3/6/2023 15 18.1 47.373834 -123.044956 TA-001 MCCWD amb mon 4/3/2023 4* 9.9 47.373834 -123.044956 TA-001 Coord w/DOH Hood 6 4/25/2023 5 8.2 47.373834 -123.044956 TA-001 MCCWD amb mon 5/9/2023 4* 5.7 47.373834 -123.044956 TA-001 MCCWD amb mon 6/5/2023 10 6.5 47.373834 -123.044956 TA-001 Coord w/DOH Hood 6 6/14/2023 3 4.7 47.404636 -123.007526 TA-002 MCCWD amb mon 7/10/2023 5 5.0 47.404636 -123.007526 TA-002 Coord w/DOH Hood 6 7/26/2023 10 5.7 47.373834 -123.044956 TA-001 MCCWD amb mon 8/7/2023 5 6.0 47.404636 -123.007526 TA-002 Coord w/DOH Hood 6 8/23/2023 4* 5.0 47.373834 -123.044956 TA-001 MCCWD amb mon 9/11/2023 30 7.9 47.404636 -123.007526 TA-002 MCCWD amb mon; 10/3/2023 50 12.5 coord w/DOH Hood 6 47.404636 -123.007526 TA-002 MCCWD amb mon 11/6/2023 120 20.5 47.404636 -123.007526 TA-002 MCCWD amb mon 12/4/2023 30 29.3 47.404636 -123.007526 TA-002 Coord w/DOH Hood 6 12/20/2023 15 38.2 47.404636 -123.007526 TA-002 MCCWD amb mon 1/2/2024 15 33.2 47.404636 -123.007526 TA-002 Coord w/DOH Hood 6 1/22/2024 18 27.1 47.404636 -123.007526 TA-002 MCCWD amb mon 2/13/2024 4* 13.7 47.3 Sample site TA-001: Tahuya River, sampled from bridge along NE North Shore Rd Sample site TA-002: Tahuya River, sampled from Tahuya River Rd, —2 miles upstream from Hood Canal County staff always endeavors to sample from TA-001, as permitted by tidal conditions. Washington State code dictates that coliform concentrations in fresh waters must not exceed a geometric mean value of 100 CFU per 100 mL within an averaging period, with no single sample taken during the averaging period exceeding=200 CFU per 100 mL, as outlined in WAC 173-201A-200 (2)(b). *actual result was "<5," but'A" is shown for calculation purposes Mason County Tahuya Area Closure Response Plan Page 12 of 15 Table 3. Mason County Caldervin Creek Sample Results (April 2023 — Jan. 2024) Mason FecalGeomean, Est. 90th Site Coliform, Site Latitude County Sampling Event Sample Date last 5 Percentile, Longitude Site ID CFUI 00 samples all samples ml 47.3707511 -123.0528456 CD-001 Coord w/DOH Hood 6 4/25/2023 4* 47.3707511 -123.0528456 CD-001 Coord w/DOH Hood 6 6/14/2023 30 47.3707511 -123.0528456 CD-001 Coord w/DOH Hood 6 7/26/2023 590* 47.3707511 -123.0528456 CD-001 Coord w/DOH Hood 6 8/23/2023 125 47.3707511 -123.0528456 CD-001 Coord w/DOH Hood 6 10/3/2023 90 60.3 47.3707511 -123.0528456 CD-001 Coord w/DOH Hood 6 12/20/2023 5 63.0 47.3707511 1 -123.0528456 CD-001 Coord w/DOH Hood 6 1 1/22/2024 5 44.1 354.9 Sample site CD-001: Caldervin Creek, sampled at its mouth Washington State code dictates that coliform concentrations in fresh waters must not exceed a geometric mean value of 100 CFU per 100 mL within an averaging period, with no single sample taken during the averaging period exceeding 200 CFU per 100 mL, as outlined in WAC 173-201A-200 (2)(b). *exceeds state standard *actual result was "<5," but'A" is shown for calculation purposes Mason County Tahuya Area Closure Response Plan Page 13 of 15 Appendix A: MCPH Rating Classification for OSS Sanitary Surveys Rating Criteria for Meeting Classification Action No Apparen- • Completed/signed SWG Permit on file at MCPH;or provided b•; l d Problem owner at time of inspection and entered into record • No illegal repairs or alternative performed on OSS • All applicable setbacks and conditions in effect at the time of permitting are in place No Records • No completed/signed SWG permit or As-Built on file at local None health jurisdiction;or provided by owner/occupant. • No Concern,Suspect or Failure conditions were observed Complete as-built if possible Concern Concerns include but are not limited to: For unpermitted alterations, • System with no records and drainfield less than 100 feet from expansions,repairs,connections surface water or wells or new construction,consult on- e Improper use of designed reserve area site department regarding • Vehicular traffic and/or pavement on OSS components enforcement options. • Roof drains or other drainage/infiltration systems potentially impacting the OSS Note property records • Unpermitted expansion or modification of existing structure(s)or addition of new structures or RVs that impacts the OSS • Unpermitted work conducted on OSS • Excavation or excess fill within the OSS area;or a cut down slope of the OSS that has the potential to impact the performance Suspec- • Drainfield area is saturated Mail suspect letter • Collected water sample(s)from property at or above 500 FC/100 mL and a positive non-visual dve test confirmed by Ozark Follow up with wet season dye Underground Laboratory test • Collected water sample(s)from property,less than 500 FC/100 mL and aositive visual dye test by MCPH Note property records Fai .i_ • Seveage on the surface of the ground Enforcement • Sewage discharged directly to SW or upon the surface of the ground(unless the discharge is under permit from Ecology) Note property records • Sewage backing up into,or not draining out of a structure caused by slow soil adsorption of septic tank effluent Notify WDOH Shellfish Program • Sewage leaking from a septic tank,pump tank,holding tank,or if failure discharges to shellfish collection system beds—commercial or • Any component of an onsite sewage system or public sewer recreational connection found to be broken,in disrepair,or not functioning as intended • Inadequately treated sewage effluent contaminating ground or surface water • Collected water samples from property at or above 500 FC/100 mL and positive visual dye test by MCPH • Cesspools or seepage pits where evidence of ground water or where surface water quality is degraded,or inadequately treated effluent contaminating ground or surface water • Non-compliance with OSS standards stipulated at the time of the permit approval,or with building standards stipulated at the time of constructed/modified • Straight discharge(greywater or blackwater)from any indoor lumbin I including RVs is observed and documented Mason County Tahuya Area Closure Response Plan Page 14 of 15 Appendix B. GUIDANCE FOR WATER QUALITY COMPLIANCE IN MASON COUNTY, WA • DRAFT 4/1/14 • FINAL 5/20/14 • REVISED 4/25/17 SEND INITIAL UNABLE TO VERIFY COMPLIANCE PROCESS STOPS CONTACT LETTER PROBLEM REQUESTING ACCESS FOR SITE VISIT.CHECK WITH IN COMPLIANCE nSANITARY E& DEVELOP TIMELINE&MAKE REPAIR 6:1 NO ACCESS SURROUNDING ER COMPLIES (MAY TAKE SEVERAL MONTHS) PROPERTY OWNERS FOR 1.SEPTIC SYSTEMS REFERRAL PERMISSION TO NONCOMPLIANT POSTED FOR NONOCCUPANCY WATER AGENCY ACCESS THEIR QUALITY VISITS SITE PROPERTY. SAMPLE, TO INSPECT URVEY& COMPLIANCE PRSITE VISITS, USE CHART AND/OR YE TEST NO ISSUE OR NO DYE BELOW TO STOPS OR CITIZEN DETERMINE SAMPLE NOT IN COMPLAINT WHICH FOR COMPLIANCE POSSIBLE INITIAL NOTICE& HEARINGS MAY AGENCYTO POLLUTION CONTACT ORDER NONCOMPLIANT EXAMINER INDICATE REFER LETTER& NONCOMPLIANT 2.PET WASTE WATER EDUCATION POLLUTION IN COMPLIANCE MATERIALS COMPLIES COMPLIANCE PROCESS STOPS EDUCATION 3.WILDLIFE COMPLIANCE PROCESS STOPS SOURCE IN ROW CHECK WITH MCD OR WSDOT 4.STORMWATER SOURCE IN ROW SOURCE NOT IN ROW REFER TO UNKNOWN/MULTIPLE SOURCES BOX MCPH REFERS POLLUTION ISSUSE REFERRAL AGENCY REGULATION 5.SEWER CHECK WITH COS OR MCU.REFER TO ECOLOGY IF PRIVATE SEWER TO ECOLOGY 1.SEPTIC SYSTEM/ MCPH WAC 246-271/ RV HOLDING TANK MASON COUNTY TITLE 6.76 ANIMALS MCPH SEND INITIAL NONCOMPLIANT 2.PET WASTE MCPH MASON COUNTY TITLE 6.72.30 WITH WATER CONTACT LETTER TEMPORARY CORRECTIVE ACCESS REFERRING TO CD ACTION&FARM 3.WILDLIFE/ NONE NONE 6.LIVESTOCK COMPLIANT MANAGEMENT PLAN URBAN WILDLIFE ANIMALS SAMPLE TO 4.STORMWATER MCPW RCW 90.48.080 UNABLE TO VERIFY POLLUTION WITHOUT DETERMINE IF COMPLIANCE CITY OF SHELTON/ WATER POLLUTION COMES PROCESS STOPS 5.SEWER MC UTILITIES/ MASON COUNTY TITLE 13.04 ACCESS OFF PROPERTY ABLE TO VERIFY POLLUTION ECOLOGY FOR ALLYN&BELFAIR 6.LIVESTOCK WASTE MCD/MCPH RCW 90.48.080 7.UNKNOWN OR MULTIPLE REFER TO CORRECT AGENCY EXTENSIVE WQSAMPLING. POSSIBLE SOURCES MAY TAKE MONTHS. WHEN SOURCE(S)DETERMINED Mason County Tahuya Area Closure Response Plan Page 15 of 15 Environmental Health Briefing TO: Mason County Board of Health FROM: Ian Tracy, Environmental Health Manager DATE: March 261", 2024 ITEM: Solid Waste Abatement Fund SUMMARY: At our March and May 2023 Board of Health meetings we discussed using Foundational Public Health Services funds to abate severe solid waste accumulations on privately owned property where the owner is willing but neither physically nor financially able to complete the clean-up themselves. Since then, we have had several discussions with Chief Deputy Prosecutor Tim Whitehead and Lisa Frazier, Mason County Treasurer. Early in our discussions the Treasurer identified a problem with our proposal. Under our current abatement code, expenses for the abatement, if unpaid by the property owner, would be placed as a lien to be collected as property tax. Properties with unpaid tax for more than three consecutive years are subject to foreclosure by the county. A property owner would understandably be hesitant to agree to a county abatement when it could result in them losing their home three years later. It has been my understanding that the county does not have the desire to take a person's home because of unpaid abatement costs. We reviewed the abatement code for Thurston County and Kitsap County, and we found that they do not lien abatement costs on the property taxes and their abatements do not result in foreclosure. Their costs are recouped at some point in the future when the owner sells the property in a real estate transaction. We drafted proposed regulations which were shared with Lisa Frazier and Tim Whitehead. After several more meetings and discussions, Tim Whitehead recommended that we do not remove the requirements and instead retain the ability to foreclose to recoup abatement costs. The above summary was presented at the January Board of Health meeting. The board engaged in discussion at that time and requested that this item be brought back to the board at the next meeting. REQUESTED ACTION: Board discussion. ATTACHMENTS: COMMUNITY HEALTH January - February 2024 COMMUNICABLE DISEASE & NOTIFIABLE CONDITIONS* 39 cases of C h i a myd i s *CD rates are suppressed for all counts<10 LAW ENFORCEMENT "w"wimG'a— ASSISTED DIVERSION Currently partnering with North Mason Mobile LEAD (LEAD) Integrated Health Program to draw blood for testing LAW ENFORCEMENT of TB contact who has no primary care provider. ASSISTED DIVERSION SUBSTANCE USE MOBILE ` Q,. July 1, 2023 - January 31, 2024: OUTREACH • Total admitted into LEAD: 167 new cases • Number of individuals contacted through LE response vs. community referral: d Social Referrals: 21 (13%) o Community: 146 (87%) • Number of staff contacts: o 1,814 unduplicated encounters OVERDOSE PREVENTION11 EDUCATION AND NALOXONE T,K.F..Rlj °Tl. ,;�gRIF'F. A LAW W ENFORCEMENT CO- DISTRIBUTION (OPEND) 0 �PE`SPONDER PROGRAM MA.4p.N CO�..,TY 1"> IWp'JN�o Successful Overdose Reversals with Naloxone Referrals Follow-ups • 266 Naloxone Kits distributed W M • 10 new people trained on overdose Calls In-person prevention, recognition, and response received contacts • Re-engaged with 47 participants to give refills COMMUNITY HEALTH January - February 2024 RURAL COMMUNITIES OPIOID RESPONSE PROGRAM (RCORP) RCORP ended 2/29/2024 after a six-month no cost extension. MCPHHS will use Foundational Public Health programming to continue public health's work under RCORP (systems-level work, data, coordination, presentations, naloxone distribution, etc.). Olympic Health and Recovery Services will absorb the cost of 1.0 FTE Substance Use Disorder Professional and 1.0 FTE Certified Peer Counselor to continue thejail programming using general funds,which has been secured for at least the next year.The 0.5 FTE Certified Peer Counselor that had staffed the Substance Use Mobile Outreach with MCPHHS staff will now work in the LEAD program but will continue to partner with outreach once a week. Mason Health has not been funded through RCORP since the original contract end-date of 8/31/2024.Although they are not continuing their peer program,they have secured a permanent behavioral health navigator position embedded in the Behavioral Health Department. An end of grant report will be available soon. SYNDEMIC CLINICAL SERVICES In January, MCPHHS began a new program funded by the Department of Health to increase the scope of harm reduction services to encompass co-occurring epidemics: Hepatitis C (HCV), STI's especially syphilis, HIV/AIDS, overdose, and bacterial and soft tissue infections. The Syndemic Clinical Services will be an expansion of the Substance Use Mobile Outreach program and will include wound care, HCV/HIV/STI's testing and linkages to treatment, MOUD, and HCV treatment.Additional staffing will include an Advanced Registered Nurse Practitioner (ARNP), and the program will be operated under the license and clinical supervision of the Health Officer. Services will be mobile and available throughout the county. HEALTH EDUCATION Protecting,Connecting and Thriving We Are All Public Health The Health Educator is developing a "Tour of Public Health"video series for National Public Health Week (April 1 - 7,2024),showcasing short interviews with the staff and highlighting all areas of public health in Mason County. In the months of January and February,there was a total of 48 social media posts with an average 3.95%engagement rate. COMMUNITY HEALTH January - February 2024 0 PE4 HOUSING & HOMELESSNESS The 2024 Point-in-Time (PIT) Count event took place on January 26th, 2024 and included street/encampment outreach, calls to those previously identified as currently homeless, and two resource fairs. Preliminary Data (unofficial and not yet de-duplicated): • Sheltered Homelessness: 70 households and 120 individuals • Unsheltered Homeless: 247 households and 326 individuals • Total: 317 households and 446 individuals Unsheltered: • Outdoors: 143 households and 191 individuals • Vehicle: 41 households and 53 individuals • RV/Boat: 48 households and 59 individuals • Abandoned Building: 5 households and 12 individuals Chronically Homeless: • 50% of unsheltered individuals have continuously been without housing for a year or more • 2% of unsheltered individuals have been without housing 4 or more times in the last 3 years • 1% of unsheltered individuals have been without housing, added together,for a year or more TREATMENT SALES TAX (TST) RENTAL ASSISTANCE TST Rental Assistance is available through Northwest Resources II & Crossroads Housing. In January and February 2024: • 154 unduplicated households and 158 individual were served COMMUNITY HEALTH January - February 2024 MATERNAL AND CHILD HEALTH 2023 School Medical Autism Review Team Data Elizabeth is coordinating the Immunization Improvement Not completed Plan for the county, directed 13% Refered to specialty clinic toward increasing childhood 2% vaccination rates which decreased during the pandemic. She collaborated with the Department of Health and Care- Did not meet criteria 0 a-Van to provide an 15% Immunization Clinic on February 22nd for those aged 6 months through adults.A total of 38 vaccines were given, which provides increased protection of preventable childhood diseases, Diagnosed w Autism COVID-19, and the flu. 70% P.M mf�; Ew SUBSTANCE USE PREVENTION COALITION We continue to work with our North Mason and CHOICE High School students, conducting Youth Listening Sessions, Mapping, and Social Norms projects. We are partnering with the Youth Connection to conduct listening sessions with some of our Key Community Leaders, including Mason County Commissioner Kevin Shutty, City of Shelton Mayor Eric Onisko, Sheriff Ryan Spurling, and Juvenile Probation Counselor Dawn Mesojednik. Other leaders have been identified, contacted, and will have an opportunity in the Spring. The Sth Annual Mason County Substance Abuse Prevention Summit is scheduled for Wednesday May 8th at 9:00 am to 3:00 pm and will include a great lineup of speakers: Dr. Jason Kilmer, Rep. Lauren Davis, Sarah Ellsworth ESD 113, Miss Washington USA, Dr. Samantha Gallia, and Alex Sirotzki of Washington State Poison Control. -pp- SHELTON NORTHMASON PREVENTIONEDUCATION PARTNERS SUBSTANCE ABUSE Cannabis Retail Store Engagement PREVENTION COALITION Conducted by: The Mason County Substance Abuse Prevention Coalition Nov 2023 and Jan 2024 History and • Shelton Coalition was created in December 2014, April 2018 Belfair Mason County Substance Abuse Prevention Coalition 2021 Coalition Mission "Strengthen collaboration among Mason County Prevention Coalition members and other community members and organizations in supporting efforts to reduce substance abuse and related problem behaviors and to increase healthy behaviors among youth by developing and implementing strategies in a culturally competent manner." Parent Faith Based Business Government Tribal Youth School Media Substance Civic Law Enforcement Abuse/mental health Medical Treatment/Prevention Why Retail Through formative research and evaluation of state Store and local campaigns we have learned that cannabis consumers consider retail "budtenders" trusted Engagement? advisors. By engaging in PSE, Policy Systems Environment strategies with cannabis retailers who are willing, we can promote safe storage, address concerns about how product packaging and labeling appeal to youth and provide anti-youth cannabis use messaging to reduce youth access to cannabis. What We We visited 5 stores Learned 1. Not much promotion. Root Cellar pays $2900 per month for large billboards. 2. Stores appear very clean and organized. 3. Owners and managers appear to know the product. 4. Weapons are not allowed in the store. 5. Dragon Balm CBD+ THC is #1 seller at Root Cellar and Joints at Ganja Vita (Belfair) 6. Ganja Vita serves mostly older veterans. 7. Both Belfair stores report state that the older people come in during the day. 8. Winter is the slowest season. Summer campers and tourists are a large part of their sales. What We learned 9. Root Cellar is a licensed Medical Marijuana provider. cont. . Can sell to patients 18 years. Under 18 if accompanied by a parent or guardian. 10. The packaging was bright in some cases. 11. Work well with liquor and cannabis control. 12. Could not see products from the highway. 13 Both Belfair stores were on a busy highway-not close to schools, churches, parks or places that community may gather. 14. Many customers using the shops will need to rely heavily on the expertise of the clerks What We 15. When an underage youth enters Learned the store without a legitimate Cont. . . medical card, the youth will be told to leave immediately. 16. Though there is a limit to how much cannabis can be sold to an individual, that same individual can get more cannabis at other stores. Packaging of some edible marijuana "fruit drops or chews" contain large images of fruit (that might be attractive to children) that look very much like regular fruit candy packaging. The "not for kids" stamp and marijuana symbol are there but very small and What We sometimes obscured by being mixed in with other images. That was just one type of attractive food learned packaging. Owners or clerks we spoke with disagreed that packaging (controlled by WA Liquor and Cannabis cont. . Board) should be less attractive to children/pets,. What they said.... It's the parents' responsibility to see that children don't get into cannabis products, not the responsibility of the store or industry; Alcohol products get to use attractive fruit or cartoon labels so cannabis should be allowed to do so; Adults enjoy fun and attractive labels, too; everything shouldn't have to be plain. Even if the packaging looks like candy, it's drops inside are individually wrapped and difficult to get into without scissors. Can a Child Tell the Difference? Regular Candy R Cannabis `Candy' 41 OOZIES • _Af;TING 1 AI 1 00:1 CBD:THC -40 WATE AW I - 1V il_dOm, lmr Can a Child Tell the Difference? Regular Candy Cannabis'Candy' 1 W 4 woo 4+ LEMON POTHEAD r Sol ft"►ICX !//Mop Tu i It N ORIGINAL i IL r 3sr� ��y....-.a••�'-` �i�� Rl I�F�� a`��C4v] 410�`In{is, "MMM F #•` SERVICES: LICENSED w, AND F► .� p«w ■.66r1•p o .� USB YOUR PHONE-1 RA TO FOLLOW TH"-j Alt C Y FE N/{RCAN IN Winc GTON Prices 9e '*yrrar f Y - 1 hat we would like to do . Possible Policy Systems and Environmental change ( PSE) strategies : • Voluntary Safe Storage signage in stores. Displays, posters, take home educational materials. • Safe Storage available onsite for cannabis and vape consumers. • Collaborating with LCB to understand and improve advertising and product packaging regulations. Lock up y cannabis. Keep kids and pets safe. ► tpchd.org/secureyourcannabis r 1 C TwIflo os once I r Announcements Monthly Coalition Meetings: 3rd Wednesday of Each Month. Virtual and in Person 3-4:30PM Mason County Substance Abuse Prevention Summit Wednesday May gtn Squaxin Island Community Kitchen Contact: Benl@masoncountywa.gov 360-427-9670 x 545 Thank you ! Thanks to all the Mason County Substance Abuse Discussion Prevention Volunteers: