HomeMy WebLinkAbout03-04 - Res. Adopting the Mason County Dept of Health Services Fee Schedule - 2004/12/09 Mason County Board of Health
Resolution No. 03-04
Whereas, the provision of public health services and activities within Mason County
requires the collection of fees to compliment other sources of revenue,
Whereas, it is the role and responsibility of Mason County Board of Health to set policy
for Mason County Department of Health Services concerning the funding of public health
programs and activities in Mason County and to set fees accordingly,
Whereas, the Mason County Board of Health held a public hearing on December 9, 2004
for the purpose of taking public testimony and to deliberate on the appropriate fees for
public health goods and services and recommended that they be forwarded to the Mason
County Board of Commissioners for adoption,
Now therefore be it resolved,the fee schedule as shown in Attachment"A" is hereby
adopted as the Mason County Department of Health Services Fee Schedule, effective
January 1, 2005.
Dated this 9th day of December, 2004 Mason County Board of Health
Mason County,Washington
Attest: J y i L . KamInJ Chair
• a
lerkof the Board Herb Baze
.rd M ern(rt c�
Approv a to Form:
Absent
j
Wes Johnson C
�Yd M�rvtber
Mason County Prosecuting Attorney
r
i
"Attachment A"
Environmental Health Fees for 2005
Note:Any work that requires a permit from Environmental Health being done without a permit will be
subject to a penalty of a double permit fee and additional inspection fees where applicable. (New 2002)
Land Use Fees
BLA(office review) $25
Large Lot Subdivision
Application fee $200
Per parcel fee $ 15
Short Subdivision $200
Subdivision $450
Per parcel fee $25
Other review(per hour) $ 50
Water Program Fees
Plan Review
Private 2 party $ 50
Public 2 connections $175
3-14 connections $350
Existing System Approval $200
Re-submittal $100
Water system sanitary survey $ 50/hr
(Fee for service.)
Well construction permit $ 50
Well decommissioning $100
Well site inspection $125
Re-inspections $100
Letters/WFI or Name Changes $ 50/hr
Water system design renewal $100
Waivers/variance $100
Appeals $100
Certified Designer
Test $250
Annual $150
Laboratory
Drinking water
Coliform $ 18
Coliform resample $ 15
Nitrates $ 15
Surface Water/Sewage
Fecal colifornn $20
TSS $ 15
BOD $45
Other Environmental Health Fee
Water contact facility
Year-round operation $200
Seasonal operation $125
Process and ship vector specimen $25
1
Fee for copies $0.15 each
Document Recording Fee(Set by Auditor's office) $19 for 1"page, $1 for each additional page
1 of 5
'—` School inspection
Plan review(per hour) $ 50
Pre-school $ 50
Elementary School $150
Middle School $250
High School $350
Technical Assistance $ 50/hr
Liquid Waste Fees
Septic permit
O&Msurcharge $30 To be paid at the time of final installation
Individual $450 2 part permit—application$350
-installation$100
Homeowner install +$150
In addition to permit-includes exam,pre-construction + I extra visit
Extension (<1 year $100
Through September 30)
Community/commercial $800
Base+$50 hourly>8 hours
Per connection (payable with $100
design application submittal)
Repairs $450
Maintenance/Tank only $100
O&M Processing $ 10
Re-inspections/Re-submittals $100
U EH Review (Non-refundable)
Water $150
Septic $150
Both $250
Certified Installer
Test $250
Annual $150
Certified Pumper
Test $100
Annual $150
Certified O&M Specialist
Test $250
Annual $150
Winter Observation
Designer $225
Homeowner $275
Building Permit Plan Review
Major EH Plan Review $75
Minor EH Plan Review $35
Appeal $100
Waiver/Variance
Staff/EH $100
Health Officer/DOH/Director $150
Board of Health $200
Technical Assistance(per hour) $ 50
2 of 5
r
Annual Food Service Permit Fees 2005
Establishment Menu Size Other
Restaurants Complex Large $550
Small $375
Non-complex Large $175
Small Rest Sery $125
Non-Restr $100
Markets Complex Large $550
Small $300
Non-complex Large $125
Small Fee $100
No Fee $ 0
Taverns Complex Large $550
Small $175
Non-complex Large $175
Small $100
Mobiles Complex $225
Non-complex $125
Kitchens Large Fee $125
No Fee $ 0
Small Fee $100
No Fee $ 0
Temporaries Complex Profit $150
Non-Profit $ 35
Non-complex Profit $ 35
Non-Profit $ 0
Single Event 1/2 Fee
Confectionery $ 35
Espresso Stand $125
Re-inspections Initial $ 0
Follow-up $100
Off Premises Vending for Licensed Restaurant $ 35
Technical Assistance $ 50/hr
Plan Review $ 50/hr
Appeal $100
Food Service Education (per student) $225
Food Handlers Cards (fee set by State) $ 10 (State fee)
�j Duplicate for lost card $ 2
3 of 5
Solid Waste Fees 2005
Transfer Station Application $320
Renewal $220
Per Ton $1.50
Limited Purpose Landfill Application $500
Renewal $320
Closure $220
Biosolids (Sludge/Septage) Inspection& (Shelton)
Utilization Site Monitoring (WCC)
Site & Operation Approval (Biorecycling)
Inactive $100
* Fee for Service --- $400 base+ $50 per hour> 3 hours
Drop Box Application $320
Renewal $220
Piles, Surface Impoundments Application $220
Renewal $155
Tire Storage Permit Application $320
Renewal $220
Tire Beneficial Use/Utilization One Time Fee $220
Moderate Risk Waste Facility Inspection $220
(household hazardous waste) Annual Permit $220
Hazardous Collection Disposal Approvals, $50/hr
Permitting Storage Tank Disposal, Other
Consultation, Site Monitoring, Technical
Assistance
Compost Facility Application $500
Renewal $320
Conditionally Exempt Compost Facility Application $150
Renewal $100
Conditionally Exempt Recycling Facility Application $150
Renewal $100
Other Conditionally Exempt Solid
Waste Handling Facility Application $150
Renewal $100
Waiver $150
Appeal $100
Hazardous Material Cleanup Plan Review $250
Illegal Drug Lab Cleanup Plan Review $250
Per Hour(> 3hrs) $ 50
Illegal Drug manufacturing operation inspection,
Notification, assessment Per Hour $ 50
SEPA Review $500
4of5
MASON COUNTY PERSONAL HEALTH 2O05 FEE SCHEDULE
IOFFICE- ,' `,,,,Fee' HIVlAIDS CERT.TRAINING Fee,
Minimal(5) 23.00* 2.5 hr.cert.training (Per person) **15.00*
Problem Focused(20)(new) 45.00* 4 hr.cert.training (Per person) **30.00*
(estblished) 39.00* SCREENING/OTHER Fee
Travel Clinic 60.00 Initial TB Exam 39.00*
ADMINISTRATION Fee Follow-up TB Exam 25.00*
Off-site Clinic Rate(Per Hour) 65.00 PPD (same as Imms Admin fee) 16.00*
Copy immunization record to pt 1.00 X-Ray, 1 view cost*
Copy medical records(1st 30 pgs)**** 0.83 Radiologist cost*
each add'I page**** 0.63 Blood Pressure Check 1.00
Clerical fee for searching&handling**** 19.00 Liquid Nitrogen/Warts 49.00*
Public records-per RCW 42.17.300 0.15 Pre/Post Couseling 56.00*
IMMUNIZATIONS ee,- Case Management(Full month) 172.00
DTaP 1 -2-3-4-5-B 15.60* Case Management(Partial month) 86.00
DT(Ped) 1 -2-3-4-5 15.60* Comprehensive Assessment 137.75
Td 1 -2-B-Adolescent 15.60* 'MEDICATIONS/SUPPLIES
OPV 1 -2-3-4-B 15.60* Doxycyline 14 2.00*
IPV 1 -2-3-4-B 15.60* Doxycyline 28 3.00*
HIB 1 -2-3-4 15.60* Erythromycin 408 8.00*
MMR 1 -2 15.60* Metronidazole 14/500 mg 3.00*
HEP A 1 -2 Adolescent 15.60* Amox/Prob 500 mg ea 3.00*
HEB-B 1 -2-3-B(0-18 yrs old) 15.60* Rocephin Inj 250 mg 17.00*
Hep A/B Combo 46.00 Zithromax 250 mg 24.00*
Varicella(Chicken Pox)0-18 15.60* Tetracycline 28/500 mg 4.00*
HEB-B 1 -2-3-B (Adult) 37.00 Bacetracin Ointment 4.00*
HBIG($174.04/cc) (/cc) Monistat/7 15.00
Immune Globulin ISG 9.00 Nystatin Cream 3.00*
HEP A(Havrix)Adult 29.00 Lindane Lotion 6.00*
Prevnar(Pneumococcal Conjugate) 15.60* Lindane Shampoo 6.00*
Oral Typhoid 45.00 Podophyllum Treatment 6.00*
Injectable Typhoid 51.00 INH 300 mg 30 5.00*
Td(Adult) 19.00 Rifamate 60 48.00*
Rabies(3 doses-PRE-PAID) 429.00 Rifampin 30/300 mg 22.00*
Influenza 18.00 Rifampin 60/300 mg 45.00*
Pneumonia 22.00 PZA 60/500 mg 55.00*
Varicella(Chicken Pox)Adult 79.00 Ethambutol 60/400 mg 84.00*
Yellow Fever 87.00 B6 Pyridoxine 50 mg 3.00*
Meningococcal 93.00 LABORATORY Proposed
Unlisted meds/vaccines-aquisition cost Cost Pregnancy Test 4.00*
GERTIFIEDS Fee Blood Draw 5.00
Birth Certificates(each copy) 17.00 KOH/Wet Mount 7.00*
Death Certificates(each copy) 17.00 Pap Smear 16.00
Expedite Fee(NEW) 3.00 Pathologist fee 40.00*
Research Fee(non-refundable) 8.00 UA(W/C)Micro 4.00*
Corrections to Death Certs(1st copy) 10.00 RPR/VDRL 5.00*
Additional corrected copies 3.00 HSV-culture 39.00
Birth Cert.refund charge++ 12.00 GC 5.00
MATERNITY SUPPORT SERVICES Fee CT&GC urine 5.00
Nursing Office Visit 30.00/unit HSV-antibody(Igg) 30.00
Nursing Home Visit 40.00/unit IgM Anti-HAV(Hep A) 20.00
Nutrition Office Visit 30.00/unit Anti-HAV(Hep A Total) 22.00
Nutrition Home Visit 40.00/unit HbsAB(Hep B Titer)***+ 19.00
Behavioral Health Offic Visit 30.00/unit HBsAg(surface antigen) 19.00
Behavioral Health Home Visit 40.00/unit Anti-HBc(core antibody) 22.00
ICM 25.00/unit Hep B Screen(HBsAg&Anit-HBs)*** 35.00
Family Planning Visit 10.00 Hep B Panel(HBs Ag,Anti-HBs&Anti-HBc)** 63.00
DENTAL Proposed Hep Panel (acute) 84.00
Topical Floride Varnish 14.00 Anti-HCV(Hep C) 24.00
Oral Family Health Education 25.00 Liver Profile 42.00* _
BLOODBORNE PATHOGEN TRNG Pmposed Snutum 5_nn*