1200 King County  
Courthouse  
King County  
516 Third Avenue  
Seattle, WA 98104  
Meeting Agenda  
Board of Health  
Metropolitan King County Councilmembers:  
Teresa Mosqueda, Chair; Jorge Barón, Reagan Dunn; Alternate: Sarah Perry  
City of Seattle Members:  
Joy Hollingsworth, Robert Kettle, Sara Nelson  
Alternate: Bruce Harrell  
Sound Cities Association Members:  
Heather Koellen, RN, BSN, CCRN, Vice Chair; Penny Sweet  
Alternates: Amy Lam, Cheryl Rakes  
Public Health, Facilities, and Providers:  
Butch de Castro, PhD, MSN/MPH, RN, FAAN; Lisa Chew, MD, MPH; Katherine Gudgel, MS;  
Alternate: Patricia Egwuatu, DO  
Consumers of Public Health:  
Quiana Daniels, BS, RN, LPN, Vice Chair; Robin Narruhn, PhD, MN, RN;  
Alternate: Mustafa Mohammed, MBCHB, MHP, AAC  
Community Stakeholders:  
Christopher Archiopoli, Victor Loo  
Alternate: Francoise Milinganyo  
American Indian Health Commission:  
Esther Lucero (Diné), MPP; Alternate: Abigail Echo-Hawk (Pawnee), MA  
Dr. Faisal Khan, Director, Seattle-King County Department of Public Health  
Staff: Joy Carpine-Cazzanti, Board Administrator - KCBOHAdmin@kingcounty.gov  
1:00 PM  
Thursday, November 21, 2024  
REVISED AGENDA  
Hybrid Meeting  
Hybrid Meetings: Attend Board of Health meetings in person in Council Chambers (Room  
1001), 516 3rd Avenue in Seattle, or through remote access. Details on how to attend and/or  
provide public comment remotely are listed below.  
King County  
Printed on 11/14/2024  
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HOW TO PROVIDE PUBLIC COMMENT:  
1. In person: You may attend the meeting in person in Council Chambers.  
2. Remote attendance on the Zoom Webinar: You may provide oral public comment at the  
meeting by connecting to the meeting via phone or computer using the ZOOM application at  
https://zoom.us/, and entering the Webinar ID below.  
Join by Telephone  
Dial: US : +1 253 215 8782  
Meeting ID: 836 2614 2088  
If you do not wish to provide public comment, please help us manage the callers by using one  
of the options below to watch or listen to the meeting.  
HOW TO WATCH/LISTEN TO THE MEETING: There are two ways to watch or listen in to the  
meeting:  
1) Stream online via this link https://king-county-tv.cablecast.tv/ or input the link web address  
into your web browser.  
2) Watch King County TV on Comcast Channel 22 and 322(HD) and Astound Broadband  
Channels 22 and 711(HD).  
1.  
2.  
3.  
4.  
5.  
6.  
Call to Order  
Roll Call  
Announcement of Any Alternates Serving in Place of Regular Members  
Approval of Minutes of October 17, 2024  
Public Comments  
Chair's Report  
King County  
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Discussion and Possible Action  
King County  
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R&R No. BOH24-05  
7.  
A RULE AND REGULATION relating to on-site sewage treatment and disposal systems; amending  
R&R 3, Part 13, Section 1, as amended, and BOH 13.04.050, R&R 3, Part 13, Section 3, as  
amended, and BOH 13.04.070, R&R 99, Section 2 (part), as amended, and BOH 13.08.010, R&R 3,  
Part 1, Section 5, as amended, and BOH 13.08.020, R&R 3, Part 1, Section 5 (part), as amended, and  
BOH 13.08.140, R&R 99-01, Section 2 (part), as amended, and BOH 13.08.152, R&R 99-01, Section 2  
(part), and BOH 13.08.226, R&R 99-01, Section 2 (part), as amended, and BOH 13.08.284, R&R 3,  
Part 1, Section 5 (part), as amended, and BOH 13.08.300, R&R 99-01, Section 2, and BOH 13.08.342,  
R&R 3, Part 1, Section 5 (part), as amended, and BOH 13.08.350, R&R 3, Part 1, Section 5 (part), as  
amended, and R&R 13.08.380, R&R 3, Part 1, Section 5 (part), as amended, and BOH 13.08.490,  
R&R 3, Part 10, Section 2, as amended, and BOH 13.12.030, R&R 3, Part 10, Section 3(B), as  
amended, and BOH 13.12.050, R&R 3, Part 12, Section 1, as amended, and BOH 13.16.010, R&R 3,  
Part 2, Section 1, as amended, and BOH 13.20.010, R&R 3, Part 2, Section 2(B), as amended, and  
BOH 13.20.030, R&R 99-01, Section 2, as amended, and BOH 13.20.035, R&R 3, Part 2, Section 3,  
as amended, and BOH 13.20.040, R&R 3, Part 3, Section 1, and BOH 13.24.010, R&R 3, Part 3,  
Section 2, as amended, and BOH 13.24.020, R&R 3, Part 3, Section 3, as amended, and BOH  
13.24.030, R&R 3, Part 3, Sections 1 and 4, as amended, and BOH 13.28.010, R&R 3, Part 4,  
Section 2, as amended, and BOH 13.28.020, R&R 3, Part 4, Section 3, as amended, and BOH  
13.28.030, R&R 3, Part 4, Section 7, as amended, and BOH 13.28.070, R&R 3, Part 5, Section 2(A),  
as amended, and BOH 13.36.010, R&R 3, Part 5, Section 3(C), and BOH 13.40.030, R&R 3, Part 5,  
Section 5, and BOH 13.48.010, R&R 3, Part 6, Section 1, as amended, and BOH 13.52.010, R&R 3,  
Part 7, Section 5, and BOH 13.56.050, . R&R 99-01, Section 2 (Part), as amended, and BOH  
13.56.054, R&R 99-01, Section 2 (part), as amended, and BOH 13.60.005, R&R 3, Part 8, Section 1,  
as amended, and BOH 13.60.010 , R&R 08-03, Section 145, and BOH 13.60.030, R&R 3, Part 9,  
Section 1, as amended, and BOH 13.64.010, R&R 3, Part 9, Section 2, as amended, and BOH  
13.64.020, R&R 3, Part 11, Section 1, as amended, and BOH 13.68.010, R&R 3, Part 11, Section 2,  
as amended, and BOH 13.68.020, R&R 3, Part 11, Section 3, as amended, and BOH 13.68.030, and  
R&R 3, Part 11, Section 5, as amended, and BOH 13.68.050, adding new sections to BOH chapter  
13.04, adding new sections to BOH chapter 13.08, recodifying BOH 13.08.226,.repealing R&R 99-01,  
Section 2 (part), and BOH 13.08.024, R&R 08-03, Section 12, and BOH 13.08.055, R&R 3, Part 1,  
Section 5 (part), as amended, and BOH 13.08.060, R&R 3, Part 1, Section 5 (part), as amended, and  
BOH 13.08.070, R&R 99-01, Section 2 (part), and BOH 13.08.072, R&R 99-01, Section 2 (part), as  
amended, and BOH 13.08.084, R&R 3, Part 1, Section 5 (part), as amended, and BOH 13.08.090,  
R&R 99-01, Section 2 (part), as amended, and BOH 13.08.114, R&R 08-03, Section 21, and BOH  
13.08.115, R&R 08-03, Section 23, and BOH 13.08.117, R&R 08-03, Section 27, and BOH 13.08.131,  
R&R 99-01, Section 2 (part), as amended, and BOH 13.08.132, R&R 99-01, Section 2 (part), and BOH  
13.08.134, R&R 08-03, Section 30, and BOH 13.08.141, R&R 08-03, Section 32, and BOH 13.08.151,  
R&R 08-03, Section 34, and BOH 13.08.154, R&R 09-03, Section 37, and BOH 13.08.175, R&R 3,  
Part 1, Section 5 (part), as amended, and BOH 13.08.180, R&R 3, Part 1, Section 5 (part), as  
amended, and BOH 13.08.190, R&R 99-01, Section 2 (part), as amended, and BOH 13.08.202, R&R  
08-03, Section 40, and BOH 13.08.205, R&R 99-01, Section 2 (part), and BOH 13.08.212, R&R 08-03,  
Section 41, and BOH 13.08.213, R&R 99-01, Section 2 (part), and BOH 13.08.226, R&R 08-03,  
Section 47, and BOH 13.08.257, R&R 08-03, Section 49, and BOH 13.08.261, R&R 08-03, Section 50,  
and BOH 13.08.263, R&R 3, Part 1, Section 5 (part), as amended, and BOH 13.08.280, R&R 08-03,  
Section 55, and BOH 13.08.287, R&R 3, Part 1, Section 5 (part), as amended, and BOH 13.08.290,  
R&R 08-03, Section 56, and BOH 13.08.305, R&R 3, Part 1, Section 5 (part), as amended, and BOH  
13.08.320,  
R&R 08-03, Section 57, and BOH 13.08.3215, R&R 99-01, Section 2 (part), as amended, and BOH  
King County  
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13.08.322, R&R 99-01, Section 2 (part), as amended, and BOH 13.08.324, R&R 08-03, Section 60,  
and BOH 13.08.327, 2R&R 3, Part 1, Section 5 (part), as amended, and BOH 13.08.330, R&R 99-01,  
Section 2 (part), and BOH 13.08.341, R&R 08-03, Section 61, and BOH 13.08.346, R&R 3, Part 1,  
Section 5, as amended, and BOH 13.08.350, R&R 99-01, Section 2 (part), as amended, and BOH  
13.08.372, R&R 99-01, Section 2 (part), and BOH 13.08.402, R&R 99-01, Section 2 (part), and BOH  
13.08.406, R&R 3, Part 1, Section 5 (part), as amended, and BOH 13.08.410, R&R 08-03, Section 69,  
and BOH 13.08.424, R&R 99-01, Section 2 (part), and BOH 13.08.426, R&R 08-03, Section 72, and  
BOH 13.08.465, R&R 3, Part 1, Section 5, as amended, and BOH 13.08.470, R&R 99-01, Section 2  
(part), as amended, and BOH 13.08.472, R&R 08-03, Section 74, and BOH 13.08.477, R&R 08-03,  
Section 76, and BOH 13.08.482, R&R 99-01, Section 2 (part), as amended, and BOH 13.08.484, R&R  
09-03, Section 79, and BOH 13.08.493, R&R 08-03, Section 80, and BOH 13.08.4934, R&R 08-03,  
Section 81, and BOH 13.08.4937, R&R 99-01, Section 2 (part), as amended, and BOH 13.08.496,  
R&R 3, Part 1, Section 5 (part), as amended, and BOH 13.08.500, R&R 08-03, Section 87, and BOH  
13.08.505, R&R 99-01, Section 2 (part), and BOH 13.08.512, R&R 99-01, Section 2 (part), and BOH  
13.08.516, R&R 08-03, Section 88, and BOH 13.08.520, prescribing penalties, and establishing an  
effective date; enacted pursuant to RCW 43.20.050 and 70.05.060, including the latest amendments or  
revisions thereto.  
Meagan Jackson, Interim Assistant Division Director, Environmental Health Services Division, Public  
Health -- Seattle & King County  
Roman Welyczko, Project/Program Manager IV, Public Health – Seattle & King County  
Public Hearing Required  
Resolution No. 24-07  
8.  
A RESOLUTION identifying the American Indian Health Commission for Washington State's regular  
member to serve on the King County Board of Health.  
Joy Carpine-Cazzanti, King County Board of Health Administrator, Public Health -- Seattle & King  
County  
Sam Porter, Legislative Analyst, King County Council  
Jolene Williams, Councilmember, Snoqualmie Indian Tribe  
Resolution No. 24-08  
9.  
A RESOLUTION identifying the American Indian Health Commission for Washington State's alternate  
member to serve on the King County Board of Health.  
Joy Carpine-Cazzanti, King County Board of Health Administrator, Public Health -- Seattle & King  
County  
Sam Porter, Legislative Analyst, King County Council  
Jolene Williams, Councilmember, Snoqualmie Indian Tribe  
King County  
Printed on 11/14/2024  
Page 5  
Briefings  
BOH Briefing No. 24-B22  
10.  
A briefing discussing infant and birthing parents, issues, healthcare access and options.  
Vazaskia Crockrell, Community Health Services Division Director, Public Health – Seattle & King  
County  
Michelle Sarju, Community Health Services Division, Public Health – Seattle & King County  
Dila Perera, Executive Director, Open Arms Perinatal Services  
11.  
12.  
2025 Legislative Priorities  
Simon Vila, Government Relations Officer, Public Health – Seattle & King County  
Ginna Hernandez, Policy Analyst, Public Health – Seattle & King County  
Mac Nicholson, Government Relations Director, King County Council  
Preparing the 2025 Board of Health Workplan  
Joy Carpine-Cazzanti, King County Board of Health Administrator, Public Health -- Seattle & King  
County  
13.  
14.  
Board Member Updates  
Other Business  
Adjournment  
If you have questions or need additional information about this agenda, please call (206)  
263-0365, or write to Joy Carpine-Cazzanti, Board of Health Administrator via email at  
KCBOHAdmin@kingcounty.gov  
King County  
Printed on 11/14/2024  
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