reglab/statecodes huggingface dataset:
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-2-3 - ALABAMA STATEWIDE HEALTH SYSTEM FOR STROKE › Section 420-2-3-.06 - Regional Advisory Councils

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Creation. Regional Councils are
			 established to advise, consult with, and accommodate specific regional needs.
			 Each Regional Council shall provide data required by the Department or the
			 Council to assess the effectiveness of the statewide stroke system.
(2) Membership. Each Regional Council shall
			 have a minimum of ten members. The membership of the Regional Councils shall be
			 appointed in the same manner as the Council is appointed and shall be composed
			 of representatives of the same groups, in accordance with Section 22-llD-5,
Code of Ala. 1975
. The chair of each Regional Council
			 shall be elected by its members to serve for a 4-year term. The members shall
			 represent the demographic composition of the region served, as far as
			 practicable. Regional Council members shall be entitled to reimbursement for
			 expenses incurred in the performance of their duties at the same rate as state
			 employees.
(3) Responsibilities.
			 The Regional Council is responsible for direct oversight and management of its
			 specific regional stroke system. The Regional Council shall review regional
			 stroke program activities for appropriateness, quality, and quantity, including
			 pre-hospital and hospital care. The Regional Councils shall decide the
			 appropriate secondary patient care triage criteria for their specific region to
			 ensure patients are routed to the closest and most appropriate
			 hospital.
(4) In addition, the
			 Regional Council shall fulfill the responsibilities as listed below:
(a) Maintain guidelines for
			 hospitals.
(b) Collect
			 data.
(c) Evaluate data-determined
			 audit filters.
(d) Re-evaluate to
			 determine effectiveness of corrective action.
(e) Participate on Regional Stroke QI
			 Committee.
(f) Devise plan of
			 corrective action for QI issues.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-2-3 - ALABAMA STATEWIDE HEALTH SYSTEM FOR STROKE › Section 420-2-3-.07 - Patient Entry Criteria

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Entry
			 Criteria for Designated Stroke Centers. Strokepatients shall be entered into
			 the Alabama Statewide Stroke System.
(2) Entry Criteria for Pre-hospital
			 Providers.
Patients shall be entered into the Alabama Statewide Stroke
				System according to the Alabama EMS Patient Care Protocols.
Authors:
William Crawford, M.D.; Jamie
				  Gray
Statutory Authority:
Code of Ala.
				  1975
, §
										22-11D-1, et
				  seq.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-2-3 - ALABAMA STATEWIDE HEALTH SYSTEM FOR STROKE › Section 420-2-3-.08 - Statewide Stroke Registry

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
			 Creation. The Statewide Stroke Registry shall become operational within 12
			 months after the Department has received sufficient funds to finance its
			 development, implementation, and operation. At this time, the Statewide Stroke
			 Registry shall collect data on the incidence, severity, and outcomes of stroke.
			 The registry shall be used to improve the availability and delivery of
			 pre-hospital or out-of-hospital care and hospital stroke care
			 services.
(2) Data and Reporting.
			 Data elements and reporting requirements will be established by the
			 Council.
(3) Confidentiality. All
			 registry data shall be held confidential pursuant to state and federal laws,
			 rules, and policies. No patient name or other identifying data shall be made
			 public.
Authors:
William Crawford, M.D.; Jamie
				  Gray
Statutory Authority:
Code of Ala.
				  1975
, §
										22-11D-1, et
				  seq.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-2-3 - ALABAMA STATEWIDE HEALTH SYSTEM FOR STROKE › Section 420-2-3-.09 - Centralized Dispatch And Communications System

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The ATCC will be staffed 24 hours a day
			 by personnel with specific in-depth knowledge of stroke system design,
			 function, and protocols.
(2) It
			 will be a primary responsibility of the ATCC to coordinate stroke system
			 activities by maintaining and providing information and recommendations
			 whenever needed to the field staff and hospital personnel in providing care to
			 patients meeting the stroke system entry criteria.
Authors:
William Crawford, M.D.; Jamie
				  Gray
Statutory Authority:
Code of Ala.
				  1975
, §
										22-11D-1, et
				  seq.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-2-3 - ALABAMA STATEWIDE HEALTH SYSTEM FOR STROKE › Section 420-2-3-.10 - Confidentiality

Current through Register Vol. 42, No. 9, June 28, 2024
(1) State and
			 Regional Stroke QA/QI Committees shall be provided access to all information,
			 reports, statements, or memoranda reviewed by or furnished to the State and
			 Regional Stroke QA/QI Workgroups members; and any discussion, findings,
			 conclusions, or recommendations resulting from the review of the records by the
			 State and Regional Stroke QA/QI Workgroups are declared to be privileged and
			 confidential. All information, reports, statements, or memoranda reviewed by or
			 furnished to the State and Regional Stroke QA/QI Workgroups shall be used only
			 in the exercise of proper functions and duties of the State and Regional Stroke
			 QA/QI Workgroups. Materials prepared during the QA/QI process are confidential
			 and privileged as provided in Sections
			 6-5-333,
			 22-21-8, and
			 34-24-58, Code of Ala.
			 1975.
(2) All information furnished
			 to the State and Regional Stroke QA/QI Workgroups shall include pertinent
			 safety and health information associated with each case summary. All
			 identifying patient information will be removed before preparing case
			 summary.
(3) All information and
			 records acquired or developed by the State and Regional Stroke QA/QI Workgroups
			 shall be secured and have restricted access and shall be destroyed when no
			 longer of use.
(4) Statistical
			 information and data may be released by the State and Regional Stroke QA/QI
			 Workgroups as long as no identifying protected health information, as defined
			 by the Health Insurance Portability and Accountability Act, is
			 provided.
Authors:
William Crawford, M.D.; Jamie
				  Gray
Statutory Authority:
Code of Ala.
				  1975
, §
										22-11D-1, et
				  seq.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-2-3 - ALABAMA STATEWIDE HEALTH SYSTEM FOR STROKE › Section 420-2-3-.11 - Statewide Health System Fund

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The Department shall distribute funding
			 allocated to the Department for the purpose of creating, administering,
			 maintaining, or enhancing the statewide health system for stroke. The
			 Department may apply for, receive, and accept gifts and other payments,
			 including property and services, for the fund from any governmental or other
			 public or private entity or person and may utilize the fund for activities
			 related to the design, administration, operation, maintenance, or enhancement
			 of the statewide health system.
(2)
			 Distribution of Funds. The methodology of distribution of funds and allocation
			 of funds shall be established by the Council and subsequently adopted by the
			 Board pursuant to the Administrative Procedure Act. Fund allocation to health
			 care centers shall be based upon the designated level of health care and the
			 number of qualified patients directed through the health care centers, as
			 defined by the rules of the Board.
Authors:
William Crawford, M.D.; Jamie
				  Gray
Statutory Authority:
Code of Ala.
				  1975
, §
										22-11D-1, et seq.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-2-3 - ALABAMA STATEWIDE HEALTH SYSTEM FOR STROKE › Appendix A - Stroke Center Designation Criteria

Current through Register Vol. 42, No. 9, June 28, 2024
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Authors:
William Crawford, M.D.; Jamie
				  Gray
Statutory Authority:
Code of Ala.
				  1975
, §
										22-11D-1, et seq.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-2-4 - ALABAMA HEAD AND SPINAL CORD INJURY REGISTRY › Section 420-2-4-.01 - General Provisions

Current through Register Vol. 42, No. 9, June 28, 2024
This chapter applies to the reporting of head and/or spinal
				cord injury to the Alabama Head and Spinal Cord Injury Registry (AHSCIR or
				Registry).
Author:
Teresa S. Pells, M.P.H., Stephen Wilson,
				  B.S., NRP
Statutory Authority:
Code of Ala.
				  1975
, §
										22-11C-1, et
				  seq.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-2-4 - ALABAMA HEAD AND SPINAL CORD INJURY REGISTRY › Section 420-2-4-.03 - Reporting Date And Submission

Current through Register Vol. 42, No. 9, June 28, 2024
(1) All confirmed cases of head and/or spinal
			 cord injuries diagnosed or treated and admitted to acute care hospital
			 facilities in the state shall be reported via electronic submission to the
			 AHSCIR preferably within 30 days but no longer than 90 days of admission or
			 diagnosis as prescribed by these rules.
(2) The reporting facility is solely
			 responsible for providing complete and accurate data as required in the AHSCIR
			 Data Acquisition Manual. If data do not meet established quality of data
			 standards in any or all of three areas: completeness, accuracy, and timeliness,
			 the reporting facility will respond to queries from the OEMS and submit
			 original and/or corrected data. If this measure is necessary, then notification
			 shall be sent to the facility in the form of a letter regarding specific
			 discrepancies in the data. The facility shall reply within 60 days and resubmit
			 the data. No fees shall be charged to facilities to implement these
			 rules.
(3) If the health care
			 facility fails to report in the prescribed format, the State Health Officer's
			 authorized representative shall be permitted access to all records which would
			 identify confirmed cases of head and/or spinal cord injury.
Author:
Teresa S. Pells, M.P.H., Stephen Wilson,
				  B.S., NRP
Statutory Authority:
Code of Ala.
				  1975
, §
										22-11C-1, et
				  seq.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-2-4 - ALABAMA HEAD AND SPINAL CORD INJURY REGISTRY › Section 420-2-4-.04 - Data To Be Reported

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
			 All confirmed cases of head and/or spinal cord injury with the following
			 International Classification of Diseases, Tenth Revision, Clinical Modification
			 (ICD-10-CM)* diagnostic codes as a primary and/or secondary diagnosis must be
			 reported:
Traumatic Brain Injury
Begin With
End With
SOI
S01.00X - S01.05X
S01.80X - S01.95X
A
Open Wound
S02
S02.3XX
A or B
Fracture of Skull and Facial Bones
S04
S04.02X - S04.049
A
Injury to Optic Chiasm and Optic Tract
S06
S06.0X0 - S0 6.9X
A
Intracranial Injury
S07
S07.0XX - S07.9XX
A
Crushing Injury of Head
S08
S08.89X
A
Avulsion and Traumatic Amputation of Part of
							 Head
S09
S0 9.8XXA - S09.90X
A
Other and NOS Injury of Head
T74
T74.4XX
A
Shaken Infant Syndrome
Spinal Cord Injury
Begin with
End with
S12
S12.000 - S12.9XX
A or B
Fracture of Cervical Vertebra and Other Parts of
							 Neck
S13
S13.0XX
A
Traumatic Rupture of Cervical Intervertebral
							 Disc
S14
S14.0XX - S14.9XX
A
Injury of Nerves and Spinal Cord at Neck Level
S17
S17.0XX - S17.9XX
A
Crushing Injury of Neck
S24
S24.0XX - S24.9XX
A
Injury of Nerves and Spinal Cord at Thorax
							 Level
S32
S32.000 - S32.059
A or B
Fracture of Lumbar Spine and Pelvis
S34
S34.01X - S34.9XX
A
Injury Lumbar/Sacral Spinal Cord and Nerves
*May also use International Classification of Diseases, Tenth
				Revision, Clinical Modification (ICD-10-CM) or any other current version as
				appropriate.
(2) A report
			 shall also be given for each subsequent head and/or spinal cord injury
			 diagnosed in an individual. If it cannot be decided whether a case should be
			 reported, the OEMS should be contacted for guidance.
(3) All electronically submitted reports of
			 confirmed cases of head and/or spinal cord injury shall include but not be
			 limited to the data items listed in the AHSCIR Data Acquisition
			 Manual.
Author:
Teresa S. Pells, M.P.H., Stephen Wilson,
				  B.S., NRP
Statutory Authority:
Code of Al.
				  1975
, §
										22-11C-1, et
				  seq.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-2-4 - ALABAMA HEAD AND SPINAL CORD INJURY REGISTRY › Section 420-2-4-.05 - Quality Control

Current through Register Vol. 42, No. 9, June 28, 2024
(1) All health
			 care facilities shall permit periodic quality control reviews by OEMS staff
			 including case finding, abstracting, coding, and data submission processing.
			 The OEMS shall provide at least 15 days' notice to a facility when OEMS seeks
			 access to information on site at a facility.
(a) All health care facilities shall perform
			 quality control reviews including case finding, abstracting, coding, and data
			 submission processing. Health care facilities shall submit quality control data
			 to OEMS upon request.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-2-4 - ALABAMA HEAD AND SPINAL CORD INJURY REGISTRY › Section 420-2-4-.06 - Referrals

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The OEMS will
			 facilitate referring of persons who sustain head and/or spinal cord injuries by
			 sharing registry data with the Alabama Department of Rehabilitation Services
			 (ADRS).
(2) The OEMS will submit
			 data to the ADRS based on an Interagency Agreement between the two
			 agencies.
Author:
Teresa S. Pells, M.P.H., Stephen Wilson,
				  B.S., NRP
Statutory Authority:
Code of Ala.
				  1975
, §
										22-11C-1, et
				  seq.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-2-4 - ALABAMA HEAD AND SPINAL CORD INJURY REGISTRY › Section 420-2-4-.07 - Confidentiality

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The clinical
			 records of individual patients submitted to the AHSCIR shall be confidential
			 and shall not be public records open to inspection. Only state personnel
			 authorized by the State Health Officer and other individuals authorized by the
			 State Health Officer or designee shall have access to the records. All
			 individuals with access to patient information shall be made aware of the
			 privileged and confidential nature of all information submitted to the
			 AHSCIR.
(2) The information
			 contained in the clinical records of individual patients submitted to the
			 AHSCIR shall be password protected, therefore, only personnel authorized by the
			 OEMS staff to access the system involved in maintaining patient information
			 shall be able to do so.
(3)
			 Clinical information from the AHSCIR may be disclosed in the following
			 circumstances when authorized by the State Health Officer or designee:
(a) Information may be disclosed in response
			 to a subpoena or a valid court order.
(b) Information may be disclosed as provided
			 in the Access to Information for Research Purposes section of these
			 rules.
(c) Information may be
			 released to a participating hospital to confirm a death match if the hospital
			 has an agreement with the Center for Health Statistics to allow release of this
			 information.
(d) Statistical
			 information and data based on client information may be released by the OEMS so
			 long as no information identifying an individual patient or facility is
			 released.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-2-4 - ALABAMA HEAD AND SPINAL CORD INJURY REGISTRY › Section 420-2-4-.08 - Access To Information For Research Purposes

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The OEMS may release statistical data
			 only to a person or agency for the following purposes:
(a) Medical research or education.
(b) Epidemiologic studies.
(c) Health education.
(d) Health planning or
			 administration.
(e) Required
			 statistical reports necessary for publication of an annual report.
(f) Publication of the AHSCIR annual
			 report.
(g) Other statistical
			 reports not previously produced and/or published by written request for
			 research, information, or education.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-2-4 - ALABAMA HEAD AND SPINAL CORD INJURY REGISTRY › Section 420-2-4-.09 - Assistance And Consultation For Public Health Work

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The OEMS shall provide assistance and
			 consultation for public health work.
(2) The OEMS shall provide consultation for
			 any agency, facility, or organization actively engaged in the effort to reduce
			 the incidence of head and/or spinal cord injuries, whether through direct
			 service to, or the education of, head and spinal cord injury patients and their
			 families, the public, or the medical professions in accordance with the
			 provisions of these rules and the availability of staff time and
			 resources.
Rule .09, AHSCIR Research Review Committee, was repealed and
				  rule .10 was renumbered .09 per certification filed May 16, 2019; effective
				  June 30, 2019.
Chapter 420-7-4, Alabama Head And Spinal Cord Injury Registry
				  was repealed and renumbered Chapter 420-2-4, Alabama Head And Spinal Cord
				  Injury Registry per certification filed May 16, 2019; effective June 30,
				  2019.
Author:
Teresa S. Pells, M.P.H., Stephen Wilson,
				  B.S., NRP
Statutory Authority:
Code of Ala.
				  1975
, §
										22-11C-1, et seq.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-3-1 - ONSITE SEWAGE TREATMENT AND DISPOSAL › Section 420-3-1-.01 - Purpose

Current through Register Vol. 42, No. 9, June 28, 2024
The purpose of this chapter is to minimize the adverse effects
				of the disposal of sewage on human health and the environment by establishing
				and enforcing requirements for the design, permitting, installation, approval,
				and operation of an onsite sewage and disposal system (OSS) or innovative
				effluent discharge system (EDS).
Author:
Jimmy Coles, Matthew Conner, Thad
				  Pittman, Ken Stephens, Bob Bright
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-2-2(4);
				  22-2-2(6);
				  22-10-1, et seq.; 22-26-1, et
				  seq.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-3-1 - ONSITE SEWAGE TREATMENT AND DISPOSAL › Section 420-3-1-.02 - Responsibility

Current through Register Vol. 42, No. 9, June 28, 2024
Compliance with these rules shall be the responsibility of the
				designer, wastewater management entity, responsible person, developer,
				installer, or user of the system, as applicable, with the system owner bearing
				ultimate responsibility to comply with the provisions of this
				chapter.
Author:
George Allison, Jimmy Coles
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-2-2(4);
				  22-2-2(6);
				  22-10-1, et seq.; 22-26-1, et
				  seq.; 22-25B-l, et seq.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-3-1 - ONSITE SEWAGE TREATMENT AND DISPOSAL › Section 420-3-1-.03 - Penalties For Violations

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Any
			 person who violates the provisions of these rules, shall, upon conviction be
			 guilty of a misdemeanor and fined in accordance with Section
			 22-26-6,
Code of Ala.
			 1975
.
(2) Upon failure
			 of a wastewater management entity to comply with this chapter, or any permit
			 requirements, rule, order, or directive of the Alabama Department of Public
			 Health (ADPH), the ADPH may revoke the wastewater management entity's permit,
			 assess a civil penalty not exceeding $10,000, or both, per compliance failure
			 or violation in accordance with Section
			 22-25B-4,
Code of Ala.
			 1975
. Each day a violation continues shall constitute a separate
			 violation.
Author:
George Allison, Jimmy Coles, Matthew
				  Conner, Thad Pittman, Ken Stephens, Bob Bright
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-2-2(4);
				  22-2-2(6);
				  22-10-1, et seq.; 22-26-1, et
				  seq.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-3-1 - ONSITE SEWAGE TREATMENT AND DISPOSAL › General Requirements › Section 420-3-1-.05 - Requirements For An OSS/EDS

Current through Register Vol. 42, No. 9, June 28, 2024
(1) No
				person shall occupy, rent, lease, sell, possess, or allow a building to be
				occupied as a dwelling or establishment unless said building is provided with
				an approved sewage disposal system.
(2) An OSS/ED8 shall be properly sited,
				designed, constructed, installed, operated, and maintained so that it:
(a) Does not create a public health hazard or
				nuisance and does not attract flies, mosquitoes, or other vectors.
(b) Does not contaminate a water of the
				state.
(c) Does not violate federal
				or state laws or regulations governing water pollution or sewage
				disposal.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-3-1 - ONSITE SEWAGE TREATMENT AND DISPOSAL › General Requirements › Section 420-3-1-.06 - Permits Required For An OSS/EDS

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
Permit to Install (Repair)
.
				No person shall begin the installation or repair of an OSS/EDS, or component
				thereof, until the responsible person has been issued a valid Permit to Install
				(Repair) an Onsite Sewage System (OSS) by the LHD.
(a) When an Engineered OSS is required, no
				installation or construction of any part of the engineered system shall begin
				without installer consultation with the design engineer.
(b) ADPH may revoke a Permit to Install
				(Repair) if there are changes in the lot conditions, the system is not
				installed in accordance with the permit, or other factors affecting the
				permit's approval. Possible invalidating conditions include, but are not
				limited to, information submitted for the purpose of obtaining the permit is
				found to be misrepresented, materially false or inaccurate, changes to
				statutory provisions, acts of eminent domain, natural changes, man-made
				alterations, or water impoundments.
(c) The LHD shall be notified of a
				modification or repair to a system, pursuant to
				420-3-1-.32 Repair and Relocation
				of an Existing OSS/EDS.
(d)
				Wastewater management entities required to obtain a Certificate of Economic
				Viability from the Alabama Public Service Commission shall have said
				certificate prior to any permits being issued by ADPH or the LHD.
(e) A permit may be issued for an OSS for the
				disposal of processed septage with the approval of a variance pursuant to
				420-3-1-.70 Variance to
				Rules.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-3-1 - ONSITE SEWAGE TREATMENT AND DISPOSAL › General Requirements › Section 420-3-1-.07 - Proprietary And Non-Proprietary Products

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Proprietary Products. ADPH may issue a
				permit to a manufacturer of a proprietary treatment or disposal. product. These
				permits shall include conditions and requirements for design, installation,
				maintenance, and reporting that shall be adhered to by the manufacturer,
				designers, installers, and users of the products.
(a) The Product Permit applicant shall
				demonstrate to ADPH's satisfaction that the product meets the requirements of
				this rule, including design calculations and demonstrate the product can
				operate within the range of conditions specified by ADPH.
1. If a particular certification is a
				condition of approval and permitting, the product manufacturer shall verify
				this certification as specified in the Product Permit.
2. The applicant shall include a description
				of all system components by product name or model number that can be identified
				in the field.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-3-1 - ONSITE SEWAGE TREATMENT AND DISPOSAL › General Requirements › Section 420-3-1-.08 - OSS/EDS Installation

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
				Except as allowed in this rule, no part of any installation shall be covered or
				used until the LHD is afforded an opportunity to inspect and any necessary
				corrections are made, An OSS/EDS shall not be used until an Approval for Use
				has been issued by the LHD. Any part of an OSS/EDS that has been covered prior
				to inspection or authorization by the LHD shall be uncovered upon direction of
				the LHD.
(2) Prior to the issuance
				of an Approval for Use, the installer shall:
(a) Install or repair the OSS/EDS pursuant to
				a valid Permit to Install (Repair) with any special permit conditions of
				approval.
(b) Agree upon an
				inspection time and date with the LHD's Public Health Environmentalist (PHE).
				The installer shall contact the PHE by 9 a.m. on the date of the inspection to
				verify that the system will be ready for inspection at the designated time.
l. If applicable, notify the engineer that
				the OSS/EDS is ready for inspection so that ADPH Form CEP-6 can be submitted
				per 420-3-1-.34
				Certifications.
(c)
				Notify the LHD and professional of any problem encountered during the OSS/EDS
				installation or repair which may prevent the system from being installed in
				accordance with the Permit to Install (Repair) or applicable rules and stop
				installation until the problem is resolved with the LHD. When a disruption in
				installation will cause the installation not to be completed by the agreed-upon
				inspection time and/or date, a new agreed upon inspection time shall be
				established.
(d) Provide a
				completed ADPH Form CEP-5 within 3 business days of completion of the system.
				In the case of an intervening holiday. the completed CEP-5 shall be provided to
				the LHD on the LHD's first regularly scheduled business day following the
				holiday.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-3-1 - ONSITE SEWAGE TREATMENT AND DISPOSAL › General Requirements › Section 420-3-1-.09 - Engineer Design Required

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
				The following systems or site characteristics shall require a design by an
				engineer:
(a) The system has a design flow of
				more than 1,800 gpd of sewage. See
				420-3-1-.52 Design Flow and
				Wastewater Concentrations.
(b) The
				system will serve a food establishment that is classified as a Priority
				Category 3 or 4 establishment by the Board's Rules for Food Establishment
				Sanitation, Chapter 420-3-22, Ala. Admin. Code.
(c) The system will receive high strength
				sewage. These systems do not have to use advanced treatment unless the design
				flow is over 1,800 gpd, but the field shall be sized according to
				420-3-1-.55 Gravel Field Standard
				EDF Sizing for Establishments.
(d)
				The site characteristics prohibit the use of a Conventional OSS. See Table 7
				and Table 18.
(e) The site
				characteristics set forth under
				420-3-1-.51 Lot Modification -
				Planned and Unplanned stipulate engineer involvement.
(f) The lot is smaller than the minimums set
				out in 420-3-1-.10 Minimum Lot Size
				Requirements.
(g) Slopes over 25
				percent in the EDF area.
(h) A
				system that does not meet the definition of a Conventional OSS.
(i) An Innovative EDS.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-3-1 - ONSITE SEWAGE TREATMENT AND DISPOSAL › General Requirements › Section 420-3-1-.10 - Minimum Lot Size Requirements

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Any lot for which an OSS/EDS is proposed
				to be installed shall be large enough to accommodate the proposed development,
				the proposed EDF, a 100 percent REDF, or discharge area, and shall meet all
				setback requirements of these rules.
(a)
				Advanced treatment systems that are owned and operated by a wastewater
				management entity, government agency or cooperative and are under a Performance
				Permit may, with ADPH approval, elect to use one-half (1/2) of the design flow
				when designing the REDF, provided the REDF is evaluated with the appropriate
				number of tests in accordance with these rules.
(b) For dwellings or establishments on
				individual systems, minimum lot size requirements, based on the recording date,
				are set forth in Table 17. These lots shall have a total square footage
				available per the number of dwellings or establishments placed on
				them.
(c) Lot sizes may be reduced
				below the minimums established in Table 17 (footnotes), by utilizing an
				Engineered OSS in compliance with the requirements of ADPH Form CEP-2, Part
				B.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-3-1 - ONSITE SEWAGE TREATMENT AND DISPOSAL › General Requirements › Section 420-3-1-.11 - Easements Required

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
				Easements or rights-of-way for underground utilities, roads, streets,
				thoroughfares, and easements for reservoirs and impoundments, and flood zones
				shall not be used in computing lot size or be used for placement of any part of
				an OSS/EDS. An effluent line may be installed in an easement or right-of-way
				for an underground utility or road when the easement holder states in writing
				that there is no objection to such use of the easement.
(2) Easements or rights-of-way for overhead
				utilities may be utilized, if there is no other means of having the lot
				accommodate an OSS or make a system repair. The easement holders shall state in
				writing that there is no objection to such use of the easement.
(3) OSSs/EDSs, including REDFs, shall be
				located on the same lot as the dwelling/establishment served unless, when
				approved by the LHD, an easement in perpetuity is recorded in the office of the
				Judge of Probate of the county in which the system is located. The easement
				shall be recorded prior to the issuance of a Permit to Install (Repair). Terms
				of the easement shall be sufficient for construction, operation, and continued
				repair and maintenance of the OSS/EDS until the system is abandoned per
				420-3-1-.24 Abandonment of a
				Sewage Tank.
Previous Rule .10 was renumbered .11 per certification
					 published December 30, 2022; effective February 13,
					 2023.
Authors:
Thad Pittman, Karen Bishop, Dillon
					 Bullard, Leigh Salter, Patricia Lindsey, Matthew Conner, Ken Stephens, Bob
					 Bright
Statutory Authority:
Code of Ala.
					 1975
, §§
											22-2-2(4);
					 22-2-2(6);
					 22-10-1,
et
					 seq
.; 22-26-1
et seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-3-1 - ONSITE SEWAGE TREATMENT AND DISPOSAL › General Requirements › Section 420-3-1-.12 - Requirements For All Permit Applications

Current through Register Vol. 42, No. 9, June 28, 2024
(1) An application for a new permit or
				reissuance of an existing permit shall be submitted using the following forms
				designated by ADPH:
(a) ADPH Form CEP-2 is
				used to apply for a Permit to Install for Small-Flow developments and
				individual Small-Flow Systems in a Large-Flow Development.
(b) The ADPH Form CEP-3, Section A is used
				for Large-Flow Developments, and ADPH Form CEP-3, Section Bis used for
				Large-Flow Systems.
(c) ADPH Form
				CEP-3, Section C, is used for performance permits.
(d) ADPH Form CEP-11 is used to apply for a
				Pre-made. Septic Tank, Grease Trap, and Holding Tank permit.
(e) ADPH Form CEP-13 is used to apply for a
				proprietary product permit.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-3-1 - ONSITE SEWAGE TREATMENT AND DISPOSAL › General Requirements › Section 420-3-1-.13 - Time Limitations And Permitting Actions

Current through Register Vol. 42, No. 9, June 28, 2024
(1) All ADPH applications shall be submitted
				to the LHD or the ADPH as applicable.
(a) The
				LHD or ADPH shall fulfill any request for a permit within 28 calendar days
				after receiving the application or notify the responsible person of the reason
				for failure to issue the permit. After the initial 28 days, if the application
				remains incomplete, the responsible person shall be allowed an additional 30
				calendar days to submit a complete application, or the application review
				period shall expire. After an application has expired, a new application and
				applicable fee shall be required.
(b) If the application does not meet the
				requirements of this rule, it shall be denied pursuant to the Ala. Admin.
				Procedure Act, §
										41-22-1, et seq.,
Code
				of Ala. 1975
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-3-1 - ONSITE SEWAGE TREATMENT AND DISPOSAL › General Requirements › Section 420-3-1-.14 - Requirements And Exceptions To Large-Flow Developments

Current through Register Vol. 42, No. 9, June 28, 2024
(1) A developer shall complete the Site
				Development Plan process for a Large-Flow Development in coordination with the
				LHD.
(2) The following activities
				shall not be subject to Large-Flow Development requirements:
(a) Dividing a parcel of land for the purpose
				of a bona fide gift.
(b) Dividing a
				parcel of land under the provisions of a will or under the laws of intestate
				succession.
(c) The sale, lease, or
				rental of land, provided that the sale, lease, or rental is not incidental to
				building development.
(d) Dividing
				a parcel of land under an exemption provided by §
										22-26-7,
Code of Ala.
				1975
.
(e) The division
				of a parcel of land into lots or tracts three acres or greater in size that
				meet the requirements for Small-Flow OSS Development.
(f) Building development that is exclusively
				for the immediate family of the responsible person.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-3-1 - ONSITE SEWAGE TREATMENT AND DISPOSAL › General Requirements › Section 420-3-1-.15 - Requirements For Performance Permits

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Performance Permits are required for a
				Large-Flow OSS, Cluster Wastewater Systems, and for other systems where ADPH,
				in consultation with the LHD, concludes that additional action is needed to
				protect the public's health or the environment.
(2) The Performance Permit may be issued on a
				temporary basis when there are unresolved issues regarding design parameters
				for a system, such as strength of sewage, so that actual parameters can be
				measured after the system is installed and adjustments to the system can be
				made if necessary.
(3) With review
				and approval, ADPH may recognize standards that can be used to establish and
				ensure that an OSS provides a measurable level of sewage treatment in certain
				situations that do not lend themselves to a prescriptive method of permitting.
				In these situations, ADPH may select an appropriate standard to define
				acceptable OSS goals for specific environmentally sensitive sites. The
				standards that will primarily be used in review of Performance Perm.its are
				primary effluent standards and secondary effluent standards as defined by these
				rules.
(4) A Performance Permit is
				an authorization to operate and may contain construction and maintenance
				requirements, monitoring requirements, reporting requirements, and other
				requirements as necessary.
(5) When
				a performance permit is no longer required as per these rules, ADPH may
				terminate the permit. At this point, the Approval for Use issued by the LHD
				becomes the authorization to continue to operate the OSS.
Previous Rule .22 was renumbered .15 per certification
					 published December 30, 2022; effective February 13,
					 2023.
Author:
Thad Pittman, Matthew Conner, Ken
					 Stephens, Bob Bright
Statutory Authority:
Code of Ala.
					 1975
, §§
											22-2-2(4);
					 22-2-2(6);
					 22-10-1,
et
					 seq
.; 22-26-1
et seq
; 22-25B-1,
et seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-3-1 - ONSITE SEWAGE TREATMENT AND DISPOSAL › General Requirements › Section 420-3-1-.16 - Wastewater Management Entities

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Any person operating a Cluster Wastewater
				System as defined by these rules and § 22-25B-l, et seq.,
Code
				of Ala. 1975
, is a wastewater management entity and, as such,
				shall meet the requirements of this rule.
(2) Small-Flow Cluster Systems that are
				operated by wastewater management entities that choose to receive a Certificate
				of Economic Viability shall be issued a performance permit.
(3) Wastewater management entities are
				responsible for:
(a) Establishing procedures
				and guidelines for operation and management of their Cluster Systems. Such
				procedures and guidelines shall not conflict with Rules of the Board or §
										22-25B-1 et seq.,
Code
				of Ala. 1975
.
(b)
				Performing routine system inspection, operation, and maintenance using
				appropriately trained or licensed personnel as required by all established and
				applicable statutes and rules for the type of cluster system used, or to
				contract for performance of these services.
(c) Managing septage handling and disposal to
				comply with all established and applicable statutes and rules.
(d) Obtaining easements for access to the
				property for maintenance or repair, when needed, or to acquire land when
				necessary.
(e) Complying with the
				conditions of certifications or conditions of operational permits as well as
				the applicable Rules of the Board; administrative orders; and state, federal,
				and local laws and regulations.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-3-1 - ONSITE SEWAGE TREATMENT AND DISPOSAL › Tanks, Advanced Treatment, And Pumps › Section 420-3-1-.17 - Septic Tank, Grease Trap, And Holding Tank Specifications

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
Concrete Tanks.
These tanks
				shall be designed, constructed, and tested in accordance with the most recent
				American Society for Testing and Materials (ASTM) C1227 standard.
(a) Cast in-place tanks shall have a minimum
				wall, bottom, and lid thickness of standard.
(b) Precast concrete tanks with capacities of
				less than 1,200 gallons shall have a minimum lid thiclmess of 3 inches, and
				tanks with capacities of 1,200 gallons or more shall have a minimum lid
				thickness of 4 inches.
(c) Concrete
				tank lids shall have a minimum 6-inch by 6-inch (6-inch on centers of number 10
				gauge) welded steel reinforcement or meet the current ASTM standard.
1. A lid for a tank may be monolithically
				poured. The lid for a tank with an effective liquid capacity of less than 1,200
				gallons shall have only one section. A larger tank lid may have more than one
				section. In no case shall it be necessary to remove a lid or lid section in
				order to gain access to a tank for inspection or maintenance purposes. Where
				more than one lid section is used, joints between sections shall be watertight.
				Except for a monolithic pour or a proprietary product design, an approved water
				stop shall be used to affix the lid to the tank body or to seal multiple-part
				tank bodies.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-3-1 - ONSITE SEWAGE TREATMENT AND DISPOSAL › Tanks, Advanced Treatment, And Pumps › Section 420-3-1-.18 - Tank Manufacturer Inspections

Current through Register Vol. 42, No. 9, June 28, 2024
(1) An inspection shall be made upon initial
				application for a new tank series. At the discretion of the LHD, tanks greater
				than 1,500 gallons may not be required to be available for inspection at the
				manufacturing facility or at a staging area.
(2) The LHD or ADPH may perform periodic
				inspections for all tank series to determine compliance with these rules.
(a) When deemed necessary, the LHD or ADPH
				may make periodic inspections of larger tanks at a site specified by the LHD or
				ADPH.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-3-1 - ONSITE SEWAGE TREATMENT AND DISPOSAL › Tanks, Advanced Treatment, And Pumps › Section 420-3-1-.19 - Pre-made Septic Tank, Grease Trap, And Holding Tank Permits

Current through Register Vol. 42, No. 9, June 28, 2024
(1) No pre-made
				septic tank, grease trap, or holding tank shall be installed unless a permit
				for the tank series has been issued by the LHD. The permit number (series
				number), issued by the LHD for the specified tank, and the effective liquid
				capacity of the tank, shall be permanently embossed on the tank so that it is
				readily visible after installation and prior to covering.
(2) An out-of-state tank manufacturer shall,
				in coordination with ADPH and the designated LHD, establish a specific
				fee-based county within the state of Alabama as the county of record for
				business purposes. An out-of-state manufacturer shall notify the designated LHD
				of a specific, fixed location, readily accessible, where its tanks are
				available for inspection by the LHD or the ADPH.
(3) An application for a Septic Tank, Grease
				Trap, and Holding Tank Permit, ADPH Form CEP-11, shall be submitted for each
				requested permit.
(a) The submittal shall
				include clear and concise written instructions from the manufacturer as to the
				proper shipping, handling, assembly, installation, maintenance, or repair of
				the tank and equipment. The instructions shall clearly identify site
				conditions, if any, that would prohibit tank installation or would void the
				manufacturer warranty.
(b) The
				submittal shall include a copy of any applicable tank warranty.
(c) Duplicate submittal packages shall be
				sent concurrently to the LHD in the county of record and to ADPH.
(d) Upon initial application for a new tank
				permit, the following is required:
1. For
				concrete tanks, the submittal shall include engineer certification that the
				tank meets the most recent ASTM C1227 standard.
2. For non-concrete tanks, the submittal
				shall include IAPMO/ANSI ZlOOO certification.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-3-1 - ONSITE SEWAGE TREATMENT AND DISPOSAL › Tanks, Advanced Treatment, And Pumps › Section 420-3-1-.20 - Tank Installation

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Tanks
				shall be installed on a level, firm, and compacted surface such that the tank
				is placed both longitudinally and laterally level. A minimum layer of 2 inches
				of sand or gravel placed level in the tank hole is recommended for leveling
				purposes.
(2) Installation
				instructions shall be followed where specific installation instructions are
				provided by the tank manufacturer. All non-concrete tanks shall be accompanied
				by clear and concise instructions from the manufacturer for the proper
				installation of the tank.
(3)
				Risers on a tank for a dwelling may be placed above final grade but shall not
				be placed greater than 6 inches below final grade.
(4) Risers on a tank for an establishment
				shall be brought to minimum of finished grade.
(5) The inlet and outlet materials and pipe
				connections shall conform to the applicable section of the International
				Private Sewage Disposal Code.
(6)
				When tanks are connected in series to obtain the required capacity, a baffle
				wall shall remain in the last tank.
(7) A new tank that requires repair prior to
				being placed into use shall be repaired to meet the standards of these rules
				and shall be repaired as directed by the manufacturer. Repair of a tank already
				in use shall be coordinated with the LHD and shall meet th requirements of
				420-3-1-.32 Repair and Relocation
				of an Existing OSS/EDS. A repaired tank shall be subjected to the same
				structural and water-tightness tests as required by ASTM (concrete) or IAPMO
				(non-concrete) tanks.
(8) The
				OSS/EDS owner shall be responsible for prohibiting unauthorized access to any
				sewage tanks by following sewage tank lid and riser manufacturer
				specifications.
Previous Rule .28 was renumbered .20 per certification
					 published December 30, 2022; effective February 13,
					 2023.
Author:
Thad Pittman, Matthew Conner, Ken
					 Stephens, Bob Bright
Statutory Authority:
Code of Ala.
					 1975
, §§
											22-2-2(4);
					 22-2-2(6);
					 22-10-1,
et
					 seq
.; 22-26-1,
et seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-3-1 - ONSITE SEWAGE TREATMENT AND DISPOSAL › Tanks, Advanced Treatment, And Pumps › Section 420-3-1-.21 - Effluent Filter Specifications

Current through Register Vol. 42, No. 9, June 28, 2024
All effluent filters shall comply with the most current NSF
				  Standard 46, shall beinstalled in the septic tank on the outlet side, and shall
				  be properly sized for the system in accordance with the filter manufacturer's
				  recommendations. The requirement for a septic tank effluent filter may not
				  apply to any tank that is used as a grease trap in conjunction with a septic
				  tank or a pre-treatment or trash tank in conjunction with an advanced treatment
				  system.
Previous Rule .33 was renumbered .21 per certification
					 published December 30, 2022; effective February 13,
					 2023.
Author:
Thad Pittman, Matthew Conner, Ken
					 Stephens, Bob Bright
Statutory Authority:
Code of Ala.
					 1975
, §§
											22-2-2(4);
					 22-2-2(6);
					 22-10-1,
et
					 seq
.; 22-26-1,
et seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-3-1 - ONSITE SEWAGE TREATMENT AND DISPOSAL › Tanks, Advanced Treatment, And Pumps › Section 420-3-1-.22 - Use Of A Grease Trap

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Any
				establishment using commercial kitchen equipment shall install a grease trap
				that complies with
				420-3-1-.17 Septic Tank, Grease
				Trap, and Holding Tank Specifications. An establishment which, by the nature of
				its operations or the product proposed, produces little grease waste may be
				excluded from this requirement, as determined by the LHD.
(a) Where installation of a grease trap
				complying with
				420-3-1-.17 Septic Tank, Grease
				Trap, Trash Trap, and Holding Tank Specifications, is not practical, the LHD
				may consider use of other commercial grease interceptors that meet or exceed
				the intended grease retention and interception needs.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-3-1 - ONSITE SEWAGE TREATMENT AND DISPOSAL › Tanks, Advanced Treatment, And Pumps › Section 420-3-1-.23 - Holding Tank Requirements

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
				Applications that propose using holding tanks as a temporary substitute for an
				OSS shall be submitted by an engineer and shall be permitted in the same manner
				as an OSS.
(2) The permanent use of
				a holding tank for a dwelling as part of a permanent OSS is prohibited.
(a) Use of a holding tank for a system
				serving a dwelling or establishments on a temporary basis may be permitted by
				the LHD when there is an emergency situation caused by a system failure that
				cannot be repaired in a timely manner or when it is the LHD's determination
				that a holding tank is the only practical solution. The permit period shall not
				exceed one year.