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HomeMy WebLinkAboutMinutes - 197902204~~~ MINUTES ORANGE COUNTY BOARD OF COMMISSIONERS FEBRUARY 20, 1979 The Orange County Board of Commissioners met in regular session on Tuesday, February 20, at 7:30 p.m., in the Superior Court Room, of the Orange County Courthouse, Hillsborough, North Carolina. Members present: Commissioners Richard Whitted, Norman Walker, Norman Gustaveson, Don Willhoit and Anne Barnes. -. The following items were added to the agenda: Agenda Item 14: Report from Subcommittee Agenda Item 3: Public Hearin The Chairman calT.ed for a public hearing to consider a Final. .: Assessment Resolution for financing certain paving assessments in the Colonial Hills area.and called for public input on whether the State improvements should be assessed on a front footage basis rather than on a per acre or lot basis. Mrs. King, a resident of Colonial Hills, spoke in favor of assessment _ on a front footage basis. No other person in the audience spoke for or against assessment on a front footage basis. Commissioner Willhoit moved, seconded by Commissioner Gustaveson, the Board adopt "Final Assessment Resolution Adopted b.y the Orange County Board of Commissioners to Finance the Local Share of the Costs of Paving North Carolina State Road #1819, Also Known as Adam's Place; North Carolina State Road X1820, Also Known as Jefferson Drive; North Carolina State Road X1821, Also Known as Washington Drive; and North Carolina State Road X1822, Also Known as Kennedy Circle, in Eno Township, Orange County, North Carolina.".Vote: ayes, 5; noes, 0. Far copy of said resolution, see page 1132 of this book. Agenda Item 2A: Items of Public Concern Mr. Eddie Williams, representing Southern Triangle of Orange County, read to the Board three resolutions. For copy of these resolutions, see page 185 of this book. ~PJ ~> b .' The Chairman recessed the meeting in order to move the meeting from the Superior Court Room to the Commissioners' meeting room. Agenda Item 4: Re ort from Erosion Control Officer Commissioner Gustaveson moved, seconded by Commissioner Wil1hoit, the Board_ authorize the Erosion Control Officer to proceed with a letter to the owner of Boulder Run Subdivision indicating if a permanent cover is not established by April 15th, the owner will be in violation of the erosion control ordinance and the Board will levy a civil penalty for non-compliance. Vote: ayes, 5; noes, p. Commissioner Gustaveson moved, seconded by Commissioner Barnes, a letter be sent to the legislative delegation inquiring about the expiration of erosion control legislation and letting the delegates know this Board supports the re-authorization of erosion control legislation. Vote: ayes, 5; noes, 0. Agenda Item 5A: Release. Instrument, concerning Rob ins' Woad Commissioner Gustaveson moved, seconded by Commissioner Barnes, the Board authorize the Chairman to execute a release instrument by and between Orange County and NCNB Mortgage Corporation concerning Robins' Wood Subdivision. Vote: ayes, 5; noes, 0. Agenda Item 56: Industrial Develo ment Revenue Band Authorit Commissioner Gustaveson requested this item be placed on the March 20th agenda. He requested official letters be sent to the Chapel Hill Chamber of Commerce and appropriate agencies in Hillsborough and Mebane requesting suggestions far persons to serve on the Authority. Commissioner Willhoit requested the Clerk advertise far resumes of persons interested in serving on the Authority. Agenda Item 5C: Appeal of Lloyd ys. Babb The County Attorney reported to the Board the out came of the Lloyd vs. Babb appeal to the North Carolina Supreme Court concerning certain election challenges. Agenda Item 50: IVO Child Support Program Commissioner Gustaveson recommended the County Attorney and the County Manager prepare a memorandum for Board consideration that would detail the transfer of administrative responsibilities of the IV D Program from the County Attorney to the County Manager. Commissioner Barnes requested the County Attorney estimate in the memorandum the, administrative -2 ~"~~~ time involved in the program. Commissioner Whitted requested a status report of expenses vs. revenues be included in the memorandum. Agenda Item 5E: Northside Pro ert The County Attorney reported to the Board the status of negotiations to convey a portion of the Northside property to the Chapel Hill blousing Authority. Agenda Item 6: Desecration of the Flaq The County Attorney presented the Board with a letter regarding the Board's legal responsibilities in conjunction with the flag burning incident that occurred in Chapel Hill on January 28, 1979. For copy of this letter, with attachments, see page 186 of this book. Commissioner Walker moved the Board make an expression of its contempt for desecration of the flag. Motion died far lack of a second. Agenda Item 7A: Rabies Vaccination program The Health Director reported on February 8 the Board of Health voted to recommend the county immediately implement a modified live virus rabies vaccination program consisting of county-run clinics with attending veterinarians administering the vaccinations. Commissioner Willhoit moved, seconded by Commissioner.Gustaveson, the Board authorize the Wealth Director to appoint rabies inspectors in anticipation of a modified live virus rabies vaccination program and to prepare a proposal including a fee schedule and what would be needed to conduct the plan. Vote: ayes, 5; noes, 0. Agenda Item 7B :. Family Planning Budget Commissioner Gustaveson moved, seconded by Commissioner Barnes, the Board give tentative approval to the Health Department's Family Planning Budget for the coming year. Vote: ayes, 5; noes, 0. For copy of said budget, see page 190 of this book. Agenda Item 7C: Water Service Extension to Route 70 East The Health Director said the Board of Health resolved, at its February 8th meeting, that there is a clear health hazard to residents along Route 70 East (from the county line to the Durham Kennel) and the Board of Health wishes this this to be made known to those responsible for planning and providing of water supplies to the county. ~~~ Agenda Item 7 D: ~ei.~ort on Green Box Pro ram The Health Director submitted a report recommended by the Board of Health. For copy of this document, see page 205 of this book. Commissioner Gustaveson requested a copy of this report be given to the Public Works Directai. He also requested the Public Works Director submit a report derailing what his department is doing to alleviate problems in thi; area. Commissioner Barnes requested this report be placed air the March agenda and that The Public Works Director and the Manager present the short-term and long-range improvement recommendations for the green box program. Agenda Item 8: Coilrract for Animal Shelter Mr. Joe Bradshaw presented a ~~roposed contract between Orange County and the Animal Protection S,~ciety of Orange County. Ms. Pat Kennedy of the Animal protection Society addressed the Baord about the retention of licei~;QS and fees at the animal shelter. Commissioner Barnes requester this item be scheduled for action on another agenda. Commissioner Willhoit moved, aeconded by Commissioner Barnes, the Board request the County Atto~~~;ey to prepare a request for local legislation that would abolish exiting legislation regarding the dog warden's responsibilities and req;,~;t legislation which would enable the Board of Commissioners to delegate respn~,;ibilities which were the dog warden's and which would enable the Board ?~~ enter into a contract for management of the animal shelter- by same ager~;.y. The County Attorney is to submit this request for Board review at *l;e meeting on February 26th. Agenda Item 9: Capital Improvements Program Postponed. Agenda Item 10: Bide Results Scheduled for February 26th r.~~.eting. Agenda Item 11: Man,;~ierL s Recommendation on Acc stance or Re~rction of Bid Results This item was postponed unti', the February 26th meeting. The Board requested the Sheriff be present fit, this discussion. -~- .~ The Board requested an opportunity to discuss the Secretary of Transportation's letter to the Chairman at the February 26th meeting. Agenda Item 12: Police Firing Range Postponed to February 26th. Agenda Item 13: Resolution concernin State Em lo.ees' Postponed to February 26th. There being no further business, Commissioner Gustaveson moved, seconded by Commissioner Walker, the meeting be adjourned. Yote: ayes, 5; noes, 0. r .. -- .- L f `~ Richard E. Whitted, Chairman Mary Lou Bouley, Clerk •~ ~ . . G '~ A meeting of the Board of Commissioners for Orange County, North Carolina, was held at Hillsborough, North Carolina, the regular place of meeting at 7:30 O'clock P. M. on February 20, 1979. Present: Commissioner Norman Gustaveson, Anne Barnes Absent: None' ~******ar~r********************~****~***~~*~**~******~:r*~x~******* The following Resolution was read to the Board: FINAL A55ESSMENT RESOLUTION ADOPTED BY THE ORANGE COUNTY BOARD OF COMMISSIONERS TO FINANCE THE LOCAL SHARE OF THE COSTS OF PAVING NORTH CAROLINA STATE ROAD #1819, ALSO KNOWN AS ADAM'S PLACE, NORTH CAROLINA STATE ROAD #1820, ALSO KNOWN AS ~7EFFERSON DRIVE, NORTH CAROLINA STATE ROAD #1821, ALSO KNOWN AS WASHINGTON DRIVE, AND NORTH CAROLINA STATE ROAD #1822, ALSO KNOWN AS KENNEDX CIRCLE, IN ENO TOWNSHIP, ORANGE COUNTY, NORTH CAROLINA WHEREAS the Board of County Commissioners of orange County has elected to finance the local share of the costs of paving North Carolina State Road #1819. also known as Adam's Place, North Carolina State Road #1820, also known as Jefferson Drive, North Carolina State Road #1821, also known as Washington Drive, and North Carolina State Road #1822, also known as Kennedy Circle, in Eno Township, Orange County, North Carolina, . as permitted by North Carolina Gen. Stat. §153A-18S (4) and as provided for in North Carolina Gen. Stat. ~153A-205. IT IS HEREBY RESOLVED THAT: 1. Orange County shall undertake financing of the ioLz a nw c. v.G local share of paving North Carolina State Roac1 #1819, also known as Adam's Place, North Carolina State Road #1820, also known as ,7effersan nrive, North Carolina State Road #1821, also known as Washington Drive, and North Carolina State Raad #1822, also known as Kennedy Circle, in Eno Township, Orange County, North Carolina. The amount to be financed by Orange County is estimated to be $24,000.00, including costs and attorney's fees. Approximately fifty-five (55) percent of the cost of paving the above roads will be borne by the Department of Willh ~~;`. -2- COLBMAN. BEANHOu & DICKERSON ATTORNEYS AT LAW CHAPEL HLLL. N-C- HILLSBOROUGH. N.C. Transportation of the State of North Carolina. 2. The basis for assessment for the local share of the cost of this project shall be the cost to Orange County per linear foot of street frontage, including County adminis- trative expenses and attorney's fees. 3. Orange County will assess the total local share according to the basis set out in Number 2 above which local share represents approximately forty-five (45) percent of the total project cost. abeyance. manner: 4. No assessments of this project wall be held in 5. The assessment shall be paid in the following a. Within thraty (30) days after the Notice of Confirmation of the Assessment Rale is publa.shed, each owner of the property may pay his assessment in full_ b. Any assessment not paid in full as provided above shall be paid in five (5) equal.annual installments with the first such installment, with interest, due sixty (60) days after the date that the Assessment Rale is confirmed, and the remaining installment, with interest, due on the same date in each successive year until the assessment is paid in full. 6. The County Manager is directed to determine the costs, including County administrative expenses and attorney' fees and to prepare a Preliminary Assessment Role which will contain a brief description of each ~ ot, parcel or tract of land assessed, the basis for the assessment, the amount assessed against each, the terms of payment, and the name of _ the owner of each lot, parcel or tract as far as this can be determined from the County tax records. This Resolution is effective upon its passage. Thereupon, on motion duly made and seconded this II Resolution was passed by the following vote: Ayes: Commissioners Richard Whitted, Norman 4Jalker Norman Gustaveson, Anne Barnes and Don Willhoit ~~. Noes: ~******~ar**~*******~***********************~******~*******ar****~ I, Mary I,ou Bouley, Clerk of the Board of Commissioners for Orange County, North Carolina, DO HEREBX CERTIFY that the foregoing is a true copy of the proceedings of said Board of Commissioners at a meeting held on February 2p, 1979, so far as the same relate to the Final Assessment Resolution for the financing by Orange County of the local share of the cost of paving of North Caralina State Raad #1819, also known as Adam's Place, North Carolina State Road #1820, also known as Jefferson Drive, North Carolina State Road #1821, also known as Washington Drive, and North Carolina State Road #1822, alsa known as Kennedy Circle, in Eno Township, Orange Gaunty, North Carolina, as such proceedings are recozded in the Minute Book. WITNE55 my hand and the official seal of the Board, this the 20th day of _ Februar _ 1979. Mary Lou Bouley Clerk of the Berard of Commissionez foz Orange Gbunty, North Carolina --3- COLEMAN. BERe~rt~otz ~ DICKERSON ATTORNEYS AT LAW CHAPEL H[LL. N.C. HILL59pROl1GH, N.C. f ~ r~ . ~ t_ ,~ t t t i i BE IT RESOLVED that the residents of the area known as the• Southern Triangle of Orange Caunty and residents of the adjoin- :-- ing Northern Chatham County areas do hereby endorse continued planning far these areas by their respective counties as they already have quality planning organizations. We further resplve that we oppose the extension of the Chapel Hill Tawas planning area to include the Southern Triangle of Orange County- and Northern Chatham County. SOUTHERN BYPASS: BE IT RESOLVED that the residents of the Southern Triangle of Orange County and Northern Chatham County do oppose all pro- posed routes for a bypass to the South of Chapel Hill because a valid need far the proposed bypass has not been 'established. Furthermore, the proposed bypass would interfere with our desire to maintain the semi-rural nature of this area; ALTERNATIVE TD SOUTHERN BYPASS: BE IT RESOLVED that the residents of the area known as the Saul-hern Triangle of Orange County and residents of the adjoin- ing Northern Chatham Caunty areas da hereby endorse that the -. State utilize lands already purchased far four--lane highway construction from Eastgate to Morgan Creek in Chapel Hill and further endorse continuing the four-laving of Route 15-501 south to Pittsbo-ro as a most practical. tax-saving measure. -, :-~ ~t:~; r{LONZO B. COLEMAN, JR- $TEVEN A. BERNHOLZ ROGER B. EEIiNHOLZ 'DONALD R. DICKERSON GEOPF0.EY E. GLEDHILL pOUGLAS HARGRAVE MARTIN J. BERNHOLZ PATRICIA STANFORD HVN7 OYCeunxt BONNER A. SAWYER (7902.1972) COLEMAN, PiERNHOLZ AND DTCKERSON AT'YOANEYS AT LAW CHURTON STREET HILLSHOROVGH, NORTH CAROLINA 27278 919 7l2-2196 919 942.8000 February 20, 1979 Mr. Richard F:. Whitted, Chairman Ms. Anne Barnes Mr. Norman Gustaveson Mr. Norman Walker Mr. Donald Willhoit CHAPBL HILL OFFICE $VYY82D, FRANKLIN BUILDING 137 EASY FRANKLIN $TREL°'C CHAPBL HILL, NORTH CAROLINA 27514 919 929.7153 LEGAL CLINICS . ADMINISTRATIVE OFFICE 136 EAST ROSEMARY STREET CHAPEL HILL, NOR'YH CAROLINA 57514 919 929-0396 Re: Legal Responsibility of the Orange County Board of Commissioners in Conjunction With The Flag Burning Incident That Occurred in Chapel Hill on January Z8, 1979 Dear Commissioners: I have reviewed all of the available facts concerning the referenced incident for the purpose of assessing your legal. responsibility. Tt is my opinion that respon- sibility for investigation and prosecution, if warranted, of persons involved in this incident lies with the District Attarney of our Judical District. North Carolina General Statute ~7A-61 prescribes that the District Attorney shall prosecute in the name of the State all criminal actions requiring prosecution and advise the officers of justice in his district. The District Attarney is an elected official, as you know, and is the judicial officer with responsibility to protect the State's interest in all criminal matters. Enclosed is a copy of a letter dated February 7, 1979 from Mr. Wade Barber, Jr., our District Attorney and directed to NIx. Stuart Barbour. Mr. Stuart Barbour requested that Mr. Wade Barber look into the incident and take whatever action appropriate. For the reasons stated above I think the only appropriate action by the County Commissioners would be to make available to those concerned the letter from the ~ ~, .~, COLEMAN, BEANFIOLZ AND DICKEASON Mr. Richard E. Whitted, Chairman Ms. Anne Barnes Mr. Norman Gustaveson Mr. Norman Walker Mr. Donald [4illhoit Februaxy 20, 1979 Page two District Attorney to Mx. Stuart Barbour. I have conferred with Mr. Wade Barber concerning responsibility fox responding to the inquiries concerning this incident. Yt is also his opinion that .it is the responsibility of the District Attorney and not the County Commissioners. Vezy truly yours, COLEMAN, BERNHOLZ; AND DTCTCERSON /~,' r eon `I y e hill GEG/jac ~ ~ cc: Mr. NJade Barber, Jr. ~ i ~~ :ry ~.. . ,.;.. /EItE'CiIL C04tt U ~LLSfIC£ a Lr~ffiee u` Epee J1i~h/ie! ,aQ!!n-lrey woe 9wgdER. ~n ~~l ffEEltEfi_~-7 ~UaliCict~' L iSf4lCf o.a.w.cr •*rvwwcr ~ p O. BO+~ GUT pITTSflOFJ, NOPTH CARUUNA 77:1:7 February 7, 1979 Mr. Stewart Barbour Route 4, Box 516 Hillsborough, North Carolina 27278 Dear Mr. Barbour: I appreciate your bringing to my attention the flag-burnins; by the demonstrators on the UNC campus, North Carolina General Statutes 14-381 clearly seek:, to m:Tke it a misdemeanor Co burn a United States flag. As you r;lay recall from the memorandum you f;ave me, ~ frer}uenr, dcfenGe to charges of violation of such statute, is that the defen- dant's first, amendment r.i~;hts are overriding. The First Amendment to the United States Constitution, she most important provisions of our Bill of Ri~,hts, provides i.rr part; "CONGRESS SHALL MAK); ND LAW...,ABRIDGING THE FREEDOM DF SPEECH..." Until 1974 the Supreme Court settled most flag desecration cases by finding the statutes too vague. However, in thz 1974 case of Spence v. Washington, 418 US 405, the Unites States Supreme Court seemed to resolve the issue as one of symbolic speech. In that case, the defendant had been con- victed under a Washington desecration stltute for publicly displaying an American flag with symhols taped across the flag. The Defendant was protesting the United States' in- vasion of Cambodia. The Supreme Caurt overturned tt~e defen- dant's conviction holding that his desecration of the fla}; constituted political, symbolic speech, and was therefore protected by the First Amendment. The interest of the State to vrotect the flag is aver-ridden by First Amendment Rights when the flag is used as "Symbolic Speech" in political ex- preGSion. n -. (~ . -~ - w Page 2 Mr. Stewart Barbour Febr~:ary 7 , 1979 Fram the information you provided me regarding the deman- straCxon on the 1T1VC campus, it aopears.that the flag was burned in the context o£ political. protest. Therefore, I am of. L-he opinion that the burning of the flag is protected "symbolic speech" within the demonstrator's First Amendment rights. As Senator Sam Ervin has said, "The First Amendment is to protect those we consider foals." Should you have further comments or suggestions, please let me know. With best zegards, I am Sincerely, ., Wade Barber, Jr. ` WBjx.ics cc: John Thomason n ^•. ~r AGENpA ITEM 7 B ORANGE COUNTY HEALTH DEPARTMENT FAMILY PLANNING NARRATIVE FOR FISCAL 1930 I. Program Description - A. Estimate of Need' .. - - Orange Counties' population as of July 1, 1977, was estimated to . be 68,776. Of this total 19,952 were estimated to'be females in the ' '' - _. child bearing age group 14 - 44: of 'this grouping 3,351 are estimated to. be nonwhite and 18,038 to be white. The 1875 estimated number of ~- - women of~this grouping having household incomes less than 150 of the poverty level was 2,078. It is recognized that this poverty level index number is a significantly unreliable number far 1979; secondly, we are prohibited f2°om restricting our family planning services to the poor. Realistically, our services will not be requested by the • majority of those in need nor will we be Handed to serve the entixe need. In estimating our need we use the need total, the poverty index, _ the population estimate of those above poverty and below the econa~nie self-sufficiency level, adjust for the university student population, and adjust for the age factors (e.g., even though a teen may have - parents who can afford private services, the teen may not get such service unless provided free). By conservatively considering these factors we estimate that 2,700 parsons need our clinical services. The health educational services of this program could benefit the majority of the total need population. Accordingly, we orient family planning health education towards the total male and female parentir~ population;. concerted effort and the majority of educator staff time is directed towards the teen population. H. Percent of Need Currentl Met The total number of active patients in our F.P. program for FY '78 was 1,432, This figure represents a 20~ increase over the number of active patients for FY '77. Our Percentage of clients age 17 and younger increased from 10.2$ in FX '77 to 15.2 in FY '78. The majority of our patients remain in the 20 - 29 age bracket. We estimate that we will close out FY '79 (ending June 30, 1979) with 1678 active patients which. is a 15% increase over last year. ~e continuation rate has increased ' from 63.5 in FY '76 to 76.34 ~ during calendar year 1978• Our client population is equally divided between white and non-white. The income level of nearly 33~ of our patients was less than $6,500, for 50~ of ' our patients the income was unknown. 5even• Percent of our F.P. clients had income.levels greater than $12,500. A route estimate is that we are presently clinically serving 62~ of ... those needing our services and in FY '80 we are projecting an increase to 71 ~. r, E: C. Program Structure 1. Types of clinics, Schedules & Location 'Two clinic days with extended hours from S:DD - 5:30 are held each week, one day at the Hillsborough office and ane at the Chapel Hill office. Any type of F'. P. patient can be seen at any time during the clinic day with the exception of new enrollees who are scheduled to came for a special orientation and educational. session. Special Teen Clinics were held during October, lg7$ through -' . January 1979 during late afternoon hours (from 3 P.M. -.5 P.M-)-. ,. _ .. Despite publicity and encouragement to attend these special•elinics - our teenage clients prefer to attend the regular clinic during mid-- - morning hours: After this experience, the admini'stratiori decided to ca*nbine the teen and regular clinic and to extend the clinic - 'hours. In this fashion, we hope not 'only to provide teens with a '' unique, meaningful educational session, but also to provide working women better access to our clinics by longer operational hours. The services offered during the F.P_ clinics include 1) concep-- tive education, 2) laboratory studies (e.g. hematocrit, urinalysis for blood, PH, protein, glucose, and microscopic examination, sero- logy testing for syphillis & rubella,.pap smear,•culture screening _ for N. gonorrhea, PPD skin test screening for TB or chest x-ray as indicated, height, weight, blood pressure, sickle cell testing as - indicated, blood glucose, pregnancy testing if applicable, 3) med-- ical exam by physician to include at a minimum chest (heart and lurk) thyroid, extremities, breast, abdomen, pelvic (visualization of cervix, bimanual & recto-vaginal exam) e~rams and other exams as indicated, ~4) the review of the medical history including gynecolo- gical, obstetrical, cardiovascular, metabolic, neoplastic, neurolo- gical and hemopoietic elements, 5) treatment of suspected and proven venereal disease, other vaginal. infections and uncomplicat~ urinary tract infections, 6) counselir~ for infertility problems with refer- rals to patients' choice of source of care, 7) counseling for problem pregnancy with appropriate referral, 8) referral and counseling for sterilization procedures, male and female, 9) referral and counseling for pre-natal care, 10) immunization for rubella, polio, diptheri.a and tetnus as indicated, 11) referral for medical emergencies~•:and 12) supply of the desired contraceptive. If any test result is ab- nor;na.l and the patient needs flarther medical evaluation, the F.P. lead nurse informs the patient by phone call, letter or personal visit and the patient is given the option of choosing a referral to an appropriate private physician, returning to us for pertain ' further evaluations or referral to a speciality clinic at a medical center. Services are available to anyone with no financial or referral requirements and without regard to race, color, national origin, - religion, creed, age, sex, marital status, or parental consent far these age 12 and over. It is our intention to protect the dignity of the individual and ensure the privacy and confidentiaLi.ty of the encounter, to the extent adequate space is provided. Orange County is presently acting to create adequate space for the Health Department. The participants are not subjected to coercion to re- ceive services or to employ any particular method of family planning. ~~' 3 _-.. Acceptance of family planning services is not a prerequisite to any other aspect of our other programs. - The methods of F.P. available at our clinic include the oral, con- traceptives (Norinyl 1+50, Norinyl 1-F-~30, Brevicon, A~nulen, Ovulen, and Norinyl 2 mgm., others by prescription), IUD (Lippes Loop), the diaphragm, contraceptive cream, jelly or foam, and the condom. The rhythm method using the basal temperature or mucos secretions is~alsa -• .-• taught upon request. - 3. Su ortive Services - - . _- - Current supportive services of the family planning program include _' activities in the areas of outreach, health education and an agreement - • •- ._.-. with the Dept. of Social Services for a Social Worker to certify clients • for Title XIX/3OC. - Outreach efforts are supplied by two Family Planning Personal Care _ .and Family Aides, one housed in Chapel Hi11 and one in Hillsborough. Both PCFA's assist in clinical activities by setting up for clinics, •~ assisting the physician in the examining room, and following-up on abnormal pap smears, and positive GC tests. Additionally, the PCFA's home visit all new family planning patients to ensure they Hilly under- ` stand how to properly use their selected method of contraception, as well as provide an opportunity for such patients to ask questions and voice concerns regarding f`dmily planning. A Social Tlorker supplied by the Department of Social Services attends each family planning clinic to certify eligible patients for Title XIX and XX. She has also been instrumental in gaining patients' interest in the patient education classes and has been supportive of the Family Planning Advisory Council. ' Health Education services are currently supported by one full-time health educator and two half-time health educators. The two half time health educators were employed with program expansion monies depart- mentally earmarked for a teen program. (See Teen Services following). New services initiated during the first two quarters of FY '78-'79 include providing patient education classes in conjunction with the family planning-:elinies,.4the initial development of community based teen health discussion groups, and laying the ground work for a Teen Health Council (see Teen Services following). Family planning health education activities have also been provided within the public schools. Health education staff provided assistance in the development and implementation of a Family Life Education cur- rieulum at the county high school. This curriculum was designed as a pilot project and has been approved by the Orange County 'Board of Edu- cation. Additionally, technical assistance and support have been pro- __ vided to teachers and guidance counselors in the middle, junior, and senior high schools. School olubs,•such as the FHA, have also been receptive to staff educational efforts. 4. Staffing pattern The clinic is operated at each offYce with the assistance of a registered laboratory technician, 2 registered nurses, a health aide, , a physician, 1 health educator, 2 clerks, one social worker and other staff as needed. Ms. Anna 'r]hite is the P.H.N. who is in charge of coordinating the program within the county. `} 4 II. Program Activities A. Teen' Services Teen Emphasis During F'Y '7$-'79 the Orange County Health Department received addi~ tional fltndir~ ($15,200) for program expansion. The department, being cognizant of the implications and extent of teenage childbearing in the county, elected to use these additional funds for the initial develop- _ _ went of a teenage pregnancy prevention prog-dm.. _, . • ..... ~ - .. . A total of 55 births occurred to women 17 and under in Orange County• - in ~ 1977 , as Gompax.ed . to. 53 . births in 197 6. During 1977., Orange County- "' - _- .- . tee~ 17 and under had an estimated 144 abortions. -, . - The emphasis of the Teen Health Program has been twofold; to pro- -_. ,_ _ vide teens with educational experiences in which they can aequi.re the necessary knowledge needed for responsible decision making regarding sexuality, and to provide comprehensive clinical, services to teenagers desiring birth control. Two half-time Health Educator I's were employed in October tp help meet the broad educational objectives of the program. _ OriR}'nally the department had hoped to provide clinical. services for , teens at a time and in a situation convenient and comfortable for them. A teen health clinic was initiated on a once-a-month basis, from 3:30 to 6:00 P.M., both in Chapel Hill and Hillsborou~i. Several. articles appeared in local newspapers discussing teenage childbearing to create con~ua~nity awareness of the problem and publicize the clinics. A leaflet.describ}ng th ' ~ clinic was developed and distributed among the public schools and various ca'rununity agencies. A fla11 range of clinical services were pravided,.in- cluding a family planning orientation educational. session geared for new patients. After being in operation for approximately 3z months, evaluation of clinical operations revealed that teens preferred to attend the regular family planning clinics, held at earlier hours. In light of this evalua- tion, the department decided to combine the regular family plannir~ clinic with teen clinic. To more adequately meet the needs of area teens, clinic day far family planning is being changed '~ creded to,meetlbotht he needs only clinic day. Clinic hours are being expan of teens and the needs of working persons. Patient education Glasses are being offered twice a day during clinic hou.-s for new patients and other interested persons by the health educators. The community education component of the Teen Program has become more focused and directed with the aid of the two half-time health educators. Initial efforts included meeting with existing youth groups and assessing their needs and interests in regards to sexuality and family life education. Recreation department teen groups, youth councils, and neighborhood groups have already proved receptive to educational efforts. A standing committee comprised of various community members has been formed to help in the establishment of a teen health council(s). Members of this committee include a public health nurse, health educators, a social worker, a school psychologist and a UNC faculty member. C.' Departmental efforts to reduce the unplanned, unwanted teenage preb- nancy rates in the county have become more focused and planned during the past six months. Initial groundwork has been laid for modest inter- vention. The nucleus for continued intervention in HX '79-'80 shall be a health education, positive prevention approach. The main thrust of the program will be. to reach teenagers in the community and provide them with accurate information, as well as to provide the support and skills neoPSSary to make responsible sexual decisions. 7n order to accom- plish these objectives and make a visable impact, it will be necessary - to provide i~ar more health education time.. Currently, the program sup __ ports forty hours a week of health education time. At least doubling this time will allow far..more.varied activities.and more continuity of. - __.-. efforts. It has been repeatedly proven that one-shot programs do not •' produce visable behavior differences. Thus, creating a department's .._ goal for teen services in FY '80. Detailed teen objectives are given in part II1, B. following. B. Male Involvement To date, program activities have focused very little on male involve- went. Participants attending patient education classes are encouraged to bring their partners to the clinic and informed that males are welcome in the classes ~ *~bers of the Family Planning Advisory Gouneil have also been encouraged to bring their partners and other male friends that may be interested in supporting and advising the program. A male student was recruited to serve on the Health Education Committee at Orange High which was responsible for the.develapment of.the Family Life Education - Curriculum. Additionally, male students were included in the questionaire developed to assess students health education needs. C. Famil Plannin Advisor Council The Orange County Family lanning Advisory Council has met three times during the first half of FY '79-'80. The council is still in the process of development. Membership tends to fluctuate from ane meeting to the next, which makes continuity and development of plans difficult. At pre- sent, the council can best be described as exploring its- perimeters. Council members have expressed a wide variety. of interests to address. Such interests include becoming familiar with clinic services, what's being done in the schools in the area of family life education, how to get more teenagers involved in the program, and rape crisis (the last meeting focused on this subject in depth). Objectives far the family planning advisory council for F'Y '79 --'80 appear under health education objectives. D. Patient Education tient education sessions held in conjunction with the clinic were first initiated with the special teen focus in October. Classes are orientational in nature and geared towards new patients. Information covered in the classes includes: defining family pllnning; review of the male and female reproductive organs, the menstrual cycle, how con- - ception occurs, contraception (all the methods of b.c. including natural family planning); and clinic procedures and policies. At the onset, classes held with the teen clinic were scheduled ftrom 3:u5 to 1+:30 p.m., once a month at each site. After teen clinic was r 6 incorporated into the regular F.P. clinic, classes were rescheduled. Presently in Hillsborough, patient education classes occur once a week on clinic day fram 9:00 a.m. - 10:00 a.m. and 4:00 p.m. - S:DO p.m. In Chapel Hill, classes occur once a week on clinic day from 9:30 a.m. to 10:3D a.m. and 3:30 p.m. to 4:30 p.m. Although classes are mandated for new patients, other interested persons have been encouraged and 5.nvited to attend. During FX '79 - '80 the department is committed to "'- continue providing such classes. The department plans to sponsor other -_'':'-: _ "' family plannir~ related classes within the clinical setting dealing with . _. _-_ such topics as breast self-exam, venereal disease, high risk pregnancy ='---- - - - : '_ ... indicators , etc. .: - . _ - - . _ . - .. . . See Famil _..... - - - .. ..... ~ , ..: .... -- -.. ._- - _ _ y Planning Health Education Objectives.. forward for more detailed - _ _ .. _. - . plans for FY ' 79 - ' 8 0. - - _... ... E. Internal' Qualit Assurai7ce' ' At the end of each clinic day, the F.P. lead nurse, Anna White, re- _ views the charts to assure that all procedures which were performed are -`~ recorded pro~Yerly. She also notes which patients need home visits or __ = - return visits to the clinic. The F:P. clerks at-each clini.a also reviews. the charts while processing the third party charges. The nursing super- .visor and management support supervisor, exercise quality.eontrol measures during and after each clinic. In FY '79, our F.P. Physician and nursing supervisor pulled records for spot checks. During FY '$0, we shall for- malize aquality assurance checking procedure which shall be accomplished by a team consisting of our F.P. Physician, F.P. Lead Nurse, and the departmental Nursing Supervisor and Management Support Supervisor. The team goal will be to randomly pull and check 5~ of the patient records per quarter. F. Infertilit Services atients who are having difficulty conceiving are counseled about the normal physiology of ovulation and fertilization. The procedures involved in a infertility work-up are explained and the patients are referred to the physician of their choice for further care. We are fortunate to'have a leading infertility clinic at Memorial Hospital in Chapel Hill headed by Dr. Jaroslaw Hulks who is an established authority in this subject.- G. .Commuritiy relationships/agency linkages-• 1. P~ricultural ESctension Service - We have given presentations to extension groups and they are helping tai us into teen groups. 2. Orange County Women's Commission --tde are co-sponsoring a series ' of community lectures and discussions on teen pregnancy and teen health. These are well attended meetings with 'name' speakers that are attracting considerable public attention. 3. Cancer Society - We are jointly planning asolo-reptal screening project with financial assistance from them. We obtain our anti- ' smoking material from them. 4. Civic clubs - We are often called on to speak to such, groups. ~~ 7 I1. _. 12. -. - 13. 14. 15. 16. 17. 18. l9. University.- ?r1e have. a multitude of relationships with the University; e.g., student experiences, internships, training, consultation, etc. Public Schools - We are jointly planning and carrying out health educational curriculum and classes and spacial classes for teens who have given birth and are keeping their babies. Group Homes - We provided technical assistance in planning proY grams on contraception in sheltered workshops.. Private Counseling - There are several such groups to whom we can refer. The predominate request by patients fbr referral is fQr ~ - abortion counseling. The largest number of such referrals is to -'` the Woman's Pavilion. Conversely, counseling for adoptions i.s by - - -- - a public agency - - see listing 1~4 following. - _ ..__..._.._ ...._~.... - Medical School - They provide our physician back-up and are a source of needed advice. - Hospital - N. C. Memorial Hospital provides our acute emergency back up. We send patients to them for further medical evaluation. We can refer patients with two abnormal paps to them for free treat- went at the dysplasia clinic. - Other Primary Care Centers - Mutual referrals. Mental Health - ode have consulted with them and taught them regards family life education. Ministerial Associations - They are backing us in the teen involve- ment effort and trying to help us. •• Department of Social Services - Provides our certification, takes our social work referrals, income problems referrals and adoption referrals.. Radio/TV/Newspaper - They have continually assisted the program with publicity and favorable attitudes being ca~nunicated to the public. Examples are: The News of Orange has published •.a lengthy article by our Director on Teen Pregnancy and several news .articles on teen pregnancy meetings and our clinic schedule; the Chapel Hi11 Newspaper publishes our clinic schedule, has carried several articles on family planning and articles focused on teens and covers the corrrnunity meetings on teen health. The radio station WCHL in Chapel Hill has had many spot ~n ouncements and broadcast a 30 minute pro- gram of an interview with the Director and Health Educator on Teen health. WPTF-TV interviewed our staff and others and broadcast a special program on teen pregnancy.. Recreation Departments - tJe are working with several of their teen programs. Joint Orange Chatham Community Action - They have a standing offer to transport patients for us. Nutrition Programs •.- The Nutrition program at the University of North Carolina provides us with nutrition students to work with patients. A variety of other relationships exist. Our County is rich in talented, superbly educated persons whom we can work with. III. Program Plan A. Famil . Planni = General To expand, for the third consecutive year, the number of active patients served by l5% and increase the aantinuatfon rate from 73~ to 77%. ~~ , 8 OBJECTIVES: I. Increase the total active patients from 1fi78 (FY '79 year end estimate) to 1917 by FY '80 year end. Ix. Operate family planning clinics two days per week (one in Hillsborougki and one in Chapel Hill-Carrboro), ten hours per day. 1. Increased teen service's.. _ 2. Increased working women services. - - •' ' - ITI. Explore.P.O.?~1.R. (Patient Oriented Retard Keeping) for the program. _ .. N. Maintain clinical currency of FP staff and procedures. - - '_ --. - 1. Further develop standing written procedures. 2. Increase clinic efficiency. 3. Provide in-service training. for staff. ~4. Revamp policies.and procedures as state guidelines and '- medical information changes. V. Improve third party billing Procedures. - 1. Change practices. as mandated by guidelines B. Family Planning Health education: Goali o increase t e number and quality of educational functions within the clinic and the community. Objectives: I. Increase participation of FP clients from high risk groups. A. Educate public on who is high risk and why they are high risk. 1. Develop a slide-tape series discussing the different categories of high risk indicators. 2. Use the series with community groups -churches, civic clubs, schools, eta. 3. Use mass media to reach high risk groups ie -newspapers, radio (WSRC, WCHL) TV (Real Perspectives, Blank Unlimited, etc. )•. B. Acquire and distribute literature in community on high risk groups. C.- Using the patient information system, evaluate use of clinic services by high risk groups. D. Provide written information at day care centers, schools, various community agencies, marriage license offices, eta. on family planning program. 1. Develop a FP leaflet discribina the program and services which can be inexpensively produced. II. A. Continue to provide a channel for consumer communications and a strengthened FP Advisory Council. 1. "Mantain the Family Planning Advisory Council and inarase membership. 2. Develop, distribute and evaluate a patient satis~'action survey. 1 r~. ^1 9 3. Support the work plan of the State Advisory Council by • sending a member to meetings. 4. Encourage and solicit male participation on the Advisory - Council. • III. Continue to provide patient education classes within the clinic _ setting. ' - _ A. .Ensure a specified time allotment for such classes. -. '.• ,- $. Continue to provide written materials geared to specific educational levels, age groups, males and females. ' C. Develop a tool for assessing the classes. '__ 1. Keep track of persons attending classes, follow-iap on those persons at an adequate time interval to " --" - -- - '". ~ evaluate use of method, patient continuation, etc. A. Explore ways in which to provide other classes within the clinic setting dealing with subjects such as VD. N. Work closely with and support school systems interested in de- -• veloping and implementing a family life education curriculum. • A. Illustrate the need of a family life enrichment. 1. Use relevant statistical data with administrators, teachers, counselors, and parents... - B. Provide technical assistance to teachers in implementing a family life education curriculum. - 1. Assist in teaching classes when appropriate. 2. Help teachers to locate resources -- persons and materials. 3. Demonstrate to teachers innovative teaching techniques to use with students. C. Assist the school in gaining parental support for family life education. 1. Meet with PTA's. V. Create an awareness and understanding as to the goals of the family planning program within the community. A. Provide informational porgrams For various community, civic, and policy making groups. B. Make use of and distribute written materials and other audio- visuals. C. Assist the FP Advisory Council to i[apact this need. VI. Explore ways to obtain more male involvement in the program. A. Work with school guidance counselors in setting up peer counselor activities. 1. Provide training to students interested in peer counselin3. C. Famil P].anni Teen Pro am Goal: To provide area teens with educational experiences through which they can acquire the necessary support skills, and kno~~rledge needed for responsible sexual decision making. Objectives: I. Continue efforts to establish a Teen Health Ceuncil(s) to advise the department of needs and interests of teens. A. Contact guidance counselors at schools to recruit~at least 2 students from each school to the council. B. Encourage male participation on the Council. C. Establish a mechanism for processir~, the needs expressed. ~. ].0 II. Provide opportunities within the community for teens to acquire knowledge in human sexuality and sound decision-making skills - that influence behaviors. A. Provide and facilitate discussion sessions to existing youth groups (i.e. Recreation dept. groups, youth councils, etc.) - S. tdork with housing projects to establish new teen discussion groups. - - C. Make use of creative and innovative. educational approaches -•• -• such as role playing, brainstorming, etc. to'maintain teen -= "' interest. _ .: :......: ...:._ .... _ . _ •.:-_-.. .. .. --~-• - D. Provide continuous support in facilitating the functioning - - -_:.~-~-•_ 1f tAfterinitialncotact set. up-a schedule for subseque - _ meetings . _ _ .. _ . _ -- . -_ .. - - III. Provide technical. assistance to schools when requested and appro- priate. A. Make services and skills known to guidance counselors, and •° teachers via onewto-one contact. _.. - _. -' B. Continue providing planned educational sessions during lunch •. ;' hour when feasible. " ' -• - 1. Involve students in the planning of such sessions. . 2. Create an atmosphere where males wil]. feel welcome_ • C. 5tapport the development and implementation of family life education curriculum. IV. Create community awareness regarding the medical, social and psychological implications of teenage childbearing. A. Make use of various media channels - radio, tv, newspapers, newsletters, etc. B. Meet with PTA's, civic clubs, etc. V. Create a mechanism for male involvement. A. Train students (male and female) to be capable peer counselors 1. Tap school guidance counselors For student recruitment. .~. ~. ,Y 11 ' TRAINING NEEDS 1. Provide in-service training opportunities for clinical staff. This ~, is a vastly overlooked training need area by the Family Planning Branch. Examples of Training needs are: A) Record Keeping; _- $) Billing procedures; C) Patient flow handling; D) Filling out of F.P. forms. 2. Provide in-service trainir~ by staff-to-staff consultation and com- _. -- - munication. The focus here is on updated information on family --. ---. -,--- -.. planning methods. _.. -. __ ' _ : - - ~ - - 3. Increase skills of the family planning aides in: A) Home visitation and interview effectiveness; B) Provision of education in the community. -_. 4. Provide family planning in-service training to new health educators. - ar ~ -- ,. ~. n,:,'-~;~ pepartment of f!uznan Resources Paye 1 of l l;£fective Date Di,vi.sion of Ftealth Services m ~' =1 ~:~m~il v p -e?inin~* Branch ^ _ _ _ _ .__. Termination Date •- Contract Na.~ CONTRACT BUDGET For Fiscal Year Revision :;o. ___. ,~rtme^t Cantractee: Oran~s Co~z^ t•J _Aaltn D~r Purpose: =~ . . Project pirBCtor: -7 Total Budget: $Ifl'z 1~4 , _.,,, ,.~ ITEM NI"Ct4. LOCAL CONTRACT ITEM DESCRIPTION CLASS. NO. NO. AMOUNT AMOUNT ?ri Physician II (S~:ritxer....- 2'uro) .. S-lL,;~.i ~ 127.0 0 12 001 cot 9,17900 • `•'~~ i 655 Oo~ : P:i Pi?ysici~zn II (Switzer--- 2ti) SNLARTES 1 .. ...: .. ~d'i Tx ('.;hits? rr u• 003 ~ . 1~Ja98$ 00 rlealMh Aids II (A7.lisen) ,~ " ~y ~ - - '$,316 AO ~ riealth Aide' II (P_ P-ieo-^--??a) " " op5 ~ 7,536 00 F.ealth mod. I (l~lilliar..s) " " 005 ~ .. 11,302 i00 ~ealti Eds. I (Jones) " " " " 00'7 Op$ ~ - - 11,302 i00 •- r 2~$ AO 3 ~s~ . _ 1 I (Pi.c'_tpns - 2530 _ ~ , T'F-?i I (i?etCalf -- 2gr) rr rr (~9 ~ 3,.0$7 CO L-a~. Tec?;. I (Lein;elds•. _ Sp) '* " 07.0 ~ - ' 5,203 700 ~ Clerk/'I'ypist III (rox -- 25 ~) " " 011 - ~ .2,360 ~0 Clerk II (r. tdebane -- 25;x) " " 012 ~ - 1.7905 ~00- Clerk/Typist III (C.'Cates ~ 25~) " " 013 ~ 2,131 AO Clerk IT_ (~. Cafes - 25~) " ~~ O1!F ' 2.~59i00 Social `.•:orker I (Kin;; - 50°x) " " " " 015 016 5,657io0 4j00 1 i i P::N Sua_ I (Ponovich - lam) . ,5 ! :old. Sec. V (Knii;ht - 10;~ " 'r C17 00 1,05 i ., . ~L.• P. ?i. Ad_ ITl (Robinrp:? - 5~) " " Ol8 1,!Fr' 00 ~ nand 3e31ta _:3. II (G'. - xGii) " " Ol9 4,Sll'00 ~ i i rrin~e, SS at 5.1~, Retirp_ at 5.R2~ : r P•_Ad. 1 :s. ~+t 315.?0 /mo./p~r.~nn 3':': ~%IT:: 1$00 3,10;00. 10,440,00 irainiap;/L`d. E.mrloyee ESC'. '~0. 39:0 i - It00,00 '.elepl-,ona at i1,~+!+0/Postage at 5300 C0+•1~:. 3?00 i 7.,7~F0 i00 Travel TiL+.VaL 3100 ~ 3,$00 X00 Prirting/D~iplicating PRI':;I': • 3l-00 j 40^v ,00 Office Supplies O; C-SL'p 2000 i $OD i~ ~d.(s5ooy/P~!edica7,(514,500) :iupplies E/~t SuP z3oo ~ lg,ooo;oo Dues ar_d S:.bscrintions BUEa/S~.• 4g10 ~ 200,00 Iasu_ance/3ondi?~g I`:S/HOi`! •4500 i ~ x+15 i00 Ot'r_ar xx~enses (Advisor;/ Boards) O'1 IER '7~CX i 400 X00 ?nrc??ase of Other Equinnent O ~'?pl' S300 55~J00 ; ' r $?7, 0200 ~ , `107,124 ~ 00 , Total Laval --------. m27,028 i i Total Contract ---. ~a107,i 24 e ~ ____ ___ _ _ __ _ _ _ TSo+srce o` ~ortract-xu.^ay_ __ r ~ ~. -___;_~_. ~.7 r'~l^.da Q7j,124 1 t ^itl~ !!IY/'{X 14 '~'~n 7- x tom '~ RCEIYI`- 9i:.~ ~ 14,00000 ~~ ,i . - 1 1 BUDGET OFFICE USE ONLX Object: _ ^ ~ ~ Project: ____ _ _ _ ~ ' Fund 1: , $ Fund 2: , _ Fund 3: , ~ Authorised Official Section Chief Director - pH$ ~ ~ -~ ~., ,. ~. r, _ Q ry x a ~ N ~... r z r M ~ '~ ° w ao n v ~ a+ h w *+ w n cw n o ~ ~' z w ~ 'd fri b ~ ~ ~ a ~ C f n y n 9 ~ ~ frD t7'] ~ C F-~ ~ . 1 c C 'r 7 00 N O ~ ! 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(/1 N ~ ~ ~ r 1 ~. r -1 ~ ~ ~ ~ -1 ~ ~ ~ v ., h ~ U ~ ~ 1 ~ ~ C b ~ b 1-i ~ H a ~ ~ 4` ~ ~ u ~ ~ u ~ 'y ~ ~ _~ ~ . . .~ v ' ~ ~ a~i o `n o vii `c~ ~ y u m ~ ~ - v u yy,. ~ ~ w H w w ~ c~ ~ w o , ~ ~ p a-> ; py c0 'd •a 'd ~ .'fit C !N • r l P. F-1 'C7 ~ G O d ~ a H ~ ~ c3 ~ ~ j te .. .. 1 P r H ~- -1 4S 1 {7., ., 1r R ~, ~ Q~ i~ y,~ C ] ! U ~ ~ ~ ~ ~" '~ R41 W •s'I '~ Pal ~"C I~ ~' •~ f+ F~ c ~ V1 U C r a d G b0 ~i d O ~ I m .~ s. e~ +~ H s. e~ +~ .a ~i ¢ } ~ a~ ~ a+ ~ ~ a ~+ o ~ a ~ c~ ~ i ~ c. E• w ~ ;~ a , E- a E+ .~ . ~ • ~ ~ , a ."~ ~ N ~rl it ~f7 ~O ~ n ap pl -r o .--1 .~ r-1 N .--1 ~ ~ H ~ ts. ~ U L `4 . ~' r. :.C 'TJ H t7 ~ -• ~. w c0 w 'd O c * O ~ C7 r x m ~ n ~ O y ~ W ~' N ft R ~ ~ m ~' 's ~o ~ n W m m w c* `~ ~ .~ n ~ c o ~ ~ ~ ai :a ~ ~ w i cn ~ i c v ~ o ~ - t m ~ ~ ~ in ~ K w °'~ w rb r ~ Q O M ~ ~. Ci7 ~ ' .. O ... - ~ ~ ~ y W r ~ O ~ ~ W i O N ~ b~ r ~ N ~ m ~ ~ ~ N ~ ~ ~ . N •~] ~, ,.~ ~ ~ '~ 7 O w ~, m N w rr ~. ~ rn ~ N ~ F' W N ~b N . ~ ~ 'C N N W r r M~ p .~ F NtJl.7 ~ o+ ~ ~ m po ~~ ~ cr w m ~ ~ ~ a. N W N ~ ~ O D ~ 1 O C~ OD ~ 9 ~ N . ~~77 ~ r, ~ O - ~ ' i. ~ N N F-' ~ O? fD r - M ~ O tb ~ W w ~ F"' ~ ~ Fcr+. .C _ 17 -~ l 6 ~ l71 ~D - GA r y r ~ ~ s ~ ° p p~~ f ~ ~ -- ~ N ~ N O W y ~ rn 0 r 7 r r~ - N Q7 O Q - ~ lD G ct ~ ~- r H C' K ro c¢i a 1' Y- .- REPORT ON THE ORANGE COUNTY GREEN BOX PROGRAPI TO THE ORANGE COUNTY BOARD OF HEALTH By Jerry Robinson, Health Director February 8, 1979 At the January 11, 1979, Soard of Health meeting the staff was asked to study the green box program and make recommendations for its improvement. This report results .from inspections and knowledge of our sanitarians and - information obtained from interviewing informed persons. Among those interviewed were several county employees who directly or indirectly work in the program ,citizens, store owners, Terry F. Dover, Eastern Program Supervisor, Solid baste rlanagement Program, N, C. Division of Health Services, Sam Gattis, Orange County Manager, Fonrose Gore and Ebert•Pierce of the Agricultural Extension Service. The volume of i~tformatian elicited was•such that this report was written in a sty):e to achieve brievity. It is hoped that this report will. serve to aid problem comprenhension and solution. The optiori5 contained herein represent an attempt, however inadequate, to synthesize multiple but compatible view- points. The recommendations are not new ideas; they reflect the simple act of selecting good features of successful programs presently operating in North Carolina and repeating advice given, xn preparing this report it was delightful and gratifying to talk to many well inforn-ed persons with sub- stancial suggestions. The lack of graciousness in the wording of the report is probably a result, of the influence of the community emotional state surrounding the issue. PROGRAM $ACKGROUND The green box program was iniated over four years ago in response to a massive litter problem in the county. Boxes are placed to serve persons outside incorporated municipalities. The program presently consists of two front loading trucks, 250 4 cubic yard capacity boxes, one dump truck and a total of seven employees. Each compacting truck is manned by two employees. The program operates five and one-half days per week. One day of each week one truck remains in the garage fvr servicing; therefore, employees work five days per week but do not necessarily have two consecutive days off. During the last six months the trucks have hauled an average of close to 54.,500 lbs. of trash per work day to the landfi~l. the table below gives comparative data. Monthly Tonage Hauled into Landfill. pt.,.1978 Se Oct. Nov. Dee. UNC .." M 882 1,111 1.,166 588 Chapel Hill• i,66$ 1,534 1,620 1,652 Others (mostly private haulers) 824 754 744 1,301 Orange County 556 53S 542 546 Carrboro 3S1 354 344 342 Hillsbprpugh 229 260 226 216 ~1 ~ _ . f w ~. . 2 , Johnnie Horner, Orange County Tax Collector, is attributed with the success ful implementation of the program and its initial management, despite having another job to do for the county. Sam Cattis, County rlanager, has provided continuity to the program and on a trouble-shooting basis has acted as pro- gram management. Citizens generally see this as an invaluable service and for some it - represents to them their most important county service. The success of the green box program thus far has been heavily dependent on many store owners and property owners who have allowed these boxes on their property, suffered from box misuse and litter, been inconvenienced and largely unappreciated far their role. People were perceived as feeling that the program, while far - - from perfect, has until xecently been very successful and has improved the environment greatly. Not having a solid waste prograa would result in solid waste pollution of Orange County on an unprecedented scale with an increase in the rodent population, flies, soil and water contamination and a deterioration of the quality of life of rural Orange County. The Orange County Health Department has been concerned about what its sanitarians termed a deterioration in the program during the past year. During the recent holidays the braces were overloaded and insufficiently emptied.. Considerable negative public reaction resulted from this experience. As ects. of the Problem A. The program has never received sufficient management attention as the county has not allocated necessary personnel resources..- B. The County decided at the outset to serve urban fringe areas, since private service was inadequate and at times~in some such areas)nonexistant. This created a guaranteed failure for that portion of the program. Studies of small green box programs indicate they will fail when the population density rises to -more than 40 persons per square mile. The accepted base of trash collection prediction is that each person generates 2; pounds of trash per day. The volume of small boxes needed makes location of enough - _ -•=good sites and their management a formidable task in the urban fringe. C. Citizens have not been sufficiently educated on the proper use of the boxes, the intent of-the program and their responsibilities to insure program success. D. Persons furnishing sites have received insufficient management aid. E. Sites are not planned and modified to handle trash. Provisions are not made to prevent the spread of litter. Sites presently result in an increase in the rat population, flies, odor and provide wild dog and other animal forage. Aesthetic factors which influence. citizen pride and behavior are not incorporated. The boxes are insufficiently cleaned, painted and repaired. Hnvironment impact is not controlled. Aiany sites are such that citizens are subjected to physical danger from traffic while attempting to use the box. tlany sites are such that one must walk in vastly undesir- able conditions to get to the box. Often boxes are placed out of sight, which leads to misuse and abuse. .. - _...1.......,_._~ :. ~, .. 3 F. The county has not passed'an enabling ordinance for this program. Secondly, the county's regulations do not address scavenging in the boxes. This has become increasingly frequent in the last year. Enforcement of all phases of the program is legislatively vague. . G. The county decided not to serve trailer parks with the program. The state considers trailer parks as commercial establishments and requires them to furnish trash removal. Many trailer parks have either constant or inter- mittent trash removal problems. Tenants either use the green boxes or _ start illegal dumps. The health department regularity receives coc~plaints • about this. H. Boxes near the nurham County.or Alamance County lines axe fegularly used by out-of-county residents. "' X. Small private trash haulers often use the boxes to save the expense of driving to the landfill and the dumping fee. 3. The growth pattern of the county population is not being used in green • box program planning. Recommendations A. Allocate sufficient resources so the program can have the services of a .- manager, experienced in this area, full-time for the next six months and half time after that. Successful programs of this size around the state have the common characteristic of this much management time, at a minimum. B. Restrict the 4 cubic yard green box program to the low population density areas of the county. 5ma11 boxes should not be placed closer than 2 miles from an urban fringe area. This is in accord with research and state recommendations. The ama11 box sites should be well prepared_ Access, - safety, environmental impact, odor, rodents, flies and littering must be .controlled. The boxes should be cleaned, disinfected, repaired and painted regularly. The county should train and assist persons who allow boxes on their property and volunteer to watch them. Plany such persons have justifiably developed hostility and skepticism towards this program and the county's capacity to run it. Considerabte effort will be required to live dorm these feelings. It is unreasonable for the county to expect, for instance, the convenience store owner to spend money to provide a ~ _ _ proper site. This is the county's responsibility and should be budgeted - C. Establish a 40 cubic yard green box program fors the urban fringe•areas. xt•••~' -• - is essential that the county own or have long term use of these sites, •' ' they be well designed, traffic safety maximized, fenced, lighted, of mini- -_ • mized negative environmental impact, well managed, and aesthetically pleasant. Attachment No. 1 is a sample 40 cubic. yard site design. These sites should be selected by use of traffic and load, factor studies. The county should purchase and maintain the 40 cubic yard boxes. The county could contract private firms far the actual haul to the landfill. As the 4 cubic yard equipment wears out, the county shoutd consider replacing it only partially and expanding the large box program with purchased equip- ment. The small box program equipment has a ten year life expectancy . ~ and up to one-half of that expected use has been exhausted. However; the small box program has a long term role in the areas of least population - density. The large box program requires less costly equipment and mainten- ance. A visit to [dilson County would help establish the value of the GO cubic yard bar program. y p, The county should pass an enabling ordinance. This ordinance should clearly prohibit scavenging and littering at box sites, use of boxes by cosmnercial haulers, and~use of boxes by non-residents. Enforcement procedures must be established and appropriate county authorities must be given clear enforce- ment mandates. Attachment No. Z is one of the better ordinances of other counties. While not perfect for our needs, it could be used to farm a. ; local ordinance. ~_ - E. Citizens should be allowed to deposit free. of charge in the landfill four 'twenty gallon cans Cor their valumn equivalent) of trash and refuse per week, In tounties with this provision littering and mis--use of boxes decreases. F. Hiring procedures and qualifications for program staff should be brought into line with state standards. Sufficient trained staff should be pro- vided to back up equipment operators when thgy are i11 or otherwise aff work. ~ • G. Citizen groups and other county units such as the Agricultural Extension Service should be mobilized to teach the public about the program and elicit public responsibility in maintaining a good program. - R. Trailer park operators should be allowed the option of contracting with. the county if they can not prpvide a reliable trash service through private com- panies. The program has been of tremendous value to this county during its exist- ence. The comments and suggestions offered were in no way intended to impune the efforts of any member of the county staff. In fact, considering the mini- mal funding of .the program for staff needs, it has operated amazingly well: . In many instances because staff were willing to carry this as an extra uncompen- sated load. - - ~... • n7rac~lrl~NT Ho. i '"~ - ~ ~ ~, r•: fi ~ n ~ _ _ ' G ~ K • ~. ~ ~ ` y ~ C rn rT p ~ ~ w w r ~ i ~ f1 W K _ ~ rT f.. ~ J W Y G '~ ~ _ ~ v w / ~ ~ ~ 1 ~ ~ ! ~: ~ i ~~ o ! i 1 ~ ~ ..cn~- ~1 ~ ` 9 ~ t ` - J r ~. ! I en ' ! ~ r. h vo w N 1 1 ~ -. f . - S1 ~ U • T'• !A ~ I IT A G 'G ~ ~ 1 I K ~ K ~ ~ ~ 1r1 ° W 1 ~ ~ i n ~ ` • ~n •I ~• i _ A m ~ i ~ l ' # ' .. ~ '~ ~ ~ ~ ~ ~ ~ ~ - Rarr~ gZ \ ~ ~ m - - a ` n ~+ - _ .I tr ~ a. 'A K o y a c~ _ _ ~ _ . ~ Fem..- Sd G !-' -- ,.1 ~• ~+ ' - _ _ ~ _- `~ ~ "~~;,,:y;~~~ -- -• :.. ,•~ .. - '._ ATTACH'itENT.NO. ~2 - ...:- ". - - ~-~ _. _.: ORDINANCE AN ORDINANCE Gf7VERNING TIIE STORAGE, COLLECTYON, TR7~hSPOPTING AND DISPOSAL OI' SOLID IaAST~ IN k:DGECOtIBE COU:]TY, NORTII CAROLxNA - BE IT ,ORDAINED $Y THE BOARD OI' COUNTX CO;'riMISSIONERS OI' EDGECOMBE CO]7NTY : ' Section 1. That this ordinance governing the storage, collection, taransporting anddisposal of solid waste~throughaut Edgecombe County for the protection of•public•health are hereby adopted pursuant to authority granted by Articles 6 ana 1a o;r Chapter 153A of the Genera]. Statutes of North' Caxoll.na to read as follows : .. ~ • Section 2. - • DEI:'INTTZONS The following definitions shall apply l.n the interpretation and enforcement of this ordinance: '. r A. Comr!missioners -- Means the Board o£ County Commissionezs of Edgecambe County or their authorizers representative. B. Garb_ ache -- All putrascibl~ wastes. including animal • - and vegetable matter, animal offal and cazcasses, and recognizable industrial by-products, but excluding sewage and human waste. C. Person - Means any individual, firm, governmental ;,unit, organization, partnership, corporation or --- . company. .. _d_ ; max. - - r~ D. Refuse -- All nonputrescible wastes. •=- _ E. Solid i~'aste -- Garbage, refuse. rubbish. trash and '~- .. Cther d1SCarded solid rmaterial ]Lncluding Spud ~ ~ . waste materials resulting from 3-ndustrial, commercial, and agricultural operations, and from community . activities, but dogs not include solids or dissolved ]11atCrlalS 3.71 dalllt. ,tiC SCwclgC O1 Ptller sicJnific<7nt - po11uL-ants in watcx resourccs, such as silt, dissolved ax suspended solid:; iiz indi:atrial w<-~stc - . water effluents, c3issolvcd ln;~tcrials in irrig~.tion -- return .[law ar otrllcl: ronulion ~:tti:ez z~olXutcllits. -- . , ~_ •. r F. Solid Wastes Collector. -- Aieans zny person who collects or transports solid waste. • G. Solid Waste Collection Sate -- Any place at which a solid waste container as placed for the collection and temporary storage of solid waste pending periodic removal by the County solid waste collection to the County Landfil]. site. H. Solid Waste Disposal Sate - Any place at which solid wastes are disposed of by incineration, .~ sanitary landfill ar any other method approved by - ' the Commissioners. -• X. Solid Waste Disposal -- The -collection, storage,. - ' treatment, utilization,•pxacessing, ar final. ~ . disposal of solid waste. ~ ~. J. Authorized Re zesentat3.ve - The Dizector.af Solid . Wastes shall be the authorized representative af' the Commissioners. Section 3 •- SOZ,ID WASTE STOIU~GE Na owner, occupant, tenant or lessee o£ any premises shall permit any garbage or other solid waste to accumulate upon such premises that is not stored in a mannar approved by the Commissioners. - Section 4 - SOLID WAS.T>v COLLECTxON ' -The owner; occupant, tenant or lessee af•any.premises upon which garbage is stored shall. remove, oz cause to bed-•_ _ removed, all garbage Exam said premises at least once a =~~"~ . week. The removal shall be done in a dlean and ordarly "r_==-- ' •Si- manner. Any solid waste that is spilled shall bc-cleaned up --` ~- and the premises left in a sanitary condition. - Section 5 -- SOLID i~ASTt; TFtANSPORTAx xOV - No solid taaste collector shall transport. solid waste in ' a conveyance that has not been approved bjr fire Camsnissioners. Vehicles ax containers used far the callc:ction anct tzanspaztatrion of garbagE or zefuse cantaiiiing gaa:bage .hall be covcxeci, - ~~ .~~ ~.:~ - :~ - ~ •_ . leak l~roof, durable and of stus:cly constzuction. These shall • be cleaned as often as necessary to prevent a nuisance and • shall be maintained in good repair. Vehicles or containers used far the collection and transpartztien of any solid ~raste shall be loaded and moved in such a manner that the contents will not fall, leak or spill therefrom and shall be covered when necessazy to prevent blowing of material. xf spillage should occur, the material shall. be picked up immediately by the salad waste collector and returned to the • vehicle or container and the area pzoperly cleaned. 5ectian 6 - SOLID WASTE COLLECTOR ~ -~ A. No person shall collect, transport ar dispose'. of solid waste far a fee without a permit issued by Edgecombe County, provided that ~khis subsection shall not apply to any. . persons disposing of solid waste. from his awn residence, ar to any person operating a solid waste disposal site that has ___. been appxvved by the Commissioners. Edgecombe County shall • • issue such authorization only when upon inspection it fonds that the facilities, equipment and pa:oposed operation methods of the applicant aa:e in compliance ~,rath the requirements of Article 1313 of Chapter 130 and Azticles 6 and 15 of Chapter 153A of the General Statutes of It*arth Carolina. • B. Permits shall be vtained from the office of the . Director of Solid l~taste. _ • . __ Section 7 -- SOLID WASTE DIS>?OSAI. • ,-_ .,,r~_=e..~~ A. No solid waste Collector ar other persons shall •- .'~•~~,_. - ~,:-.: •}~~'_,= dispose of solid wastes, except by one of the following -.- {~y~y. •_ • methods, provided that this section shall not lac canstz:ued ~ . _ to prevent any person ~xam~properly disposing of solid . wastes fzom his awn residence on has own property an a safe sanitary manne>: approved by the Ca=nmissaoners; , 1. By placing of alapro~~c~cl household solid wasta i,n County- containers. . ~i . ~ ~. • ~ -- - J .. • 2. I3y placing acceptable wastes 3.n the: Fc]gecombe Caunty landfill or any other sanitary landfill that has been approved by the Division of Health ServicGS as mect3.ng all the xec~uixements of the Division of Health Services "Rules ar~d Regulations Pxaviding Standards far Sa1id tVastc Disposal." 3. By a.ncaneratzon in an incinEZatar that meets all- ~. requirements of the ].oca1, state and federa], a5x' pallution standards_ - ~ .. 9~. Sy any ether method including xeclaimang or recycling processes that have been approved by the Commissioners. B. Disposal of solid waste by any other method including dumping is prohibited. ~ - . G. Edgecombe County Landfill. . (Z) Edgecombe Caunty sha~7. continue to opexate its Landfill to dispose of all solid waste generated by t~-+~. a citizens of Edgecombe County. Every parson using the E E Landfill shall pay the prevailing chaa:ge for such use except each resident of I;dgecombe Caunty is allaw~d to i carry up to four (4.) twenty gallon cans each «eek of i household solid waste to said Landfill free of chaxge_ (2) IIours of opexatian at the Landfill and charges for its use shall be fixed from time to tame by the Gommissi.o (3) Any items delivered to the Landfall other thane' what is allowed free must be paid for by t~Ye parson delivexi,ng the maternal to the Landfill operator. -_ D. Edgecombe County Saud IJaste Container System: - Edgecombe Caunty shall continue to locate containers - throughaut the County for use by residents to dispose of household solid waste at no charge subject to the rules hereinafter set forth. These containers shall be emptied at least twice each week and their contents taken to the Caunty Landfill. constitute a separate offense and any pexsan in violation of .. . the ordinance shall be punished by a xine not exceeding _ ~- l:ifty dollars ($50.00) ox imprisonment not Exceeding shirt}~ , - ._. (30) days, ax both, fax each offense, and each day's continuing vxa~-~tian shall bz a sep~irate and .c:ista.nct affEnsa. B. xn addition to the prova.sions a£ the foxec3oing . Subsection this ordinance may be er,~orced by an appropriate equitable remedy as autltorizcd ley Zn}' of the provisions of G. S- 1.5371123. Sectaan B - USE Off' CpUNxX SOLID WASTE CONTAxNE~tS Persons usa.ng the County Saud Waste Containers mast comply with the followincl xulcs for depositing household solid waste in these containers. A. Household solid wastes must be bagc3ed before it is .placed in containers. B. Burning ar Flammable matexiaX canna4 be placed xn - containers.. - • G. heavy Ob]G'CtS•c~]C~ eat allowed in containers. D. Iv'o bu3.lding material., hxicks, ltunber, ties trimmings, sttunps, logs, animal carcasses, animal wastes,- appliances, furniture, autos, auto parts, industrial. wastes, agricultural-wastes and the like shall, be placed in containers. This type material shall be taken to the County Landfill or otherwise disposed of in accordance with this; ordinance. ' E. Solid Waste shall not be-damped an top of the -- container ar on the gxaund around file container. ' Violation of any of thc~ above prov3.si.ons shal]_ canstai.tute a violation of this ordinance. Section 9 -- PBh~ALTX A- Puxsuant to Articles 6 and 15, Chapter 153A of the - General Statutes o£ Aortli Carolina and this Bdgecombe County' Ordinance each violation of any pant of this ordinance will ..$' .. Section 10 -- CONF'LxCTING R~GULATIOPIS ItBp2;AZ,Bp All orda.nances ar parts af, ordi.nances in conflict ~ezewi~h are repealed an].y to the extent necessary to give . this ardinance full force and effCCt. section 11 - SEVERi'~fixT,xTX - xf any provision of this ardinance or the application thexeof 'Ea an - Y Fersan, or circumstances, xs held invalid, the xemaxnder of this ardinance, ox the application a£ such - pxovisians to other persons ox circumstances, sha11 not b~: affected thereby. Section 12 - ET'~''ECTxyg DATA ~ - , ~ - - Sectiori 1. This ardinance shall become effective . x~~di-atoly upon its adoption. . APpxoved as to legal farm:. :z . ~. ` Caunt~Attor y Adapted November 6, 1978: ~ ~~~~ ... . Clerk To a Board NDRTN CARQL1Piq, 1`dgctombe County ~. • - Filed -or reSictratioi this day tel., and duty re~istared in 4ovk._,,, Page_.,_ •--- ~. Ir+cuisicii o+ phcecy ~. ~~-