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HomeMy WebLinkAboutAgenda - 06-20-1978 1 AGENDA ORANGE COUNTY BOARD OF COMMISSIONERS COMMISSIONERS ROOM, COUNTY COURTHOUSE HILLSBOROUGH, NORTH CAROLINA TUESDAY, JUNE 20, 7978 7:30 P. M. 7. Does any vember of the Board desire to add additional items to this agenda? 2. The Erosio Control Officer will report Brenco Inc. in violation of the County Erosion Control Ordinance. 3. A resoluti?n requesting the County Board of Elections to call a special elfction on the question, sale of alcoholic beverages by the drink in certain establishments. 4. The Manage recommends the Board approve execution of a contract with the P�rmers Horne Administration, Cedar Grove Fire Department and Trustees of the Cedar Grove Fire District concerning levy of certain special fire taxes. 5. The Board of Health has approved a system of fees for septic tank and well work. Commissioner Willhoit and Jerry Robinson will review the propos 1. (Agenda Attachment I) 6. General Bu get Discussion: A. Trustees of the Hyconeechee Regional Library B. JOCCA C. The Health Budget, Jerry Robinson I RESOLUTION I I f Commissioners for Orange A meeting of the Board o County, North Carolina, was held at Hillsborough, North Carolina, the regular place of meeting at 7:30 o'clock p.m. , on June 20, I 1978. Present: Commissioners Jan Pinney, Norman Gustaveson, Norman Walker, Richard Whitted, and Donald. Willhoit. Absent: None WHEREAS the Board of County Commissioners of Orange i County, by this resolution, desire to call an election on the question of whether the on-promises sale of mixed beverages should' I be allowed in social establishments and restaurants. i I IT IS HEREBY RESOLVED THAT: j The Orange County Board of County Commissioners request j that the Orange County Board of Elections call an election on i the question of whether the on-premises sale of mixed beverages should be allowed in social establishments and restaurants. This resolution is effective upon its passage. I Thereupon, Commissioner Donald Willhoit moved i the passage of the foregoing resolution and Commissioner Norman I seconded the motion, and the resolution was passe sv - by the following votes: r, Ayes: Commissioners Gustav Walker, Willhoit. - Noes: Commissioner -Pinney. I, Agatha R. Johnson, Clerk of the Board of Commissioners for Orange County, North Carolina, DO HEREBY CERTIFY that the I foregoing is a true copy of the proceedings of said Board of L.EMAN.BERNHOLZ III DICKERSON Commissioners at a meeting held on June 20, 1978, so far as the fJRNEYS AT LAW "IAPEL HILL.N.C. LLSBOROUGH.N.C. . 11 q(y� same relate to the request for an election on the question of (whether the on-premises sale of mixed beverages should be allowed in social establishments and restaurants, as such proceedings are recorded in the Minute Book of the said Board. WITNESS my hand and official seal of the said Board, this the 21st day of June 1978. I a Agatha R. Johns 9K, Clerk of the Board of Commissioners for Orange County, North Carolina C S'E, A L ) t i I EMAN,FIERNIIOLZ & DICKERSON I TORNEYS AT LAW :HAPEL HILL.N.C. LLSBOROUGH,N.C. NORTH CAROLINA CONTRACT AND AGREEMENT Orange COUNTY THIS CONTRACT At:D AGREEMENT, made and entered into this the _ 1978 , by and between the COUNTY OF day of , party of the first part, also referred to as County and the Cedar Grove Fire Department, Inc. party-of the second part, also referred to as Fire Department; W ITN ESSETH: THAT WHsREAS, N.C.G.S. 69-25.5 provides that counties may provide for fire protection in a fire district by contracting with any incor- porated nonprofit volunteer or community fire department; and WHEREAS, the new N.C.G.S. 159-13 (a) (8), which became effective July 1,1973, provides that the budget ordinance "may be in =y form that the Board $o£ Commiasioners,of Orange County deems most efficient in enabling it to make the fiscal policy decisions em- bodied therein, but it shall be so organized that the accounting sys- tem will show appropriations and revenues by line items within at least the following funds: . . . (8) a fund for each special district whose taxes are collected by . . ." the county of Orr ngg ; and WHEREAS, the party of the second part is a nonprofit corporation organized for fire protection purposes; and WHE2EAS, it serves a special tax district created by a vote of the people; and i 1 i WHEREAS, it is desirous to make application to the United States of America, acting through the Farmers Home Administration, United States Department of Agriculture, hereinafter referred to as the Farm- ers Home Administration for a loan in the amount of $ 250,000.00 and WHEREAS, the County of Orange levys and collects the taxes and is responsible for appropriating said funds for the use and benefit of the citizens in the fire protection district; and WHEREAS, the County desires to grant a long-term contract to en- able party of the second part ID make long-range plans; and j WHEEEAS, the County desires to standardize all its arrangements i with Fire Departments in the County; J NOW, THEREFORE, in consideration of the premises and`the consider- i i ation of. TEN DOLLARS to each the other in hand paid, the parties here- to contract and agree as follows; 1. The party of the first part contracts and agrees that it will cause to be assessed or levied a special tax of up to 0.15 per one hundred dollar valuation of all real and personal property in the Cedar Grove Eire Protection District unless otherwise limited by law and/or a vote of the people; and will collect said tax as a part of the ad valorem,taxes of the County of Orange ; provided however, beginning with the fiscal year s' 1978 the amount levied annually shall be based on the needs -3- projected in the budget estimate submitted by the Fire Department to the County and approved by the County Commissioners. / 2, That a special or separate fund shall be maintained by the County,for funds collected as a result of said special tax. 3. That current taxes, as they are collected by the county, s shall be paid to the Treasurer of the Cedar Grove Fire Departmept, Inc. as follows: rat i ea__ _ge each vea- to be arranged by the Treasurer of of the Fire Department and the County manager; that delinquent taxes shall be remitted quarterly. 4. The party of the second part shall provide the necessary equipment and personnel for furnishing adequate fire protection as determined by the North Carolina Department of Insurance, Fire and Rescue Service Division, for all property located within the Cedar Grove Fire Protection District, and it will furnish said fire protection free of charge to all persons and individuals located in said District in an efficient and workmanlike manner. 5. That all funds paid to the party of the second part by the party of the first part shall be used exclusively to provide fire protection within said Cedar Grove Fire Protection District and to pay other legitimate fire protection expenses including principal and interest on the aforementioned loan made by the Farmers Home Admin- istration. 6. It is agreed that the party of the first part may inspect all books and accounts for the party of the second part at any time that it rhtill d-sire; it is further agreed that the Fire Deep5rtment will K' ,. • -4- _ present to the County Commissioners an annual audit by a C.P.A. which audit shall be in conformity with existing audit policies of the Coun- ty. 7. The party of the second part agrees to comply with County bud- geting procedures and other procedures provided for by State Law and agrees to submit budget estimates to the Board of Commissionerson the standard forms used by county departments; the party of the sec- ond part also agrees to use standard line items for accounting de- vised or consented to by the County Accountant from time to time. 9 8. This contract shall expire '1 - 30 years from the date of the FmHA Loan closing. 9. The party of the second part further agrees to fike with the County Auditor a true copy of the Articles of Incorporation, existing Bylaws and any changes made thereto from time to time; further, the party of the second part agrees to adopt bylaws which meet all minimum legal requirements and which bylaws, in addition thereto, have reason- able provisions enabling citizens of the community to participate in the affairs of the corporation at at least an annual 'meeting and vest- ing in a Board of Directors the authority to manage the affairs of the corporation without a vote of the membership 4 to the extent permitted by N.C.G.S. 55A, the North Carolina Nonprofit Corporation Act. I i -5- IN TESTIMONY WHEBOF, the party of the first part has caused this instrument to be executed by the Chairman of the Hoard of County Commissioners and attested by the Clerk of the County Board of Commissioners, and the party of the second part has c_-tuned this instrument to be signed in its name by its president, attested by its Secretary, and its corporate seal hereto affixed, all by order of its Board of Directors duly given. Orange COUNTY BOARD OF COMMISSIONERS -C By: (Chairman) ATTEST: (Clerk) n (Name of Fire Department) By' 0// (President) ATTEST: (Secretary) (Acknowledgments) i �2 RESOLUTION A meeting of the Board of Commissioners for Orange County, orth Carolina, was held at Hillsborough, North Carolina, the regu ar lace of meeting at 7 :30 o' clock P g ' p.m. , on June 20, 1978. Present: Commissioners Jan Pinney, Norman Gustaveson, Norman rman Walker, Richard Whitted, and Donalt? Willhoi.t. Absent: None WHEREAS the Board of County Commissioners of Grange County, b this resolution, desire to call an election on the question of whether the on-premises sale of mixed beverages should be allowed in social establishments and restaurants. IT IS HEREBY RESOLVED THAT: The Orange County Board of County Commissioners request that the Orange County Board of Elections call an election on the question of whether the on-premises sale of mixed beverages should be allowed in social, establishments and restaurants. This resolution is effective upon its passage. Thereupon, Commissioner Donald Wil.lhoi t moved the passage rm of the foregoing resolution and Commissioner No an G1 tr �p�^ , seconded the motion, and the resolution was passe by the following votes ; Ayes: Commissioners Gustaves , Wi llhoi.t. Does: Commi.ssioner, Pinney. same relate to the request for an election on the question of whether the on-premises sale of mixed beverages should be allowed in social establishments and restaurants, as such proceedings are recd ded in the Minute Book of the said Board. WITNEss my hand and official seal of the said Board, this the 21St day of June �.. .— , 1978. Aga a R. Johns Clerk of the Board of Commissioners for grange County, North Carolina } E W/1 W- I ai CAI' `dp Al 6g f-al /Ul -lev 'No et Its, jA- NORTH CAROLINA CONTRACT AND AGRFDSMRJT Oran e COUNTY THIS CONTRACT AND AGR EMENT, made and entered into this the day of 1976 , by and between the COUNTY OF _, party of the first part, also referred to as County end the Cedar Grove Fire be artment Inc. partyof the sec nd part, also referred to as Fire Department; W ITN E S S ETH: THAT WHER , N.C.G.S. 69-25.5 provides that counties may provide for fire protection in a fire district by contracting with any incor- porated nonprofit volunteer or community fire department; and WHERRAS, t e new N.C.G.S. 159-13 (a) (8) , which became effective July 1,1973, provides that the budget ordinance "may be in any form that the Board .1:3& Commi.eseioners .of Orange-g- County'County'l deems most efficient i enabling it to make this fiscal policy decisions em- bodied therein, but it shall be so organized that � the accounting Sys- tem will show appropriations and revenues by line items within at least the following funds: (B) a fund for each special district whose ties are collected by . �! the county of and WH�R&4S, th party of the second part is a nonprofit corporation organized for fire protection purposes; and WHER&kS, It erve4 a Special tax district created by a vote of the people; and Bill nUMMIUMMOMMOMMI 4JF3E�25AS, t is desirous to make application to the United States of America, acting through the Farmers Ha^me Administration, United States Department of Agriculture, hereinafter referred to as the Farm- era Home Admini.atration for a loan in the amount of $ 25_0,_000 .2.0 ; i5nd WHEREAS, the County of Orange levys and collects the taxes and is responsible for appropriating said funds for the use and bezxef-t of the citizens in the fire protection district; and WHEREAS, the County desires to grant a long-term contract to en- able party of the second part to mftke long--range plane; and WHEREAS, the County desires to standardize ell its arrangements with Fine Depar ants in the County; NOW, THEM M5, in consideration of' the premises and the consider- ation of TEN DOLILRS to each the other in hand paid, the parties here- to contract and agree as follows; 1. The party of the first part contracts and agrees that it will cause to be assessed or levied ea special tax of up to 0 .15 per one hundred dollar valuation of all real and personal property in the Cedar Grqve Fare Protection District unless otherwise limited by law and/or a vote of the people; and will collect said tax as ea part of the ad valorem taxes of the County of Orange ; provided however, beginning with the fiscal year 1978 the amount levied annually shall be based on the needs -3- Projected in the budget esti.mata submitted by the Fire Department to the County a d approved by the Ccainty Commissioners. 2. That a special or separate fund shall be maintained by the County for funds collected as a result of said special tax. S. That current taxes, an they are collected by the county, shall be paid t the Treasurer of the Cedar • Grove Fire Department, Inc. as follows : .At- 1paqt ,CP. P ch vear, to be arxan ed b the Treasurer of of the Fire Department and the County manager; that delinquent taxes shall be remitted quarterly. 4. The party of the second part shall, provide the necessary equipment and personnel for furnishing adequate fine protection as determined by th North Carolina Department of Insurance, Fire and Rescue Service D'vision, for all property located within the Ce G ova Fare Protection District, and it will furnish said fire protection free of charge to all persons and individuals located in said District in an efficient and workmanlike manner. 5. That all funds paid to the party, of the second pert by the party of the firs t part shall be used exclusively to provide fire protection within said Cedar Grove Fire Protection District and to pay other legitimate fire protection expenses including principal and interest on t e aforementioned loan made by the Farmers Home Admin- istration. 6. It is eag eed that the party of the first part may inspect all books and accounts for the party of the second part at any time that it .*;hall d"sirez it is further agreed that the Fire 9 D`partment will present to the County COMmiasioners an annual audit by a C.P.A. which audit shall be in conformity with existing audit policies of the C;nun_ ty. 7. The party Of the second part agrees to comply with County bud- geting procedur a and other procedures provided for by State Law and agrees to submit budget estimates to the Board of COMmiE{!"idn'erson the standard fo s used by county departments; the party of the sec- ond nd pert also agrees to use standard line items for accounting de- vised or consented to by the County Accountant from time to time*. or S. This contract shall expire - 30 years from the date of the FmHA Loan closing. 9. The per y of the second part further agrees to fi ke with the County Auditor a true copy Of the Articles of Incorporation, existing Bylaws and any changes made thereto from time to time; further, the party of the seco nd pert agrees to adopt bylmwa which meet all minimum i legal requrermentp and which b laws Y , in addition thereto, have resoon- able provisions a abling citizens of the community to participate* in the af'f'airs of the corpareition at at least an annual ineeting and vest- ing in a Hoard of Directors the autbar3 ty to mc:rteege the affairs of the corporation without a vote of the membership to the extent Permitted by H•C•a.S. 55A, the North Carolina Nonprofit p Corporation Act. m5_ IN TESTIMO Y WHERBOF, the party of the first part has caused this instrument to be executed by the Chairman of the Board of County Commissioners and attested by the Clerk of the County- Hoard of Commissioners, and the party of the second part has caused this instrument to be signed in its name by its president, attested by its Secretary, end its corporate seal hereto affixed, all by order of its Board of Directors duly given. Orange COUNTY BOARD OF COMMISSIONERS Hy: (Chan rman) ATTEST: s 1` (Clerk) (Name of Fire Department) By: (President)' ATTEST: (Secretary) (Acknowledgments) cJ4edfh ktmeat �e p a tG3 E, MARGARET LANE "1LLSHORQUGH. N, C,, 27270 19 EASTGATE SHOPPING CENTER PHONE: '732.(It9t GXT. 2t9 CHAPEL HILL- H. C. 27514 (FROM CHAPEL"ILL 967.9x91) PHONEA 042.4169 MEW TO: County Commissioners � o FROM: Jerry Robin on 9 V1� DATE: June 20, 19) $ � RE: Use of Fiscal 178 Unspent Health Funds At this time it is difficult to estimate how much unspent money we will have left over as of June 30th. $10,000 is not an unreasonable guess. Having talked to Sara regards capital outlays for next year , I am requesting you to re- program all remain g funds. Specifically, I am requesting these funds be used to purchase two or three vehicles for our sanitarians to use. How badly we need such vehicles seems to be common knowledge around the county, so I won't elaborate that point herein. As I see it, this Is an opportunity to obtain a long term benefl.tostill o eratin under this year's udget. p g It would bE necessary to reprogram them as the 10 day purchase/bid rule makes it impossibli to buy them before June 30th. Thank you r your attention! AGENDA ATTACHM�N .__ 11 (_oatg �edfh �epatc��►e�� T9 EA"r ATE SHoPPINO CENT CHAPEL HILL. N. C 27814 144 E- MARGARET LANE Pyp,q E, 9az•4T8$ F41LL5130ROU 5H, N,C- 2727$ ' PHONE,732.0181 EXT- 215 (FROM CHAPEL HILL 967 13250 MEMO TO: Richard Whitted, Chairman orange County Board of Commissioners FROM.. William Mayes , D.D.S. , Chairman orange County Board of Health DATE: June 15, 1978 TIE: Fees for Selected Environmental Health Services The Board of Health at its meetiVices.May This rd 1978, debated conditioned by our the subject of fee for selected environmental health ser At that meeting, the ComMissi meeting with the Commissioners of February fees other than for meeting) and well work. informally expressed hesitancy regards any are doing. Attact condly, that we should survey other departments, to see what they please see the results of a survey dated May 16, 1978, of all the North Carolina d( ments accomplished by- our director. In light of this and prior information, he Bo and of H well=work�f�andtwherif, be established for soil (septic installations) adopt regulations regards wells. Secondly, the Board decided one lotprinciple tof cost recapture to a present calculation . In of o t services regarding a septic installation. In the memo to us from ot.xr Director dat February 16, 1978, you care see that the discontinue our Services and ethe�cost We feel. the property owner should be for services to that pc desired , after the first or second services and simply Pay if and when we go into well work, the same three service breakdown 'Thirdly. , be established at the same costs. We explored combining soil and well visits by sand tari ins. Our staff tells v that o make altotal,lof contractors be so servicesltoedo tl nated and we will , in fact , have to septic and well on a lot. However , if the two could be combined, we would propose give the owner a cost break. By our recommendation, the maximum cost for a septic installation and a well total a maximtam of $129.86. for a lot. I know Whereas we did not vote on the nnext no to support our sstaffdinthe�dail.ytne€ we explored this whole area and are g fees) only if such Hands are used i comments they will, receive {over the charging a way as to allow us to develop more and better services for this county. I can by majority vote a change in our roc endation if l here fees would simply be us( devise to keep our costs and services Attachments - 2 AGENDA ATTACHMENT I Dwiige Coutitg c5hAt, Tepouchucid- 1134 E, 1f Ai GARLT LANE 19 EASTCATE SHOPPJNC CCU-req HIULUSO POLM41 N. C.27278 CHAPEL H1t,L.. N„ C. 27514 PHONL': 73L-9181 MT.. 217 PHONE! 942»4150 (rROM CHAFE(- Hi LL 987.9251) TO: Board of Heal FROM: Jerry Robin on DATE: May 16, 1.97 RE: Fbvi-ronment Health Fees As per request, I surveyed the other Health Departments. As of this date 6B of the 72 Health Departments have responded to the survey. Of those responding 49 indi- cated they charged rio environmental health fees and 19 indicated they did. The re- sults in more detain were: Rescondi.ng No ---_-- 49 Departments O f thos e 49: " 11 Indicated they were considering fees. 13 indicated they were opposed to fees as such would constitute double taxation and such services are required by law. 5 Felt fees would cause a hardship on some. 7 Felt fees would be problematic. 3 Hope to be charging .fees soon. 2 Believe smaller fees would be best. Responding Yes -- 19 Departments Of those 19: 15 charge for water analysis Charges Inds eated/Dep�artm ht Chemical Water analysis -- $.75, $1.50, $12.00, $2.00, $2.00, $5.00 Bacteriologic (mater analysis $-50, $1.00, $1.00 Not specified alysis ._.- $1.00, $2.00, $3.00, $5.00, $5.00, $5.00, $5.00 Postage only Total analysis depending on factors chosen $5.00 - $35.00 15 Charge for Iome aspect of septic work Cho ' - i � t /Department Subdivision ev uation $2.00/lot Re-inspections -- $5.00hrisit, $5.00 Perculation/soil, analysis '--- $10.00, $20.00 Septic Permit ? - $3.00, $5.00, $5.00, $6.00, $10.00, $15.00, $15.00, $15.00, $20.00, $25.00, $25.00, $40.00, $40.00 Other Charges Charges Indicated/Department charge for we l work --- $1.50, $5.00, 5.00 1 charges for Ppol permits -_,-- $5.00 1 charges for r t bait -- $.15/pack or $7.50/case 1 charges for Pi of plans for VA, FHA, or Fi ti -_-. $5.DO each Other Comments: 2 stated they were not happy with charging. 3 stated they w re desirous of charging more. 4 stated they were pleased with the results of charging. T-ne Counties that do have charges are spread throu&nout the State: 5 in the mountain section , 6 in the piedmont section, 7 in the coastal section. Nn nnf-f-'M"" tin „\.�-�..n 4 -- a-... -1- I n AgENDA ATTACHMENT Z eoltnt� C54ALY, TepatIVvIet'L kL t9 casrcar� wk!C?PiCiG CHAPcc, HiLL.. N. t.. 2W !Gw c. Ma^.:Ata EY LANC ., PH p�1 E; hG_.<13d titt.GS'Ja.�9:t�H. ^3..G, 277'-78 PHo!7E: 732•.6131 �Xr'. 215 t FROM Ce A;,.T.L HSLL 307.9:!") MEND ND TO- Orange County Board of Health FROM: Jerry Robinson DATE: February 3.6, 1978 REGARDING: Cost Analysis for the Consideration of Assessing Fees for Environmental Health Services. irector, by G7e may by States' statute, facilitating action of the County Commissioners dc by the Board of Health and by fees for selected environmental scrv'c s -not tocosceeesour coasrl. The n projectnsuc results in fee levels that would recapture I furthermore concert equal applic4tion of fees be ea services. In concert raiLh the S for services rendered and rzat f° latenoucost-A1 Theedetailed and costlicenses analysisresulting which the sanitation work will be issued salted in these fee levels has been placed an file in the Hillsborough Office of fee Health Departmerit for public inspection. Thos neralrtaxpayernfrom whicYtoprivate sp meat are those costs presently born by the general directly or indirectly is facilitated' feet' s for Land Development Snrvicl�s Preliminary Lot Evaluation Average man day total cost equals $77.91 Average travel. time and eValuati.on of lst acre takes l hour: cost $9-75 Ye Or' Average analysis time for remaining acres at a pro .atel 3 acres p trip: oast $8.25 per each acre after lst acre. Therefore: 1st acre cost per job order per .day 9.75 3. 25/acre Analysis of 2nd acre on per joh order on sue day Soil An sis On eacr h ot Average man day total cost equals $77.91 Average number of actual. field work �. however, Lot soil. analysis possible per day equals 4, I/A of day on average is required in office for evyda l anto�the� Therefore, the cost per lot is figured at 3 lots per. . ..y-. .. . . w' $25,17 man--day average cost- which will cover office time Inspection for l_ pr,ovem. ent Permits ecti.ons Average number of actual field work insp possible per day equals 5. An additional 1/5 of day is needed for every 4 lots done for office time Therefore , the cost per lot 'is fi.qured at the total , _. ... .... . . . .. 19.4 AGENDA ATTACHMENT T Pa;;e 2 insnectioa for �ertificate of Completion The cost of this is calculated e:cactly as is inspection for Improvements Permits . . . . . . . . . . . . . . . . . . . . . . . . . . .$19.4$ Su,-nnia.ry Co arzrents Every lot ecuires three services , i .e. , soil analysis , inspection for improv permits and inspection for certificate of completion, therefore, every lot costs a M:.LIrZ o $61 -93- Lots in su, divisions covered by the subdivision ordinance coasts additional du the prelimie,ary lot analysis cost. The actual additional cost is a function of ho many acres a to consists of and how many acres a developer has us evaluate in one Exa.-aples: a two lot subdivision (minor subdivision) with each lot being only one a would cost $9.75 1st acne plus $3.25 second acre or $13.00 divided by tiro lots or additional each lot; a twenty acre subdivision with 10 lots would add $3.58 to eac cost. This is J minimal cost risk compared to a developer spending luny thousands survey and other development work and them involving the Health Department at the analysis stage o ly to find their effoet to have been totally to some extent wasted Therefore, we would urge persons to use the preliminary analysis stage in acr not covered byte subdivision ordinance and for single lot developments not cover by such an ordinance. Other Sanitation Activities These .figures are based on the State Public Health Division, reco=ended visit and procedures , our average man-day cost of $77,91 and with the daily visits total. adjusted to all 15% compliance, plan review and educational time as per State recommended procedures. Establishements visits alnspactions - Cost Per Total. Cost P -Per Yr. Per Day - visit Yr. Per Esta Restaurant 4 3.4 $22.91 $91.61+ Meat Market 4 3.4 22.91 91. 61r Day Care (for profit) 1 2.55 30.55 30. 55 Rest Home 2 1.7 45.83 91,.66 If `,�' Terap. Food Stand 1 6.8 11.46 11.46 .ReimbU:rsemen P©tehti.al- A. Preliminary Lot Evaluation Large t ack 1,000 acre estimate 3,515 Small tacks 1,000 acre 650 B. Inspection for Soil. Analysis Estimate 1 ,200 lots at 25.9711ot 31,164 C. Inspection fo Septic Improvements Permits Estimate 600 lots at 19_48 11,688 D. Inspections for Septic Certificate of Cornpletioa Estimate 400 lots at 19.48 2 7,/9 E. Restaurants -� 148 Establishments at 91. 64 �� . �r� 13,563 _ . ... .. AGENDA ATTACHMENT I pace 3 Y ttaC".tEtS 2,291 25 Fs`tabli.shments at 6'} G, Day Care 1 ,008 3.3 Establ.ish-Ments at 30. 55 H. F.est H'ol"es 733 8 Establish-tents at 91 - 06 1. Temporar; FOOd Stands 413 36 Establzshr�ent at ll-46 s 5LT6`pU'fAL 72,877 Cra:1__m-heats -For the calendar year ending v December to i 31, 1`377, the department accomplished The fib � lot irtsQectians activities above are scaled d 1 ,571 lots, res es ei maCirt© may to reflect an e�*pacted drop in such ac vhave little base afor saccurateeparedictior evert eater or not occur as greatly, Additional Reimbursement Potential A, In for Well l.cnpsepticnimprovements 3tr ptl-S No cost �. if separate trip from see if both tasks in same trip. S. Inspection for Tgall Certificate of Completzort — 700 rots at 19.48 13 ,636 c. Vater pests (cost of sample bottle and haadling) 1.{704 at. X75 �5G . Grand Total 93 ,107 Additional Co_ n, s, The piscal 1979 Envi,ror�mental Heat Ch plan private eat semi-private (up to vrdirearie�: to enable the deb. artment to regulate P well di cater supply irestal].atigns» Therefore, this addition reimburserneut is can upon that event. C9 age (,ouo� cMeaffi ('-Depatctwea 144 G MARGARET LANE HILLSBOROUGH, N. C- 27278 19 EA67GATE SHOPPING CENTER PHONE' 792-eTB7 EXT, 2" CHAPEL HILL. N. C 27514 (FROM CHAPEL HILL 967-9251) PHONE: 942.41G0 Mac TO: County GAmissioners FROM: William Mayes , D.D.S. ,V)_K. Chairman Orange County Board of Health DATE: June 19, 1978 E: New Pro am Efforts At our meeting with you on Monday, June 12, our Director told you that by a strict definition of hold-the-line management he could rim the Health Department on the Manager's proposed budget. However, that new efforts were constantly forth- coming (mostly from the State) without funding that we should respond to. Our Dire tr has referred to me to schedule for the next Board of Health meeting new heal; program iniatives that have arrived just before or since June 12th. He can not respon� t0 these for lack of staff resources. I will take these to our Board, however, tie Board of Health is incapable of generating new resources. There- fore, this being he appropriate time, place and public body, I .� also referring these to you. On June 9, the Division of Health Services asked us to provide public health services to Orange County migrant workers. The State will pay for all primary care and hospitalization. We are asked to provide the nursing time and local staff support costs necessary t� locate, screen , refer and follow-up. Based on conversations betweet our Director and lr. Pierce of the Agriculture Department and the Employment Security Office, we will n?t know what size problem we have until we go out and find the migrant In order to respond, we presently estimate that we need one nurse for two months. On June 9 the Division of Health Services asked us to follow-up on all home delivered infants" in Orange County in an effort to reduce infant mortality and morbi- dity. The State provides many specialized services but we should do the basic home nursing. and coordl n,ate/advocate for the infant. Such infants may stiffer reversable damage that we ma be able to correct and pi-event them from becoming public charges. Over one years time we estimate we need 2 months nursing time for this. On June l , the Division of Health Services asked us to be the lead agency for all S.S.1.(Supplemsntal Security Income) disabled children supported by the Social Se- curity program in Orange County. These are children who are blind , deaf, profr;��-Inds retarded or have cther severe handicap . We dinate services t them on a plan that we are oecreattee and monitor. We�are to beothe skilled profession s who care for these children as they grow. Social Security will pay all the costs hand even reimburse us $20 for the first visit we make to a family. However, our costs for the basic nursing service will greatly exceed this. On a yearly basis we estimate hat we need approsimately 3 months nursing time for this effort. June 19, 1978 M o -- County Commissioners - Continued - Page 2 Social Security has identified 23 children For (is to take charge of as of today. They wish to know by June 28th whether this county will respond or not. We need to resp nd by June 23rd on the Neonatal Mortality. We need to respond by July 3rd on the Migrant Health Project. We welc e these iniatives from the State. It is important to point out that these- are d11 excellent ideas and that they do not deal with some foreign concept. These are Orange County problems that should be dealt with by our Health Department. We would all appreciate more of our State taxes being sent back to us to deal, with th e problems. We ask the Commissioners in our narriative and our budget request for one additibhal nurse for neA year to allow us to pick tip such additional- duties and others without slacrificing our present minimal. level (compared to need) of services offered. This equest was seperate and distinct from the requests surrounding School Health, .D. , Family Planning and Health Education. I appreciate your attention and response to these problems. 1$ £A,TGAT£ SHOPPING C£NTER 144 P_ MARGARGT LANE CH AP£L HILL.. N G. 2 yl HILLS30ROUGH.N-C. 27278 PRONG: 942-4l5s PHONk,792.8181 EXT. 218 (FROM CHAPEL HILL 987!3251) MEMO TO: County Commissioners R'ROM: decrytobnson � -+ Director of Publ. c Health DATE: dune 20, 19 7$ RE: Comments regards the Requested Department Budget for Fiscal. 1979 At the Go ty Budget hearing of June 13 , 1978, certain persons implied greatly expanded local p blic health costs with no apparent service increase. Statetnents were that the Orange County cost had been $152,000 with the District Department; that the public had expec ed for $80,000 more to have a better department; yet Mr. Gattis re- quested $472,30 or $320,306 more and we requested $619,734 or $467,734 more. T sub- mit that this is an incorrect mixture of facts, On June 14 , Neal. Evans informed me that the last Orange County assessment to the District was $144 ,495. However , this did not represent the total cost of Orange County public health as there was ,according to the Division of H�1th Services ,at least $120,000 State money contributed. Therefore, what was being done cost $264 Furthermore, if Orange County would have stayed with the District it would have cost least 6% more t.9 hold-the--line. Therefore, the cost would have been $280,364 ---- not $7.52,000 ----- for! this year. If we were with the District next year the costs to hole the-line would k ave to go up another 6%, at least, making the fiscal 179 cost at leas $297 ,185. Mr. attis requested for us a total of $472,306 or $175,121 more than the projected District cost'and we requested $619,734 or $322,549 more. There exists more subtly to the situation than such number crunching, the Di.s' was unfair to ii s employees in that regardless of how long one worked for them they ed at Step 1. is practice had its resultant effect in lowered employee work stand; and miniiial work loads per employee. -­ in other words , they got no more than what t) paid for, or less. The District was under considerable pressure to provide more of minimal level of State Standards services. I observe that the District has now reor; nized, hired a non-physician administrator , added many new services , increased costs is moving aggc'e�sively and progressively under capable Leadership to overcome many ye of grossly inadequate service to citizens. The District was living many years in th past and the breakup with Orange County has resulted in starting that_grg .atenc`n: the road to modernization. As to the .idea that Orange County i.s a natural part of t old District. 1, from a public health organizational, viewpoint, strongly dispute th point. T know the situation well enough and their counties well enough to state tha Orange County i unique from the other four counties; with a significantly different population; wit vastly vastly different growth pressures , with different resources and hea needs that requ re differen# services and different personnel. Their new admini.stra is struggling w th the personnel he inherited to adapt them to new roles. The Distr Page 2 is moving heavil into primary care, as that is a great need in those four counties. Lamenting what would have been and what that might have cost if Orange County would have stayed with the District is not a productive exercise, as the Old District, in many respects , des not exist anymore. 'Kany citizens of these five counties have Orange to thank -or causing the Old District to change. A better question than just how much would be: "What is the taxpayer getting for this investi Tent?" This is a better giestion because the allocation to the Distri was buying a passive, hold-the-line, outdated service. I become completely incensed at implication t- at things were just fine under the District. l become incensed be- cause 1 am the o�e uerson in this County who has absolute knowledge of the vast range of past:,negli.gen e. It has been my task since last October 17th to struggle to overcoi these problems. I have worked too many hours each week since then with little break time with these problems I have inherited. The uninformed person simply can not make such statements *n my presence and expect me not to react,as my life since October ha been comprehensi' ely ruled by solving these problems from the past. Secondly, we have struggled to put together all the procedures and practices o a modern department. Thirdly, we have only had a highly inadequate staffing level to work with and many of those persons are new, and have ,just recently joined us and lac experience. We ave had to invent everything new, as the District stripped the offic when they left. We inherited equipment that was so ancient as to be genuine antiques Our :automobiles are hazardous even sitting still. It is unfair to bring tap a new bat with two strik and the third sure strike pitch already on the way to the plate. It is indecent to as how :much more have you accomplished for the extra money --- consid ing the situation. However, even with the situation , this staff has made significant gains and they tLave a great deal. to be proud of. I wish to inform you about this Ste and its accomplishments up through this date. w First, wd will submit ourselves to any independent qualified judging or ratinE process on any activity we now perform to prove my belief that in terms of quality we rank v ry high and that the improvement in a few months has just been out- standing. As of this date we do not have our annual accomplishments collected and the & for the District accomplishments are not available to us ,except in bits and pieces. Therefore, I have put together what little knowledge of what the District was doing that we have an compared to the same activity in the same time frame under this de- partment. ENVIRONMENTAL HEALTH With an average of 3.65 men , some of whom were new and had to be trained to wt here, compared �o 3.25 men in the District we increased the work load by 311%. In th area we have mo ed in terms of work quality (for instance, from perk holes to soil a ysis) very far.. We have become an aggressive, progressive unit. The chart folleiwin, gives more det '1: Page 3 TYPE OF SERVICE July 176 - April '77 July 17L_7 April '78 Well Inspections 435 277 Water Samples 176 248 Consultations Vi its H2O 131 50 Sewage Inspections 1436 2429 Septic Tank Approvals 331 359 Lot Evaluations 627 1519 Consultations Vi its Septic Tank 513 689 Complaints 99 53 Food Handling Vi its 884 462 Total Visits 4632 6186 Man Days 549.90 669.05 Visits Per Day 8.142 9.25 In Famil Planning we have vastly increased quality tinder Dr. Switzer's Leader ship in that we have changed the focus to the whole patient rather than just their cc traceptive needs. Secondly, the District was serving 1669 patients with 2913 clinic visits. We have served 2,974 patients with 3,785 clinic visits ----. a 78% increase in total patients and a 28% increase in clinic visits. In germs of nutrition counseling and services we can not compare to the Distri because they did not provide such service and did not cooperate With O.C.C.H.S. in t'1" WIC program. W provide such service to all expectant mothers in our clinic includir their children end cooperate with O.C.C.H.S. to get the WIC programs for our patient; Since the District Left behind such sketchy information we can only compare bi of information illn other programs. Chronic Disuse: We are screening at least double the District .rate because-: t purposefully downplayed this area. In May we went out in the community and screened people for hypertension. The District had no such project. In our Chronic Disease clinic, the Dis r. t averaged 11 patients , we average 23 patients. In Chronic Di.sea: home visits the3 visited 76 patients in April of 1977 and in April.:of 1978 we visitec 138 patients. Maternal. Health: We have no base of District data. However, we feel we do sc more patients in clinic and at their homes. Our clinics serve up to 60% high risk patients therebi indicating we are aiming this service much better. We provide edue-, tional opportunities not previously provided. Lastly, our working relationship with Memorial. Hospit' and the Medical. School is vastly improved. Child He the Despite its inadequacy we estimate we are serving at least tri l the number of c ildren with school health services. Pediatric clinics served an ave of 31 per week in January throw March of 1978 compared t6 22 in January through Mai of 1977. We hafe trained nurses and upgraded their pediatric skills for child healtl screening and assessment. We visit all first born children and all risk children. have expanded our community nursing pediatric involvement. In the 3rd quarter of 1� .� Page 4 year the District made 197 pediatric home visits. This year we made 352 visits with better trained personnel. Our working relationship with Memorial and the Medical School for pedi. rics is very close and positive. Lastly, we now clinically work with development delayed children_ We have tied together the resources of the State and the University to serve Orange County developmentally delayed children. Dental He the The District regularly failed to spend the State allocation by thousands of dollars. We have spent the allocation plus sought and received $2,000 extra. Other areas: We have straightened out some very bad x"ray policies and prroce-- dures. We have caused Home health ntwsing in Orange County to be reorganized from th small agencies with inefficiency and cost excesses to one central, efficient agency. have expanded health educational activities greatly and have involvement from aTC as never before. WIP have mounted massive lice eradication programs involving at least 6,000 students t.�is year. We screened for scoliosis 1. ,04'7 students and were .involved follow--up screening and other services 350 of those screened. In terms of a yearly average level of employment. These rather Large gains ha been accomplished with .45 additional Sanitarian and 1 additional nurse and no extra clerical help. Tn terms of aggressiveness , openers to the community and willingness to Leave our offices and go to the problems , this new department is completely reorie; Our personnel costs had very little increase in terms of new positions but did go up in terms ofi rewarding employees step increases for longevity. Other heavy cost: were experienced in non -personnel start-up costs. We presently estimate an unspent fi balance of $10,0P0. Our original budget was $384,681 , our spending is estimated at $374,681 or an increase of $77,496 more than what the District would have spent and 11 than the $80,000 mentioned at the formation of this department. ­ This county now has its own Board of Health. This group is making decisions , does meet very often and is greatly attuned to Orange County. The Board will develop and mature as a public body, giving Orange County a public health representation that will be invaluable. The difference between administrative styles due to the Board's existence is vast and I believe what this County wants. We are pr?ud of what has been accomplished in a few short months. I believe ti local taxpayer has more than gotten their monies worth. T ask that the Commissioners not kill ,our progress ! Do not make us hold-the-line! Establish some priorities and Elrod accordingly We are trying to overcome many, many years of public health neglec' in Orange County-