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Agenda - 02-20-1979
AGENDA ORANGE COUNTY BOARD OF COMMISSIONERS TUESDAY, FEBRUARY 20, 1979 SUPERIOR COURT ROOM, ORANGE COUNTY COURTHOUSE HILLSBOROUGH, NORTH CAROLINA 7:30 P.M. 1. Does any B and member desire to modify this agenda? 2. Matters of public concern relating to: A. Items not on this agenda. B. Items on this agenda. 3. A public hearing to consider a Preliminary Assessment Resolution for financing certain paring assessments in the Colonial Hills area. 4. The Erosion Control Officer will report the owner of Boulder Run Subdivision has failed to comply with an order of the Board of Commissioners. 5. The County Attorney will : A. Reco end execution of a release instrument affecting Robin's good Subdi ision. B. Repor6, progress towards creation of a County Industrial Development Revenue Bond Authority. C. Repor outcome of an appeal to the North Carolina Supreme Court (Lloy� vs . Babb) of a case concerning certain election challenges. D. Reviev the present administrative- arrangement for the county's IV D, Child Support, Program and recommend changes. E. Advise the Board status of negotiations to convey a portion of the North Side property to the Chapel Hill Housing Authority. 6. The Planni ng Board recommends approval of the preliminary subdivision plan entitled, 1. L. Wilson Estate, Phase II, and of a variance from minimum road right-of-w y requirement. 7. The Health Director will : A. Repor recommendations from the Board of health concerning the count,� 's rabies vaccination program. B. Request tentative approval of the Health Department' s Family Planning budget for the coming fiscal year. 7. The Health Director will : (continued) C. Report that the Board of Health recognizes a clear health hazard exists for c rtain residents along Route 70 East because of low water quality in that Irea. D. Revie a report on the county's "Green Box" program. &. The Adminiltrative Assistant to the Manager will review a proposal for operation of the county's animal shelter by the Animal Protection Society. 9. The Finance Director will review a proposed foremat of procedures to be followed in the upcoming Capital Improvement Program. 10. The Finance department reports the results of bids for: A. Three patrol cars to be used in the Sheriff's Department. B. Three mid-size cars to be used in the Sheriff' s Department. C. One cmpact car to be used in the Energy Office. D. One compact truck to be used in the Public Works Department. E. Automobile tires and tubes. 11. The Manage recommends: A. The bids of County- Ford for three Fairmonts, 6 cylinders , ($15, 09.90) be accepted. (This is not the low bid) . B. The b ds for three patrol cars , one compact car and one compact truck be rejected, as each_ low bidder failed to submit the required bid bond. C. The low bid of Nu-Tread Tire Company for tires and tubes be accep ed. 12. Board memoirs have received correspondence concerning noise from the Chapel Hill Police firing range. Does the Board desire to discuss this issue? 13. A resolution concerning membership in the State Employees' Credit Union. AGENDA ADDENDUM ORANGE COUNTY BOARD OF COMMISSIONERS TUESDAY, FEBRUARY 20, 1979 6. Item 6 approval of preliminary subdivision plat entitled J. L. Wilson Estate, Phase II , must be deleted from this agenda as the Orange County Planning Board dirt not meet on Monday, February 19th, to consider this preliminary plan. A new i tern # 6: One item the Board requested on February 5th to be placed on this genda was omitted - the desecration of the flag issues raise by the county's American Legion Posts and by Mr. Randall Waughl The Manager recommends this item be substituted for item &, as: a) The County Attorney's letter in response to your request i s now available. WINSTOW, COTEMBN AND BEIINHOLZ AaroTLN=s AT I awr I3..+a1ar T.1tit-r-szov CUU-MTOW STREET ALO*;%o B,COLEMAN,J"Ie, FLIT T,SDOIROUG7I,14017TEC c4ROx.3-NA O7,"'.7B or COS,'Nsrz STL-vE i A.B7R\aotz 011E 732-2196 Boti.-En D-$. urfER Ifocsa B BERNUOLZ {1002-39n) Dwwm R Dlcaxxsor3 August 2 1977 ! CH,%rnm HILL OF2,1GE J W11L1A-14 BLUE.JR STjzTE 3o,FxL&N Emor BiT2I.1 n c3 CizoorneX E GIxDIIIIS, 1:37 EAST FakNULT-N ST3L ZT DOUGLAS 1'-&vrsAVE C3LArtt EILL,NOIRTH CAILOLIYA.27S[4 WIS.L.LA.x F.L.AF31mza 0113 D20-7151 I)AviD hC,ROOKS.I1f Mr. Sam Gattis Orange County Manager Orange County Courthouse Hillsborough, North Carolina 27278 Dear Ste• Re: Robin's Wood Subdivision Section III Enclosed is a Release concerning the referenced matter from Mr. John Stewart, Attorney for NCNB Mortgage Corporation. NCNB Mortgage Corporation is the successor in title to Robin's Wood Subdivision. 1 have been advised by the P anning Department that the roads in Section III of Robin's Wood have been constructed to State's standards. Release f Section III , then, is appropriate. It will require Ithe signature of both yourself" and Richard Whi.tted and an a testation by Agatha Johnson. Very truly yours , ; STATE OF NORTH CAROLINA E' !;COUNTY CF ORANGE i� it R E L E A S E Ii I� THIS RELEASE, rude and entered into this _ day of June, H1977 , by and between ORANGE COUNTY, a political. subdivision of the i� ,tState of North Carolina, hereinafter referred to as the "County" , it and NCNB MORTGAGE CORPORATION, a corporation organized under the Illaws of the State of North Carolina, successors to Lexington HomeE !Inc. , and hereinafter referred to as "NCNB Mortgage"; W I T N E S S E T H: i WHEREAS, the County and Lexington Homes , Incorporated, a i !corporation organized under the laws of the State of Delaware, i and auth rized to do business an North Carolina, hereinafter li ;referred to as "Lexington" , entered into an Agreement, dated r. 116 March 1976 and recorded in Book 261, Page 1878 , orange County I iRegistry, governing the paving of streets and development of :Sections 2, 3 and 4 of ROBIN' S WOOD SUBDIVISION. !I WHEREAS, in said Agreement, Lexington for itself, its t �!assigns and successors in title covenanted and agreed that none i1of the I is covered by said Agreement might be sold, encumbered, I t ......w..s,v.,-.,._ - i F ##i f� Agreement and shall remain in full force and effect. }} IN TESTIMONY WHEREOF, the parties have hereunto set their I' hands a nd .seals the day and year first above written . I; ORANGE COUNTY By: � :4 Cow Y, mi stmt j ATTEST: By- t C airman, Boarcr of County --- Commissioners ATTESTi. ;johWon Clerk ; STATE OF NORTH CAROLINA f COUNTY OF ORAN E i I _ f ndtary Public for said County 'a d Stdte, certif that A•n ' the Board of County Co_�imissionersypexsonalltha Johnson, Clerk to si this day, Y appeared before me , and being duly sworn, says that shp knows the common sea of Orange County and is acquaint j with i 7%r.4-4 r,ti e»•i-r-n a-r.v .. ley- -`""' �... '--- - � , STATE 4 NORTH CAROLTNA COUNTY F ORANGE This is to certify that on this day before Me personally acquain ed, who, being by me ith Whom I am personally r F Workman —Plrst dulY sworn, says that Cy__F I I is the Vice President and hen Eller is the Gst.— Secretary of NCNB if ORT�GAGE CORPORATION _a�nd—that' by autFo—rity' duly given and as an act of he Corporation, the fo'regoing instrument was signed in its nam by its Vice President, sealed with its. and at � �� ��a G t corporate ---` " i/ _8��� ocze a�y' , ^ and off * I this Nota±�y Public'- my comml Sion Expires : May 30 1977 . . ! ! / ' / � ' ' | / < � U i / � 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 Richard Whitted Chairman, and Norman Gustaveson, Anne Barnes and Don Willhoit Absent: None y The following Resolution was read to the Board: FINAL ASSESSMENT RESOLUTION ADOPTED BY THE ORANGE COUNTY BOARD OF COMMISSIONERS TO FINANCE THE LOCAL SHARE OF THE COSTS OF PAVING NORTH CAROLINA STATE ROAD 41819, ALSO KNOWN AS ADAM'S PLACE, NORTH CAROLINA STATE ROAD *1820, ALSO KNOWN AS JEFFERSON DRIVE, NORTH CAROLINA STATE ROAD 11$21, ALSO KNOWN AS WASHINGTON DRIVE, AND NORTH CAROLINA STATE ROAD 01822, ALSO KNO4O AS KENNEDY 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 coasts 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 1#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-185 (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 local share of paving North Carolina State Road #1819, also known as Adam's Place, North Carolina State Road #1820, also known as Jefferson nrive, 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, COLEMAN.BFRNHocz &DICKERSON North Carolina. The amount to be financed by Orange County is ATTORNEYS AT LAW CHAPEL HILL,Nc HILLSBOROUGH.N estimated to be $24,000.00, including costs and attor'ney's fees. Approximately fifty-five (55) percent of the cost of paving the above roads will be borne by the Department of i 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. 4. No assessments of this project will be held in abeyance. 5. The assessment shall be paid in the following manner: a. Within thrity (30) days after the Notice of Confirmation of the Assessment Role is published, 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 Role 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's fees and to prepare a Preliminary Assessment Role which will contain a brief description of each 4lot, 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 fair as this can be determined from the County tax records. -2- This Resolution is effective upon its passage. COLEMAN.BERNHOLZ Thereupon, on motion duly made and seconded this 6, i71CKER50N ATTORNEYS AT LAW CHAPEL HILL,N,�c Resolution was passed by the following vote: HILLSBOROUGH,N.C. Ayes; Commissioners Richard Whitted, Norman Walker Norman Gustaveson, Anne Barnes and Can Willhoit Noes. �P it it i<ielr it it ie it*�t*****ir is is it�t*ie it it*ir is it�F kick kir ir'kic'k it ie it it is it ie*i;it*ir it iF it is it it is**ic*ie I, Mary Lou Bouley, Clerk of the Board of Commissioners for Orange County, North Carolina, DO HEREBY CERTIFY that the foregoing is a true copy of the proceedings of said Board of Commissioners at a meeting held on February 20, 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 paging of North. Carolina State Road 41819, 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 such proceedings are recorded in the Minute Book.. WITNESS my hand and the official seal of the Board, this the 20th day of February 1979. l Mary Lou Bouley i Clerk of the Board of Commissione •s for Orange County, North Carolina --3- CoLEh4Aw.BERwmou &.T.=ERSON ATTORNEYS AT LAW CHAPEL HILL,N.C. H1LL550ROUGH.N C E i i BE IT RESOLVED that the residents of the area known as the Southern Triangle of Orange County and residents of the adjoin- ing Northern Chatham County areas do hereby endorse continued planning for these areas by their respective counties as they already have quality planning organizations. We further resolve that we oppose the extension of the Chapel Hill Town 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 for 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 TO SOUTHERN BYPASS: BE IT RESOLVED that the residents of the area known as the Southern Triangle of Orange County and residents of the adjoin- ing Northern Chatham County areas do hereby endorse that the State utilize lands already purchased for four--lane highway construction from Eastgate to Morgan Creek in Chapel Hill and further endorse continuing the four-laning of Route 15--501 south to Pittsboro as a most practical tax-saving measure, 4 J ; 'I COLEMAN,BERNHOLZ AND DICKERSON ATTORNEYS AT LAW CHURTON STREET COLE ATONED ES MAN,JR HII L513GROUGH,NORTH CAROLINA 27276 CHAPEL HILL.OFFICE STEVEN A.BERNHOLZ 919 737,2196 Sum 28,FRANKLIN BUILDING ROGER A,IIEI1NHOL2. 914 442 8806 137 EAS`Y FRANKLIN STREET OONALO R DICK£RSON CHAPEL HILLILL„NORTH CAROLINA 27514 GEOFFREY E.GLEDHILL February 20, 1979 919929.7151 DOUGLAS HARGRAVE MARTINJ BERNHOLZ LEGAL CLINICS PATRICIA STANFON€?HUNT 1 ADMINISTRATFVE OFFICE Ot Ca .I 136 EAST ROSEMARY STREET DONNER D SAWYER CNAPLL HILL.NORTH CAROLINA 27514 (1982 1972) 919 929 0394 Mr. Richard E. Whitted, Chairman Ms. Anne Barnes Mr. Norman Gustaveson Air. Norman Walker Mr. Donald Willhoit Re: Legal Responsibility of the Orange County Board of Commissioners in Conjunction With The Flag Burning Incident That Occurred in Chapel Bill on January 28, 1979 Dear Commissioners: I have reviewed all of the available facts concerning the referenced incident for the purpose of assessing your legal responsibility. it is my opinion that respon- sibility for investigation and prosecution, if warranted, of persons involved in this incident lies with the District Attorney of our Judical District. North Carolina General Statute g7A-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 Attorney 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 Mr. 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 Cot EMAN,BERNHOLZ AND DICKERSON Mr. Richard E. Whitted, Chairman Ms. Anne Barnes Mr. Norman Gustaveson Mr. Norman Walker Mr. Donald Willhoit February 20, 1979 ?gage two District Attorney to Mr. Stuart Barbour. I have conferred with Mr. Wade Barber concerning responsibility for responding to the inquiries concerning this incident. It is also his opinion that it is the responsibility of the District Attorney and not the County Commissioners. Very truly yours, COLEMAN, BBRNHQb2; AND DICKERSON P e ie hill t GEG/jac r cc; Mr. Wade Barber, Jr. l A Z, �''-„''' B 1 3 5979 stice IP w^DE eAnnu? in ',DiftzF1A_!B �- 01Cl P 0 110e nu: PITTS(Mr,0 NOPTA CAROLINA 27117 February 7, 1.979 Mr, Stewart Barbour Route 4, Box 516 Hillsborough, North Carolina 27278 Dear Mr. Barbour: I appreciate your bringing to my attention the flag-burning by the demonstrators on the UNC campus. North Carolina General. Statutes 14-381 clearly seeks tn make it a misdemeanor to burn a United States flag.. As you may recall from the memorandum you gave me, a Frequent defonse to charges of violation of such statutes. is that the dufen- dant's first, amendment rights are overriding. The First Amendment to the United States Co6scitution, Lhe most important provisions of our Bill of Rights , provides in part; "CONGRESS SHALL MAKE NO LAW. . . .ABRIDGING THE FREEDOM OF SPEECH_" Until 1.974 the Supreme Court settled most flag desecration cases by finding the statutes too vague , However, in the 1974 case of Spence v. Washington, 418 US 405, the United 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 statute for publicly displaying an American flag with symbols taped across the flag. The Defendant was protesting the United States' in- vasion of Cambodia. The Supreme Court overturned the defen- dant's conviction holding that his desecration of the flag constituted political, symbolic speech, and was therefore protected by the First Amendment, The interest of the State to Protect the flag is over-ridden by First Amendment Rights whoa the flag is used as "Symbolic Speech" in political cx- pressioR. Page 2 Mr. Stewart Barbour February 7, 1979 From the information you provided me regarding the detnon- stration on the UNC campus, it appears that the flag was burned in the context of Political protest. Therefore, I am of the opinion that the burning; of the flab; 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 fools,." Should you have further comments or suggestions, Please let pie know. With best regards, I am Sincerely, Wade Barber, Jr. WBjr:ics cc: John Thompson e AGENDA ITEM 7 B ORANGE COUNTY HEALTH DEPARTMENT FAMILY PLANNING NARRATIVE FOR FISCAL 1980 1, 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 bstimated to'be females in the child bearing age group 111 - 44: of this ,grouping 3,351 are estimated to be nonwhite and 18,038 to be white. The 1975 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 for 1979; secondly, we are prohibited from 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 funded to serve the entire need. In estimating our need we use the need total, the poverty index, the population estimate of those above poverty and below the economic 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 persons 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 parenting population; concerted effort and the majority of educator staff time is directed towards the teen population. B. Percent of Need Currentl y Met The total number of active patients in our F.P. program for FY 178 was 1,1132. This figure represents a 2D% increase over the number of active patients for FY '77. Our percentage of clients age 17 and younger increased Drom 10.2% in FY 177 to 15.2% in FY 178. The majority of our patients remain in the 20 -- 29 age bracket. We estimate that we will close out FY 179 (ending .tune 30, 1979) with 1678 active patients which is a 15% increase over last year. The 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. Seven percent of our F.P, clients had income levels greater than $12,500. A rough estimate is that we are presently clinically serving 62% of those needing our services and in FY 180 we are projecting an increase to 71%. 2 C. Program 5tructuhe 1. yp es o clinics, Schedules & Location clinic days with extended hours from 8:00 •- 5:30 are held each week, one day at the Hillsborough office and one 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 come for a special orientation and educational session. Special Teen Clinics were held during October, 1975 through January 1979 during late afternoon hours (Prom 3 P.M, - 5 P.M.). Despite publicity and encouragement to attend these special•clinics our teenage clients prefer to attend the regular.clinic during mid-- morning hours: After this experience, the administration decided to combine 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 edudation, 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 lung) thyroid, extremities, breast, abdomen, pelvic (visualization of cervix, bimanual & recto-vaginal exam) exams 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 uncomplicated urinary tract infections, b) counseling 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, diptheria and tetnus as indicated, 11) referral for medical emergencies:-.and 12) supply of the desired contraceptive. If any test result is ab- normal and the patient needs further 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 certain 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 for those age 12 and over. It is our intention to protect the dignity of the individual and ensure the privacy and confidentiality of the encounter, to the extent adequate space is provided. Grange 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. F 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+80, Brevicon, Demulen, ©vulen, and Norinyl 2 mgm. , others by prescription), 1W (Lippes Loop), the diaphragm, contraceptive cream, jelly or foam, and the condom. The rhythm method using the basal temperature or mucos secretions is also taught upon request. 3. Supportive 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 XIXlXX. Outreach efforts are supplied by two Family Planning Personal. Care and Family Aides, one housed in Chapel Hill 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 PGFA's home visit all new family planning patients to ensure they fully 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 family planning. A Social Worker 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 178-179 include providing patient education classes in conjunction with the family planning•:clinics,the 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- riculum at the county high school. This curriculum was designed as a pilot project and has been approved by the Change 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 clubs, such as the FHA, have also been receptive to staff educational, efforts. 4. Staffing-pattern, The clinic is operated at each office 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 9hite is the P.H.N. who is in charge of coordinating the program within the county. I! II. Program Activities A. Teen Services Teen Emphasis During FY 17e-179 the Orange County Health Department received addi� tional funding ($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- ment of a teenage pregnancy prevention program. A total of 55 births occurred to women 17 and under in Orange County in 1877, as compared to 53 births in 1976. During 1977, Orange County, teens 17 and under had an estimated 194 abortions. The emphasis of the Teen Health Program has been two-fold, to pro- vide teens with educational experiences in which they can acquire 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 tq help meet the broad educational objectives of the program. Originally 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 5:00 P.M., both in Chapel Hill and Hillsborough. Several articles appeared in local newspapers discussing teenage childbearing to create community awareness of the problem and publicize the clinics. A leaflet describing th clinic was developed and distributed among the public schools and various co unity agencies. A full range of clinical services were provided, in- cluding a family planning orientation educational session geared for new patients. After being in operation for approximately 31 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 planning clinic with teen clinic. To more adequately meet the needs of area teens, clinic day for family planning is being changed to create a "family planning only" clinic day, Clinic hours are being expanded to meet both the needs of teens and the needs of working, persons. Patient education classes are being Offered twice a day during clinic ho€L~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. 5 Departmental efforts to reduce the unplanned, unwanted teenage preg- 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 FY 179-180 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 necessary to make responsible sexual decisions. In order to accom- plish these objectives and make a visable impact, it will be necessary to provide far 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 180. Detailed teen objectives are given in part III, H. following. S. Male Involvement To date, program activities have focused very little on male involve- ment. Participants attending patient education classes are encouraged to bring their partners to the clinic and informed that males are welcome in the classes- umbers of the Family Planning Advisory Council 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 development of the Family Life Education Curriculum. Additionally, male students were included in the questionaire developed to assess students health education needs. C. Family Planning Advisory Council The Orange County Family Planning Advisory Council has met three times during the first half of FY 179-180. The council is still in the process of development. Membership tends to fluctuate from one 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 for the family planning advisory council for Fy 179 -180 appear under health education objectives. D. Patient Education Patient 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 palnning; 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 from 3:45 to 4:30 p.m. , once a month at each site. After teen clinic was b incorporated into the regular F.P. clinic, classes were rescheduled. Presently in Hillsborough, patient education classes occur once a week on clinic day from 9:00 a.m. - 10:00 a.m. and 4:00 p.m. - 5:00 p.m. In Chapel Hill, classes occur once a week on clinic day from 9:30 a.m. to 10:30 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 .invited to attend. During FY 179 - '80 the department is committed to continue providing such classes. The department plans to sponsor other family planning related classes within the clinical setting dealing with such topics as breast self-exam, venereal disease, high risk pregnancy indicators, etc. ..... _.. See Family Planning Health Education Objectives forward for more detailed plans for FY 179 - 180. E. Internal Quality Assurance At the end of each clinic day, the E.P. lead nurse, Anna White, re- views the charts to assure that all procedures which were performed are recorded properly. She also notes which patients need home visits or return visits to the clinic. The F.F. clerks at each clinic also reviews the charts while processing the third party charges. The nursing super.- visor and management support supervisor exercise quality control measures during and after each clinic. In FY 179, our F.P. Physician and nursing supervisor pulled records for spot checks. During FY R80, we shall for- malize a quality assurance checking procedure which shall be accomplished by a teary 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. Infertility Services Patients 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 Hall headed by Dr. Jaroslaw Hulka who is an established authority in this subject. G. CommGntiy relationships/ enby lihkaaes_ T. P19-icultural Extension Service - We have given presentations to extension groups and they are helping tap us into teen groups. 2. Orange County Women's Commission - We 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 a cold-reQtal screening project with financial assistance from them. We obtain our anti- smoking material from them. 4. Civic clubs W Ile are often called on to speak to such groups. 7 5. University -- We have a multitude of relationships with the University; e.g. , student experiences, internships, training, consultation, etc. 6. Public Schools -- We are jointly planning and carrying out health educational curriculum and classes and special classes for teens who have given birth and are keeping their babies. 7. Croup Homes - We provided technical assistance in planning pro- grams on contraception in sheltered workshops. 8. Private Counseling - There are several such groups to whom we can refer. The predominate request by patients for referral is for abortion counseling. The largest number of such referrals is to the Woman's Pavilion. Conversely, counseling for adoptions is by a public agency -- - see listing 14 following. 9. Medical School - They provide our physician back-up and are a source of needed advice. 10. 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- ment at the dysplasia clinic. 11. Other Primary Care Centers - Mutual referrals. 12. Mental Health - We have consulted with them and taught them regards family life education. 13. Ministerial Associations - They are backing us in the teen involve- ment effort and trying to help us. 14. Department of Social Services -- Provides our certification, takes our social work referrals, income problems referrals and adoption referrals. 15. Radio/TV/Newspaper - They have continually assisted the program with publicity and favorable attitudes being communicated to the public. Examples are: The Nears 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 Hill Newspaper publishes our clinic schedule, has cdrried several articles on family planning and articles focused on teens and covers the community meetings on teen health. The radio station WCHL in Chapel Hill has had many spot announcements 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. 16. Recreation Departments -- tide are working with several of their teen programs. 17. Joint Orange Chatham Community Action -- They have a standing offer to transport patients for us. 18. Nutrition Programs - The Nutrition program at the University of North Carolina provides us with nutrition students to work with patients. 19. A variety of other relationships exist. Our County is rich in talented, superbly educated persons whom we can work with. 111. Program Plan A. Family,Plannin = 8 OBJECTIVES: I. Increase the total active patients from 1 678 (FY 179 year end estimate) to 1917 by FY 180 year end. 11. Operate family planning clinics two days per week (one in Hillsborough and one in Chapel Hill--Carrboro), ten hours per day. 1. Increased teen services. 2. Increased working women services. 111. Explore P.O.M.R. (Patient Oriented Record Keeping) for the program. IV. Maintain clinical currency of FP staff and procedures. 1. E�urther 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: Goal: To increase the number and quality of educational functions within the clinic and the co:amunity. 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 hi,h risk indicators. 2. Use the series with community groups -- churches, civic clubs, schools, etc. 3. Use mass media to reach high risk groups id - newspapers, radio (WSRC, WCHL) TV (Real Perspectives, Black 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, etc. on family planning program. 1. Develop a FP leaflet discribing the program and services which can be inexpensively produced. 12. A. Continue to provide a channel for consumer communications and a strengthened FP Advisory Council. 1. Maintain the Family Planning Advisory Council and incrase membership. 2. Develop, distribute and evaluate a patient satisfaction survey. t - 9 3. Support the work plan of the State Advisory Council by sending a member to meetings. It. 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. B. 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-up on those persons at an adequate time interval to evaluate use of method, patient continuation, etc. D. 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 impact 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 counseling. C. Family Planning Teen Pro am Coal: To provide area teens with educational experiences through which they can acquire the necessary support skills, and kno:aledge needed for responsible sexual decision making. Objectives: I. Continue efforts to establish a Teen Health Council(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 processing the needs expressed. la 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. ) . B. Work 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 1. d z.sciss :..., _ of teeen en discussion groups. al contact set up a schedule for subsequent - meetings. _ III. Provide technical assistance to schools when requested and appro- priate. A. Make services and skills known to guidance counselors, and teachers via one-to-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 will feel welcome_ C. Support the development and implementation of family life education curriculum. M 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. Keet 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. 4 I 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; B) Billing procedures; C) Patient flow handling; A) Filling out of F.P, forms. 2- Provide in--service training 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. Department of fluman Resources Page 1 of 1 Effective Date Division of Health Services 0I Z L L,�2 Pl!innin� Branch — —— ——— — — — Termination Da Contract No.te CONTRACT BUDGET For Fiscal Year Revision No. Contractee: Ora-irre Co,intv th 'Department Purpose: Project Director: Total Budget: $1 e)-7,I:)k ITEM •E14. Loa! CONTRACT ITEM DESCRIPTION CLASS. NO. No. AMOUNT AMOUNT PH Physician 11 (Switzer SAL:�.RiFs 1210 001 9,179p0 7 PH physician II (Switzer— Z";')) SALARIES 1210 002 696 o : 11, 13,988 0 003 b ?�Pl 11 (White) Health A4-de II (Allizoa) 004 1 . 8,316 1 0 005 7,636 po Health Aide 11 (P. 1•1eb--Lne) 01 1 0 6 11,30?- iOO Health Ed. I (Williams) I It 11,7502 iOO Health Ed. T (Jones) 007 1 ' 78 bO I if 1 008 1 3,2 PHN I (Pickens - 25,3j) 1 - P,-T I (Metcalf - 25,70 009 087 1 100 La's. Tech. I (Leinfelder - 50,4) 010 5,203 00 Clerk/` .mist ill (Fox - 251) Oil 1 2,360 bo Clerk IF(E. Mebane 012 G 1x905 100- 2,131 bG Clerk/Fypist Ill (C- Cates - 235) 013 0 ollt 2,�59 10 Cleric I! (L. Cates - 25%) It .1 Social ".1orker I (King - 5CEQ 015 52651100 1 p;ry Sir). I (Popovich -- I(VQ 016 1 Ad. - (T4 Cl? lor"Ico I Sec. V (Knirht - 1 P. H. Ad. ill (Robin5o:i - 5,5) 01, 1,427100 i Health Fd. 11 (Fan-:ce - 019 4,51A00 Frin se, 3 at 6.17 Retire- at 5-8N -100 Ins at 1 "10" _ , jlg.7() /410./p:,rr,0n D-NETITZ" 1800 10,44cr 104 Training/Ed. -`MnloYee V2. nD. 3950 i 'too 100 ''elephow- at '11,440/Postage at 5300 COMN. 3200 i 1,71)010o TRAVEL 3100 Travel 3,800100 Print in-/D in?icat ing PRI."M'.' 400 loo 3!LOD OfTice Sunniies 07-C.Supl 2600 1 800100 SUPI 2300 15,000100 Ed-(�;5ooJA!edicai(5l4,500) Supplies ,100 Dues and Subscriptions Dusz/s-jr 49:Lo 200 Insurance/Bonding '4500 i 415;-.o Other Ex--enses (Advisory Boards) GUIER 7)ocx i 400100 purchase-of Other Fquionent 0 --?FT 5300 55 00 i J $27,02x00 5107,124100 Total Local ------,B27,O28 Total Contract --- 5107,124 ------------------ --------------IT---------------T---- 0 e oE Fun r, H - .3 24 D;5 Fune 9�,l =4xX M-C 1 9, ,x 14,ocol00 ................ BUDGET OFFICE USE ONLY object: Project: Fund 2: Fund 3: Authorized Official Section Chief Director DHS AS OF AS OT AS OF A5 OF S OI�ItCE 4 - 34 12 - 31 3 - 31 - .r rCLINIC ACTIVIT Y -- PATTr\.T' STATUS Ob"ective � 74 FP 365 Tnta3 Active Patients -FP 431 Performance Fp �}3i 0b`ective , Active Patients Age or Less pexforn�ance - _ ! FP 431 Ot)j ective 15. Unduplicated Active High Risk Patients2 Performance _ PATIEi r RMNTION SOURCE CALENDAR YF.A ISCAL R YEA FP 424 Qfi`ective 77% 16. Patient Continuation Rate FP.426 Perform ance JULY DEC F SCAL AlJ\ITORED MEDICAL SERVICES St1URCE - W FP 424 Ob'ective rrY 17. Percentage of-Required Medical Services3 FP 426 performance SOURCE _JULY - DEC FISCAL YEAR CLINICIAN ACTIVITY �1 Certified FP 424 OIS`ective 18. piedical Visits ltfien' a Clinician (h s -Performance Nurse hiidirife, PA, F�',,or FPNP) 'Is Seen FP 42fi LOCAL Ob`ective 93� 19, Aiedical Clinician I"iours - DATA Performance N/A Ob`ective 24, Medical Visits per Ciinician Hour .(Item 18 19) Performance OTIIER COUNTY OR REGIONAL 0BJECTIZT'S Attach additional objectives on a separate sheet. They should be tune-framed and quantifiable. Notes: llnformation provided by FP Branch ostneonatal mortality. 2Increased risk•of`fetal�, neonatal,.and p 3These services include breast exam, pelvic exam, pap smear, blood test, urinalysis, blond pressure, and gonorrhea test: UjS Form 2291 (Rev. 9-78); Fa �.. planning Branch; DEPARri-LINT OF I-lliWN RESOURCES DIVISION OF EII ALLTH SERVICES i I\'aRITI CAROLINA STATE11,11DE FAMILY PLANNt ING PROGRAM � E y PERFOP%MICE EVALUATION REPORT COUNTY.OR REGION or A^:En_r r,— FISCAL YE aQa _ r 0 1st 2nd 3rd Q 4th Q FY E_ Rn i Jul-Sept Oct-Dec Jan-M-r A r-June FISCAL ACTIVITY .SO C 1. Amount of Contract Monies Spent Expenditure Objective Reports Performance SECOND AND TEiIRD PARTY REIM13URSDIENT ACTIVITY alit Objective 2. Visits with Patient Fees Collected 1 Performance i i 3. Persons Billed for through Title XIX 1 Objective ! t t r 17 erformance 4. Title XIX Claims Submitted FP 417 Objective o 9 s ann Performance S. Persons Billed for through Title XX 1 Objective Performance 11A 118 118 118 6. Title XX Claims Submitted FP 417 Objective Performance CLINIC ACTIVITY -- USERS AND ENCOUNTERS SOURCE 7. NeW Participants Receiving Medical Family FP 417 Objective Planning Services Performance 8. Total Persons Receiving Medical Family 417 Objective pg,, 985 885 fib 7nAA Plamiing Services Performance 3 9. Total Family Planning Medical Visits FP 417 Objective t 1 il t,qo. erformance FA.h!ILY PUM, ING ADVISORY COUNCIL ACTIVITY SOifRC Minutes of Objective I 1 ( 1 1 4 1d. Meetings Held Minutes Performance 11, Meeting Attendance Consuners Minutes of Performance ?dec Performance 12. 1 i Attendance �- Providers . . ,_ FAMILY' PLANNING' PROGRAM S[]14ARY' CHART ' Total FY 179 Total FY '77 Total FY 178 lst 6 mo. -FY '79 Projection Total. FY 180 Request 7/76 -. 6/77 7/77 - 6/78 7/18 - 12/78 7/78 -•12/78 7/19 - 12/80 #Active patients i 17 122 217 NA 18 & older 1074 1215 NA Average caseload 1196 1432 1521 1678 1917 (/New Patients 455 607 3GB 820 ` 660 f clinic Visits 2204 3211 1776 3319 11298 Continuation Rate 68.97 72.94 76.34 75 77 Total Patients Seen 1669 1820 1326 1914 2088 FP Outreach visits 2318 2413 1633 2900 3200 Health Educational Man Years of Effort .4 .4 .7 1,4 2.2 Grant Cost 43,692 43,692 � 39,128 62,081 107,124 �r REPORT ON THE ORANGE COUNT' GREEN BOX PROGRAM TO THE ORANGE COUNTY BOARD OF HEALTH By Jerry Robinson, Health Director February 8, 1979 At the January 11, 1979, Board 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 sani.tarians 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 Waste Management 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 information elicited was such that this report was written in a style to achieve brievity. It is hoped that this report will serve to aid problem comprenhension and solution. The options 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. In preparing this report it was delightful and gratifying to talk to many well informed 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 BACKGROUND 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 for 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 landfill. The table below gives comparative data. Monthly Tonage Hauled Into Landfill Sept•s.1978 Oct. Nov. Dec. UNC 882 1,111 1..,166 586 Chapel Hill 1,668 1,534 1,620 1,652 Others (mostly private haulers) 824 754 744 1,301 Orange County 556 535 542 546 Carrboro 351 354 344 342 Hillsboraugh 229 260 226 216 2" .7 Johnnie Horner, Orange County Tax Collector, is attributeddestitehhavinceSS- ful implementation of the program and its initial management, P g another job to do for the county. Sam Gatti.s, County Manager, has provided continuity to the program and on a troubl e-shooting basis has acted as pro gram management. ti Citizens generally see this as an invaluable service and for some it represents to them their most important county servi e. The success of the c 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 for their role. People were perceived as feeling that the program, while far from perfect, has until recently been very successful and has improved the environment greatly. Not having a solid waste program 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 bones were overloaded and insufficiently emptied. Considerable negative public reaction resulted from this experience. Aspects 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 es c accepted base of trash collection prediction is that each person g 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 bebaviorand are not incorporated. The boxes are insufficiently cleaned, pninted repaired. Environment impact is not controlled. Many sites are such that citizens are subjected to physical danger from traffic while attempting to use the box. Many 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. 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 regularily receives complaints about this. R. Boxes near the Durham County.or Alamance county lines are regularly used by out-of--county residents. 1. Small private trash haulers often use the boxes to save the expense of driving to the landfill and the dumping fee. J. 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 ninimum. B. Restrict the 4 cubic yard green box program to the low population density areas of the county. Small boxes should not be placed closer than 2 miles from an urban fringe area. This is in accord with research and state recommendations. The small 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. Many such persons have justifiably developed hostility and skepticism towards this program and the county's capacity to run it. Considerable effort will be required to live down these feelings. It is unrehsonable 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 for.C. Establish a 40 cubic yard green box program fo; the urban fringe areas. it 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. I 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 for the actual haul to the landfill_ As the 4 cubic yard equipment wear's out, the county shouldd 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 4 and up to one-half of that expected use has been exhausted. However,othe small. box program has a long term role in the areas of least pop density. The large box program requires less costly equipment and ►mainten- ance., A visit to tdilsan County would help establish the value of the 40 cubic yard box program. 17. The county should pass an enabling ordinance. This ordinance should clearly venging and littering at box sites, use of boxes by commercial prohibit sca haulers, and of boxes by non-residents. Enforcement procedures must be established and appropriate county authorities must be given clear enforce- sent mandates. Attachment No. 2 is one of the better ordinances of other counties. While not perfect for our needs, it could be used to form a , local. ordinance. E. Citizens should be allowed to deposit free of charge in the landfill four twenty gallon cans (or their volumes equivalent) of trash and refuse per week, in counties with this provision littering and mis-use of boxes decreases. Hiring procedures and qualifications for program staff should be brought F. fi into line with state standards. Sufcient trained staff should be pro- into vided to back up equipment operators when they are ill or otherwise o 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. H. Trailer park operators should be allowed the option of contracting with the county if they can not provide 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 .af the county staff. In fact, considering the mini- the efforts of any member funding of.the program for staff needs, it has operated amazingly well: mal na staff were willing to carry this as an extra uncompen- in instances sated load. I ` �,t. ,...,• —_ ).:_[.J... �_��__�-_��� �..- �..._ WY,_..._;i11.gaL 1JighF iMrn - i (.�,�__ ----- -- --3�----------- jam . : : J •_` � i Ramp I (tPaving ili'zad Stabilized Surface .17j, S'r�afner 1 ;- Serviea Rcad face (Paving Optional) =n� Opt_onal) lu F Il Grassed Area rOr Gras sad Area f t Fu+,cc 5 ` l Grassed Area � Grassed Area \` � R-O-W Site rn trance t F COt2CEPTUAL A1RAWING of A ROLL-OFF CONTAINER SITE - PREPAPMD Oil MkT TERRAIN 1 = t s Scale., kk 20t _;�._:. .k�x.:5oliclk*aste•A�.Yector Co,.trol Bzarkch `Y ATTACK'€ENT ND, 2 ORDINANCE AN ORDINANCE GOVERNING THE STORAGE, COLLECTIO,I, TRhNSPOPTING AND DISPOSAL OF SOLID WASTE IN EDGECOMBE COU,ITY, NORTH CAROLINA BE IT ORDAINED BY THE BOARD OF COUNTY CO,1,1ISSIONER8 OF EDGECOMBE COUNTY: Section 1_ That this ordinance governing the storage, collection, transporting and disposal of solid waste thzodghout Edgecombe County for the protection of public health are hereby adapted pursuant to authority granted by Articles 6 and 15 of Chapter 153A of the General Statutes of North, Carolina to read as follows: Section 2. - DEFINITIONS The following definitions shall apply in the interpretation and enforcement of this ordinance: A. Commissioners -- Means the Board of County Commissioners of Edgecombe Bounty or their authorized representative. B. Garbage - All putrescible wastes, including animal and vegetable matter, animal offal and carcasses, and recognizable industrial by-products, but excluding sewage and human waste. C. Person -- Means any individual, firm, goyernmental unit, organization, partnership, corporation or company. D. Refuse -- All nonputrescible wastes_ E. Solid Waste - Garbage, refuse, rubbish, trash and . other discarded solid material including solid waste materials resulting from industrial, commercial, • and agricultural operations, and from community activities, but does not include solids or dissolved materials in domestic sewage or other significant pollutants in water resources, such as silt, dissolved or suspended solids in industrial waste water effluents, dissolved materials ill irrigation return flows or ot:tle) conulio« %titter poll,uL-c:lIts. solid Waste Collector. _ means any person who collects or transports solid waste_ G. Solid Waste Collection Site - Any place at which a solid waste container is placed for the collection and temporary storage of solid waste pending periodic removal by the County solid waste collection to the County Landfill site. H. Solid Jjaste Disposal Site -- Any place at which solid wastes are disposed of by incineration, sanitary landfill or any other method approved by the Commissioners. 1. Solid Waste Disposal - The collection, storage, treatment, utilization, processing, or final disposal of solid waste. J. Authorized Representative The 6irdctor of Solid Wastes shall be the authorized representative of the Commissioners. Section 3 - SOLID WASTE STORAGE No owner, occupant, tenant or lessee of any premises shall permit hny garbage or other solid waste to accumulate upon such premises that is not stored in a manner approved by the Commissioners. Section 4 -- SOLID WASTE COLLEC'T'ION The owner, occupant, tenant or lessee of any premises upon which garbage is stored shall remove, or cause to be removed, all garbage from said premises at least once a week. The removal shall be done in a clean and orderly manner. Any solid waste that is spilled shall.. be-cleaned up and the premises left in a sanitary condition. Section 5 - SOLID WASTE TRANSPORTATION No solid waste collector shall transport solid waste in a conveyance that has not been approved by the commissioners. Vehicles or containers used for the collection and transportation of garbage or refuse containing garbage shall be covered, -2- -- leak proof, durable and of sturdy construction. These shall be cd.caned as often as necessary to prevent a nuisance and shall be maintained in good .repair_ Vehicles or containers used for the collection and transportation of any solid waste shall be loaded and moved in such a manner that the contents will not fal.l., leak or spill therefrom and shall be covered when necessary to prevent blowing of material. If spillage should occur, the material shall be picked up immediately by the solid waste collector and returned to the vehicle or container and the area properly cleaned. Section 6 -- SOLID WASTE COLLECTOR A. No person shall collect, transport or dispose of solid waste for a fee without a permit issued by Edgecombe County, provided that this subsection shall not apply to any persons disposing of solid waste., from his own residence, or to any person operating a solid waste disposal. site that has been approved by the Commissioners. Edgecombe County shall issue such authorization only when upon inspection it finds that the facilities, equipment and proposed operation methods of the applicant are in compliance with the requirements of Article 13B of Chapter 130 and }Articles 6 and 15 of Chapter 153A of the General. Statutes of North Carolina. B. Permits shall be otai.ned from the office of the Director of Solid Waste. Section 7 - SOLID WASTE DISPOSAL A. No solid waste collector or other persons shal.3. dispose of solid wastes, except by one of the following - methods, provided that this section shall not be construed to prevent any person from properly disposing of solid E wastes from his own residence on his own property in a safe, sanitary manner approved by the Commissioners: r 1. By placing of approved household solid waste in County containers. -3- 2, By placing acceptable wastes in the Edgecombe County landfill or any other sanitary landfill. that has been approved by the Division of Health Services as meeting all the requirements of the Division of Health Services "Rules and Regulations Providing Standards for Solid Waste Disposal." 3. By incineration in an incinerator that meets all requirements of the local, state and federal air pollution standards. 4. By any other method including reclaiming or recycling processes that have been approved by the Commissioners. ° B. Disposal of solid waste by any other method including t dumping is prohibited. C. Edgecombe County Landfill_ (1) Edgecombe County shall continue to operate its Landfill, to dispose of all solid waste generated by the 2 citizens of Edgecombe County. Every person using the t. n Landfill shall pay the prevailing charge for such use a except each resident. of Edgecombe County is allowed to ri carry up to four (4) twenty gallon dens each creek of a household solid waste to said Landfill free of charge_ (2) hours of operation at the Landfill and charges for GR its use shall be freed from time to time by the Commissia (3) Any .items delivered to the Landfill other than -; what is allowed free must be paid for by tlee person R- delivering the material to the Landfill operator_ r D. Edgecombe County Solid Waste Container System: Edgecombe County shall continue to locate containers throughout the County for use by residents to dispose of household solid waste at no charge subjr:ct to the rules ' hereinafter set forth. These containers shall be emptied at least twice each week and their contents taken to the County Landfill. Section 8 - USE OF COUNTY SOLID WASTE CC3,72A:TMMS Persons using the County Solid Waste Containers Must comply Witt' the .following rules for depositing household solid waste in these containers. A. Household solid wastes must be bagged before it is placed in containers. B. Burning or flammable material cannot be placed in containers. C. Heavy objects are not allowed in containers. D. No building material, bricks, lumber, tree trimmings, stumps, 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 dumped on top of the container or on the ground around the container. Violation of any of the above provisions shad. constitute a violation of this ordinance. Section 9 - PENALTY A. Pursuant to Articles G and 1.5, Chapter 153A of the General. Statutes of Forth Carolina and this Edgecombe County Ordinance each violation of any part of this ordinance will constitute a separate offense and any person in violation of the ordinance shall be punished by a fine not exceeding fifty dollars ($50.00) or imprisonment not exceeding thirty (30) days, or both, for each offense, And each day's continuing violation shall he a separate and distinct offense. B. In addition to the provisions of the foregoing Subsection this ordinance may be enforced by an appropriate equitable remedy as authorizers by any of the p':ov.isions of G. S. 1.53A--123. r Section 10 - CONFLICTING REGULATIONS REpL•'AI,ED All ordinances or parts of ordinances in conflict herewith are repealed only to the extent necessary to give this ordinance full force and effect. Section 11 -- SWEIRABILITY If any provision of this ordinance or the application thereof io any person, or circumstances, is held invalid, the remainder of this ordinance, or the application of such provisions to other persons on circumstances, shall riot be affected thereby. Section 12 .EFFECTIVE BATE Section 1. This ordinance shall become affective immediately upon its adoption_ Approved as to legal form= Cbunt/Atuat5gy !Adopted November 5, 1978: ex Clerk To e Board NORTH CAROLINA, Edgecombe County Filed for registration this _day .�fl'clocf� Al., arsd duly registered in Page _.................... �rscr3isriH az o�oa�