HomeMy WebLinkAboutBOH Agenda 022620 ORANGE COUNTY BOARD OF HEALTH
MEETING AGENDA
DATE: February 26, 2020
TIME: 7:00 P.M.
PLACE: Whitted Human Services Center
300 West Tryon Street
Hillsborough, NC 2727
TIME ITEM
7:00 p.m. I. Welcome New Employees
7:00—7:05 II. Public Comment for Items NOT on Printed Agenda
public Comment for Items ON Printed Agenda will be
handled during that agenda item
(Please sign up for both on sheet near the entrance to room.)
Please limit your comments to 3 minutes.
7:05—7:10 III. Approval of February 26, 2020 Agenda
7:10—7:15 IV. Actions Items (Consent)
A. Minutes of January 29, 2019 Jessica Frega
7:15—8:10 V. Educational Sessions
A. Social Determinants of Health Screening & Management Kristin Tully&Alison Stuebe
in Maternity Care
(20 minutes)(relative to Social Determinants of Health)
B. Campus&Community Coalition Update Elinor Landess
(20 minutes)(relative to Substance Abuse&Mental Health)
C. Environmental Health Rules Victoria Hudson
D. Outside Agency Review Process (5 minutes) La Toya Strange
8:10—8:30 VI. Action Items (Non Consent)
A. FY 2020-21 Budget Request& Fee Schedule Quintana Stewart
8:30—8:50 VII. Reports and Discussion with Possible Action
A. Fluoride Recommendation Approval Jessica Frega
B. Health Director Report Quintana Stewart
C. Media Items Kristin Prelipp
8:50—8:55 Vill. Board Comments
8:55 IV. Adjournment
BOARD MEMBERS: To ensure a quorum, SEND E-MAIL to Istran_ge(aD-orangecountync._qov advising her of your
attendance at this meeting OR CALL 919-245-2411.
Compliance with the"Americans with Disabilities Act"and Title VI-Interpreter services and/or special sound equipment are available on
request. Call the Immigrant and Refugee Health Program Manager at 919.245.2387 to request an interpreter or other accommodation.
Conforme a la"Ley sobre Estadounidenses con Discapacidades"(ADA)y el Titulo VI—los servicios de interprete y/o equipo de sonido
especial estan disponibles a solicitud. Llame a la Administradora del Programa de Salud para Inmigrantes y Refugiados al 919-245-2387 para
solicitar un interprete u otros arreglos o adaptaciones.
Upcoming Events
• February 27,2020—`Be Smart'Town Hall at Whitted Building; sponsored by the Gun Safety Task Force&Orange County Schools
• February 28,2020—UNC 41"Minority Health Conference,"Truth to Power: Exercising Political Voice to Achieve Health Equity"
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ORANGE COUNTY BOARD OF HEALTH
January 29, 2020
ORANGE COUNTY HEALTH DEPARTMENT MISSION STATEMENT: To enhance the quality
Hof life, promote the health, and preserve the environment for all people in the Orange County
community.
THE ORANGE COUNTY BOARD OF HEALTH MET ON January 29, 2020 at the Orange
County Health Department, 300 West Tryon Street, Hillsborough, NC.
BOARD OF HEALTH MEMBERS PRESENT: Jessica Frega, Chair, Jennifer Deyo, Vice-Chair,
Keith Bagby, Liska Lackey, Sam Lasris, Commissioner Earl McKee, Aparna Jonnal, Lee Pickett,
and Alison Stuebe.
BOARD OF HEALTH MEMBERS ABSENT: Bruce Baldwin and Timothy Smith
STAFF PRESENT: Quintana Stewart, Health Director; Rebecca Crawford, Financial and
Administrative Services Director; Victoria Hudson, Environmental Health Director; Donna King,
Health Promotion & Education Services Director; Meredith McMonigle, Public Health Education
Program Manager; Kristin Prelipp, Communications Manager; and Ana Salas, Dental Assistant.
GUESTS PRESENT: Diane Uzarski.
I. Welcome New Employees
Jessica Frega, Chair, called the meeting to order at 7:02pm. Quintana Stewart introduced the
new employees in attendance: Natalie Bontrager, Kendall Conder, and Sarah Manfred.
II. Public Comment for Items NOT on Printed Agenda: None.
III. Approval of the January 29, 2020 Agenda
Motion was made by Earl McKee to approve the agenda, seconded by Alison Stuebe and
carried without dissent.
IV. Action Items (Consent)
A. Minutes of November 20, 2019 Meeting
Motion was made by Jennifer Deyo to approve the minutes of November 2019, seconded
by Alison Stuebe and carried without dissent.
V. Educational Sessions
A. Immigrant and Refugee Updates
Susan Clifford, Immigrant and Refugee Health (IRH) Program Manager, shared updates on
county and OCHD data, issues affecting our community and clients, and OCHD's resources and
efforts to address identified needs. Below are highlights.
2019 Demographic Data
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ORANGE COUNTY BOARD OF HEALTH
January 29, 2020
➢ Orange County
Hispanic population = 8.5%
Asian population =8.2%
Foreign-born = 12.7%
Language other than English spoken at home = 16.7%
Speaks English "less than very well" [Limited English Proficiency (LEP)] = 6.4%*
➢ OC Health Department
Hispanic population = 30%
Asian population = 8%
LEP = 36% Medical Encounters and 42% Dental Encounters
Refugee arrivals — FY 18-19 = 34 and FY 19-20 YTD = 6
Top languages = 1)Spanish, 2)Karen, 3)Burmese, 4)Chinese, 5)Arabic
• The OCHD has many language resources including language services policies &
coordination, 2.5 Staff Spanish medical interpreters/translators, 17+ contractors, ASL,
and telephonic & video interpreters.
• Some current immigration climate concerns include:
➢ Deferred Action for Childhood Arrivals (DACA) and Temporary Protected Status
(TIPS) at risk
➢ Refugee admissions reduction
➢ Family separation
➢ Unsafe and unsanitary conditions in detention centers and
➢ Raids and threats of raids.
As a result of the above-mentioned concerns, trauma may occur which could present
barriers to essential needs and services as well as threats to health, safety, and well-
being.
• The OCHD has an Immigration Task Force & IRH Team, IRH Coalition, and Equity Work
to assist with immigrant and refugee concerns.
• Ms. Clifford invited the Board to two upcoming events and stated that she will be sending
out the registration links shortly:
➢ Serving Muslims with Cultural Sensitivity on Friday, March 6`" from 1:30-3:30pm in
Chapel Hill
➢ Let's Talk on March 261" from 8:00-11:30am
'McKee requested data supporting the percentage of L.E.P. in Orange County as the information presented had the
statistic at 16.7% which was an error.
The BOH members had questions that were addressed by Ms. Clifford.
B. Racial Equity Strategic Plan Feedback
Kristin Prelipp, Communications Manager, and Ana Salas, Dental Assistant, presented the
Racial Equity Commission's (REC) Strategic Plan to the Board. Highlights are below.
• REC was formed in July 2017, guarded by a charter and a strategic plan, and is
comprised of 10 members including 5 division representatives, 1 Leadership Team
representative, and 4 open seats. The co-chairs are Meredith McMonigle and Beverly
Scurry.
• Health disparities vs health inequities
➢ Health disparities (or inequalities) are differences in the presence of disease, health
outcomes or access to health care between population groups. Health inequities are
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ORANGE COUNTY BOARD OF HEALTH
January 29, 2020
differences in health that are not only unnecessary and avoidable but are considered
unfair and unjust. Health inequities are rooted in social injustices that make some
population groups more vulnerable to poor health than other groups.
• Equity is defined as the absence of avoidable or remediable differences, allowing for the
attainment of optimal health for all people. Health equity is achieved when everyone has
the opportunity to attain their full health potential and no one is disadvantaged because
of socially determined circumstances.
• Achieving it requires focused and ongoing societal efforts to address avoidable
inequalities, historical and contemporary injustices, and the elimination of health and
health care disparities.
• Orange County has the largest income inequality for a county with more than 100,000
residents in the state. The number of children in poverty in Orange County varies widely
by race, with 4 percent of white children living in poverty, 32 percent of Hispanic children
and 25 percent of black children.
• It's estimated that 69 percent of children born into poverty will remain in poverty unless
there is an intervention and/or a significant change in the system.
• Racism is different from racial prejudice, hatred, or discrimination. Racism involves one
group having the power to carry out systematic discrimination through the major
institutions of society. Racism is a system. A system of advantage based on a socially
constructed concept of race. Created to justify social, political, and economic hierarchy.
Racism operates on four levels— internalized, interpersonal, institutional and structural.
• Some learning communities available to help staff get acquainted to racial equity work
include book club, caucus, library, Meet Up to Eat Up, and the departmental newsletter.
The BOH members had questions that were addressed by Ms. Prelipp and Ms. Salas.
C. 2--d Quarter Financial Reports & Billing Dashboard Reports
Rebecca Crawford, Financial &Administrative Services Director, gave a report on the 2nd
quarter revenue and billing accuracy. Her report is as follows:
• Total Health Department Budget vs. Actuals:
Average YTD monthly revenue in FY19-20 after the second quarter is $209k/month or
$1.3M YTD, representing 35.5% of our overall budgeted revenue for the year. As usual
though, the total second quarter revenue is skewed down due to the majority of state
funds not eligible to be drawn in July (this is typical) and allocations of Medicaid Max
funds will not be transferred into our budget until the end of the fiscal year. Expenses are
slightly above revenues, at 42.6% of the overall budget but on trend with prior fiscal
years.
• Total Billing Accuracy:
The medical and dental billing accuracy measure continues to be a challenge as we
work with UNC and the Dental EHR, Eaglesoft, to improve the accuracy of the reporting
system for Health Department revenue and is not included in this quarter's dashboard.
• Dental Earned Revenue by Source:
The FY 19-20 average monthly revenue ($50.7k/month) for the second quarter is above
our budget projection ($45k/month) and our FY 18-19 average of$46.6k/month. We are
seeing the direct impact of adding the additional Dental Hygienist in FY 18-19 and will
potentially exceed our projected annual revenue related to this position ($72,157) since
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ORANGE COUNTY BOARD OF HEALTH
January 29, 2020
the dental clinic is fully staffed. FY 19-20 dental earned revenue totaled $304k at the
end of the second quarter compared $246k at the end of the FY 18-19 second quarter.
• Medical Earned Revenue by Source:
Medical earned revenue is currently below the budgeted projection for FY 19-20
($57k/month) at $41.6k/month due to provider turnover and as clinic staff continue to
work through issues with the billing in the Epic EMR. Most appointments will return to 30
minute lengths in January as the medical clinic is almost fully staffed (visit lengths were
extended to 1 hour while we oriented 3 new nurses and experienced provider turnover).
Our EMR Quality Improvement team called the "Epic Optimization Team" along with
clinic staff have made a large amount of progress in improving revenue from medical
clinic services from the Epic system and the monthly average revenue of$41.6k/month
is already higher than it was in FY 18-19 at $29k/month. We anticipate this trend toward
increased revenue will continue. Medical clinic revenue totals $250k after the second
quarter FY 19-20 compared to $174k after second quarter FY 18-19.
• Environmental Health Earned Revenue by Source:
Environmental Health earned revenue is currently below the budgeted projection for FY
19-20 ($54k/month) at $40.6k/month. It is a seasonal trend to see lower revenue in the
first half of the year than in later quarters due to spring pool inspections; however, the
decreased revenue is directly related to the limited number of temporary staff available
to complete WTMP inspections. EH had 7 temporary Environmental Health Specialists
(EHS) working regularly to complete the inspections at this time last year and now have
only 3 temporary EHS working irregularly. We found it difficult to recruit and retain the
temporary EHS this summer given the heat. As a result, permanent staff in EH are
adding WTMP inspections to their current workloads in order to complete them as
required by the end of the fiscal year. FY 19-20 YTD revenue totals $243k compared to
FY 18-19 YTD revenue of$264k.
• Grants Fund Revenue:
FSA has drawn $200k of the multi-year Kenan grant. Expenditures are tracking as
anticipated and will continue to increase as we filled the vacant Navigator position in
November. This position was dependent upon additional United Way funds in order to
hire at the full time equivalent level, which were approved by the BOCC in September.
The BOH members had questions that were addressed by Ms. Crawford.
D. Updated BOH Policy Manual
The Board was presented with the updated BOH policy. The Board members updated their
binders with the updated BOH policy.
The BOH members had questions that were addressed by Ms. Stewart.
VI. Reports and Discussion with Possible Action
A. Health Director Report
In addition to mentioning upcoming events, Ms. Stewart also reiterated the items below from her
report.
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ORANGE COUNTY BOARD OF HEALTH
January 29, 2020
• Ms. Stewart continues to serve as Chair of the 2020 Hard to Reach Subcommittee for
the upcoming Census. Kristin Prelipp, OCHD Communications Manager, created an
educational video about the Census and why it is so important for everyone to
participate. The video will be available in English, Spanish, Burmese, Karen,
Kinyarwanda (or Swahili), Mandarin and Arabic. We are planning to participate in various
community events to provide education and answer questions about the Census.
• The Board was invited to attend the Opioid Task Force meetings. The next one will take
place in February 17, 2020.
• An update on the Tom Tom Foundation's 2020 Tom Tom Summit. Jessica Frega, BOH
Chair, and Ms. Stewart scheduled a call with Program Coordinator, Ben Wilkes, to hear
more about the Chapel Hill City Team they were trying to pull together. The Summit
started in 2012 as a result of the Charlottesville, VA community wanting to break down
barriers between the arts, government and business to create a brighter future. The goal
was to have big conversations about small city life living. The event has grown to a
larger national event held each April in Charlottesville, VA. A focus area for this year's
Summit includes Health Equity. After asking about others that have signed up for the
Chapel Hill Team, we didn't receive any confirmations on participation. Since the work of
the Foundation appears to overlap with some of the other efforts currently underway in
the department, we respectfully declined this year's invitation.
• Alison Stuebe, Board member, wanted to know the number of methadone clinics in
Orange County. Ms. Stewart will research and inform her of the correct number of
clinics.
• Krishnaveni Balakrishnan, OCHD Healthy Homes Coordinator will be speaking at UNC's
41 st Minority Health conference on February 28tn.
B. Media Items
There were no media items.
VII. Board Comments.
Jessica Frega mentioned that the 2"d Amendment Sanctuary may be coming to Orange County
in the future.
Vill. Adjournment
Aparna Jonnal moved to adjourn the meeting at 8:37pm and Alison Stuebe seconded.
The next Board of Health Meeting will be held February 26, 2020 at the Whitted Human
Services Center, 300 West Tryon Street, Hillsborough, NC at 7:00 p.m.
Respectfully submitted,
Quintana Stewart, MPA
Orange County Health Director
Secretary to the Board
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Agenda Item Number:
ORANGE COUNTY BOARD OF HEALTH
AGENDA ITEM SUMMARY
Meeting Date: 02/26/2020
Agenda Item Subject: UNC research study results on Social
Determinants of Health in Maternity Care
Attachment(s): SDoH_TipSheet_UNC
Staff or Board Member Reporting: Drs. Alison Stuebe and Kristin Tully
Purpose: Action
X Information only
Information with possible action
Summary Information:
During 2019-2020, Dr. Alison Stuebe and her colleagues were supported by funding
from the UNC School of Medicine to investigate assessment and support of social
determinants of health in maternity care. The team engaged local patients and those
serving them in a human-centered design project. Dr. Kristin Tully will provide an
overview of the findings and provide the enclosed tip sheet for health care providers.
Recommended Action: Approve
Approve & forward to Board of Commissioners for action
Approve & forward to
X Accept as information
Revise & schedule for future action
Other (detail):
Social Determinants of Health in Maternity Care:
Tip Sheet for Health Care Providers
Patients want SDoH screenings to be integrated into their health history and to be given actionable
resources in response to their needs.
They describe your ideal role as"not just providing medicine but also giving access to it."
Remember how important your words are.Your interactions contribute to
patients feeLing better or worse about the health care system,depending
on how`seen'and respected they feel..
0 How might I best engage?
Confirm that patients are in a safe space and you are there to support them
Sit down and face patient; make eye contact
ALLow enough physical space for a comfortable conversation
0QHow might I use technology?
Limit computer use,to avoid a checkList'approach
Use computer as an informationaL aid—waLk the patient through what
you are seeing,to structure a conversation
How might I sound?
Gentle,unhurried,relaxed,and clear
Not require patients to`admit'to problems
Praise strengths and give information and written resources for addressing concerns
What can I say?
Validate and normalize the SQoH issues.
Ask open-ended questions and encourage foLLow-up
Provide options to enable shared decision making
How might I say these things?
"We ask aLL patients about[topics] because these are common issues and we want to provide
resources"
'I'm asking you about your mood because many women feel anxious or depressed,before or
after giving birth"
"It sounds Like you're saying..'
"Is everything still ok?WouLd you Like more information on.."
"If[topic] shouLd arise here are some things you can access"
Agenda Item Number:
ORANGE COUNTY BOARD OF HEALTH
AGENDA ITEM SUMMARY
Meeting Date: February 26, 2020
Agenda Item Subject: Campus & Community Coalition Update
Attachment(s): 2.26.20 BoH CCC Presentation
Staff or Board Member Reporting:
Purpose: Action
x Information only
Information with possible action
Summary Information:
Campus & Community Coalition Director, Elinor Landess, will present an annual update
on the Coalition's work and progress. The presentation will share longitudinal data
through academic year 2018-2019, outline the strategic planning process currently
underway, and offer next steps for the Coalition.
Recommended Action: Approve
Approve & forward to Board of Commissioners for action
Approve & forward to
Accept as information
Revise & schedule for future action
Other (detail):
The Campus &
Community Chap 1 Hi .
-mob
-,Room-&-
coalition to a M U OMMUnItylt, .
Reduce High COUP601f. '.
Risk Drinking
Board of Health
February 26, 2020
The Campus i Community Coalition
dh AOL
2014
Former Chancellor + Mayor initiative
Collaboration: Town + University + County
Public health framework
3 areas:
Policy/Environment
2. Education/Awareness
3. Enforcement
Results Based
Accountability
202-9-202o Action Planning Framework
Average Nuisance Noise Calls perYear: 250 (2o13-zo19)
Over 2 out of every 5 UNC students binge drank in the last 2
weeks
Almost half of UNC students have experienced academic
How Are We consequences as a result of drinking last year
Doing? 49.1% of UNC students experienced memory loss (black out) as a
result of drinking last year
( May — Sept) Average 144 alcohol-related EMS transports per year (2011-2018)
12/month
Community consequences: trash, vandalism, property damage,
disrespect, disparities in treatment
Drinking Behavior +
Referrals to Education Negative Consequences
boo 571 561 50.00%
505 528 45.00%
500 40.00% 43.40%
How Are We 35.00% 39 50%
400 77 35.80% 35.1%
30.00%
300
Doing? 30.4%
°4 25.00%
0
25.1/o
( May — Sept)
20.00%
200 15.00%
10.00%
100 5.00%
0.00%
0 2014-15 2o16-17 2o18-19
oti�' oti h oy�ti�o yy�ti1 oy�ti4� o Binge Drinking Rate
ti ti 15 �° 15 ti Percent 5+ negative consequences
• Staffing impacts on prevention and
enforcement initiatives
What's the Parental attitudes
storybehind Collegiate normative environment
the curve? Additional alcohol in the environment
(Aug — Sept) State ABC law changes
Alcohol in collegiate athletic stadiums
• Students
Law enforcement
• First responders
• University staff
Who .
•partners who Town staff
•have County staff
• •
• State regulators
play? Local business
(Ongoing ) Neighborhood associations
Landlords
Media
• Parents
REDUCING ALCOHOL USE AND RELATED PROBLEMS
AMONG COLLEGE STUDENTS:
worksWhat A GUIDE TO BEST PRACTICES
turn the curve?
Second Edition
Oct)(Sept —
THE MARYND COLLABORATIVE
�� LATO REDUCE COLLEGE DRINKING AND RELATED PROBLEMS
AvailabilityPhysical
L AN
• Enhanced enforcement of minimum legal drinking age
• Enhanced enforcement of adults supplying alcohol to underage persons
• Compliance checks
• Social hosting
What is our • Track Place of Last Drink data
action plan
• Restrict alcohol marketing
turn the curve?
"MEW
( Dec — March) • Universal responsible beverage service training
OEM
. �
• Parents
• Alumni
• Students
March 20 Coalition
meeting : Reveal 18-month, 3-year, ,5-
year timeframe
strategies
Next steps
Spring/summer 2020: Launch working
groups
'7 1
are mm.Un
I a
Questions ?
coee(itiolf
Elinor Landess
Eli nor@a downtownchapelhiILcom
Agenda Item Number:
ORANGE COUNTY BOARD OF HEALTH
AGENDA ITEM SUMMARY
Meeting Date: February 26, 2020
Agenda Item Subject: Orange County Groundwater Rules Revision
Attachment(s): Orange County Groundwater Rules VA; Summary of Changes
Staff or Board Member Reporting: Victoria Hudson, EH Director; Phil Vilaro, EH
Supervisor; Tracey Langley, EHS; Thomas Privott, Soil Scientist I
Purpose: Action
Information only
X Information with possible action
Summary Information:
NCGS 130A grants Boards of Health the general authority to adopt rules necessary to
protect public health. The Orange County Board of Health adopted local Rules in 1980
for the protection of the groundwater and the Orange County community that drinks
groundwater. In July 2019, new permitting, construction, and inspection requirements
have become effective with the State. Since the local Rules must be at least as
stringent as the State per NCGS 87, Article 7, the State changes must be adopted
except in places where Orange County is already more stringent. Additionally, it has
been five years since a full revision. There are important proposed revisions to the
Rules that represent increasing technology in well construction and the need for
clarification. These proposed revisions have been developed with stakeholders
including well contractors representing the NC Well Contractors Commission and the
NC Groundwater Association; Environmental Health staff; and NCDHHS Regional
Environmental Health.
This presentation is intended to be an orientation to the proposed changes. The
Orange County Attorney's Office is conducting a legal sufficiency review. Public
comment has been invited. A vote is desired on March 25, 2020.
Recommended Action: Approve
Approve & forward to Board of Commissioners for action
Approve & forward to
_X_Accept as information
Revise & schedule for future action
Other (detail):
ORANGE COUNTY
HEALTH DEPARTMENT
Improving health.Inspiring change.
GROUNDWATER PROTECTION RULES
FOR ORANGE COUNTY, NC
Comment[VH1]:NONSUBSTATIVE CHANGES
INCLUDE CAPITALIZATION OF"BOARD"AND
Adopted June 26, 2008 by the Orange County Board of Health 'RULES"LOCAL HEALTH DEPARTMENTTO OCHD,
AGENCY NAMES CHANGES AT THE STATE,
Amended effective March 25,202Q GRAMMAR AN D FORMATTI NG
Comment[VH2]:BOH VOTE
I. SECTION I - PERMITTING AND INSPECTION OF WELLS
A. SCOPE, PURPOSE,AND GENERAL PROVISIONS
1.AUTHORIZATIONI-The North Carolina Environmental Management Commission is (comment[VH3]:SAME
required, under the provisions of Chapter 87,Article 7, Section 87, General Statutes
of North Carolina (short title: North Carolina Well Construction Act)to adopt
appropriate Rules governing the location, construction, repair, and abandonment of
wells, and the installation and repair of pumps and pumping equipment. The Orange
County Board of Health is authorized under the provisions of Chapter 130A-39 of the
General Statutes of North Carolina to adopt more stringent Rules in areas regulated
by the Commission for Public Health or the Environmental Management Commission
where, in the opinion of the Orange County Board of Health, a more stringent rule is
required to protect the public health. Furthermore,the Orange County Board of
Health is authorized in Chapter 87, Article 7 to adopt by reference Rules adopted by
the Environmental Management Commission and the Commission for Public Health
and may adopt more stringent Rules when necessary to protect public health.
2.�PURPOSEI-The purpose of the Rules of this Section is to set out standards for (comment[VH4]: FORMATTING CHANGE
permitting, construction, and inspection of private drinking water wells as defined in
G.S. 87-85 by Orange County Health Departments pursuant to G.S. 87-97. In
addition, standards are established for wells other than private drinking water wells.
The groundwater of Orange County serves a large portion of its citizens and
continued growth in rural areas will increase these numbers. Consistent with the
authorization and the responsibility to protect and promote public health, the Orange
County Board of Health intends to ensure that the groundwater of Orange County are
developed and used in a manner which does not jeopardize its citizens or its natural
resources.
a)Consistent with the duty to safeguard the public welfare, safety, health, and to
protect and beneficially develop the groundwater resources of the county, it is
declared to be the policy of the Orange County Board of Health to require that the
location, construction, repair and abandonment of wells, and the installation of
pumps and pumping equipment conform to such reasonable standards and
requirements as may be necessary to protect the public welfare, safety, health,
and ground water resources.
b) It is the finding of the Orange County Board of Health that the entire
geographical area of the county is vulnerable to groundwater pollution from
improperly located, constructed,operated, altered, or abandoned wells.
Therefore, in order to ensure reasonable protection of the groundwater
resources, permits shall be required for all well construction activities included in
these Rules and inspections by the OCHD must be conducted prior to placing a
new or repaired well into use.
2
c)The Rules of 15A NCAC 02C .0100 apply to private drinking water wells, as
well as the following:
(1)Potential sources of groundwater contamination shall not be located
closer to the well than the separation distances specified in 15A NCAC
02C .0107(a) (2)or.0107(a)(3), as applicable;
(2) In addition to the provisions in 15A NCAC 02C .0109, the builder,well
contractor, pump installer, or homeowner, as applicable, shall provide
assistance when necessary to gain access for inspection of the well,
pumps, and pumping equipment; and
(3) In addition to the requirements of 15A NCAC 02C .0113, any well that
acts as a source or channel of contamination shall be repaired or
permanently abandoned within 30 days of receipt of notice from the
Orange County Health Department.
3.APPLICABILITY—These Rules shall apply to well permits issued after July 1, 2008. comment[vH5]:SAME
Wells constructed pursuant to permits issued prior to July 1, 2008, shall be subject to
these construction standards however the requirement for sampling in NCGS 15A
NCAC 18.3800 shall not apply to those wells. These Rules shall not apply to properly
operating existing wells that are in use on the effective date of these Rules unless
otherwise specified by these Rules.
4.(COMPLIANCE WITH OTHER LAWS AND REGULATIONS -The provisions of any (Comment[VH6]:SAME
Federal, State, or municipal law or regulation establishing standards affording greater
protection to the public welfare, safety, health and the groundwater resources shall
prevail within the jurisdiction of such agency or municipality over standards
established by these Rules. These Rules shall not release any person,firm, or
corporation from any responsibility as required in 15A NCAC 02C .0100, .0200, and
.0300 (Well Construction Standards)and 15A NCAC 18C (Public Water Supplies).
5.APPEALS�Appeals concerning permit decisions or actions by Rules by the Orange comment[vH7]:FORMATTING
County Health Department to enforce the rules of this Section, shall be conducted
according to the procedures established in G.S. 150B,the Administrative Procedure
Act and GS130A-24.Appeals concerning the enforcement of Rules adopted by the
Orange County Board of Health and concerning the imposition of administrative
penalties by the Orange County Health Director shall be conducted in accordance
with the Law.
a)The aggrieved person shall give written notice of appeal to the Orange County
Health Director within 30 days of the challenged action. The notice shall contain
the name and address of the aggrieved person, a description of the challenged
action and a statement of the reasons why the challenged action is incorrect.
Upon filing of the notice, the Orange County Health Director shall,within five
working days, transmit to the Orange County Board of Health the notice of appeal
and the papers and materials upon which the challenged action was taken.
b)The Orange County Board of Health shall hold a hearing within 15 days of the
3
receipt of the notice of appeal.The Board shall give the person not less than 10
days' notice of the date,time and place of the hearing. On appeal,the Board
shall have authority to affirm, modify or reverse the challenged action. The
Orange County Board of Health shall issue a written decision based on the
evidence presented at the hearing.The decision shall contain a concise
statement of the reasons for the decision
c)A person who wishes to contest a decision of the Orange County Board of
Health under subsection (a)of this section shall have a right of appeal to the
District Court of Orange County having jurisdiction within 30 days after the date
of the decision by the Board.The scope of review in District Court shall be the
same as in G.S. 15013-51.
Nothing in this Section shall preclude an aggrieved person from seeking remedy prior to
an appeal. Aggrieved persons are strongly encouraged to request a supervisory review
prior to filing an appeal. When a supervisory review is requested:The aggrieved person
shall give written notice of a request for review to the Environmental Health Director
within thirty days of the challenged action. The notice shall contain the name and
address of the aggrieved person, a description of the challenged action and a statement
of the reasons why the challenged action is incorrect. The Environmental Health
Director may affirm, modify or reverse the original action. The Environmental Health
Director shall issue a written decision based on evidence found during the review. The
decision shall contain a concise statement of the reasons for this decision.
6. PENALTIES- Pursuant to North Carolina General Statute 130A-25(a), any person
who violates a provision of the Rules adopted by the Orange County Board of Health
shall be guilty of a misdemeanor. Pursuant to North Carolina General Statute 130A-18,
the Orange County Health Director may institute an action for injunctive relief,
irrespective of all other remedies at law, in the superior court of the county where the
violation occurred or where a defendant resides.
7.VARIANCEI-The Health Director may grant a variance from any construction 'Comment[VHS]:NEW oCHD SECTION
standard in Section 11 of the Orange County Rules,which has been approved by the
Orange County Board of Health. A variance from a construction standard set forth in
15A NCAC 02C .0100 may only be obtained from the North Carolina Department of
Health and Human Services. Any variance request to the local Rules shall be submitted
in writing to the Health Director by the owner of the property or the person responsible
for the construction of the well for which the variance is sought. A variance may be
granted if the Health Director finds facts to support the following conclusions:that the
use of the well will not endanger human health and welfare of the groundwater; and that
construction in accordance with these Rules is not technically feasible in such a manner
as to afford a reasonable water supply at a reasonable cost. The Health Director shall
require the variance applicant to submit such information as he/she deems necessary to
make a decision to grant or deny the variance. The Health Director may impose such
conditions on a variance or the use of a well for which a variance is granted as the
Health Director deems necessary to protect human health and welfare and the
groundwater resources.Approval of a variance by the Health Director does not remove
the well contractor from liability or requirements of other local,state or federal agencies.
When the Department issues a variance, the Health Director may use any
4
recommendations that the Department may include in the variance and impose these
recommendations on the well construction permit to protect human health and welfare
and the groundwater resources.
6. JURISDICTION -These Rules shall apply to all of Orange County and to all
municipalities within Orange County.
7. EFFECTIVE DATE-These Rules shall become effective March 25,2020 upon
adoption by the Orange County Board of Health.
History Note: Substitute for NCAC 02C.0301
Eff. July 1, 2008.
Amended Eff. February26, 2015;March 25, 2020
B. DEFINITIONS
The definitions in G.S. 87-85 AND 15NCAC 02C .0102 apply throughout this Section. In
addition,the following definitions apply throughout this Section:
1. "Abandon"means to discontinue the use of and to seal the well according to the
requirements of these Rules.
2. "Abandonment Permi�"means a well abandonment permit issued by the Orange Comment tvH9t:NEW STATE DEFINITION
County Health Department authorizing or allowing the permanent abandonment of
any well as defined in the Rules of this Section.
3. "Access port" means an opening in the well casing or well head installed for the
primary purpose of determining the position of the water level in the well or to
facilitate disinfection.
4. "Addition" means any structure that is constructed, altered or placed on property that
contains one or more wells. This would not include replacement of existing
equipment within the existing footprint of a structure and addresses only those
situations for which a building permit is required.
5. "Agent" means any person who by mutual and legal agreement with a well owner has
authority to act in his behalf in executing applications for permits. The agent may be
either general agent or a limited agent authorized to do one particular act.
6. "Annular Space" means the space between the casing and the walls of the borehole
or outer casing, or the space between a liner pipe and well casing.
7. "Artesian flowing well" means any well in which groundwater flows above the land
surface without the use of a pump; where the static water level or hydraulic head
elevation is greater than the land surface under natural conditions.
8. "ASTM" means the American Society for Testing and Materials.
9. "Board of Health" means the Orange County Board of Health or successor entity.
5
10. Building" is a structure with any dimension greater than 12 FT, regardless of a comment[VHlo]:OCHD DEFINITION By
masonry or concrete foundation,with the exception of portable, lightweight carports REFERENCE PARTS OF BUILDING CODE
not exceeding 400 sq ft or 12 ft mean roof height. A building is not fencing, gazebos,
arbors, retaining walls, barbecue pits, detached chimneys, playground equipment,
yard art, etc(NC Building Code R101.2).
11. "Casing" means pipe or tubing constructed of materials and having dimensions and
weights as specified in these Rules,that is installed in a borehole, during or after
completion of the borehole, to support the side of the hole and thereby prevent
caving,to allow completion of a well, to prevent formation material from entering the
well,to prevent the loss of drilling fluids into permeable formations,and to prevent
entry of contamination.
12. "Certificate of Completion"means a certification by the Orange County Health comment[VHii]:STATE DEFINITION ADDS
Department that a well has been constructed, repaired, or abandoned in compliance ABANDONMENT
with the construction permit or repair permit.
13. "Clay" means a substance composed of natural, inorganic, fine-grained crystalline
mineral fragments which,when mixed with water,forms a pasty, moldable mass that
preserves its shape when air dried.
14. "Closed loop geothermal heat exchange injection well"or"geothermal well" means
an excavation that is drilled into which a sealed pipe loop is inserted through which
fluid or gas is recirculated for the sole purpose of a vertical closed loop geothermal
heat exchange system.
15. "Closed loop geothermal heat exchange system" means a system of continuous
piping, part of which is installed in the subsurface,through which moves a fluid or gas
that does not exit the piping, and which is used to transfer heat energy to and from
the fluid or gas.
16. "Commission" means the North Carolina Environmental Management Commission
or its successor, unless otherwise indicated.
17. "Consolidated rock" means rock that is firm and coherent, solidified or cemented,
such as granite,gneiss, limestone, slate or sandstone,which has not been
decomposed by weathering.
18. "Construction of wells"I means the term as defined in G.S. 87-85, including all acts comment[VHiz]:NEW STATE DEFINITION
necessary to construct wells for any intended purpose or use, including the location
and excavation of the well, placement of casings, screens and fittings, development
and testing.
19. "Construction permit" means a well construction permit issued by the OCHD comment[VH13]:NEW STATE DEFINITION
authorizing or allowing the construction of any water well as defined in the Rules of
this Section.
20. "Contaminate" or "Contamination" means the introduction of foreign materials of
such nature, quality, and quantity into the groundwater as to exceed the
groundwater quality standards specified in 15A NCAC 2L (Classifications and
Water Quality Standards Applicable to the Groundwater of North Carolina). [Note:
6
As specified in 15A NCAC 2L.0202 (b) (3), where naturally occurring substances
exceed the established standard, the standard shall be the naturally occurring
concentration as determined by the Division.
21. "Designed capacity"shall mean that capacity that is equal to the yield that is
specified by the well owner or his agent prior to construction of the well.
22. "Development" means the process of properly casing and lining of the well and of
removing all drill cuttings,formation material, sediment, or other settled or suspended
debris from a new or existing well.
23. "'Disinfect"or"Disinfection" means protecting against any contamination from comment[VH14]:NEW ocHD DEFINITION;
equipment, material, or surface drainage introduced during well construction or STAFF WANTED CLARIFICATION
repair, immediately following their construction or repair. Prior to final chemical
disinfection, contractors must remove foreign substances, such as grease, soil,
sediment,joint dope, and scum from the well and near the wellhead. Pump installers
must clean all pump parts before placing them into the well. The well must be
disinfect with a chlorine compound at a concentration of no less than 100 mg/L(100
ppm)available.
24. "Division of Water Resources)"or"Division" means the North Carolina Division of
Water Resources or its successor.The term also means the authorized
representative of the Division.
25. "Domestic use" means water used for drinking, bathing, cooking,or other household
purposes.
26. "Formation Material"means naturally occurring material generated during the drilling
process that is composed of sands, silts, clays or fragments of rock and which is not
in a dissolved state.
27. "GPM"and "GPD" mean gallons per minute and gallons per day, respectively.
28. "Grout"means a material approved in accordance with Rule .0107(e)of 15 NCAC
02C for use in sealing the annular space of a well or liner or for sealing a well during
abandonment.
29. "Injection Well" means any excavation which is cored, bored, drilled,jetted, dug, or
otherwise constructed,whose depth is greater than its largest surface dimension and
which is used, or intended to be used,for the injection of fluids or solids into the
subsurface or groundwater.
30. "Known source of release of contamination"(means a location where any of the .comment[VHls]:NEW STATE DEFINITION
following activities, facilities, or conditions have been documented by the Department
of Environmental Quality or the Orange County Health Department:
a)Groundwater contamination incidents arising from agricultural operations,
including application of agricultural chemicals pursuant to 15A NCAC 02L;
b)Groundwater contamination associated with the construction or operation of
injection, monitoring, and other wells subject to permitting under the Well
Construction Act and this Subchapter;
c) Groundwater contamination associated with the operation of non-discharge,
discharge(NPDES)facilities, land application of animal waste, and other
activities subject to permitting under G.S. 143-215.1;
d) Releases of hazardous waste or constituents that currently exceed the
Groundwater Quality Standards listed in 15A NCAC 02L at facilities governed
under G.S. 130A-294;
e) Dry-Cleaning Solvent Cleanup sites regulated under G.S. 143-215.104(A);
f) Pre-regulatory landfills and Inactive hazardous substance or waste disposal
sites governed under the Inactive Hazardous Sites Act of 1987, G.S. 130A-310;
g)Solid waste facilities subject to 15A NCAC 13B that have monitoring wells with
exceedances of the Groundwater Protection Standards as defined in 15A NCAC
13B .1634(g)and (h);
h) Releases of petroleum and hazardous substances subject to G.S. 143-215.75
through 215.98;
i)Sites that fall within the authority of the Brownfields Property Reuse Act as
defined by G.S. 130A,Article 9 Part 5;
j)Contamination associated with pollution sources in soils or other sites known or
suspected to have exceeded the Groundwater Quality Standards listed in 15A
NCAC 02L; or
k)Contamination known to the Orange County Health Department through
experience with the property, surrounding properties, or information provided by
the applicant.
31. "Liner pipe" means pipe that is installed inside a completed and cased well for the
purpose of preventing the entrance of contamination into the well or for repairing
ruptured, corroded or punctured casing or screens.
32. "Orange County Health Department"or"OCHD" means the authorized agent of the
Orange County Health Department or its successor.
33. "Monitoring well" means any well that is constructed for the primary purpose of
obtaining samples of groundwater or other liquids for examination or testing, or for
the observation or measurement of groundwater levels. This definition excludes
lysimeters, tensiometers, and other devices used to investigate the characteristics of
the unsaturated zone but include piezometers, a type of monitoring well that is
constructed solely for the purpose of determining groundwater levels.
34. "Non-domestic water supply well' means a type of water supply well for the sole
8
purpose of withdrawing groundwater for use in irrigating plants,or providing water for
livestock, agricultural, residential,open loop geothermal,or other commercial
purposes that do not include water used for domestic purposes.
35. "Non-potable water" means water containing pathogens,organic chemicals,
inorganic chemicals, or contamination of such quantity or type as to render the water
unsafe, harmful, or generally unsuitable for human consumption or domestic use.
36. "Owner' means any person who holds the fee or other property rights in the well
being constructed. A well is real property and its construction on land rests
ownership in the land owner in the absence of contrary agreement in writing.
37. "Permit' means a permit issued by the OCHD authorizing or allowing the
construction or repair of any well as defined in these Rules.
38. "Person" means the term as defined in G.S. 87-85 including all persons, Including Comment[VH16]:NEW STATE DEFINITION/
individuals,firms, partnerships,associations, public or private institutions, OCHD EXISTING REVISED
municipalities or political subdivisions, governmental agencies,or private or public
corporations organized or existing under the laws of this State, or any other state, or
the country.
39. "Plat' means a property survey prepared by a registered land surveyor,drawn to a Comment[VH17]:NEW STATE DEFINITION/
scale of one inch equals no more than 60 feet, that includes:the specific location of OCHD EXISTING REVISED
all structures and proposed structures and appurtenances, including decks, porches,
pools, driveways, out buildings,existing and proposed wastewater systems, existing
and proposed wells,springs,water lines, surface waters or designated wetlands,
easements, including utility easements, and existing or proposed chemical or
petroleum storage tanks above or below ground. "Plat'also means,for subdivision
lots approved by the local planning authority and recorded with the county register of
deeds, a copy of the recorded subdivisions plat that is accompanied by a site plan
that is drawn to scale.
40. "Potable water' means water that meets water quality standards for biological,
bacteriological, inorganic and organic chemical parameters as established by the
Environmental Epidemiology Branch of the NC Department of Public Health.
41. "Private drinking water well' means any excavation that is cored, bored, drilled,
jetted,dug, or otherwise constructed to obtain groundwater for human consumption
and that serves or is proposed to serve 14 or fewer service connections or that
serves or is proposed to serve 24 or fewer individuals. The term"private drinking
water well' includes a well that supplies drinking water to a transient non-community
water system as defined in 40 Code of Federal regulations GS 141.2 (July 1, 2003
edition).
42. "Public water system" means a water system as defined in G.S. 130A-313 (North
Carolina Drinking Water Act)
43. "Pumps"and "pumping equipment'(means the terms as defined in G.S. 87-85 Comment[VH18]:NEW STATE DEFINITION/
including any equipment or materials utilized or intended for use in withdrawing or OCHD EXISTING REVISED
obtaining ground-water including well seals.
9
44. "Recovery well" means any well that is constructed for the purpose of removing
contaminated groundwater or other liquids from the subsurface.
45. "Repair"(means the term as defined in G.S. 87-85 and includes work involved in Comment[VH19]:NEW STATE DEFINITION/
deepening, reaming, sealing, installing or changing casing depths, perforating, OCHD EXISTING REVISED
screening, cleaning, acidizing, hydro-fracturing, or redevelopment of a well
excavation, or any other work which results in breaking or opening the well seal.
46. "Repair permit"(means a well repair permit issued by DCHD authorizing or allowing Comment[VHzo]:NEW STATE DEFINITION/
the repair of any well as defined in the Rules of this Section. OCHD EXISTING REVISED
47. "Settleable solids"means the volume of solid particles in a well-mixed one liter
sample which will settle out of suspension, in the bottom of an Imhoff Cone, after one
hour.
48. "Site" means the land or water area where any facility, activity or situation is
physically located, including adjacent or other land used in connection with the
facility, activity or situation.
49. "Site plan"(means a drawing not necessarily drawn to scale that shows the existing Comment[VH211:NEW STATE DEFINITION/
and proposed property lines with dimensions, and the specific location of all OCHD EXISTING REVISED
structures and proposed structures and appurtenances, including decks, porches,
pools, driveways, out buildings,existing and proposed wastewater systems, existing
and proposed wells,springs,water lines, surface waters or designated wetlands,
easements, including utility easements, and existing or proposed chemical or
petroleum storage tanks above or below ground.
50. "Specific capacity" means the yield of the well expressed in gallons per minute per
foot of draw-down of the water level (gpm/FT-dd).
51. "Static water level" means the level at which the water stands in the well when the
well is not being pumped and is expressed as the distance from the land surface to
the water level in the well.
52. "Suspended solids" means the weight of those solid particles in a sample which are
retained by a standard glass microfiber filter,with pore openings of one and one-half
microns,when dried at a temperature of 103 to 105 degrees Fahrenheit.
53. "Temporary well"or"test well" means a well, other than a water supply well, that is
constructed to determine aquifer characteristics, and which will be permanently
abandoned or converted to a permanent well within seven days(168 hours)of the
completion of drilling of the borehole.
54. "Turbidity" means the cloudiness in water, due to the presence of suspended
particles such as clay and silt that may create esthetic problems or analytical
difficulties for determining contamination. Turbidity, measured in Nephelometric
Turbidity Units (NTU), is based on a comparison of the cloudiness in the water with
that in a specially prepared standard.
55. "Vent" means a protected opening in the well casing or well head, installed for the
purpose of allowing changes in the water level in a well due to natural atmospheric
10
changes or to pumping. A vent can also serve as an access port.
56. "Water supply well"means any well intended or usable to withdraw water from the
ground for domestic or non-domestic use.
57. "Water supply system" means pump and pipe used in connection with or pertaining Comment[vHzz]:NEW STATE DEFINITION/
to the operation of a private drinking water well including pumps, distribution service ocHD EXISTING REVISED
piping, pressure tanks and fittings, and water treatment devices.
58. "Well" means any excavation that is cored, bored,drilled,jetted, dug or otherwise
constructed for the purpose of locating, testing, or withdrawing groundwater or for
evaluating,testing, developing, draining or recharging any groundwater reservoirs or
aquifer, or that may control, divert, or otherwise cause the movement of water from or
into any aquifer.
59. "Well capacity"shall mean the maximum quantity of water that a well will yield
continuously as determined by methods outlined in Section II (0)of these Rules.
60. "Well contractor"means any person in trade or business who undertakes to perform
a well contractor activity or who undertakes to personally supervise or personally
manage the performance of a well contractor activity on the person's own behalf or
for any person,firm,or corporation in accordance with the well contractor certification
requirements of 15A NCAC 27.
61. "Nell contractor activity" has the same meaning as in G.S. 87-98.2(6)including the comment[VH23]:NEW STATE DEFINITION
construction, installation, repair,alteration or abandonment of any well.
62. "Well head" means the upper terminal of the well including adapters, ports,valves,
seals, and other attachments.
63. "Nell seal"means the term as defined in G.S. 87-85 and includes an approved comment[VH24]:New STATE DEFINITION/
arrangement or device used to cap a well or to establish and maintain a junction ocHD EXISTING REVISED
between the casing or curbing of a well and the piping or equipment installed therein,
the purpose or function of which is to prevent pollutants from entering the well at the
upper terminal.
64. "Well system"means two or more wells connected to the same distribution or
collection system or, if not connected to a distribution or collection system,two or
more wells serving the same site.
65. "Yield" means the volume of water expressed in gallons per minute or other unit of
time that can be produced by a well under a given set of conditions.
History Note: Substitute for NCAC 02C.0302
Eff. July 1, 2008;amended eff. October 23, 2009;March 25, 2020
11
C.APPLICATION(FOR WELL CONSTRUCTION PERMIT comment[vH25]:ADOPTED STATE LANGUAGE i
02C.0303
A property owner or the property owner's agent shall submit an application for a permit to
construct, repair, or abandon a well to Orange County Health Department. The application
shall include:
1.The name, the address, email, and the phone number of the proposed well property
owner or agent;
2.The signature of owner or agent;
3.The address (if available)and the parcel identification number of the property where
the proposed well is to be located;
4.A plat or site plan;
5.The intended use(s)of the property;
6. Other information deemed necessary by the Orange County Health Department to
determine the location of the property and any site characteristics, such as existing or
permitted sewage disposal systems, easements or rights of way, existing wells or
springs, surface water or designated wetlands, chemical or petroleum storage tanks,
landfills, waste storage, known source of release of contamination, and any other
characteristics or activities on the property or adjacent properties that could impact
groundwater quality or suitability of the site for well construction;
7.Any current or pending restrictions regarding groundwater use as specified in G.S.
87-88(a); and
8.Any variances regarding well construction or location issued under 15A NCAC 02C
.0118 or Section I of these Rulesl. comment[VH26]:LOCAL VARIANCE
9. Pursuant to 15A NCAC 02C .0307, no well construction permit shall be issued by the
OCHD prior to the assignment of a valid E-911 or UT address to the well location by comment[VH27]:ADDRESS IS REQUIRED BY
the addressing agency of the jurisdiction. LMCPS USAGE TO ISSUE THE PERMIT
10. Other information deemed necessary by the OCHD to determine the location of the
property and any site characteristics such as existing or permitted sewage disposal
systems, easements or rights of way, existing wells or springs, surface water or
designated wetlands, chemical or petroleum storage tanks, landfills, waste storage,
known underground contamination and any other characteristics or activities on the
property or adjacent properties that could impact groundwater quality or suitability of
the site for well construction;
11.An application for a public water supply well as defined in G.S. 130A-313 (North
Carolina Drinking Water Act)shall also contain a pre-drill investigation document
from the state Public Water Supply Section that indicates approval of the proposed
well location.
12. An application for a monitoring well(shall also contain: comment[VH28]:NEW STATE SECTION
02C.0303.THEY ALSO ADDED INJECTION WELL
a A map of the general site area, showing the location of: STUFF,BUT WE WILL NOT BE ENFORCING LOCAL
) n g 9 RULES ON A SPECIALITY WELL THAT WE HAVE NO
OTHER RULES BUT THE STATE
12
b)All property boundaries, at least one of which is referenced to a minimum of
two landmarks, such as identified roads, intersections, streams or lakes;
c)All existing wells, identified by the type of use, within the property
boundaries;
d)All proposed wells, identified by type of use,within the property boundaries;
e)All sources of known or potential groundwater contamination within the
property boundaries.
f)A construction profile diagram of the proposed monitoring well or injection
well showing the type of well and including detailed specifications describing all
materials to be used and methods of construction.
g)The well contractor company name, if known, and
h) Unless the well is deemed permitted per 15A NCAC 02C, an approval letter
from the State indicating review and approval of the proposed well(s).
i)An application for a closed-loop geothermal well shall also include:
j)The type of recirculation fluid or gas, and any additives to be used.
Documentation from the State must be provided if the fluid or additive is not pre-
approved,
k)A detailed site plan showing the locations of the well or wells and the
horizontal piping routes, and,
1)A detailed profile diagram showing the components of the geothermal well
system.
m)Any current or pending restrictions regarding groundwater use as specified in
the law and these Rules.
History Note: Substitute for NCAC 02C.0303
Eff. July 1, 2008;Amended eff. March 25, 2020
D. PERMITTING
1.b No person shall construct a private drinking water well without first obtaining a well comment[VH29]:SAME AS BEFORE;SECTION
construction permit from the local health department. No person shall repair a private HAS FORMATTING CORRECTIONS
drinking water well without first obtaining a well repair permit, except a well repair
permit is not required for maintenance or pump repair or replacement. Disinfection in
accordance with Section 11 of these Rules is a maintenance activity that does not
require a repair permit. No person shall permanently abandon a private drinking
13
water well without first obtaining a well abandonment permit from the local health
department.
2. Before issuing a well construction permit, the OCHD shall receive an application for a
permit and conduct a field investigation to evaluate the topography, landscape
position, available space,and potential sources of groundwater contamination on or
around the site on which a well is to be located. Furthermore,)the Department shall Comment[VH30]:NEW STATE VERBIAGE
conduct a search of DEQ's published inventories to determine whether the proposed 02C.0304
well site is located within 1,000 feet of a known source of release of contamination.
The Orange County Health Department shall issue a private water well construction
permit after determining the site can be permitted for a well meeting the Rules of this
Section. The Orange County Health Department shall not issue a construction permit
for a well in violation of restrictions regarding groundwater use established pursuant
to G.S. 87-88(a).The construction permit shall include a site plan showing the
location of potential sources of contamination and area(s)suitable for well
construction.The construction permit shall reference documentation from DEQ's
published inventories of known releases of contamination within 1,000 feet of the
proposed well site, and any known risk of constructing the well related to those
findings.The Orange County Health Department shall issue a written notice of denial
of a construction permit if it determines a well cannot be constructed in compliance
with the Rules of this Section. The notice of denial shall include reference to specific
laws or Rules that cannot be met and shall be provided to the applicant. The
Department shall issue a written notice of denial of a well construction permit if it
determines a well cannot be constructed in compliance with the Rules of this Section.
The notice of denial shall include reference to specific laws or Rules that cannot be
met and shall be provided to the applicant.
3.Any well permit shall be�alid for a period of five)years; however,the Orange County Comment[VH31]:REVISED FOR STATE
Health Department may revoke a permit at any time if it determines that there has VERBIAGE 02C.0304 AND READABILITY
been a material change in any fact or circumstance upon which the permit shall not
be issued.The validity of a well construction permit or a well repair permit is not
affected by a change in ownership of the site where a well is proposed to be located
if the proposed well can still be constructed or repaired in the permitted area and in
accordance with these Rules.The Orange County Health Department may suspend
or revoke any permits issued upon a determination that the Rules of this Section
have been violated.
4. The OCHD shall give the permit holder a written notice of intent to revoke the permit
by the Health Department stating the reason or reasons for revoking the permit.The
permit holder may appeal the decision to revoke the permit to the Board of Health in
accordance with the appeals section of these Rules. If the permit holder does not
appeal within 15 days of receipt of the notice,the permit shall be immediately
revoked.When a permit is suspended, revoked, or becomes invalid, the well
construction shall not be commenced or completed until a valid permit has been
obtained.
5. If any improperly abandoned wells are on the site, the construction permit shall be comment[VH32]:CLARIFIES WHICH WELLS
conditioned upon repair or abandonment of those improperly abandoned well(s) in HAVE TO BE CONDITIONED
accordance with the Section IV of these Rules.
Comment[VH33]:NEW OCHD SECTION BASED
6.Wells known to be constructed for the purpose of a(Public Water Supply(PWS)shall ON WELL CONTRACTOR COMMENTS
14
be permitted by OCHD and inspected by OCHD in coordination with the requirements
of the PWS Section, and not in contradiction to, and with the conditions being the
responsibility of the well contractor. Existing wells that become PWS wells and
needing repair shall meet the requirements of Section IV of these Rules.
History Note: Substitute for NCAC 02C.0304
Eff. July 1, 2008;Amended eff. March 25, 2020
E. GROUT INSPECTION
1.The well contractor shall contact the Orange County Health Department to schedule Comment[VH34]:NEW STATE VERBIAGE
a grout inspection before grouting a well and include the location, permit number, and 02C.0305
anticipated time for grouting each well. The Orange County Health Department shall
schedule the appointment by the end of the business day before the grouting is to
occur except where the Orange County Health Department has made provisions for
scheduling inspections at night or on the same day of the inspection. Notification
shall include the location, permit number and anticipated day and time for grouting
each well.The notice shall be given in sufficient time in accordance with OCHD
policy to allow the Health Department to inspect the well before the grout is
emplaced.�he grouting of any well shall not commence(before a representative of Comment[vH3s]:OCHD REVISED THIS SECTION
the Health Department has inspected the annular space around the well. FROM CURRENTLY ADOPTED02C.o3o5 WHICH
ALLOWS FOR THE GROUTTO BE NOT INSPECTED
2. The contractor shall give at least 24 hours prior notification if more than one well is to
be grouted in a given day or when bentonite chips are used as the grouting material. Comment[VH36]:LOCAL REQUIREMENT TO
No more than three wells per contractor will be inspected in a given day unless ASSIST WITH THE AMOUNT OF TIME IT TAKES TO
unusual circumstances exist that necessitate the inspections. STAFF THE INSPECTION OF THIS MATERIAL
3.The well contractor shall submit a copy of the Well Construction Record (GW-1)at
the time of the grouting inspection Upon completion and approval of a grout
inspection,the Orange County Health Department shall provide a grout notice�o the Comment[vH37]:REVISED TO CLARIFY THE
applicant and/or well owner on the well permit that a grout inspection was completed ORDER OF THE PROCESS AND IT IS EMAIL
NOTIFICATION NOT LETTER
and approved in compliance with these Rules.
History Note: Substitute for NCAC 02C.0305
Eff. July 1, 2008;Amended eff. March 25, 2020
F.'WELL COMPLETION AND CERTIFICATION( Comment[VHSs]:FORMATTING CHANGES IN
1.After receiving a permit to construct a well,the property owner or his agent shall THIS SECTION FOR READABILITY
notify the health department prior to well construction if any of the following occur:
a)The separation criteria specified in Section 11 (A)of these Rules cannot be
met;
b)The residence or other structure is located other than indicated on the permit;
c)The use of the structure is changed from the use specified on the permit;
d)The septic system needs to be changed from the location indicated on the
permit;
e) Landscaping changes have been made that may affect the integrity of the well;
f)There are current or pending restrictions regarding groundwater use as
15
specified in G.S. 87-88(a);
g)The water source for any well intended for domestic use is adjacent to any
water-bearing zone suspected or known to be contaminated; or
h)Any other changes occur in the information provided in the application for the
well permit.
2.The well contractor shall maintain a copy of the well construction permit, repair
permit, or abandonment permit on the job site at all times during the construction, Comment[VH39]:ADDED ABANDONMENT
repair, or abandonment of the well. The well contractor shall meet all the conditions of PERM IT WHICH ABANDONMENTS HAVE BEEN
PERMITTED FOR DECADES,THIS NEEDED TO BE
the permit. ADDED AT THIS TIME
3. The pump installer, property owner, or permittee shall notify the OCHD of the
completion of the well so that a final inspection can be conducted. Notification shall
occur after the completion of the well installation, grouting, installation of the pump,
and assurance that all components and conditions required in Section II of these
Rules have been met.
4. Upon completion of construction or repair of a well for which a permit is required,the
Orange County Health Department shall inspect the well and issue a Certificate of
Completion that includes an "as built'drawing.
5. Prior to the issuance of a Certificate of Completion, the Orange County Health
Department shall verify that the well was constructed in the designated area and
according to the well construction permit and these Rules.
6. The pump installer, property owner, or permittee shall notify the OCHD of the
completion of the well so that a final inspection can be conducted. Notification shall
occur after the completion of the well installation, grouting, installation of the pump,
and assurance that all components and conditions required in Section II of these
Rules have been met.
7.The Orange County Health Department shall inspect the grout around the casing for
any settling, inspect the well head after the pump and well seal are in place,and
verify that a Well Construction Record has been received from the certified well
contractor. No person shall place a well into service without first having obtained a
Certificate of Completion.
History Note: Substitute for NCAC 02C.0306
Eff. July 1, 2008;Amended eff. March 25, 2020.
G. WELL DATA AND RECORDS
1.Any person completing, abandoning,or repairing any well shall submit a record of the
construction, abandonment or repair to the OCHD and the Division within 30 days of
completion of construction, abandonment or repair. The record submitted to the
OCHD shall be on standard forms developed by the NC Department of
Environmental Quality. Should the contractor fail to provide the completed form,the
certificate of completion shall not be issued and the contractor shall not proceed with
16
construction, repair or abandonment of any well in Orange County until the proper
forms are provided.
2. The Orange County Health Department shall maintain a registry of all permitted wells
that is searchable by address or addresses served by the well, specifying the well
location and the water quality test results until the well is permanently abandoned in
accordance with this Subchapter.
History Note: Substitute for NCAC 02C.0307
Eff. July 1, 2008;Amended Effective February 26, 2015;March 25, 2020
H. EoICTRATIONI OF\A/EhI=f`(IAIT�A(`TlI�C �Comment[VH40]:ADVISED BY THE STATE AND
THE NC WELL CONTRACTORS COMMISSION THAT
WE DO NOT HAVE JURISDICTION TO DO 50;THERE
IS NO PUBLIC VALUE IN WHAT WE WERE DOING TO
1.All persens,forms, OF Gerperations engaged in the business of rGe-In-stri-IrOtit9n A-Ir repair- REGISTER ANYWAY.THE WELL CONTRACTORS
wells in (1r-�.,..o (`.,��.,+.�shall register-� aII��with the (1(`I--Ill COMMISSION MAINTAINS A CERTIFICATION LIST
o f
FOR THE SAME PURPOSES AND IS THEIR CERTIFYING
BODY.
to the Health Department a istration form preyided by the department for this
tz
Far'f' A iyoth the Nlerth (`arnlipa Well Driller Ger+'f'sa+'on (`nmmissinn
ahe fails+o s ply with these Rules fer a period of times sified by the Health
-Drer.ter.The Health Direr--Aer shall give the driller aa vViritten netiA-e- of inte—pt te suspend
the r istra+ien The driller may appeal the derision to s end OF ve Le the
regis+ra+ion to the Board of Health i aGGordanse with the appeals sos+ion of these
Rules. If the driller does not appeal within 15 days of receipt of the notice the
registratiOR shall be immediately suspeRded er revoked and the peFSOR shall Ret
A Any n or firm yfho drills o nstri Tots closed Icon geethermal heat exr.hange
0RjeGtiE)R wells that dO ROt meet all standards as speGified 'R SeGt"OR 11 Of this RUIe
shall he certified for these ins+allatie s by the Internatie al ('_roe Ind Heat
Dump Assesia+ion or its equivalent.
History Note: Substitute for NCAC 02C.0103
Eff. July 1, 2008;Amended eff. March 25, 2020
Rescinded March 25, 2020
I. WELL ABANDONMENT AND CERTIFICATION Comment[VH41]:NEW STATE SECTION
02C.0309
The well owner or well contractor shall obtain a well abandonment permit prior to
initiating the abandonment process for any well other than a monitoring well. and
include the location, permit number, and anticipated time for abandonment of each
well. The Orange County Health Department shall schedule the appointment by the
end of the business day before the abandonment is to occur except where the
Orange County Health Department has made other arrangements in advance with
the applicant for scheduling an inspection.
17
1. Upon notification from the well contractor, the Orange County Health Department
shall inspect the well abandonment process. .
2. Upon completion of a permanent well abandonment, the Orange County Health
Department shall provide a Certificate of Completion,that a well abandonment
inspection was completed and that the abandonment is in compliance with these
Rules. A completed Well Abandonment Record form GW-30, stating the well was
abandoned in compliance with the rules of this Section, must be submitted to the
OCHD by the well contractor or well owner before a Certificate of Completion may be
issued for the abandonment
History Note: Substitute for NCAC 02C.0309
Eff. March 25, 2020
II. SECTION II -STANDARDS OF CONSTRUCTION FOR WATER SUPPLY WELLS
A. LOCATION.( The permitting or construction of a well shall comply with the following Comment[VH42]: FORMATTING CHANGE INTO
setbacks: A TABLE
1.A water supply well shall not be located in any area where surface water or runoff will
accumulate around the well due to depressions, drainage ways, and other
landscapes that will concentrate water around the well.
2. The minimum horizontal separation between a water supply well and potential
sources of groundwater contamination shall be as follows unless otherwise specified:
SFD septic tank, pump tank, drainfield, repair area (S.L. 2018-65) 50 f Comment[VH43]:LAW
SFD septic tank, pump tank, drainfield, repair area in sa rolite 100 ft Comment[VH44]:EXCEPTION TO THE ABOVE
Other subsurface ground absorption waste disposal system 100 ft
Biosolids application or wastewater-irrigation sites 100 ft
(Industrial or(municipal sewage or liquid-waste collection or Comment[VH45]:IMPROVED DESCRIPTION
sewer main, constructed to water main standards 50 ft STATE SUGGESTION
Water-tight sewer lateral 25 ft Comment[VH46]:IMPROVED DESCRIPTION
Cesspools and privies 100 ft STATE SUGGESTION
Unapproved wells 50 ft
Coal ash landfills or impoundments 200 Comment[VH47]:IMPROVED DESCRIPTION
Fertilizer, pesticide, herbicide or other chemical storage areas 100 ft STATE SUGGESTION
Non-hazardous waste storage,treatment or disposal lagoons 100 ft
Sanitary landfills, solid waste landfill facilities, incinerators,
construction and demolition (C&D)landfills and other 500 ft
disposal sites except Land Clearing and Inert Debris landfills
Land Clearing and Inert Debris(LCID)landfills 100 ft
Animal barns including coops, animal feedlots, or manure or litter piles 100 f Comment[VH48]:OCHD SPECIFICATION
Building*foundations subject to termite treatment that need a building Comment[VH49]:IMPROVED DESCRIPTION
permit, such as garages, patios, or decks, regardless of foundation 50 ft STATE SUGGESTION
construction type
Surface water bodies, such as ponds, lakes and reservoirs 50 ft
Surface water such as brooks, creeks, streams, rivers, 25 ft
Chemical or petroleum underground storage tank systems
regulated under 15A NCAC 02N and underground fuel oil
18
storage tanks(except compressed gas)
i with secondary containment 50 ft
ii without secondary containment 100 ft
Above ground or underground storage tanks containing petroleum fuels
used for heating equipment, boilers or furnaces with the exception of tanks 50 ft
used solely for storage of propane, natural gas, or LP
All other petroleum or chemical storage tanks stems 100 ft
Gravesites 50 ft
All other potential sources of groundwater contamination 50 ft
Property lines where available 40 ft
In-ground swimming pools 25 f Comment[VH50]:NECESSARY TO ADD FOR
Solar ground-mounted array 50 ft EXISTING SYSTEM AUTHORIZATIONS
Comment[VH51]:NECESSARYTO ADD FOR
3. For a well on a lot serving a single-family dwelling where lot size or other fixed EXISTING SYSTEM AUTHORIZATIONS
conditions preclude the separation distances specified in Subparagraph (A)(2)of this
Rule, the required horizontal separation distances shall be the maximum possible but
shall in no case be less than the following:
Septic tank, pump tank, pretreatment components and drainfield including 50 ft
drainfield repair areas, except saprolite systems as defined in 15A NCAC 18A
.1956(6)
Water-tight sewage or liquid-waste collection or transfer facility constructed to 25 ft
water main standards in accordance with 15A NCAC 02T .0305(g) (2)or
Orange County Regulations for Wastewater Treatment and Disposal Systems
rule .1950 e , as applicable
Animal barns 50 ft
Existing building foundations 25 ft
Property lines loft
Existing in-ground swimming pools 25 ft
Land-based or subsurface waste storage or disposal systems 50 ft
4. Minimum separation distances from all other potential sources of groundwater
contamination shall be those specified in Subparagraph (A)(2)of this Rule.
5. No person shall cause a potential source of groundwater contamination as described
in Section II (A)(2)or Section II (A)(3)of these Rules to be placed closer to a well
site or an existing well than the referenced distances specified.
History Note: Substitute for NCAC 02C.0107
Eff. July 1, 2008;Amended eff. October 23, 2009;March 25, 2020
B. SOURCE OF WATER
1.The source of water for any water supply well shall not be from a water bearing zone
or aquifer that is contaminated.
2. If a well is constructed to obtain water from an unconsolidated rock formation, prior
approval from the OCHD shall be required. The well shall be equipped with a screen
or screens to prevent the entrance of formation material into the well after the well
19
has been developed and completed by the well contractor. The well screen(s)shall
meet the requirements of Section II (F)of these Rules.
3.All water supply wells shall be constructed so that a pump with a capacity equal to the
well capacity(within the practical limits of pumps for a given diameter well)can be
installed and operated without binding or without interference by contact with any part
of the well.
History Note: Substitute for NCAC 02C.0107
Eff. July 1, 2008;Amended eff. October 23, 2009
C. DRILLING FLUIDS
1. Drilling Fluids shall not contain neither organic nor toxic substances nor include
water obtained from surface water bodies or water from a non-potable supply and
may be comprised only of:
a)The formational material encountered during drilling;
b)Or materials manufactured specifically for the purpose of borehole conditioning
or water well construction.
History Note: Substitute for NCAC 02C.0107
Eff. July 1, 2008;Amended March 25, 2020
D. CASING-All newly drilled water supply wells in Orange County shall be cased with
minimum 6"diameter steel casing unless otherwise specifically approved by the OCHD.
The casing shall meet one of the following specifications:
1. The casing shall be new, seamless or electric-resistance welded galvanized pipe.
Galvanizing shall be done in accordance with requirements of ASTM A53/A53M-07,
which is hereby incorporated by reference, including subsequent amendments and
editions.
2.The GasiRg shall be ReW, seamless or eleGtFiG resistaRGe welded blaGk steel pop
bIaGk steel pope i's used, the�Afell sh-All be "Red with an appreved therwoplaStMG 1ineF Comment[VH52]:BLACK PIPE IS NOT
prier to approval and plaGiRg the well IRtO Use; 0 NECESSARY
3.The casing shall be new, seamless or electric-resistance welded stainless steel pipe.
Stainless steel casing,threads, and couplings shall conform in specifications to the
general requirements in ASTM A530/A530M-04a,which is hereby incorporated by
reference, including subsequent amendments and editions and also shall conform to
the specific requirements in the ASTM standard that best describes the chemical
makeup of the stainless steel casing that is intended for use in the construction of the
well. Stainless steel casing shall have a minimum wall thickness that is equivalent to
standard schedule number 10S.
4. The casing, threads and couplings shall meet or exceed the specifications of ASTM
A53/A53M-07 or A589/589M-06, which is hereby incorporated by reference, including
subsequent amendments and editions.
5.All joints shall be water-tight and threaded with heavy recessed-type couplings.
20
a)The coupling shall completely cover the threads when joined.
b)The minimum wall thickness for a given diameter shall equal or exceed that
specified in Table I;
Table I - Minimum Wall Thickness for Steel Casing
Nominal Diameter(inches) Wall Thickness(inches)
6 0.185
8 0.250
10 0.279
12 0.330
14 and larger 0.375
6.All steel casing shall be equipped with a drive shoe at the lowest terminus to protect
the casing from damage during installation. The drive shoe shall be made of forged,
high carbon,tempered seamless steel and shall have a beveled, hardened cutting
edge. If a casing is not driven, a coupling may be used in lieu of the drive shoe when
it meets or exceeds the specifications of paragraph (D)(4)above.
7. The top of the casing shall be cut off smooth and level by the drilling contractor at
least twelve inches above land surface and shall be free from dents and cracks. Prior
to removing equipment from the site, the top opening of the well casing shall be
sealed with a watertight cap or well seal to prevent the introduction of contaminants
into the well.
8.The casing in wells constructed to obtain water from a consolidated rock formation
shall be:
a)Adequate to prevent any formation material from entering the well in excess of
the levels specified in Section 11 (H)of this Rule; and
b) Firmly seated and sealed at least five feet into consolidated rock, and
c)Cased to a depth of at least 62 feet below the natural ground surface.
However, when it is not possible to achieve 62 feet of casing due to unstable
obstructions of the borehole or collapse, less than 62 feet may be allowed with
following provisions:
(1)Consultation with and approval by the OCHD has been obtained, and
(2)The casing shall extend at least 20 feet from the land surface, and
(3)The casing shall be firmly seated and sealed at least five feet into
consolidated rock, and
(4)A grouted liner and sealing packer shall be installed to a depth of at
least 62 feet from the land surface.
9. Upon completion of the well, the well shall be sufficiently free of obstacles including
21
formation material as necessary to allow for the installation and proper operation of
pumps and associated equipment.
10. Thermoplastic casing may be installed under the following conditions: 1)Where the Comment[VH53]:NEW SECTION ADDED FOR
well contractor-that conditions dictate its use; 2)where the well owner consents to,tum PVC OPTION IN CONSTRUCTION.STATE VERBIRAGE
use of thermoplastic well casing, as indicated by the owner's signature on a form FOR 02C.0107
provided by the OCHD; 3)where the well contractor indicates in writing on the same
form the reasons for installing thermoplastic casing. The signed form must be
submitted to the OCHD prior to emplacement of the thermoplastic casing.
11. The casing shall be new.
12. The casing and joints shall meet or exceed all the specifications of ASTM F480-
06b, except that the outside diameters shall not be restricted to those listed in ASTM
F480-06b,which is hereby incorporated by reference, including subsequent
amendments and editions.
13. The depth of installation for a given SDR or Schedule number shall not exceed that
listed in Table II unless, upon request of the Department, written documentation from
the manufacturer of the casing stating that the casing may safely be used at the
depth at which it is to be installed is provided. ENR—Environmental Management
15A NCAC .0100.
a)Thermoplastic casing with wall thickness less than that corresponding to SDR
21 or Schedule 40 shall not be used;
b) For wells in which the casing will extend into consolidated rock,thermoplastic
casing shall be equipped with a coupling, or other device approved by the
manufacturer of the casing,that is sufficient to protect the physical integrity of the
thermoplastic casing during the processes of seating and grouting the casing and
subsequent drilling operations; and
c) Thermoplastic casing shall not be driven by impact, but may be pushed.
BILE II- Maximum allowable depths(in feet)of Installation of Thermopla—
Schedule 40 Maximu edule 80 M
epth (in feet) 740
th (in feet)
30 .- Comment[VH54]:PART OF STATE WELL
CASING TABLE OMITTED BECAUSE NO WELL LESS
THAN 6INCHES CAN BE CONSTRUCTED(TOO MUCH
90 ROCK)
f64
70
65
0 055
MW Depth for h for Ma
SDR 21 D SD
(in feet) in fee (in fe
II Diameters 185 355 735
14. In constructing any well, all waterrwoearing zones th
22
or other non-potable water shall be cased and grouted so that contamination of
overlying and underlying groundwater zones shall not occur.
15. The top of the casing shall be terminated at least 12 inches above land surface,
regardless of the method of well construction and type of pump to be installed. (6)
The casing in wells constructed to obtain water from a consolidated rock formation
shall meet the requirements specified in this Rule and shall:
a) Prevent any formational material from entering the well in excess of the levels
specified in Paragraph (H)of this Rule; and
b) Firmly seated at least five feet into the rock.
c)The casing in wells constructed to obtain water from an unconsolidated rock
formation (such as gravel, sand or shells)shall extend at least one foot into the
top of the water-bearing formation.
d) Upon completion of the well,the well shall be sufficiently free of obstacles
including formation material as necessary to allow for the installation and proper
operation of pumps and associated equipment.
e) Prior to removing equipment from the site, the top of the casing shall be
sealed with a water-tight cap or well seal, as defined in G.S. 87-85(16),to
preclude the entrance of contaminants into the well.
History Note: Substitute for NCAC 02C.0107
Eff. July 1, 2008;Amended eff. October 23, 2009;November 21, 2008;March 25, 2020
E.Allowable Grouts) Comment[VH55]:SECTION E-F REVISED OCHD
SECTION TO ADOPT STATE VERBIAGE 02C.0107
1. One of the following grouts shall be used wherever grout is required by a rule of this
Section.Where a particular type of grout is specified by a Rule of this Section, no
other type of grout shall be used.
a) Neat cement grout shall consist of a mixture of not more than six gallons of
clear, potable water to one 94 pound bag of Portland cement. Up to five percent,
by weight, of untreated Wyoming sodium bentonite may be used to improve flow Comment[VH56]:CLARIFICATION OF THE
and reduce shrinkage. The Wyoming sodium bentonite shall be 200 mesh with a GROUTING MATERIAL SUGGESTED BY STATE
yield rating of 90 barrels per ton. If bentonite is used, additional water may be
added at a rate not to exceed 0.6 gallons of water for each pound of untreated
Wyoming sodium bentonite.
b) Sand cement grout shall consist of a mixture of not more than two parts sand
and one part cement and not more than six gallons of clear, potable water per 94
pound bag of Portland cement.
c) Concrete grout shall consist of a mixture of not more than two parts gravel or
rock cuttings to one part cement and not more than six gallons of clear, potable
water per 94 pound bag of Portland cement. One hundred percent of the gravel
or rock cuttings must be able to pass through a one-half inch mesh screen.
23
d) Bentonite slurry grout shall consist of a mixture of not more than 24 gallons of
clear, potable water to one 50 pound bag of commercial sodium granular
Wyoming sodium bentonite. Non-organic, non-toxic substances may be added to
bentonite slurry grout mixtures to improve particle distribution and pump-ability.
Bentonite slurry grout may only be used in accordance with the manufacturer's
written instructions.
e) Bentonite chips or pellets shall consist of pre-screened Wyoming sodium
bentonite chips or compressed sodium bentonite pellets with largest dimension of
at least one-fourth inch but not greater than one-fifth of the width of the annular
space into which they are to be placed. Bentonite chips or pellets shall be
hydrated in place. Bentonite chips or pellets may only be used in accordance
with the manufacturer's written instructions.
f)Specialty grout shall consist of a mixture of non-organic, non-toxic materials
with characteristics of expansion, chemical-resistance, rate or heat of hydration,
viscosity, density or temperature-sensitivity applicable to specific grouting
requirements. Specialty grouts may not be used without prior approval by the
Health Director.A request for approval of a specialty grout shall be submitted to
the Director and shall include the following information:
(1)A demonstration of non-toxicity, such as American National Standard
Institute(ANSI)or National Sanitation Foundation, Inc. (NSF)Standard 60
certification,which is hereby incorporated by reference including
subsequent amendments and editions, and can be obtained from NSF
International, P.O. Box 130140, 789 North Dixboro Road,Ann Arbor, MI
48105 at a cost of three hundred and twenty-five dollars($325.00);
(2)The results of an independent laboratory that demonstrate the finished
product has a permeability of less that 1x10-6 centimeters per second
and, if the product is used in areas of brackish or saline groundwater, the
grout will not degrade over the lifetime of the well;
(3)A general procedure for mixing and emplacing the grout;
(4)The types of wells the request would apply to; and
Comment[VH57]:MORE SPECIFICITY TO
(5)Any other additional information the Department needs to ensure SPECIALITY GROUTING SUGGESTED BY THE STATE
compliance with G.S. 87-84.
2.With the exception of bentonite chips or pellets, the liquid and solid components of all
grout mixtures shall be blended prior to emplacement below land surface.
3. No fly ash, other coal combustion byproducts,or other wastes may be used in any
grout.
History Note: Substitute for NCAC 02C.0107
Eff. March 25, 2020
F. GROUT EMPLACEMENTI Comment[VH58]:SECTION E-F REVISED OCHD
SECTION TO ADOPT STATE VERBIAGE 02C.0107
24
1. Casing shall be grouted to a minimum depth of 20 feet below the natural land
surface.
2. In addition to the grouting by this Rule,the casing shall be grouted as necessary to
seal off all aquifers or zones that contain contaminated or other non-potable water so
that contamination of overlying and underlying aquifers or zones shall not occur.
3. Bentonite slurry grout may be used in that portion of the borehole that is at least three
feet below land surface.That portion of the borehole from land surface to at least
three feet below land surface shall be filled with a concrete or cement-type grout or
bentonite chips or pellets that are hydrated in place.
4. Grout shall be placed around the casing by one of the following methods:
a) Pressure. Grout shall be pumped or forced under pressure through the
bottom of the casing until it fills the annular space around the casing and
overflows at the surface;
b) Pumping. Grout shall be pumped into place through a hose or pipe extended
to the bottom of the annular space which can be raised as the grout is applied.
The grout hose or pipe shall remain submerged in grout during the entire
application; or
c) Other. Grout may be emplaced in the annular space by gravity flow way to
ensure complete filling of the space. Gravity flow shall not be used if water or any
visible obstruction is present in the annular space within the applicable minimum
grout depth specified in this Rule at the time of grouting,with the exception that
bentonite chips or pellets may be used if water is present and if designed for that
purpose.
d)The annular space of the top twenty(20)feet for wells grouted with bentonite
chips or pellets must be no less than ten (10)inches in diameter for a six(6) inch
casing.
5. If a Rule of this Section requires grouting of the casing to a depth greater than 20 feet
below land surface,the pumping or pressure method shall be used to grout that
portion of the borehole deeper than 20 feet below land surface,with the exception of
bentonite chips and pellets.
6. If an outer casing is installed, it shall be grouted by either the pumping or pressure
method.
7.The well shall be grouted within seven days after the casing is set. When grout is Comment[VH59]:OCHD REQUEST FOR
emplaced b gravity, the entire drilling process must be completed prior to rout QUICKER GROUTING TO PROTECT EXPOSED WELL
p Y g Y g p p p g BORING
emplacement. When emplaced by the pump or pressure methods,the grouting COmment[VH60]:BECAUSE THE ALLOWABLE
process may be initiated at any time after the casing is set, Including during the GROUT SECTION WAS RE-WRITTEN LIKE THE STATE,
drilling process. IT REMOVED A VERY"OC"WAY OF FINISHING
GROUT.THE FORMER WAY WAS NOT FOUND TO
PRODUCE BETTER WELLS BUT IT DID ENSURE THAT
8. It is the responsibility of the well contractor to verify that the grout does not settle. THE GROUT WAS TOPPED OFF IF IT SETTLED. THIS
REQUIAny settling greater than five(5)feet below the natural land surface shall require re- CONTRACTOR
TwouLDALNYSLOW THE WELL
CONTRACTOR TO FILL IN ANY SETTLING,BUT IF THE
SETTLING IS TOO GREAT,OCHD WILL INSPECT.
25
inspection.
9. No additives which will accelerate the process of hydration shall be used .Where
grouting is required by the provisions of this Section,the grout shall extend outward
in all directions from the casing wall to a minimum thickness equal to either one-third
of the diameter of the outside dimension of the casing or two inches,whichever is
greater; but in no case shall a well be required to have an annular grout seal
thickness greater than four inches.
10. For wells constructed in locations where flowing artesian conditions are encountered
or expected to occur,the well shall be adequately grouted to protect the artesian
aquifer, prevent erosion of overlying material and confine the flow within the casing.
History Note: Substitute for NCAC 02C.0107
Eff. July 1, 2008;amended eff. October 23, 2009;March 25, 2020
G. WELL SCREENS
1.The well screen shall be of a standard design with certification to Standard ANSI/NSF
61 and pre-manufactured to permit the optimum development of the aquifer with
minimum head loss consistent with the intended use of the well. The openings shall
be designed to prevent clogging and shall be free of rough edges, irregularities or
other defects that may accelerate or contribute to corrosion or clogging.
2. Multi-screen wells shall not connect aquifers or zones which have differences in water
quality which would result in contamination of any aquifer or zone.
History Note: Substitute for NCAC 02C.0107
Eff. July 1, 2008;amended eff. March 25, 2020
H. GRAVEL/SAND PACKED WELLS-Gravel or sand packed wells shall be constructed
with prior approval from the OCHD and in accordance with NCAC 02C.
History Note: Substitute for NCAC 02C.0107
Eff. July 1, 2008.
I.WELL DEVELOPMENT
1.All water supply wells shall be developed by the well contractor;
Development shall include removal of formation materials, mud, drilling fluids and
additives such that the water contains no more than.-
a) Five milligrams per liter of settleable solids; and
b) 10 NTUs of turbidity as suspended solids.
26
2. Development shall not require efforts to reduce or eliminate the presence of dissolved
constituents which are indigenous to the ground water quality in that area.
History Note: Substitute for NCAC 02C.0107
Eff. July 1, 2008;amended eff. October 23, 2009
J. WELL HEAD COMPLETION
1. Every water supply well and such other wells as may be specified by the OCHD shall
be equipped with a usable access port or airline.The access port shall be at least
one half inch inside diameter opening so that the position of the water level can be
determined at any time. The port shall be installed and maintained in such manner
as to prevent entrance of water or foreign material.
2. The surface of the ground shall be graded away from the well-head in all directions.
3.All openings for piping,wiring, and vents shall enter into the well at least 12 inches
above land surface and shall be adequately sealed to preclude the entrance of
contaminants into the well. Wiring extending through the well seal shall be enclosed
in conduit, and connected to a properly sealed junction box, in accordance with all Comment[VHei]:OCHD REQUIREMENT FOR n
applicable electrical codes as specified in Section ll.(0)(9). PROTECTED ELECTRICAL sox
4. The well head shall be equipped with a screened vent to allow for the pressure
changes within the well except if a suction lift pump or single-pipe jet pump is used or
artesian,flowing well conditions are encountered.
5.The person installing the pump shall install a threadless sampling tap at the wellhead
for obtaining water samples except in the case of suction pump or offset jet pump
installations the threadless sampling tap shall be installed on the return (pressure)
side of the pump piping.
6. If the wellhead is also equipped with a threaded hose bibb in addition to the
threadless sampling tap, the hose bibb shall be fitted with a backflow preventer or
vacuum breaker.
7. The threadless sampling tap shall be turned downward, located a minimum of twelve
inches above land surface,floor, or well pad, and positioned such that a water
sample can be obtained without interference from any part of the wellhead.The spout
of the sampling tap shall be smooth and free of jagged edges or burrs.
8.The base plate of a pump placed directly over the well shall form a watertight seal
with the well casing or pump foundation.
9. In installations where the pump is not located directly over the well, the annular space
between the casing and pump intake or discharge piping shall be closed with an
approved well seal designed specifically for this purpose.
10.A priming tee shall be installed at the well head in conjunction with offset jet pump
installations.
27
History Note: Substitute for NCAC 02C.0107
Eff. July 1, 2008;Amended eff. October 23, 2009;March 25, 2020
K.WELL CONTRACTOR IDENTIFICATION PLATE
1. For all wells except monitoring wells from Section III (B)of these Rules, an
identification plate shall be installed on the well within 72 hours after completion of
the drilling.
2. The identification plate shall be constructed of a durable weatherproof, rustproof
metal or equivalent material approved by the OCHD.
3.The identification plate shall be securely attached to the aboveground portion of the
well casing where it is readily visible and in a manner that does not obscure the
identification plate.
4. "'Secure attachme0'includes rivets, stainless fasteners that do not cause Comment[VH62]:OCHD CLARIFICATION '
contamination hazards caused by drilling through the casing; and adhesive intended NEEDED FOR WELL TAGS
for use with the casing material. In the case where an electrical grounding block is
secured to the casing by means of a bolt or screw which penetrates the casing,the
tag may be secured by the same means as the block, provided that no data are
obscured. No form of tape by itself, in the absence of one of the approved methods
listed above, shall be considered as a secure form of attachment. The means of
attachment shall not obscure any of the required data. Secure attachment is not any
form of tape alone.
5. The identification plate shall not be removed by any person.
6.The identification plate shall be stamped with permanent legible markings to show
the:
a) Name and registration number of the drilling contractor;
b)Total depth of well;
c) Casing depth (FT)and inside diameter(in.);
d)Screened intervals of screened wells;
e) Packing interval of gravel-or sand-packed wells;
f)Yield, in gallons per minute(gpm),or specific capacity in gallons per minute per
foot of drawdown (gpm/FT-dd);
g)Static water level and date measured; and
h) Date well completed
History Note: Substitute for NCAC 02C.0107
Eff. July 1, 2008;Amended eff. October 23, 2009;March 25, 2020
L. PUMP INSTALLER INFORMATION PLATE
1. For all wells except monitoring wells from Section I II (B)of these Rules, an
identification plate shall be installed on the well within 72 hours after completion of
the pump installation;
28
2.The information plate shall be constructed of a durable waterproof, rustproof metal or
equivalent material approved by the OCHD.
3.The identification plate shall be securely attached to the aboveground portion of the
well casing where it is readily visible and in a manner that does not obscure the
identification plate.
4. "Secure attachment" includes rivets,stainless fasteners that do not cause Comment[VH63]:OCHD CLARIFICATION
contamination hazards caused by drilling through the casing; and adhesive intended NEEDED FOR PUMP TAGS
for use with the casing material. In the case where an electrical grounding block is
secured to the casing by means of a bolt or screw which penetrates the casing,the
tag may be secured by the same means as the block, provided that no data are
obscured. No form of tape by itself, in the absence of one of the approved methods
listed above,shall be considered as a secure form of attachment. The means of
attachment shall not obscure any of the required data. Secure attachment is not any
form of tape alone.
5. The information plate shall not be removed by any person; and
6.The information plate shall be stamped or engraved with permanent legible, markings
to show the:
a) Name of the well contractor and certification number of the person installing
the pump;
b) Date the pump was installed;
c)The depth of the pump intake; and
d)The horsepower rating of the pump.
History Note: Substitute for NCAC 02C.0107
Eff. July 1, 2008,amended eff. October 23, 2009;March 25, 2020
M. ARTESIAN WELLS- Every artesian well that flows under natural artesian pressure
shall be equipped with a valve so that the flow can be completely stopped provided that
the well casing and seal cannot feasibly be extended above the static water level. Well
owners shall be responsible for the operation and maintenance of the valve.
History Note: Substitute for NCAC 02C.0107
Eff. July 1, 2008,Amended eff. October 23, 2009
N. PITILESS ADAPTERS-Pitless adapters or pitless units shall not be allowed as a
method of well head completion.
History Note: Substitute for NCAC 02C.0107
Eff. July 1, 2008
O. PUMPS AND PUMPING EQUIPMENTI Comment[VH64]:REVISIONS TO THE
WORDING AT THE STATE SUGGESTION
29
1. The pumping capacity of the pump shall be consistent with the intended use and yield
characteristics of the well.
2. The pump and related equipment for the well shall be conveniently located to permit
easy access and removal for repair and maintenance.
The base plate of a pump placed directly over the well shall be designed to form a
watertight seal with the well casing or pump foundation. The r,•e•r g and elegy+rinal
. . - used in connection with the pump shall meet all appliGable underwriters
SpeG'f'Gat'GRs and all ether a p"Gahle state and- lenal ne.Jes
4. In installations where the pump is not located directly over the well,the annular space
between the casing and pump intake or discharge piping shall be closed with a
watertight seal.
5. The well head shall be equipped with a screened vent to allow for the pressure
changes within the well unless a suction lift pump or single-pipe jet pump is used or
artesian flowing well conditions are encountered.
6. The person installing the pump in any water supply well shall install a threadless
sampling tap at the wellhead for obtaining water samples except:
a) In the case of suction pump or offset jet pump installations the threadless
sampling tap shall be installed on the return (pressure)side of the pump piping;
and
b) In the case of pitless adapter installations, the threadless sampling tap shall be
located upstream of the water storage tank. The threadless sampling tap shall be
turned downward, located a minimum of 12 inches above land surface,floor, or
well pad, and positioned such that a water sample can be obtained without
interference from any part of the wellhead. If the wellhead is also equipped with a
threaded hose bibb in addition to the threadless sampling tap, the hose bibb shall
be fitted with a backflow preventer or vacuum breaker.
7. A priming tee shall be installed at the well head in conjunction with offset jet pump
installations.
8. Joints of any suction line installed underground between the well and pump shall be
tight under system pressure.
9.The drop piping and electrical wiring used in connection with the pump shall meet all
applicable underwriters specifications. In accordance with NCGS 143-138 (b17)the comment[VH65]:SPECIFIES THE ELECTRICAL
scope of electrical work which may be performed by a certified well contractor WORK THAT CAN BE DONE BYA WELL
CONTRACTOR-BY REFERENCE ONLY
includes only the connection or disconnection of a well system to either the plumbing
served by the well system or the electrical service that serves the well system: the
well, the pressure tank,the pressure switch, and all plumbing and electrical
equipment in the well and between the well, pressure tank, and pressure switch.An
electrical box is required for wiring connected at the well head.
10. Only potable water shall be used for priming the pump.
30
Comment[VH66]:NEW STATE SECTION
11.Any materials containing(lead shall meet NSF 61 standardsl. Joints of any suction 02C.010e
line installed underground between the well and pump shall be water-tight under
system pressure.
History Note: Substitute for NCAC 02C.0109
Eff. July 1, 2008;Amended eff. November 21, 2008;October 23, 2009;March 25, 2020
P. WELL TESTS FOR YIELD- Every water supply well shall be tested for capacity by one
of the following methods:
1. Pump Method
a)Select a permanent measuring point,such as the top of the casing;
b) Measure and record the static water level below or above the measuring point
prior to starting the pump;
c) Measure and record the discharge rate at intervals of 10 minutes or less;
d) Measure and record water levels using a steel or electric tape at intervals of 10
minutes or less;
e)Continue the test for a period of one hour or longer{,and Comment[VH67]:STATE VERBIAGE"AT LEAST
ONE HOUR"
f) Make measurements within an accuracy of plus or minus one inch.
2.Air Rotary Drill Method
a) Measure and record the amount of water being injected into the well during
drilling operations;
b) Measure and record the discharge rate in gallons per minute at intervals of
one hour or less during drilling operations;
c)After completion of the drilling, continue to blow the water out of the well for at
least 30 minutes and measure and record the discharge rate in gallons per
minute at intervals of 10 minutes or less during the period, and;
d) Measure and record the water level immediately after discharge ceases.
3.Air Lift Method
a) Measurements shall be made through a pipe placed in the well. The pipe shall
have a minimum inside diameter of at least five tenths of an inch and shall extend
from top of the well head to a point inside the well that is below the bottom of the
airline.
31
b) Measure and record the static water level prior to starting the air compressor;
c) Measure and record the discharge rate at intervals of 10 minutes or less;
d) Measure and record the pumping level using a steel or electric tape at
intervals of 10 minutes or less,and;
e)Continue the test for a period of at least one hour.
History Note: Substitute for NCAC 02C.0110
Eff. July 1, 2008;amended eff. October 23, 2009
Q. DISINFECTION OF WATER SUPPLY WELLS
1.Any person constructing, repairing,testing, or performing maintenance, or installing a
pump in a water supply well shall disinfect the well upon completion of construction,
repairs,testing, maintenance,or pump installation.
2.Any person disinfecting a well shall perform disinfection in accordance with the
following procedures:
a)Chlorination) Comment[VH68]:OCHD REQUIREMENTTO USE
A RY,GRANULAR CHLORINE ONLY TO ENSURE THAT
(1)Granular calcium hypochlorite shall be placed in the well in sufficient ALL WELL CONTRACTORS USE THE PROPER
CONCENTRATION OF DISINFECTION AS A DRY
quantities to produce a chlorine residual of at least 100 parts per million MEASURE(MASS)
(ppm)in the well. Stabilized chlorine tablets or hypochlorite products
containing fungicides, algaecides, or other disinfectants shall not be used.
Chlorine test strips or other quantitative test methods shall be used to
confirm the concentration of the chlorine residual.
(2) The disinfection of well water with calcium hypochlorite requires the
water pH stabilized to less than 7.0.before the application. Use pH
lowering and disinfection products in the manner that the manufacturer
intends.
b)The granular calcium hypochlorite shall be applied to the well through the top
of the well and allowed to settle to the bottom.
c)The water shall be recirculated to:
(1) Distribute the chlorine throughout the water column of the well, and;
(2)Wash down the well casing, pump column and any other equipment
above the water level in the well.
3.The chlorine solution shall stand in the well for a period of at least 24 hours.
4.The well shall be pumped until the system is clear of the chlorine before the system is
placed in use.
5. Other materials and methods of disinfection may be used upon prior approval by the
32
State and OCHD.
History Note: Substitute for NCAC 02C.0111
Eff. July 1, 2008;amended eff. October 23, 2009;March 25, 2020
III. SECTION III STANDARDS OF CONSTRUCTION: NON-DRINKING WATER SUPPLY WELLS
A. Non-domestic water supply wells shall meet all standards as specified in Section II of
this Rule.
B. MONITORING WELLS
1. Monitoring wells that do not penetrate consolidated rock shall not be subject to these
Rules and do not require permits from the OCHD.
2. Primary(outer)well casing shall meet the casing material and grouting requirements
of Section 11 (D)and (E)of these Rules respectively, except that thermoplastic casing comment[VH69]:ADDITON OF PVC ASA LOCAL
r be installed, per the manufacturer's specifications,without the submission of a OPTION FOR MONITORING WELLS
consent form signed by the well owner otherwise monitoring well construction shall
meet the requirements of 15A NCAC 2C .0108 Alternative materials and grouting
methods may be submitted to the OCHD and considered for approval based on
evidence provided by the project licensed professional.
3. Monitoring well locations shall meet the horizontal setback standards as required in
Section 11 (A)of these Rules. Reduction of these setbacks may be allowed provided
that a justification is submitted to OCHD establishing that the setbacks as required
would adversely affect the site investigation. The justification may be submitted by
either:
a)The licensed professional (ex. engineer,geologist)overseeing the site
investigation, or
b)The state agency overseeing the site investigation.
4. Monitoring wells and recovery wells shall be located, designed, constructed,operated
and abandoned with materials and by methods which are compatible with the
chemical and physical properties of the contaminants involved, specific site
conditions and specific subsurface conditions.
5. Monitoring well and recovery well boreholes shall not penetrate to a depth greater
than the depth to be monitored or the depth from which contaminants are to be
recovered.Any portion of the borehole that extends to a depth greater than the depth
to be monitored or the depth from which contaminants are to be recovered shall be
grouted completely to prevent vertical migration of contaminants.
6.The well shall not hydraulically connect:
a)Separate aquifers;or
33
b)Those portions of a single aquifer where contamination occurs in separate and
definable layers within the aquifer.
7. The well construction materials shall be compatible with the depth of the well and any
contaminants to be monitored or recovered.
8.The well shall be constructed in such a manner that water or contaminants from the
land surface cannot migrate along the borehole annulus into any packing material or
well screen area.
9. In monitoring wells, packing material placed around the screen shall extend at least
one foot above the top of the screen. Unless the depth of the screen necessitates a
thinner seal;a one foot thick seal, comprised of chip or pellet bentonite or other
material approved by the Department as equivalent, shall be emplaced directly above
and in contact with the packing materials.
10. In monitoring wells, grout shall be placed in the annular space between the
outermost casing and the borehole wall from the land surface to the top of the
bentonite seal above any well screen or to the bottom of the casing for open end
wells.
11. If the well penetrates any water-bearing zone that contains contaminated or saline
water,the well shall be grouted within one day after the casing is set but in no case
shall any well remain ungrouted for more than seven days after the casing is set.
12.All monitoring wells, including temporary wells, shall be secured with a locking well
cap to ensure against unauthorized access and use.
13. All monitoring wells shall be equipped with a steel outer well casing or flush-mount
cover, set in concrete, and other measures sufficient to protect the well from damage
by normal site activities.
14.Any well that would flow under natural artesian conditions shall be valved so that the
flow can be regulated.
15. In monitoring wells, the well casing shall be terminated no less than 12 inches above
land surface unless all of the following conditions are met:
a)Site-specific conditions directly related to business activities, such as vehicle
traffic, would endanger the physical integrity of the well; and
b)The well head is completed in such a manner so as to preclude surficial
contaminants from entering the well.
16. Each monitoring well shall have permanently affixed an identification plate.The
identification plate shall be constructed of a durable waterproof, rustproof metal, or
other material approved by the Department as equivalent and shall contain the
following information:
a)Well contractor name and certification number;
b) Date well completed;
34
c)Total depth of well;
d)A warning that the well is not for water supply and that the groundwater may
contain hazardous materials;
e) Depth(s)to the top(s)and bottom(s)of the screen(s); and
f)The well identification number or name assigned by the well owner.
17. Each monitoring well shall be developed such that the level of turbidity or settleable
solids does not preclude accurate chemical analyses of any fluid samples collected
or adversely affect the operation of any pumps or pumping equipment.
C. GEOTHERMAL WELLS
1. Geothermal well construction standards, installation standards and contractor
certification procedures adopted by the International Ground Source Heat Pump
Association (IGSHPA) are hereby enacted by reference.A copy of the IGSHPA
standards and procedures is available at the Environmental Health Division of the
Orange County Health Department.
2.The well shall be constructed in such a manner that surface water or contaminants
from the land surface cannot migrate along the borehole annulus either during or
after construction. Prior to removing equipment from the site, the borehole shall be
protected to prevent the introduction of contaminants into the well.
3. Geothermal wells shall meet the horizontal setback standards as specified in Section
II (A)of these Rules.
4. For closed loop geothermal wells that are fully grouted with an approved grout, the
following setbacks shall apply as measured from any portion of the borehole to the
potential source of contamination:
a) Building perimeters, including any attached structures 15 ft
b)Septic tanks and drainfields, including drainfield repair areas 50 ft
c) Sewer lines constructed to water main standards 15 ft
d)Sewer lines not constructed to water main standards 25 ft
e) Land-based or subsurface waste storage or disposal systems 50 ft
5. Geothermal wells shall meet construction specifications in Section II of these
Rules, however closed loop geothermal heat exchange injection wells constructed
and completed according to International Ground Source Heat Pump Association or
equivalent standards shall not be required to be constructed with casing.
6. Only additives which are deemed not to adversely affect human health by the
Department shall be used.
7. Closed loop tubing used in Direct Expansion closed loop wells shall consist of
35
refrigeration-grade copper pipe as defined/described in ASTM B280-08, which is
hereby incorporated by reference, including subsequent amendments and editions.
8.All Direct Expansion systems shall be constructed with catholic protection unless
testing conducted in accordance with Part C (9) (c) of this Section indicates that all
pH test results are within the range of 5.5 to 11.0 standard units. Catholic
protection, if required, shall be maintained at all times in accordance with the
manufacturer's specifications throughout the operating life of the well(s).
9.Testing requirements are as follows:
a)Closed loop tubing shall pass a pressure test on-site prior to installation
into the borehole. Any closed loop tubing that has a measurable leak shall either
not be used or have the leaks located and repaired plus successfully pass a
subsequent pressure test prior to installation.
b)The closed loop well system shall pass a pressure test after installation and
prior to operation. Any pressure fluctuation other than that due to thermal
expansion and contraction of the testing medium shall be considered a failed
test. Any leaks shall be located and repaired prior to operating the system.
c) For Direct Expansion type wells, drilling cuttings shall be tested for pH at a
frequency of at least every 10 feet of boring length using a pH meter that has
been calibrated prior to use according to the manufacturer's instructions. A copy
of the results of these tests shall be made available to the Orange County
Health Department.
10. The well(s) shall be grouted within seven days after drilling is complete or before Comment[VH7o]:CLARIFIES MONITORING
the drilling equipment leaves the site,whichever occurs first. The well contractor WELL GROUTING INSPECTION PROCESS
shall give the OCHD at least 24 hours prior notification if more than three closed-loop
geothermal wells are to be grouted in a given day. Prior to the initiation of the
grouting process, the OCHD will verify that the locations of all geothermal wells meet
all applicable setbacks. The OCHD may conduct intermittent inspections of the
grouting process thereafter, and shall ensure by visual inspection that each well is
grouted to within one foot of land surface. The well contractor must submit a
completed, signed copy of a Well Construction Record (GW-1)to the OCHD for all
wells grouted at each inspection. If identical, all the wells grouted on a given
occasion may be listed on the same form. The form shall be submitted to the OCHD
within 3 working days of the grout inspection.
11. The well(s) shall be operated and maintained in accordance with the
manufacturer's specifications throughout the operating life of the well(s).
12. When closed loop geothermal heat exchange injection wells are terminated below
the ground surface,either:
a)Each well shall have a permanent monument at grade level directly above
each well. The monument shall state
36
(1)Well contractor name and certification number;
(2)Number and depth of the boring(s);
(3)Grout depth interval;
(4)Well construction completion date; and
(5) Identification as a geothermal well/well field; or,
b)The perimeter corners of each well field shall be marked at ground surface
with a permanent monument that:
(1) Identifies the area as a geothermal well field, and;
(2) Refers to the location of a recorded plat prepared by a Registered
Land Surveyor that identifies the location, depth and date of each well.
The plat shall be recorded at the Orange County Register of Deeds and
a copy shall be retained by the property owner and the OCHD.
(3)The property owner is responsible for compliance with all other
well identification requirements contained in 15A NCAC 02C
.0222(f) and .0223(f)
History Note: Substitute for NCAC 02C.0108
Eff. July 1, 2008;Amended eff. March 25, 2020
IV. SECTION IV MAINTENANCE, REPAIR, AND ABANDONMENT OF WELLS
A. WELL MAINTENANCE AND REPAIR
1. Every well shall be maintained by the owner in a condition whereby it will conserve
and protect the groundwater resources, and whereby it will not be a source or
channel of contamination or pollution to the water supply or any aquifer, or the well
shall be permanently abandoned in accordance with the requirements of these Rules
and this Section. In accordance with NCGS 143-138 (b17)the scope of electrical) Comment[VH71]:SPECIFIES THE ELECTRICAL
work which may be performed by a well contractor includes only the connection or WORK THAT CAN BE DONE BY WELL
CONTRACTOR-BY REFERENCE ONLY
disconnection of a well system to either the plumbing served by the well system or
the electrical service that serves the well system:the well, the pressure tank,the
pressure switch, and all plumbing and electrical equipment in the well and between
the well, pressure tank, and pressure switch. An electrical box is required for wiring
connected at the well head.
2.All materials used in the maintenance, replacement, or repair of any well shall meet
the requirements for new installations.
3. Broken, punctured or otherwise defective or unserviceable casing, screens,fixtures,
seals, or any part of the well head shall be repaired or replaced, or the well shall be
permanently abandoned pursuant to the requirements of this Section.
37
4. Investigation by down hole imaging is required of all repairs with a liner installation. A Comment[VH72]:A REQUIREMENT OF
ULLY
report from the well contractor of findings must be provided with the application. PVC CONTRACTORS TE A WHO INSTALL HE BEST
PAIR
INVESTIGATE AND PLAN FOR THE BEST REPAIR THAT
pipe meeting NSF International Standards and rated at least Schedule 40 shall be PROTECTS THE GROUNDWATER AND THE WELL
used for liner casing. The annular space around the liner casing shall be at least OWNER
five-eighths inches wide or greater and shall be completely filled with neat cement
grout or sand cement grout, in accordance with 15A NCAC 02C .0112of these Rules.
All liner boots shall have at least 2 flanges and shall be installed in accordance with
the manufacturer's instructions.The well liner shall be completely grouted within 10
working days after collection of water samples or completion of other testing to
confirm proper placement of the liner or within 10 working days after the liner has
been installed if no sampling or testing is performed.
5.Water supply wells with the well head terminating below ground (buried seal)shall be
repaired by adding a section to the well casing extending at least 12 inches above
land surface. The extension shall be made as follows:
a)A sleeve shall be installed inside or outside of the casing and shall overlap at
least three inches down the existing casing. The extension casing shall be
welded to the existing casing around the outside of the joint; or
b)A sleeve shall be heated and swaged over the existing casing with at least six
inches of overlap;or
c)An approved coupling meeting ASTM C-564 (Standard Specification for
Rubber Gaskets for Cast Iron Soil Pipe and Fittings)and ASTM C1540 (Standard
Specification for Heavy Duty Shielded Couplings Joining Hubless Cast Iron Soil
Pipe and Fittings) may be utilized to extend the casing. Use of such a coupling
requires prior approval of the OCHD.
6. Grout shall be placed around the casing, extending from land surface to a depth of at
least one foot below the joint formed by the casings. The grout shall have a minimum
thickness of six inches extending horizontally from the casing. Other repairs to the
well, or replacement may be necessary in addition to extension of the well head.
7.Well rehabilitation by non-continuous chemical treatment shall be conducted using
methods and materials approved by the Department based on a demonstration that
the materials and methods used will not create a violation of groundwater standards
in 15A NCAC 2L, nor otherwise do not render the groundwater unsuitable for its
intended best usage after completion of the rehabilitation.
History Note: Substitute for NCAC 02C.0112
Eff. July 1, 2008;Amended eff. October 23, 2009;March 25, 2020
B.ABANDONMENT OF WELLS
1.A well that is temporarily removed from service shall be temporarily abandoned in
accordance with the following procedures:
a)The well shall be sealed with a water-tight cap or well seal, as defined in G.S.
87-85(16), compatible with the casing and installed so that it cannot be removed
without the use of hand tools or power tools.
38
b)The well shall be maintained whereby it is not a source or channel of
contamination during temporary abandonment.
2. Permanent abandonment of water supply wells other than bored or hand dug wells
shall be performed in accordance with the following procedures:
a)All casing and screen materials may be removed(prior to initiation of Comment[VH73]:STATE ADDED THAT WELL
abandonment procedures if such removal will not cause or contribute to CASING DOES NOT HAVE TO BE REMVOED TO
contamination of the groundwaters. ABANDON THE WELL
b)The entire depth of the well shall be sounded before it is sealed to ensure
freedom from obstructions that may interfere with sealing operations.
c) Except in the case of temporary wells and monitoring wells, the well shall be
disinfected in accordance with Rule .0111(b)(1)(A)through .0111(b)(1)(C)of this
Section.
d) In the case of gravel-packed wells in which the casing and screens have not
been removed, neat-cement or bentonite slurry grout shall be injected into the
well, completely filling it from the bottom of the casing to the top.
e)Wells constructed in unconsolidated formations shall be completely filled with
grout by introducing it through a pipe extending to the bottom of the well that can
be raised as the well is filled.
f)Wells constructed in consolidated rock formations or that penetrate zones of
consolidated rock may be filled with grout, sand, gravel or drill cuttings within the
zones of consolidated rock.The top of any sand, gravel or cutting fill shall
terminate at least 10 feet below the top of the consolidated rock or five feet below
the bottom of casing. Grout shall be placed beginning 10 feet below the top of the
consolidated rock or five feet below the bottom of casing in a manner to ensure
complete filling of the casing, and extend up to the land surface. For any well in
which the depth of casing or the depth of the bedrock is not known or cannot be
confirmed,the entire length of the well shall be filled with grout up to the land
surface.
3. For bored wells or hand dug water supply wells constructed into unconsolidated
material:
a)The well shall be disinfected in accordance with Section II (Q)of this Rule.
b)All plumbing or piping in the well and any other obstructions inside the well
shall be removed from the well.
c)The uppermost three feet of well casing shall be removed from the well.
d)All soil or other subsurface material present down to the top of the remaining
well casing shall be removed, including the material extending 12 inches or
greater outside of the well casing;
e)The well shall be filled to the top of the remaining casing with grout, dry clay,
or material excavated during construction of the well. If dry clay or material
39
excavated during construction of the well is used, it shall be emplaced in lifts no
more than five feet thick, each compacted in place prior to emplacement of the
next lift.
f)A six-inch thick concrete grout plug shall be placed on top of the remaining
casing such that it covers the entire excavated area above the top of the casing,
including the area extending 12 inches or greater outside the well casing.
g)The remainder of the well above the concrete plug shall be filled with grout or
soil.
4.All wells other than water supply wells, including temporary wells, monitoring wells, or
test borings:
a) Less than 20 feet in depth that do not penetrate the water table shall be
abandoned by filling the entire well up to land surface with grout, dry clay, or
material excavated during drilling of the well and then compacted in place;
b)Greater than 20 feet in depth or that penetrate the water table shall be
abandoned by completely filling with a bentonite or cement-type grout; and
c)Constructed in consolidated rock formations or that penetrate zones of
consolidated rock may be filled with grout, sand, gravel,or drill cuttings within the
zones of consolidated rock.The top of any sand, gravel or cutting fill shall
terminate 10 feet or greater below the top of the consolidated rock or five feet
below the bottom of the casing. Grout shall be placed beginning 10 feet below
the
d)Top of the consolidated rock or five feet below the bottom of the casing in a
manner to ensure complete filling of the casing and shall extend up to the land
surface. For any well in which the depth of the casing or the depth of the bedrock
is not known or cannot be confirmed,the entire length of the well shall be filled
with grout up to the land surface.
5.Any well that acts as a source or channel of contamination shall be repaired or
permanently abandoned within 30 days of receipt of notice from the Department.
6.All wells shall be permanently abandoned in which the casing has not been installed
or from which the casing has been removed, prior to removing drilling equipment
from the site.
7.The well owner is responsible for permanent abandonment of a well except that:
a)The well contractor is responsible for well abandonment if abandonment is
required because the well contractor improperly locates, constructs, repairs or
completes the well;
b)The person who installs, repairs or removes the well pump is responsible for
well abandonment if that abandonment is required because of improper well
pump installation, repair or removal; or
c)The well contractor(or individual)who conducts a test boring is responsible for
40
its abandonment at the time the test boring is completed.
History Note: Substitute for NCAC 02C.0113
Eff. July 1, 2008;Amended eff. October 23, 2009;March 25, 2020
C. DATA AND RECORDS REQUIRED
1.Any person completing, repairing or abandoning any well shall submit to the OCHD a
record of the construction, repair, or abandonment. The record shall include:
a)Certification that construction, repair or abandonment was completed as
required by these Rules;
b)The owner's name and address;
c) Latitude and longitude of the well with a position accuracy of 100 feet or less;
d) Diameter;
e) Depth;
f) Depth of water bearing zones
g)Yield of each water bearing zone,
h)Static water level and;
i)Any other information the OCHD shall require as necessary to depict the
location and construction details of the well.
2. The certified record of completion of a repair or abandonment shall be submitted at
the time of inspection unless other methods of submittal have been pre-approved.
3.The furnishing of records to any person or agency other than the OCHD shall not
constitute compliance with the reporting requirement and shall not relieve the well
contractor of any obligations to the OCHD.
History Note: Substitute for NCAC 02C.0118
Eff. July 1, 2008;amended eff. October 23, 2009
D. SECTION V-WELL WATER SUPPLIES FOR RENTAL PROPERTIES
1. It shall be unlawful for any person to offer for rent,to offer for lease,or to offer for
occupation for non-monetary consideration any residence or place of business
without a potable water supply.
2.Any well that is found to have contaminant levels exceeding the safe levels
established by the NC Department of Public Health Epidemiology Sections shall not
be used by renters or lessees until the well has been repaired in a manner approved
by the OCHD and water samples taken from the well after the repair is complete
indicate the water to be safe for human consumption.
41
3. If a well is contaminated and cannot be repaired or the repair is ineffectual, an
approved alternate supply shall be provided except as provided for in ()below.
4. Repaired wells, which have recurring bacteriological contamination, may be approved
for use when approved continuous disinfection methods are provided,except when
the well is contaminated with fecal coliform. Wells contaminated with fecal coliform
shall not be approved for rental use and shall be repaired or abandoned.
Eff. July 1, 2008;amended eff. October 23, 2009
E. SECTION IV- SHARED-USE WELLS Comment[VH74]:OCHD NEW SECTION TO
PROTECT A PERSONS RIGHTS/ACCESS TO WATER
SUPPLY IN THE EVENTTHAT PROPERTY LINES
1.When a well,which is not part of a Public Water System ,as defined by NCGS 1 30A- SEPARATE A WELL USER FROM THE WELL
313.10, is intended to serve two or more buildings located on separate parcels, a LOCATION;NO SUBDIVISION WOULD BE PERMITTED
W ITHO UT THE CONSIDERATION OF ACCESS
legal easement shall be required for use of the well by the users of the well that are
not located on the same parcel as the well. All necessary easements, declarations,
rights of way, or encroachment agreements, as applicable, shall be obtained and
recorded prior to the issuance of a Certificate of Completion for the well construction
permit. Terms of the easement, right-of-way or encroachment agreement shall
provide that the easement, right-of-way, or encroachment agreement:
a) Is appurtenant to specifically described property and runs with the land and is
not affected by change of ownership or control;
b) Is valid for as long as the well is required for the dwelling or facility that it is
designed to serve;
c) May be required by the OCHD to specify, by metes and bounds description
and attached plat prepared by a registered land surveyor or professional
engineer,the area or site required for the well and appurtenances;
d)Shall be reviewed and approved by the OCHD and the County Attorney and,
upon approval, recorded with the Orange County Register of Deeds.
2.When subdivision or recombination of(an)existing parcel(s)would result in the
sharing of an existing well by two or more dwellings or buildings which are located on
separate parcels, the provisions of Section VI(1)must be met prior to subdivision
approval by the OCHD.
Eff. March 25, 2020
42
F. ORANGE COUNTY BOARD OF HEALTH
A RESOLUTION CONCERNING THE ADOPTION OF RULES FOR
GROUNDWATER PROTECTION AND WELL PERMITTING AND CONSTRUCTION IN
ORANGE COUNTY
WHEREAS, the Orange County Board of Health is charged with protecting the health,
safety, and welfare of all Orange County residents;and
WHEREAS, the Orange County Board of Health desires to protect the health of all
residents of Orange County from exposure to contaminated groundwater and drinking water,
and
WHEREAS, wells that are improperly constructed or maintained constitute a significant
public health risk for residents living in the County; and
WHEREAS, wells that are improperly constructed or maintained may lead to groundwater
contamination and detriment of groundwater resources, and
WHEREAS, the Orange County Board of Health is enabled by North Carolina General
Statute
§130A-39 to adopt Rules more stringent than those set forth by the North Carolina
Commission for Health Services where, in the opinion of the Orange County Board of Health,
a more stringent rule is required to protect the public health; and
WHEREAS, it is the opinion of the Orange County Board of Health that these Rules are
necessary to ensure the proper construction of wells and protection of the groundwater
resources and thereby protect the public health and natural resources of the County;
43
Now, therefore, be it resolved by the Orange County Board of Health that:
1. The Orange County Board of Health has adopted Rules deemed to be more stringent and
necessary to protect the public health of citizens in Orange County as contained in the
Groundwater Protection Rules for Orange County; and
2. These Rules shall be in full force and effect unless otherwise acted on by the Orange
County Board of Health.
This day of March 25, 2020.
Timothy Smith, PLS, PE Quintana Stewart, MPA
Orange County Board of Health, Chair Orange County Health Director
44
WELL RULES REVISION VA 2020 SUMMARY OF
CHANGES
YELLOW HIGHLIGHT- STATE REQUIREMENTS GREEN HIGHLIGHT- OCHD SPECIFIC REVISIONS
TOPIC PAGE SUMMARY OF CHANGE
Variance pp. 4-5 Procedures not currently in OC Rules to mirror language of the State.
Definitions pp. 4-12 Definitions adopted by the State 2019 or added for clarification.
Re-writes to mirror language of the State plus local verbiage about well permits requiring
Application pp.12-13 physical addresses.
Permitting pp.13-15 Adopts State language 02C.0303; added Paragraph 6 for PWS well permitting.
Grout inspection P. 15 Strengthens language of the appointment.
Grout inspection p. 15 Adds Bentonite chips as an option for grouting.
Registration p. 17 Rescinds Registration.
Well abandonment pp.17-18 Adds State 2019 02C.0309.
Setbacks pp. 18-19 State/OCHD clarifies setbacks.
Casing pp.20-23 Removes black steel pipe. Adds PVC options to casing materials.
Grouts pp.23-24 Re-writes to mirror language of the State. Adds grouting options and corrective action.
Grout emplacement pp. 24-26 The revisions to Section F-G come from State 02C.0107.
Well Head pp. 27-28 Requires electrical junction box on well head.
Well tag p. 28 Clarifies secure attachment of tag.
Pump tag pp. 28-29 Clarifies secure attachment of tag.
Pumps pp. 29-30 Revisions at suggestion of State and specifies electrical. Parts are lead free.
Yield test p.31 Clarifies small change in the yield test verbiage.
Disinfection pp. 32-33 Allows for granular chlorine only.
Monitoring wells pp. 33-35 Adds option for PVC casing for monitoring wells.
Geothermal wells pp. 35-37 Specifies grouting requirements for geothermal wells and marker options
Well Maintenance pp. 37-38 Specifies who can do the electrical connection
Liner pp.37-38 Requires down hole imaging needed for liner and references new allowable grouts re-write.
Abandonment pp. 38-41 Does not require the removal of casing
Ensures legal easements when a well is shared between 2-14 dwellings, facilities, or places of
assembly, legal easements so that any one user of the well is not cut off from the water supply
Shared-use wells pp.42 during property subdivisions.
Agenda Item Number:
ORANGE COUNTY BOARD OF HEALTH
AGENDA ITEM SUMMARY
Meeting Date: February 26, 2020
Agenda Item Subject: FY 2020-2021 Outside Agency Funding Application
Evaluation Process
Attachment(s): Application Process, Advisory Board Evaluation and Scorecards
Staff or Board Member Reporting: La Toya Strange
Purpose: _X_Action
Information only
Information with possible action
Summary Information:
A review along with a completed scoring sheet needs to be available to the Health Director for
presentation to the County Manager when the departmental budget is presented for her review.
The Health Department received 7 applications. We need several groups with 2-3 BOH members
to carefully review and score the applications. The applications, financial information, score cards,
and instructions are on the Board of Health Webpage link.
Evaluation Materials
The scorecards will need to be sent back to La Toya Strange by Friday, March 20, 2020.
Financial Considerations: There is no immediate financial consideration with performing this
task.
Applicants BOH Reviewers
Duke Homecare & Hospice Jessica Frega, Bruce Baldwin, Keith Bagby
Farmer Foodshare Jennifer Deyo, Sam Lasris, Alison Stuebe
Orange County Rape Crisis Center Lee Pickett, Timothy Smith, Aparna Jonnal
Piedmont Health Services, Inc. Liska Lackey, Jessica Frega, Bruce Baldwin
Planned Parenthood Keith Bagby, Jennifer Deyo, Sam Lasris
TABLE, Inc. Alison Stuebe, Lee Pickett, Timothy Smith
Transplanting Traditions Aparna Jonnal, Liska Lackey
Recommended Action: _Approve
_Approve &forward to Board of Commissioners for action
_Approve &forward to
_X_Accept as information
_Revise & schedule for future action
_Other (detail):
Agenda Item Number:
ORANGE COUNTY BOARD OF HEALTH
AGENDA ITEM SUMMARY
Meeting Date: February 26, 2020
Agenda Item Subject: FY 2020-20 Budget Request
Attachment(s): Budget Request & Summary
Staff/Board Member Reporting: Quintana Stewart
Purpose/Recommended Action: Action/Approve
_X_ Action/Approve & forward to Board of Commissioners
Information with possible action
Accept as information
Revise & schedule for future action
Summary Information:
The proposed FY 2020-2021 budget for the Health Department presents an increase in
expenditures of $143,975 from the FY 20-21 Base Budget; all of which are related to an
increase in permanent staffing (5.0 new FTEs and 1.0 FTE converted from Time Limited to
Permanent, supported by re-allocated county general funds, fees for service, Medicaid Cost
Settlement, and new County General funds). Staff projects a $99,354 increase in revenues for
FY 20-21, which will partially offset the expenditure increase. The Health Department will
request a County General Fund request in FY 20-21 of $44,621.
The proposed total budget is $11,074,200.
New Staff Requests
The Health Department requests to convert previously allocated contract services funds for an
IT Support Analyst to a permanent IT Support Analyst as we have been unable to recruit for
this position as a contractor. This position will be fully funded by existing, reallocated County
General Funds. The department has requested to add a Mobile Dental Clinic (MDC)
Coordinator and Administrative Support I (to provide administrative assistance in the medical
clinics) during the current year. These positions are included in our budget request and will be
fully funded by Medicaid Cost Settlement funds. The department requests to add two new
positions that will each be partially funded by new User Fees and New County General Funds.
The Dental Clinic would like to add a Dental Hygienist as an existing Dental Hygienist will
serve on the Mobile Dental Clinic and we anticipate that adding a new Hygienist will enable the
Dental Clinic to maintain the current patient load and not extend wait times for new/return
appointments. The Environmental Health Division would like to add an additional
Environmental Health Specialist (EHS) to dedicate 100% to Onsite Water Protection Services
(OSWP) inspections. Currently an OSWP EHS has been reassigned to work 50% of her time
in the Food and Lodging Inspections (FLI) program to inspect an additional 110 locations on
the UNC campus as newly required by a NCDHHS plus many new restaurants, food trucks,
and new food offerings at UNC Athletic events. This has meant other existing OSWP EHS
have taken on additional inspections and lengthened inspection wait times. The new EHS
would allow all inspections (OSWP and FLI) to be conducted within acceptable wait times and
improve client satisfaction. Finally, the department requests to convert a time limited Reentry
Case Manager position to a permanent position. This position was originally grant funded in a
partnership with UNC in the Formerly Incarcerated Transitions (FIT) program, which ended this
fiscal year. We have seen many benefits to the residents of Orange County through this
program and have reallocated County General Funds to support keeping the position on a
permanent basis.
State Funding
The NC Department of Health and Human Services has provided us with the FY 20-21
Consolidated Agreement Addenda. We received increases in the Family Planning and Breast
and Cervical Cancer Control Program (BCCCP) programs totaling $30,521. That increase was
offset by an anticipated decrease of $20,000 in the CLAS program (funding not available in FY
20-21), in the Refugee Health program (related to the decrease in Refugees coming to Orange
County for resettlement), and the Healthy Communities program, which was an anticipated
decrease from a one-time funding increase we received last fiscal year.
Fee Changes
The FY 20-21 requested budget includes fee changes and additions for the Personal Health
and Environmental Health divisions. Staff recommends multiple fee changes for Personal
Health, mainly to add fees for maternal health ultrasounds and adjust vaccine fees to reflect
purchase costs and Environmental Health, in the OSWP and FLI programs. All proposed fee
increases are described in more detail in a separate Fee Change abstract.
Recommended Motion:
To approve the total budget requested in the amount of $11,074,200 for FY 2020-2021 as
presented and forward to the County Manager and Board of County Commissioners for action.
ORANGE COUNTY HEALTH DEPARTMENT
FY 20-21 Annual Operating Budget
Summary
FY 20-21 Base FY 20-21 $ Change from FY % Change from
Budget Budget 20-21 Base Budget FY 20-21 Base
Request Budget
TOTAL REVENUES $ (3,491,498) $ (3,590,852) $ 99,354 3%
TOTAL EXPENSES $ 10,930,225 $ 11,074,200 $ 143,975 1%
NET COUNTY
APPROPRIATION $ 7,438,727 $ 7,483,348 1 $ 44,621 1%
Budget Highlights
Health Department's Personnel Requests:
Personnel: Amount Funding Source
IT Support Analyst $ 63,946 Reallocated County Funds
Mobile Dental Clinic Coordinator $ 60,401 Medicaid Cost Settlement Funds
Dental Hygienist $ 77,501 User Fees and New County Funds
Environmental Health Specialist $ 67,848 User Fees and New County Funds
Administrative Support 1 $ 58,037 Medicaid Cost Settlement Funds
Reentry Case Manager-Time Limited to
Permanent $ 58,037 Reallocated County Funds
Total $ 385,770
Operating Budget Drivers
Item: Amount Notes
$72,097 decrease to transfer for permanent IT
Support Analyst and additional temporary part
Contract Services $771,293 time Spanish Interpreter
Increase based on need for scheduled Mobile
Dental Clinic maintenance and equipment
Equipment Repairs and Maintenance $ 23,032 repairs
Total $ 794,325
Summary by Division
FY 19-20 FY 20-21
Type Category FY 18-19 Revised FY 19-20 FY 20-21 Budget *Change from FY 20-21
Actuals Budget Projection Base Budget Base to Request
Request
Revenue Donations (6,000) 0
State Allocations (84,041) (42,921) (42,921) (42,921) (42,921) 0
Revenue Total (90,041) (42,921) (42,921) (42,921) (42,921) 0
Expenditures Operating 1,036,386 1,070,090 932,594 1,054,038 1,090,182 (36,144)
Personnel 129,869 176,728 146,464 158,944 118,126 40,818
Capital 0 0 345 0 0
Expenditures Total 1,166,256 1,246,818 1,079,403 1,212,982 1,208,308 4,674
County General Funds 1,076,215 1,203,897 1,036,482 1,170,061 1,165,387 4,674
FY 19-20 FY 20-21
FY 18-19 FY 19-20 FY 20-21 *Change from FY 20-21
Type Category Revised Budget
Actuals Projection Base Budget Base to Request
Budget Request
Dental
Revenue Donations (1,000) 0 0 0 0
Service Revenue 131,068
(551,176) (541,000) (609,503) (541,000) (672,068)
State Allocations 69,916
(22,000) (41,477) (41,477) (41,477) (111,393)
Revenue Total (574,176) (582,477) (650,980) (582,477) (783,461) 200,984
Expenditures Personnel 1,152,631 1,181,799 1,283,379 1,279,959 1,418,862 138,903
Operating 217,519 259,267 222,688 262,959 273,020 10,061
Capital
0 Expenditures 9,576 3,692 0 0 0
Expenditures Total 1,379,726 1,444,758 1,506,067 1,542,918 1,691,882 148,964
County General Funds 805,549 862,281 855,087 960,441 908,421 52,020
FY 19-20 FY 20-21
FY 18-19 FY 19-20 FY 20-21 *Change from FY 20-21
Type Category Budget Revised
Actuals Projection Base Budget Base to Request
Budget Request
Health Promotion and Education Services
Revenue Donations (33,025) (5,310) (667) (7,310) 0 (7,310)
State Allocations (275,148)
(348,672) (63,706) (63,706) (318,682) (43,534)
Revenue Total (381,697) (69,016) (64,373) (325,992) (43,534) (282,458)
Expenditures Personnel 573,590 403,489 368,605 425,993 425,993 0
Operating 652,912 103,939 143,873 345,940 82,939 (263,001)
Capital
0 Expenditures 1,108 0 4,000 0 0
Expenditures Total 1,227,610 507,428 516,478 771,933 508,932 (263,001)
County General Funds 845,912 438,412 452,105 445,941 465,398 (19,457)
FY 19-20 FY 20-21
Type Category FY 18-19 Revised FY 19-20 FY 20-21 Budget *Change from FY 20-21
Actuals Projection Base Budget Base to Request
Budget Request
Environmental Health
Revenue Service Revenue 2,285
(593,600) (648,761) (596,962) (648,761) (651,046)
State Allocations 3,400
(69,977) (47,600) (47,200) (44,600) (48,000)
Revenue Total (663,577) (696,361) (644,162) (693,361) (699,046) 5,685
Expenditures Personnel 1,314,610 1,435,759 1,417,031 1,487,570 1,511,465 23,895
Operating 110,568 118,821 102,104 113,552 114,401 849
Capital 5,953 0 0 0 0 0
Expenditures Total 1,431,131 1,554,580 1,519,135 1,601,122 1,625,866 24,744
County General Funds 767,554 858,219 874,973 907,761 926,820 (19,059)
FY 19-20 FY 20-21
FY 18-19 FY 19-20 FY 20-21 *Change from FY 20-21
Type Category Revised Budget
Actuals Projection Base Budget Base to Request
Budget Request
Personal Health
Revenue Donations (8,791) (2,000) (4,116) 0 (2,000) 2,000
Service Revenue (153,750)
(486,898) (681,125) (505,992) (681,125) (527,375)
State Allocations 326,893
(1,096,897) (1,463,454) (1,427,293) (1,165,622) (1,492,515)
Revenue Total (1,592,585) (2,146,579) (1,937,401) (1,846,747) (2,021,890) 175,143
Expenditures Personnel 3,879,305 4,813,619 4,243,393 4,845,032 4,888,101 43,069
Operating 939,746 1,232,419 1,058,559 956,238 1,151,111 194,873
33,062 2,336 3,133 0 0 0
Expenditures Total 4,852,113 6,048,374 5,305,085 5,801,270 6,039,212 237,942
County General Funds
3,259,528 3,901,795 3,367,684 3,954,523 4,017,322 (62,799)
*(Decrease)/Increase
FY 19-20 FY 20-21 *Change
FY 18-19 Revised FY 19-20 F Budget Y 20-21 from FY 20-
Actuals Budget Request Projection Base Budget 21 Base to
Request
REVENUE
FINANCE AND ADMIN SERVICES (90,041) (42,921) (42,921) (42,921) (42,921) 0
DENTAL HEALTH (574,176) (582,477) (650,980) (582,477) (783,461) 200,984
HEALTH PROMOTION&EDU (381,697) (69,016) (64,373) (325,992) (43,534) (282,458)
ENVIRONMENTAL HEALTH (663,577) (696,361) (644,162) (693,361) (699,046) 5,685
PERSONAL HEALTH (1,592,585) (2,146,579) (1,937,401) (1,846,747) (2,021,890) 175,143
REVENUE TOTAL (3,302,077) (3,537,354) (3,339,837) (3,491,498) (3,590,852) 99,354
EXPENDITURES
PERMANENT SALARIES 5,600,710 6,359,260 5,712,980 6,392,672 6,607,654 214,982
OVERTIME 2,743 0 0 0 0 0
HOLIDAY PAY 2,834 0 2,623 0 0 0
LONGEVITY 41,253 48,403 52,315 43,364 43,291 (73)
NON-PERMANENT PERSONNEL 153,622 123,790 168,537 132,153 79,535 (52,618)
SEASONAL 0 14,192 23,653 0 0 0
BOARD REMUNERATION 2,050 3,733 2,100 3,660 3,660 0
SOCIAL SECURITY 347,327 405,298 354,221 413,198 415,019 1,821
MEDICARE 81,593 95,020 83,574 96,063 97,454 1,391
MEDICAL INSURANCE 1,045,210 1,156,200 1,061,825 1,171,604 1,219,999 48,395
VIED INS PMT IN LIEU 3,450 10,400 2,861 5,200 5,200 0
HSA CONTRIBUTION 21,666 41,065 51,448 36,816 36,816 0
DENTAL INSURANCE 35,512 38,553 37,492 42,522 44,387 1,865
LIFE INSURANCE 8,138 14,343 8,553 14,135 14,780 645
RETIREMENT 440,602 512,878 509,900 659,693 681,721 22,028
NON-SWORN 401(K) 169,814 81,621 172,920 81,512 85,087 3,575
TRAVEL 24,096 26,123 19,694 18,173 21,297 3,124
TRAINING/DEVELOPMENT 44,964 61,598 43,133 57,399 55,350 (2,049)
CERTIFICATIONS&LICENSES 14,090 10,987 11,433 11,047 10,525 (522)
PERSONAL MILEAGE 32,892 56,201 36,721 55,365 44,302 (11,063)
TELEPHONE 110,921 113,249 109,225 109,742 113,290 3,548
POSTAGE 16,522 14,273 13,653 14,273 12,798 (1,475)
EQUIPMENT REP&MAINT 8,107 15,025 6,720 13,025 23,032 10,007
EQUIPMENT RENT 1,147 1,200 1,200 1,200 1,300 100
DUPLICATING 9,534 12,250 9,660 12,750 10,550 (2,200)
PRINTING 13,679 14,529 5,862 17,349 12,874 (4,475)
ADVERTISING 31,444 9,685 3,808 11,185 11,250 65
DUES 5,568 6,064 6,087 5,809 6,359 550
FY 19-20 FY 20-21 *Change
FY 18-19 Revised Budget FY 19-20 FY 20-21 from FY 20-
Actuals Budget Request Projection Base Budget 21 Base to
Request
SUBSCRIPTIONS 842 1,600 1,052 1,400 1,285 (115)
DEPARTMENTAL SU PPLIES 34,510 44,465 31,537 38,673 41,535 2,862
EDUCATIONAL SUPPLIES 9,787 15,824 7,029 17,810 12,129 (5,681)
OFFICE SUPPLIES 26,495 27,070 24,567 28,713 26,143 (2,570)
MEDICAL SUPPLIES 127,064 146,540 144,238 152,217 143,361 (8,856)
BLOODBRNE PATH SUPPS 1,205 1,200 1,200 1,200 1,200 0
PHARMACY SUPPLIES 128,166 175,608 161,714 161,000 156,477 (4,523)
COMP SUPP/SFTWRE 5,742 6,433 5,885 6,433 5,885 (548)
OTHER SUPPLIES 147 0 0 0 0 0
CONTRACT SERVICES 1,172,427 862,631 790,405 843,390 771,293 (72,097)
X-RAY 12,172 22,625 13,500 22,625 14,000 (8,625)
LAB SERVICES 117,794 132,729 129,680 131,410 133,406 1,996
BONDS&INSURANCE 10,815 10,815 10,815 10,815 12,406 1,591
UNIFORMS 10,213 6,100 6,902 8,900 9,800 900
COMMUNITY PROJECT SUPPORT 32,931 47,956 34,106 46,980 47,535 555
INNOVATIONS PROJECT 12,129 15,000 12,500 15,000 15,000 0
ACCREDITATION PROJECT 2,750 3,250 3,250 2,750 3,250 500
TOBACCO CONTROL GRANT 4 0 0 0 0 0
NICOTINE REPLACEMENT THERAPY 5,015 10,000 7,000 10,000 10,000 0
CREDIT CARD ACCEPTANCE CHARGES 10,443 11,000 11,000 11,000 11,000 0
CAPITAL UNDER$500 17,001 9,144 10,112 0 965 965
EQUIPMENT 35,181 5,428 1,736 0 0 0
IT EQUIPMENT 14,518 600 5,742 0 0 0
TOTAL EXPENDITURES 10,056,836 10,801,958 9,926,167 10,930,225 11,074,200 143,975
COUNTY APPROPRIATION 6,754,759 7,264,604 6,586,330 7,438,727 7,483,348 44,621
Percent County Funds 67.2% 67.3% 66.4% 68.1% 67.6%
*(Decrease)/Increase
Agenda Item Number
ORANGE COUNTY BOARD OF HEALTH
AGENDA ITEM SUMMARY
Meeting Date: February 26, 2020
Agenda Item Subject: FY 2020-21 Fee Schedule
Attachment(s): Fee Schedule & Requested Changes
Staff/Board Member Reporting: Quintana Stewart, Health Director
Purpose/Recommended Action: Action/Approve
x Action/Approve & forward to Board of Commissioners
Information with possible action
Accept as information
Revise & schedule for future action
Summary Information:
In reviewing Health Department fee schedules, which are done on an annual basis, the
Department would like to make multiple fee changes in Environmental Health and Personal
Health. The proposed changes are summarized below with a detailed list of the fees in the
attached fee schedule:
Environmental Health
Environmental Health requests to adjust multiple sample testing fees, Tattoo Artist, and
Pool/Spa permitting fees and add two well permit fees and a Mobile Food Unit fee. The
sampling fees will be adjusted in order to remain competitive with both private sector sampling
services and surrounding jurisdictions and the fee for a Radon Air Sample kit will be deleted as
these are no longer provided. These adjustments should have little to no impact on the total
fee revenue. A fee increase for the Tattoo Artist Annual Permit will offset the cost for annual
training offered to tattoo. The proposed new fees for Well Repair Permits with Water Sample
(with and without Liner) will ensure that well water is tested for contamination after well repairs
(currently there is no requirement for homeowners to test the water after a repair, which can
impact basic potability). The proposed new fee for Mobile Food Units (MFU) removes MFUs
from an umbrella fee category (Shared Kitchen, MFU, PC, LFSE Plan Review and Permit) due
to the time and complexity required to inspect and permit a MFU, which is similar to the time
and complexity required for a brick and mortar establishment.
The total financial impact from Environmental Health fee changes is projected to be: $14,675.
Personal Health
Personal Health requests to adjust multiple fees for vaccines (to reflect the cost to purchase
the vaccines), to add fees to charge for maternal health ultrasounds (will help patients avoid
hospital visits and will be adjusted on a sliding fee scale for self-pay patients), to delete
procedure codes that are no longer used (originally added with specific modifiers as required
by Medicaid Cost Settlement but no longer required), and to add a new MMR and Varicella
vaccine. Finally, the division requests to continue scheduled adjustments to the fees for 340B
drugs (Family Planning drugs not including birth control pills) to make them match the county's
cost to purchase them, as required by the state and federal government.
The total financial impact from Personal Health fee changes is projected to be a maximum of
$13,493.38:
Recommended Motion:
To approve all fee changes for FY 2020-2021 as presented and forward to the Board of
County Commissioners for action.
FY 2020-21 Fee Changes
Environmental Health Fees Changes
2020-21 Anticipated
Name of Fee 2019-20 Proposed Revenue
Rate Rate from Fee
Change
Incomplete or Failed
Inspection/Reinspection $ 45.00 $ 50.00 $ -
Septic Tank Contractor
Education Class Fee $ 50.00 $ 60.00 $ 1,100.00
Abandoned Well Permit
Refund(if original well
abandoned within 30 days of
construction) $ 280.00 Delete $
Well Repair Permit with water
sample $ - $ 75.00 $ 2,625.00
Well Repair Permit with water
sample-Liner installation $ - $ 175.00 $ 8,750.00
Permit Site Review Revisions $ 140.00 $ 175.00 $ -
Individual Metals $ 85.00 $ 100.00 $ 150.00
Radon Air Sample Kit $ 20.00 Delete $ -
Mobile Food Unit $ - $ 200.00 $ 1,100.00
Tattoo Artist Annual Permit fee $ 350.00 $ 400.00 $ 950.00
Personal Health Fees Changes
2019-20 2020-21 Anticipated
Name of Fee CPT Code Rate Proposed Revenue from Fee
Rate Change
Ultrasound, Pregnant Uterus,
Real Time with Image
Documentation 76801 -26 $0.00 $50.00 $ 1,000.00
Ultrasound, Pregnant Uterus,
Real Time with Image
Documentation 76801 -TC $0.00 $70.00 $ 700.00
Ultrasound, Pregnant Uterus,
Real Time with Image
Documentation 76801 $0.00 $120.00 $ 1,200.00
Ultrasound, Pregnant Uterus, B-
Scan and/or Real Time with
Image Documentation 76805-TC $0.00 $90.00 $ 900.00
Ultrasound, Pregnant Uterus, B-
Scan and/or Real Time with
Image Documentation 76805 $0.00 $135.00 $ 1,350.00
Ultrasound, Pregnant Uterus,
Real Time with Image
Documentation,Transvaginal 76817-26 $0.00 $40.00 $ 400.00
Ultrasound, Pregnant Uterus,
Real Time with Image
Documentation,Transvaginal 76817-TC $0.00 $55.00 $ 550.00
Ultrasound, Pregant Uterus,
Real Time with Image
Documentation,Transvaginal 76817 $0.00 $95.00 $ 950.00
Ultrasound,Transvaginal 76830 $0.00 $120.00 $ 1,200.00
Human Papillomavirus vaccine
types 6, 11, 16, 18,31,33,45,
52,58, nonavalent(HPV),2 or 3
dose-GARDASIL 9 90651 $180.00 $225.00 $2,565.00
Measles, mumps,and rubella
AND varicella virus vaccine, live-
PROQUAD 90710 $0.00 $260.00 $2,600.00
Pneumococcal polysaccharide
vaccine,23-valent(PPSV23),
adult or immunosuppressed
patient dosage,when
administered to 2 years or older-
PNEUMOVAX 23 90732 $107.00 $115.00 $72.00
Estab Offic/Outpt Tx Brief E&M 99211 OB $0.00 Delete 0
Estab Office/Outpt Tx Prob
Focused E&M 992120E $0.00 Delete 0
Estab Office/Outpt Tx Expanded
Focused E&M 992130E $0.00 Delete 0
Estab Office/Outpt Tx Detailed
E&M 992140E $0.00 Delete 0
Estab Office/Outpt Tx
Comprehensive E&M 992150E $0.00 Delete 0
Medroxyprogesterone acetate, 1
mg(150 units) J1050 $0.17 $0.23 10.32
Paragard IUD J7300 $237.54 $251.56 0
Paragard IUD J7300ud $237.54 $251.56 56.48
Liletta IUD J7297 $50.00 $66.67 6.67
Liletta IUD J7297ud $50.00 $66.67 0.00
Nuvaring(3 pack) J7303 $27.92 $10.45 -$26.21
Nuvaring(3 pack) J7303ud $27.92 $10.45 0
Plan B Emergency
Contraception, 1.5mg S5001 $11.32 $3.68 -$30.56
Agenda Item Number:
ORANGE COUNTY BOARD OF HEALTH
AGENDA ITEM SUMMARY
Meeting Date: February 26, 2020
Agenda Item Subject: Fluoride Recommendation Approval
Attachment(s): Fluoride Report
Staff or Board Member Reporting:
Purpose: X Action
Information only
Information with possible action
Summary Information:
The BOH Ad Hoc committee will finish the fluoride review process for OWASA on
Thursday, February 20t". The committee will present the final recommendation to the
BOH for approval.
Recommended Action: X Approve
Approve & forward to Board of Commissioners for action
Approve & forward to
Accept as information
Revise & schedule for future action
Other (detail):
Health Director's Report
February 2020
• COVID-19 (formerly known as Coronavirus)—NC Department of Health and Human Services continues to
provide guidance to partners regarding COVID-19. OCHD participates in weekly conference calls with the State
and our communicable disease staff is in constant communication with DHHS about returning travelers from
China. Currents risks to NC remain low. There are no confirmed cases of COVID-19 in NC at this time. The State
Health Director has issued a temporary order requiring all physicians and laboratories to report any suspected or
confirmed COVID-19 infections to their local Health Department.
NC Emergency Management and NC DHHS are working in coordination with the newly established NC
Coronavirus Task Force(established last week by Governor Cooper) to develop response plans for the different
scenarios that may unfold.
• January 30,2020 -Cardinal Innovations met with Local Health Directors to share their new Charter. The new
structure is modeled after Oregon; this is the structure they moved to in 2012 during their implementation. The
Charter includes an Operations Council,Provider Partners Council, Community Advisory Council, and Regional
Health Council(5 total). Orange County is part of the Central Region. I have made our appointment to the
Operations Council(Informatics Manager—Juliet Sheridan)and Board of County Commissioners(BOCC)is
reviewing applications for appointments to the Community Advisory Council. We had robust conversation about
the Cardinal Assessment Reports and how we could incorporate their assessment results into local CHA Reports
and vice-versa,how we can share our CHA results with Cardinal. There was consensus to explore a data
repository where data can be shared.
• Census 2020—Staff and I continue to work with the County Census Complete Count Committee to prepare for
Census 2020. April 1st is the official Census Day. Several Be Counted Sites have been identified throughout the
County to give community members access to computers so they may complete the survey. Be Counted Sites are
scheduled to open up March 12,2020. They will remain open until July 31,2020.For a list of Be Counted Sites
visit: hLtps://www.orangecouqtnc.gov/2302/Be-Counted-Sites . If you have meetings scheduled between now
and the first week of April,we ask that you remind folks to complete the Census. OCHD Communications
Manager,Kristin Prelipp developed videos to explain the importance of the Census and the benefits for the
County. All the videos,including versions in English,Kinyarwanda,Burmese,Karen,Mandarin and Arabic are
here: https://www.orangecountVnc.gov/2092/Census-2020
• Opioid Task Force Meeting—To date we've had 2 official meetings. Great attendance at both meetings. The
group is learning about existing local efforts to address opioid/substance use disorder and identifying gaps and
additional resources. During the January meeting,UNC Medical Center gave a very detailed presentation about
their Opioid Stewardship Program started in 2017 at the Medical Center. In 2018 the program has spread to 11
other hospitals in the health care system. Program activities have led to a decrease in prescribing by providers and
increased both patient and provider education to include screening,treatment and disposal. The group also heard
from the NC DHHS Injury and Violence Prevention Branch. Orange County data was presented—3 million
pills dispensed in 2018; 2017 shows a spike in opioid related deaths (from 1-2 deaths per quarter to—5 deaths per
quarter). Some of the new metrics for the Opioid Action Plan 2.0 include prevention of future opioid addition by
supporting children&families, advance hard reduction, address non-medical drivers of health, eliminate stigma,
address needs of justice involved populations, expand access to treatment&recovery supports,track progress and
measure impact,and reduce the supply of inappropriate Rx and illicit drugs. During the recent February meeting,
the group heard from Orange County EMS and some of their efforts via the Community Paramedic Program.
There are 2 full time Community Paramedics. In 2019,EMS distributed 35 naloxone kits and 11 syringe kits. 13
of the 62 patients served refused hospital transport. The next task force meeting is scheduled for March 16, 2020;
8:30am— 10:00am, location TBD.
Representatives from the Opioid Task Force will attend the March 5th Behavioral Health Task Force Meeting to
share task force goals and evaluate if the there is any overlap between the two groups.
2020 Legislative Agenda for Health Director's Association
• Close the Medicaid coverage gap.
The coverage gap was created by the 2012 Supreme Court ruling which stipulated states could decide whether or not
to expand Medicaid.North Carolina did not. The coverage gap includes people who aren't eligible for Medicaid yet
their incomes are too low to qualify for Affordable Care Act(ACA) subsidies. For example, adults who earn between
$737 a month and$1,674 a month for a family of three are in the gap and are currently left out of both Medicaid and
ACA subsidies. Closing the gap would cover 500,000 North Carolinians and would protect vulnerable families in
need of critical medical care.
• Provide additional state funding to address increased demands associated with communicable and
emerging infectious diseases.
Local health departments must have the capacity to perform communicable disease control and surveillance activities
in order to prevent the spread of disease and protect the public. In the last 10 years, cases of communicable diseases
have increased over 200%. State funding to support communicable disease efforts has remained stagnant creating
pressures on local governments to meet the demands. In FY 17, general communicable disease control cost over$20
million and state funding only provided 4.3% of that cost. Provide an additional $8 million to expand local
infrastructure for communicable disease activities which will reduce the spread of disease,protect the public and
prevent unnecessary healthcare expenditures.
• Restore Women's& Children's Health Block Grant funding to local health departments.
Block grant has provided core capacity to local health departments to provide evidence-based programs for women
and children in local communities and helps offset the cost of uninsured care. Since 2011, "carve outs"of the WCH
Block Grant have increased from less than 10%of the total to almost 40%in 2017. The redirection of these funds has
resulted in a$2.2 million reduction to local health departments for critical services like maternal health, child health
and women's health services. Funding is critical for addressing unfavorable infant mortality rate in North Carolina.
• Protect the state's water supply from impact of industrial products and processes
Chemicals and contaminants,both long-known and emerging,have had a decided impact on the quality of drinking
water throughout the state.Not only do these matters have a negative effect on drinking water,they also adversely
affect the food supply,recreational opportunities and product safety. Heightened timely analysis and scrutiny by state
regulators is essential for existing operations. Adequate evaluation of past environment impact on water supply by
local and state governmental units is an integral component of the recruitment of industry into the state.
Upcoming Events
• February 27, 2020—`Be Smart"Town Hall at Whitted Building; sponsored by the Gun Safety Task Force&Orange
County Schools
• February 28,2020—UNC 4l't Minority Health Conference, "Truth to Power: Exercising Political Voice to Achieve
Health Equity"
• February 28,2020— NC Integrated Care for Kids (InCK)Kick-off Webinar
• March 4,2020—State Health Coordinating Council Meeting in Raleigh
• March 5,2020—Behavioral Health Task Force Meeting at UNC Hillsborough Hospital
• March 13,2020—"A Universal Approach to Trauma Informed Care"—presenter Colleen Bridger,MPH,PhD,
Assistant City Manager City of San Antonio,Texas; 9am— 12noon; Orange County DSS,Room 129, 113 Mayo
Street,Hillsborough,NC
• March 16,2020—Orange County Opioid Task Force Meeting; 8:30am— 10:00am in Hillsborough
UNC Bans Nonessential University-Affiliated Travel to
China Amid Coronavirus Outbreak
Posted by Dakota Moyer I Jan 30,2020 1 UNC 10 c
Lvx
LI B E R:I-AS
CLICK HERE FOR C1
x
UNC has banned nonessential university-affiliated travel to China amid the outbreak of coronavirus,which has
spread from the city of Wuhan in the Hubei Province.
This comes after the U.S.Department of State issued a Level 3:Reconsider Trovel advisory for China that includes a
Level4:Do Not Trove/advisory for the Hubei Province.Additionally,the U.S.Centers for Disease Control and
Prevention issued a Warning-Level 3:Avoid Nonessential Travel advisory for China.
In accordance with @StateDept advisories and other available information,nonessential
#UNC-affiliated travel to China is not permitted at this time https://t.co/Ks2K2KNVmm
— UNC-Chapel Hill(@UNC)January 29,2020
UNC personnel looking to travel to China must contact Andrew Hunt,global operations specialist,to initiate further
review and approval.
The Orange County Health Department also issued information about coronavirus and emphasized that there are
no confirmed cases in North Carolina at the time of publishing.A passenger traveling through ROU was suspected
of carrying the virus,but tested negative by state health officials.
Symptoms of coronavirus include fever and lower respiratory illness(e.g.,cough,difficulty breathing).The illness can
be more serious for individuals with a weakened immune system,the elderly,or those with underlying respiratory
problems.
All Orange County medical personnel and first responders have been informed about the coronavirus and have put
in place a protocol to ensure the public's safety,should Orange County encounter a case.
Related
City Council approves rezoning for"The White House"I Arts&Entertainment I mebaneenterprise.com
a
City Council approves rezoning for "The White
House"
By Adam Powell Enterprise Editor Feb 7, 2020 Updated Feb 8, 2020
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At Monday night's Mebane City Council meeting,the elected board considered a rezoning request by Aubrey and
Celine Meador for"The White House," located at 7920 E.Washington Street.The 5.61 acre property had been
zoned R-20 (residential)for decades, but the Meadors requested a rezoning to B-2 CD (general business
conditional zoning).The Meadors also requested the 3,725 square foot White House and the property to be
http://www.mebaneenterprise.com/arts_and_entertainment/article_51874c2O-4aO2-flea-97f2-7b732ea9e9d6.html[2/10/2020 9:58:09 AM]
City Council approves rezoning for"The White House"I Arts&Entertainment I mebaneenterprise.com
annexed into Mebane's city limits.While the nearly 120-year-old White House property has historically been used
for residential purposes, it sat vacant for many years until the Meadors purchased the home.The City Council
approved the rezoning request,which opens the door for the White House to be utilized for events such as
weddings and arts and craft shows.
Photograph by Adam Powell
At Monday night's Mebane City Council meeting, the elected board considered a rezoning
request by Aubrey and Celine Meador for "The White House," located at 7920 E. Washington
Street. The 5.61 acre property had been zoned R-20 (residential) for decades, but the
Meadors requested a rezoning to B-2 CD (general business conditional zoning). The Meadors
also requested the 3,725 square foot White House and the property to be annexed into
Mebane's city limits.
While the nearly 120-year-old White House property has historically been used for residential
purposes, it sat vacant for many years until the Meadors purchased the home. While the
Meadors have made many improvements for residential use to the property, the primary
use for the refurbished home is Retreat/Conference Center, with an additional allowance for
a Bed and Breakfast.
The Meadors envision the White House as an ideal wedding and wedding reception venue,
and anticipate utilizing the facility as such. The property is also approved for occasional
events such as arts and crafts shows.
"This is exciting for us. This is coming at the end of a lot of work with Cy and the Planning
Board. It has been a community effort to get here," Celine Meador stated to the City Council
before going into a historical background on The White House.
The original owners of the tracts of land the White House sits on are members of the
Bingham family, with three tracts being combined to produce the current property in the
early 1870s. The Binghams were the founders of Bingham School. Eliza Bingham Penick,
sister of the Bingham school founders, is believed to have lived in a home on the property in
the 1870s.
James Samuel White, President of White Furniture, constructed the current home on the
property around 1891-92. By the middle of 20th century, Phonse Bean, an executive of White
Furniture and future "Makers of Modern Mebane" award recipient, took possession of the
home. Phonse Bean owned the home from 1954 until the 1980s, when it was sold to a
http://www.mebaneenterprise.com/arts_and entertainment/article_51874c2O-4aO2-flea-97f2-7b732ea9e9d6.html[2/10/2020 9:58:09 AM]
City Council approves rezoning for"The White House"I Arts&Entertainment I mebaneenterprise.com
relative, Bernie Bean. The property eventually changed hands again, went into disrepair and
was desperately in need of renovation when the Meadors purchased it.
The expressed goals the Meadors have for the property include preserving and sharing this
significant piece of Mebane's history, maintaining the historical integrity and residential look
and feel of the house, staying in harmony with the surrounding neighborhood, and to be a
good, considerate neighbor.
As part of the rezoning, the Meadors agreed to restrict all outdoor activities to conclude by
10:00 p.m., and limit the number of requested primary uses from 21 to six. The six approved
uses for the White House under the new rezoning include a Retreat/Conference Center, Bed
and Breakfast, Walls and Fences, Swimming Pool, Arts and Crafts Shows (temporary use),
and General Accessories, such as a valet stand, tents, etc..
"Retreat/Conference center is the best use to support a wedding venue. We don't have an
event use that we would introduce into the LIDO (Unified Development Ordinance). Currently
this is the best we have," Mebane City Planning Director Cy Stober informed the City Council.
"it is rather broad in this definition. This is the best fit."
The property is just across the county line in Orange County on East Washington Street.
There is a large farm pond to the south of the property that is unaffected by the rezoning
request. There are no improvements to that part of the property. No stormwater solutions
are required for the property.
The Meadors, who currently own Reed's Coffee, Fine + Folk Art Carolina, as well as Mebane
Downtown Table, are branding The White House on Washington Street as "A gracious space
to gather. Capturing our history and celebrating life with family and friends."
"This has not been purely for financial gain - although we'd like to have a sustainable
business,"Aubrey Meador said. "in terms of the feel of what we're trying to accomplish, it's
not a rock and roll bar. We want to do something that fits into the community."
When the Meadors purchased The White House a couple years back, it was practically gutted
and in rough condition. It took years, untold hours of labor and sweat, and plenty of money.
But the Meadors have brought the rich charm and history back to this unique downtown
Mebane home.
http://www.mebaneenterprise.com/arts_and entertainment/article_51874c20-4a02-11ea-97f2-7b732ea9e9d6.html[2/10/2020 9:58:09 AM]
City Council approves rezoning for"The White House"I Arts&Entertainment I mebaneenterprise.com
Their restoration was so well-received, in fact, that the couple earned the Mebane Historical
Museum's annual Preservation Award in 2018. This past fall, The White House was one of the
featured homes in the Mebane Historical Museum's annual Harvest House Tour.
"I called a friend who is an architect and has done some historic things at Fort Macon at the
beach," Celine Meador said. "I called him and asked if it could be done. He said, 'You'd be
crazy to do it, but you could do it.' I guess that's what made me decide to do it. It's been a
labor of love."
"We feel like it's something that's such a big part of Mebane's history,"Aubrey Meador
added. "it was abandoned, and in really rough shape. It took a lot of vision to realize it could
be brought back. I'm not sure why we said yes. We are reclaiming an abandoned property."
Some of the work undertaken by the Meadors in the restoration project included plaster
crown molding replete with carved ornamentation in the first floor rooms, the expansion of
the dining room - nearly doubling its size - and the resurfacing of floors throughout the
home. Walls have been stripped to the studs, a second story deck above the grand room/den
was constructed, and the expansive outdoor patio was prepared.
"The residential renovation is pretty much complete," Meador continued. "There's a few
things left to be done. It's a beautiful place. If you look inside now, it's really come together.
The house, it has so much character and so much personality and so much history. It's just
been a wonderful experience to get involved with this house."
The Meadors' Completion Plan for The White House includes ADA (Americans with
Disabilities Act) compliance, such as accessible parking, restroom, and building access, with
some further modifications planned, such as adding one more handicapped access parking
spot and a ramp to the patio space.
Structurally, support columns will be added to the upstairs deck, based on engineer's
evaluations. For additional fire and safety, signage will be added, along with compliant
doorways, fire extinguishers, and commercial HVAC smoke detectors, to be adjusted as
required.
As far as the septic system, the Meadors indicated that they will connect to the City of
Mebane's sewer system, even though Orange County's Health Department has a plan to
http://www.mebaneenterprise.com/arts_and entertainment/article_51874c20-4a02-flea-97f2-7b732ea9e9d6.html[2/10/2020 9:58:09 AM]
City Council approves rezoning for"The White House"I Arts&Entertainment I mebaneenterprise.com
upgrade the existing septic system to meet requirements for the White House's uses.
"We're asking now to be annexed into the city, and be hooked up to the city sewer. We'll have
to do that through an easement, or cut across our driveway,"Aubrey Meador stated. "The
sewer does not exist down Washington Street."
The front lawn, including all identified trees, will be preserved as a landscaped area to satisfy
the streetscape and some of the perimeter buffering needs. This area shall not be used for
any other purpose, including temporary uses. The total undisturbed front lawn area is
approximately 19,397 square feet.
With the building size under 4,800 square feet, the facility would have required only 24
parking spaces. But with the addition of outdoor functional spaces, bringing the total
footprint of the Retreat/Conference Center space to 8,399 square feet, the requirement was
increased to 42 parking spaces. The City's Planning staff advised removing four spaces from
the plan, due to the proximity of neighbors. Offsite parking with shuttle service will be
utilized for events requiring more parking spaces. No on-street parking will be allowed on
Washington Street.
The Meadors also requested a waiver from paved parking and curb and gutter requirements
in order to preserve the historic integrity of the property.
"We feel that gravel is less commercial-looking. We want it to look like a house that has been
through history,"Aubrey Meador said.
The North Carolina Department of Transportation has advised that a reduced driveway
entrance on the west side of the property would likely be acceptable - 18 feet rather than 20
feet - due to the placement of an historic stone column and mature cedar tree on a small
embankment. The Meadors agreed to work with City and neighbors to place additional
plantings within the buffer zone, where suggested.
Unlike the Mebane Planning Board, who had a contested vote on the project, the Mebane
City Council unanimously approved the rezoning request.
"It shows a lot of courage, taking an old house like that and making something beautiful out
of it," City Council member Tim Bradley said in making the motion to approve the Meadors'
request.
http://www.mebaneenterprise.com/arts_and entertainment/article_51874c20-4a02-flea-97f2-7b732ea9e9d6.html[2/10/2020 9:58:09 AM]
City Council approves rezoning for"The White House"I Arts&Entertainment I mebaneenterprise.com
"I would just like to say thank you for the beautiful gift that you have given Mebane," added
fellow City Council member Jill Auditori in seconding the motion.
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Latest e-Edition
http://www.mebaneenterprise.com/arts_and_entertainment/article_51874c20-4a02-flea-97f2-7b732ea9e9d6.html[2/10/2020 9:58:09 AM]
Conectan a familias de Orange con recursos comunitarios I Que Pasa Noticias-Raleigh
NOTICIAS �' � • `
Conectan a familias de Orange con recursos comunitarios
EScrito por ANDREA FORCADA, Febrero 12, 2020, 9:53 am
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Chapel Hill.- La Alianza del Exito Familiar (FSA, por sus siglas en ingles) es un programa del
Departamento de Salud del condado de Orange que apoya a las familias de bajos ingresos,
conectandolas con recursos locales para garantizar que los ninos y sus familias prosperen en la
escuela, el trabajo y la vida.
La Administracion y las instituciones locales, las organizaciones sin fines de lucro, los socios y
https://raleigh.quepasanoticias.com/noticias/ciudad/local/conectan-a-familias-de-orange-con-recursos-comunitarios[2/17/2020 9:44:51 AM]
Conectan a familias de Orange con recursos comunitarios I Que Pasa Noticias-Raleigh
lideres comunitarios del condado de Orange participan en esta iniciativa, que Ileva funcionando
desde el 2015.
"Sabemos que hay muchos recursos en la comunidad. La Alianza Familiar conecta todos esos
grupos que tratan de ayudar a las familias para trabajar mejor juntos y poderlas ayudar mas.
Basicamente hacemos que los recursos que ya existen sean mas accesibles para las familias",
explico a Que Pasa, Erika Cervantes Munoz, navegadora de Conexiones de la FSA.
El Condado de Orange tiene una de las tasas de desigualdad de ingreso y salud mas altas del
estado. En una de las zonas donde FSA Ileva a cabo el programa, ubicada entre la 1-40 y la 1-85,
aproximadamente 1 de cada 4 ninos menores de 18 anos vive en la pobreza. En el ambito
academico, el 53% de los alumnos de tercer grado no son competentes en lectura y el 63% de los
alumnos de octavo grado no son competentes en matematicas, segun datos de la Alianza del Exito
Familiar.
En respuesta a esta disparidad, los Comisionados del Condado y la Junta Directiva de Salud le
encargaron al Departamento de Salud, en 2015, encabezar este esfuerzo comunitario con el
objetivo de reducir la brecha de oportunidades y poner fin a la pobreza generacional, mejorando
las posibilidades de los ninos para obtener oportunidades educativas y economicas.
Para ello, FSA cuenta con el programa de apoyo entre pares en el que miembros de la comunidad,
Ilamadas navegadoras, conectan a las familias con recursos comunitarios del condado que van
desde servicios financieros, a clinicas de salud mental, campamentos de verano para ninos,
actividades extraescolares, tutorias o clases para adultos, entre otros.
"Las familias nos dicen to que necesitan y nosotros las conectamos con servicios que quiza no
saben que existen o no pueden acceder a ellos por cuestiones de transporte, idioma, etc.", conto
Cervantes Munoz. A dia de hoy, FSA da servicio alrededor de 170 familias de las areas de Chapel Hill
y Hillsborough.
"Las familias pueden contactar con nosotros o visitar nuestra pagina de Facebook
(@fsaorangecounty), donde publicamos casi a diario informacion de programas o eventos que
pasan en el condado y que queremos compartir con la comunidad para que esten al tanto",
informo Cervantes Munoz.
"Lo mas importante para nosotros es que los ninos esten saludables, que esten preparados para la
escuela, que ellos y sus familias sean exitosos en la escuela, en el trabajo y en la vida. Tambien
queremos que las instituciones nos apoyen, que apoyen nuestra vision, porque solos no podemos
hacerlo", dijo Cervantes Munoz.
INFORMACION
Website:
https://raleigh.quepasanoticias.com/noticias/ciudad/local/conectan-a-familias-de-orange-con-recursos-comunitarios[2/17/2020 9:44:51 AM]
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Not all types of in-home water filters completely get rid of toxic HAS-News-The Fayetteville Observer-Fayetteville,NC
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Not all types of in-home water filters completely get rid of toxic PFAS
https://www.fayobserver.com/news/20200205/not-all-types-of-in-home-water-filters-completely-get-rid-of-toxic-pfas[2/6/2020 11:49:44 AM]
Not all types of in-home water filters completely get rid of toxic PFAS-News-The Fayetteville Observer-Fayetteville,NC
Greg Barnes
Wednesday
Feb 5, 2020 at 6:54 PM
A new study finds that under-the-sink reverse osmosis systems work best at removing "forever chemicals," but they
aren't cheap.
Not all types of in-home filters are completely effective at removing "forever chemicals" from drinking water, and a few
could do more harm than good if not properly maintained, according to a new study released Wednesday by North
Carolina researchers.
Water filters in refrigerators,pitcher-style filters,under the sink reverse osmosis systems and whole-house filtration
systems can function differently and have vastly different price tags, according to the study, headed by the researchers
from Duke University and N.C. State University.
Researchers tested 76 drinking water filtration systems to determine their ability to remove toxic perfluoroalkyl
substances, commonly known as PFAS, in homes in Chatham, Orange, Durham and Wake counties in central North
Carolina. They also tested in homes in New Hanover and Brunswick counties in the southeastern part of the state.
https://www.fayobserver.com/news/20200205/not-all-types-of-in-home-water-filters-completely-get-rid-of-toxic-pfas[2/6/2020 11:49:44 AM]
Not all types of in-home water filters completely get rid of toxic PFAS-News-The Fayetteville Observer-Fayetteville,NC
The conclusion is that "their effectiveness varied widely," said Heather Stapleton, an associate professor of
Environmental Health at Duke's Nicholas School of the Environment and a lead researcher in the study.
Reverse osmosis works best
Stapleton said the study,published Wednesday in Environmental Science & Technology Letters, found that reverse
osmosis filters work best. They reduced GenX and other PFAS by 94 percent or more, according to a news release
provided to reporters from across the state who attended a panel discussion at Duke University titled "Safeguarding the
Water We Drink: Understanding the Science Behind Emerging Threats to N.C.'s Drinking Water."
Activated carbon filters, such as those found in refrigerators and pitcher-style filtration systems, on average removed 73
percent of PFAS contaminants,but the results varied widely.
"In some cases, the chemicals were completely removed; in other cases they were not reduced at all," according to the
release. "Researchers saw no clear trends between removal efficiency and filter brand, age or source water chemical
levels. Changing out filters regularly is probably a very good idea, nonetheless."
In contrast to reverse osmosis filters, Stapleton said in the release, "the effectiveness of activated-carbon filters used in
many pitcher, countertop, refrigerator and faucet-mounted styles was inconsistent and unpredictable. The whole house
systems were also widely variable and in some cases actually increased PFAS levels in the water."
N.C. first to study filters' effectiveness
The study was the first to examine the efficiency of filtration devices in removing a slate of PFAS in homes. Its authors
said the discrepancies in effectiveness and cost may make it harder for people concerned about the contaminants in their
drinking water to know which system best suits their needs and budgets.
"The under-sink reverse osmosis filter is the most efficient system for removing both the PFAS contaminants prevalent
in central N.C. and PFEAs, including GenX, found in Wilmington," Detlef Knappe, an N.C. State professor, said in the
release. "Unfortunately, they also cost much more than other point-of-use filters.
"This raises concerns about environmental justice, since PFAS pollution affects more households that struggle
financially than those that do not."
Knappe, a co-author of the study, called home filters "a stop-gap" measure.
https://www.fayobserver.com/news/20200205/not-all-types-of-in-home-water-filters-completely-get-rid-of-toxic-pfas[2/6/2020 11:49:44 AM]
Not all types of in-home water filters completely get rid of toxic PFAS-News-The Fayetteville Observer-Fayetteville,NC
"The real goal should be control of PFAS contaminants at their source," he said.
5,000 types of PFAS
There are an estimated 5,000 different types of PFAS, which have come under scrutiny in recent years because of their
potential harm to health and widespread presence in the environment, especially in drinking water. Long-term exposure
to PFAS is associated with various cancers, low birth weight, thyroid disease, impaired immune function and other
health problems.
North Carolina is said to have the third-worst problems with PFAS of any state in the country. The Washington-based
Environmental Working Group released a study last month that found Brunswick County had the highest level of total
PFAS from samples of tap water taken at 44 locations in 31 states.
Data released last month by the N.C. Department of Environmental Quality found much higher levels of PFAS being
discharged into rivers and streams from sewer treatment plants in the Cape Fear River basin. Samples taken in
September at Sanford's sewer plant detected total PFAS measuring 4,026 parts per trillion. In Burlington, total PFAS
measured 2,296 parts per trillion in August.
Although the DEQ did not sample for PFAS in drinking water, it is evident that the contamination is present in tap water
in many communities in the river basin. Data out of Fayetteville show a contamination spike of 244 parts per trillion of
total PFAS in its drinking water in September.
The federal Environmental Protection Agency has set a health advisory on only two types of PFAS—known as PFOA
and PFOS. Under those guidelines, a person who consistently consumes 70 parts per trillion of either chemical, or a
combination of them both, stands an increased risk of cancer and other adverse health effects.
Knappe said after the meeting that he would like to see North Carolina lower its health advisory for PFOA and PFOS to
be more in line with what other states are doing,particularly New Jersey and Michigan. Health officials in those states
have proposed advisories of only 13 parts per trillion or less. The Environmental Working Group proposes an even
lower advisory level: 1 part per trillion for all PFAS.
Other water pollution problems
Joining Stapleton and Knappe on the panel Wednesday were Duke University environmental professors Avner Vengosh
and Lee Ferguson.
Vengosh spoke about high levels of heavy metals and other contaminants being found at the bottom of Sutton Lake,
which was once used by Duke Energy to cool a coal-burning power plant. Toxic levels of contaminants have been found
https://www.fayobserver.com/news/20200205/not-all-types-of-in-home-water-filters-completely-get-rid-of-toxic-pfas[2/6/2020 11:49:44 AM]
Not all types of in-home water filters completely get rid of toxic PFAS-News-The Fayetteville Observer-Fayetteville,NC
in the lake's fish, Vengosh said.
Vengosh also spoke about a study released in November that he co-authored that found potentially harmful levels of
hexavalent chromium in more than half of 1,400 wells tested in the central part of the state. Hexavalent chromium, a
known carcinogen, occurs naturally in groundwater. It is also found in coal ash.
Ferguson spoke about the N.C. PFAST Network's sampling of all of the municipal drinking water supplies in the state.
Although the second round of testing continues, Ferguson said high levels of PFAS have been detected in seven water
systems—for Brunswick,New Hanover, Pender and Orange counties, Wrightsville Beach, Maysville, and International
Paper Co.
The network is part of the N.C. Policy Collaboratory. It was created in 2018 with a$5 million grant from the legislature
to assess PFAS contamination statewide. Ferguson serves as a network director.
He said after the meeting that the contaminants found in Orange County's drinking water were barely above the EPA's
health advisory, and the county has taken action to keep the contaminants low. He said Wrightsville Beach has corrected
its problem, and Maysville is getting water from neighboring Jones County.
North Carolina Health News is an independent, nonpartisan, not-for-profit, statewide news organization dedicated to
covering health care in North Carolina. Visit NCHN at northcarolinahealthnews.org.
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https://www.fayobserver.com/news/20200205/not-all-types-of-in-home-water-filters-completely-get-rid-of-toxic-pfas[2/6/2020 11:49:44 AM]