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HomeMy WebLinkAboutJan. 28, 2009TOWN OF NANTUCKET BOARD OF HEALTH ;" ~ti MINUTES -JANUARY 28, 2009 ,`n NANTUCKET SUPERIOR COURTROOM ~; rv MEMBERS PRESENT: Chairman Kopko, Ms. Roggeveen, Mr. Reinhard, Mr. Chadwick and Mr. Atherton MEMBERS ABSENT: None. Chairman Kopko calls BOH to order at 6:05 p.m. AGENDA Chairman Kopko asks for comments/concerns from the public. None noted The minutes of November 19, 2008, the information meeting of December 4, 2008 and the minutes of December 17, 2008 are approved unanimously. Variance Requests HO Ray tells the BOH that the three variances for tight tanks are all existing structures located beyond the Wauwinet House and located between the sand/dune area and the Nantucket Harbor/Atlantic Ocean on the other side. All recommendations are essentially the same. 127 Wauwinet Rd -This is an existing three bedroom structure with a lack of sufficient groundwater separation - a tight tank installation is recommended given the property constraints as well. This variance will limit home to a six-month occupancy, requires an annual pump out contract in perpetuity, anaudible/visual alarm system must be put in place, and a sewer privilege fee will be assessed when fee is determined, as well as final approval required by the DEP. HO Ray recommends granting this variance. Mr. Reinhard asks for the number of tight tanks currently on island. HO Ray says there are approximately 7pre-existing tight tanks, 6 recently approved tight tanks, and three tonight he's recommending for approval. Mr. Reinhard questions the safety of tight tanks during storm surge, etc. HO Ray states that tanks are 2,000 gallon concrete tanks, and the houses are typically not occupied during the winter storm season and should be pumped out at 3/5 capacity. BOH approves variance request unanimously. BOH Minutes -2- January 28, 2009 2. 116 Wauwinet Rd. -This is a five bedroom existing structure. HO Ray recommends granting variance with the same stipulations as listed above. BOH approves variance request unanimously. 3. 131 Wauwinet Rd. -This is a two bedroom existing dwelling. HO Ray recommends granting variances with the same set of stipulations as apply to the two previous properties. BOH approves variance request unanimously. Separate BOH Discussion During Apri12008 Town Meeting the BOSBOH agreed to explore a separate BOH. HO Ray has some research that shows of the 351 towns in Massachusetts, 336 have a separate Board of Health and 15 have a BOSBOH configuration. Many have 3-5 member boards with the majority being a 3 member board. All members attend MAHB one day training course offered in November and have monthly informational meeting to discuss topics and direction. HO Ray would recommend a five member board - 2 from the health care field, 2 from the general public (or with 1 BOS member), and 1 from the engineering/construction field. HO Ray would like to look towards the fall of 2009 for inception. Ms. Rogeveen suggests current board member(s) take the training course and meet with HO Ray monthly. Mr. Kopko asks about the regulatory aspect of a separate BOH and should that power be transferred to the separate BOH? What would the qualifications and mechanism be for implementation? With the Board's approval, HO Ray states that he'll move forward with more investigation for a separate BOH for the next meeting with the BOH recommendations for a five member board (one member being a selectman), an appointed board and agrees to have standards for appointees. Tick Borne Disease Committee update -Six individuals have submitted application, but HO Ray would like a 9 person committee and would like to allow more time for additional applicants to step forward. Of the six current applications, only three are year- round residents. HO Ray states that the public education component will be started by the Health Department in the spring. The BOH asks HO Ray to reconvene in two weeks to see if more applicants come in. The BOH adjourns at 6:47 p.m. BOARD OF HEALTH TOWN OF NANTUCKET r-' _ ~ MINUTES -FEBRUARY 11, 2009 `' ' N NANTUCKET SUPERIOR COURTROOM '" _~ ,~~ MEMBERS PRESENT: Chairman Kopko, Ms. Roggeveen, Mr. Chadwick, Mr. Reinhard and Mr. Atherton N MEMBERS ABSENT: None Chairman Kopko calls the BOH to order at 6:00 p.m. AGENDA Chairman Kopko asks for comments/concerns from the public. None noted. 1. Appointment of Tick Borne Disease Committee - HO Ray submits 11 names of applicants for the Tick Borne Disease Committee for the Board's approval and recommends that all 11 be appointed. BOH unanimously approves all 11 applicants' appointment. HO Ray will have astart-up meeting to discuss meeting times and appointment to chair and vice-chair the committee. He will report the information to the BOH at their next meeting. 2. Flu Season Update - HO Ray reminds the community that it's not too late to get a flu shot from their doctor and to visit the Health Department's website to find flu related information that has been downloaded. There is also an EPA document (from the Weather Channel) called "After the Storm Advisory" which is also available on our website regarding action that can be taken by community members after a storm event. The BOH is adjourned at 6:10 p.m. TOWN OF NANTUCKET BOARD OF HEALTH ;~; N MINUTES -FEBRUARY 25, 2009 NANTUCKET SUPERIOR COURTROOM ''O :~ ...., MEMBERS PRESENT: Chairman Kopko, Ms. Roggeveen, Mr. Chadwick, Mr. Reinhard, and Mr. Atherton MEMBERS ABSENT: None. Chairman Kopko calls the BOH to order at 6:07 p.m. AGENDA Chairman Kopko asks for any questions/concerns from the public. None noted. The minutes of January 28, 2009 and February 11, 2009 are approved unanimously. Discussion on separate Board of Health - HO Ray discusses the options available for establishing a separate BOH, i.e., an elected Board of Health, use of a Home Rule Petition for appointed BOH. The BOS/BOH prefers the Home Rule Petition option. Town Counsel DeRensis discusses the options available. Mr. Chadwick would like to spend more time on investigating a separate BOH. Other board members feel comfortable moving forward with a separate BOH, and Chairman Kopko asks town counsel to draft a motion in order to get information in the public's hands for the warrant. HO Ray would like a five member board, with three health care/environmental professionals, one BOS member and one member from the general public if possible. The BOH votes 4-1 (Mr. Chadwick opposing motion) to move forward on separate BOH. Town Manager Gibson asks for a meeting to review information next week. BOH is adjourned at 6:30 p.m. TOWN OF NANTUCKET BOARD OF HEALTH , MINUTES -MARCH 4, 2009 ~~ NANTUCKET SUPERIOR COURTROOM w MEMBERS PRESENT: Chairman Kopko, Ms. Roggeveen, Mr. Chadwick, Mr. Reinhard, and Mr. Atherton MEMBERS ABSENT: None. Chairman Kopko opens the BOH at 6:00 p.m. AGENDA Chairman Kopko notes that tonight's meeting concerns a Home Rule Petition establishing a separate BOH for the town and welcomes Assistant Health Officer Artell Crowley. Chairman Kopko asks for any questions/concerns from the public. None noted. BOH approves motion for a Home Rule Petition establishing a separate (appointed) Board of Health, 4-1, with Mr. Chadwick opposing. BOH is adjourned at 6:10 p.m. __ ~ ~, ^J N BOARD OF HEALTH TOWN OF NANTUCKET ~~ MINUTES -MARCH 25, 2009 NANTUCKET SUPERIOR COURTROOM MEMBERS PRESENT: Chairman Kopko, Ms. Roggeveen, Mr. Chadwick, Mr. Atherton and Mr. Reinhard MEMBERS ABSENT: None Chairman Kopko opens the Board of Health at 6:00 p.m. Chairman Kopko asks for any questions/concerns from the public. None noted. AGENDA The minutes from the February 25, 2009 and March 4, 2009 BOH are approved unanimously. Chairman Kopko opens the Public Hearing relative to Regulation 67.05. HO Ray states that the amendment to 67.05 -penalties of local regulation 67.00, miscellaneous provision, intended to allow local Health Department to issue $300.00 fines within the Harbor Watershed Protection Distric~'to those who have not had their septic system inspected within the prescribed inspection dates. This is a modification of our penalty section of the code. The intent of the Health Department is to review, on a monthly basis, properties who are in non-compliance and to issue a fine of $300.00 at the beginning of each month until the third consecutive month and then to pursue court action. Chairman Kopko asks for public input. None noted. Public Hearing is closed. Motion made and seconded to approve the amendment to 67.05. The BOH approves amendment to local regulation 67.05 unanimously. Variance Requests 1. 35 Massachusetts Avenue - HO Ray states that this is a two bedroom dwelling found to be in septic failure. A composting toilet is proposed, a black water/grey water facility which allows for a reduction in groundwater. HO Ray recommends granting variance. The Health Department may hold septic permit until certain questions are answered relative to zoning relief, well placement, and sideline setbacks (repositioning of structure on lot). The BOH approves the variance request unanimously. BOH Minutes -2- March 25, 2009 2. 347 & 355 Madaket Rd and 4 Ames Ave - HO Ray states that these homes are directly at the end of Madaket Rd where lots are getting smaller due to erosion. This is a situation of three undersized properties abutting an actively eroding shoreline. HO Ray recommends granting the variance with the provisions; an O & M Agreement be put in place and submitted; a description of form of ownership; a description of final long term O & M to both the Health Department and the DEP; a copy of covenant and easement needs to be filed with the Health Department and the DEP. This will be a single system for three homes. The mandates are offered by DEP which the Health Department has taken under advisement and both will require appropriate documentation. The BOH approves the variance request unanimously. 3. 66 Arkansas Ave -This is a single unit from a townhouse configuration. The septic repair puts the system a shorter distance to the property line and within 100' well setbacks. This is a maximum feasible compliance situation with an easement to utilize the green space previously recorded. HO Ray recommends granting variance. The BOH approves the variance request unanimously. 4. Request for Relief from local Health Department Policy Statement - HO Ray reads letter from Attorney William Hunter requesting relief from the Health Department's policy on minimum oven size for a dwelling. HO Ray states that his department has run into numerous situations where second dwellings have hot plates, microwave ovens, wet bars, etc. creating a substandard kitchen facility. The Health Department instituted a policy requiring no less than 3 cubic feet for an oven that would suffice in preparing a family meal. This microwave/convec- tion oven is 1.5 cubic feet. Ms. Roggeveen makes a motion to grant relief from Health Department Policy Statement on oven size. Motion seconded. The BOH unanimously grants relief from the Policy Statement. 5. Appointment of BOH Representative to Nantucket Tick-Borne Disease Committee - Ms. Roggeveen asks the BOH to appoint her to the committee. The BOH unanimously approves Ms. Roggeveen's appointment to the committee. HO Ray tells the BOH that he is still awaiting some paperwork from the committee members, and that he hopes to have a meeting in early April. The BOH is adjourned at 6:50 p.m. - s ,~----° _ ~ C BOARD OF HEALTH TOWN OF NANTUCKET "' INFORMATION SESSION-APRIL 16, 2009-TOWN WATER TO MADAKET ~ `~' NANTUCKET HIGH SCHOOL - LGI ROOM MEMBERS PRESENT: Chairman Kopko, Ms. Roggeveen, Mr. Atherton, Mr. Chadwick and Mr. Reinhard. MEMBERS ABSENT: NONE. HO Ray -Water to Madaket is not a new issue - it has been discussed for 10-15 years. Hither Creek is part of the Harbor Watershed Protection District and is an endangered water body due to nutrient loading (small body of water with only one outlet). Madaket buildout is at a status quo currently. There are salt water intrusion-water quality issues in some areas of Madaket. Municipal water would relieve nitrogen sensitive labeling and building could potentially explode. HO Ray proposes to approach BOH with public hearings, etc. to limit one bedroom per 10,000 sf by way of a new regulation (even with hookup to town water) due to potential over-nutrification of water bodies (marginal build out of properties -this has already been done in wellhead recharge district). Andrew Vorce -one of the group's polls said they did not want to see water in Madaket. At the same time, it is recognized that development should be controlled by zoning regulations. Questions are asked about second dwellings, additional build out, etc. If the zoning goes to village residential (abetter match) it would reduce ground cover from 12 %z% to 10%. Chairman Kopko asks for public comments/questions. Mr. Whitcomb -Lots of information has been handed out. There is a big concern about potential changes and not being able to view potential changes. Residents are very concerned about something being stuffed down our throats and questions the need for public water right now in Madaket. Perhaps it's only needed near Hither Creek and Long Pond. It is almost wishful thinking to imagine we'd have state of the art fire protection in Madaket - we can have all the hydrants in the world, but with no equipment or trained personnel it's a little useless. Another resident mentions meeting with the fire chief about his limited budget, but that he had other ideas on how to get water in Madaket without running a water line. "What are the other options on getting water to Madaket for fire protection?" Chairman Kopko agrees to get that info for the next hearing. Mr. Giles -lots of people feel water to Madaket is just a precursor to sewage. We haven't seen anything scientific yet that points to septic being the major cause of issues in the Harbor. Would the introduction of sewer open development? BOH INFORMATION SESSION -2- April 16, 2009 Mr. Willet - If and when sewer extension and wastewater treatment facility are brought to Madaket, a zone change regulation must be done to preserve community as it is. The landfill is not a contributor to degradation of Long Pond -dump does not discharge the type of nutrient that causes algae bloom on the pond. What is the timeline for water extension - if approved? Mr. Gardner -Design will be done within amonth -extension by October. Where is the funding coming from for this project? Mr. Gardner - a homeowner assessment. The design is strictly for Madaket Road with the exception of The Racquet Club. There is a process to extend water for the side streets. Mr. Whitcomb -Would it be possible to bring water to Madaket for exclusive use of "fire protection?" No residential use at all? If water only goes to Madaket Road - it won't help the creek side residents anyways. Lots of folks in Madaket have acceptable drinking water. Mr. Kopko says there is a legal issue involved with municipal water. Mr. Vorce- the well water system proposed for The Racquet Club in Madaket is acceptable to the Planning Board (town water service is not required -although one may be recommended over the other). Cormac Collier thanks the BOH for their input on new regulations. Sara Oktay asks for numbers in change of use (town water vs. well water). We need to measure both fertilizer use and septic runoff (nutrients) into water bodies of Hither Creek and Madaket Harbor. Mr. Giles reminds BOH that we are still awaiting the Madaket Harbor Watershed Protection District results. Mr. Kopko states that this is an information session and more public hearings will occur. Ms. Roggeveen states that the Board will respect the area plan and residents' input. Mr. Kopko adjourns the BOH Meeting at 6:15 p.m. __ ~ C ~; , N BOARD OF HEALTH TOWN OF NANTUCKET .~ ,- -, ~~> MINUTES -APRIL 22, 2009 .-. NANTUCKET SUPERIOR COURTROOM MEMBERS PRESENT: Chairman Kopko, Ms. Roggeveen, Mr. Chadwick, Mr. Reinhard and Mr. Atherton MEMBERS ABSENT: None Chairman Kopko opens the Board of Health at 6:00 p.m. Chairman Kopko asks for any questions/concerns from the public. None noted. AGENDA The minutes from the March 25, 2009 BOH meeting are approved unanimously. Variance Requests 135 Wauwinet Road - HO Ray states that this is a failed septic system with a property abutting Nantucket Harbor. The separation to groundwater is one foot. A grey water system with a composting toilet is recommended in which a three foot separation to groundwater would be allowed -year round use is also permitted. HO Ray recommends granting variance. BOH approves variance request unanimously. 2. 15 Hallowell Lane -This is an existing dwelling with acesspool - a cesspool fails by definition on Nantucket. The proposed system will use a drip dispersal system which allows for a five foot separation to groundwater. HO Ray recommends granting variance. BOH approves variance request unanimously. 3. 36 Exeter Street -This is a 10,000 square foot lot in Tom Nevers with an existing three bedroom dwelling and a failed leach pit. Due to property constraints, the leach pit must be removed and replaced within the same location. HO Ray recommends granting variance. BOH approves variance request unanimously. 4. 271 Polpis Rd. -This is a tight tank installation request for an existing three bedroom dwelling with a cesspool. A conventional system is not feasible due to wetland and high groundwater conditions. This property is also up gradient of Polpis Harbor. HO Ray requests granting of variance for the tight tank (local) approval with the stipulations that limits the property's use to six months a year, there is an annual pump out agreement secured in perpetuity with a local pumping contractor; that an alarm system be put in place; and sewer privilege fees, when mandated, will be assessed. DEP application must follow local approval. BOH approves variance request unanimously. BOH-MINUTES -2- APRIL 22, 2009 Tick Update HO Ray updates the BOH on the Tick Borne Disease Committee. There are 11 individuals on the committee -five are year round residents. As such, a consensus from the committee on when to meet has been difficult so HO Ray has chosen May 15th as a date for the first meeting. He hopes to have the committee's recommendations to the BOH in mid to late fall. HO Ray reminds the public to check themselves and their families daily for ticks as we had a somewhat mild winter. BOH is adjourned at 6:27 p.m. •~-,-sue c ~, ;v ;v _~ BOARD OF HEALTH TOWN OF NANTUCKET MINiJTES -JULY 22, 2009 NANTUCKET SUPERIOR COURTROOM MEMBERS PRESENT: Chairman Kopko, Ms. Roggeveen, Mr. Chadwick, Mr. Atherton and Mr. Reinhard MEMBERS ABSENT: None Chairman Kopko calls the meeting to order at 6:12 p.m. and asks for public comments/concerns. None noted. AGENDA The minutes of April 22, 2009 are approved unanimously. Variance Requests 1. 68 Arkansas Ave. -This is a replacement of a failed septic system from a HWS inspection. They are requesting sideline setbacks and relocation of the system. HO Ray recommends granting variance - it meets maximum feasible compliance. The variance request is approved unanimously. 2. 7 S. Cambridge St. -This is for the proposed racquet club and is a composting toilet proposal as well as sideline setback variance request (sideline setbacks are routine, in-house approval). This system has been approved by DEP and will have no reserve area setback due to property constraints. It will have minimal impact on groundwater due to composting toilets. HO Ray recommends granting variance. The BOH approves the variance request unanimously. 3. 347 & 355 Madaket Rd. & 4 Ames Ave. - HO Ray has a document requiring BOH signature for three structures directly at the end of Madaket Road. This is for a shared septic system which replaces anon-code compliant system. The shared septic system will have less disturbance than a traditional system and fits all criteria as mandated by DEP and Nantucket Board of Health. The document needs BOH signatures and HO Ray recommends signing it -this grants permission to utilize a shared system and monitoring will be required. BOH unanimously approves signing of document. 4. Request of Waiver of Penalty to Star of the Sea Youth Hostel - HO Ray states that this is the third year in a row that the youth hostel has opened without benefit of a permit. The new manager (Jenna Dubois?) states that she is trying to comply, but as this is her first year, she didn't realize she had to get a lodging/dorm permit. She had the water tested and got her building/fire inspections, just not her health BOARD OF HEALTH -MINUTES -2- JULY 22, 2009 inspection and was unclear as to how to maneuver the system as management has changed frequently over the past several years. Mr. Reinhard recommends making the fine $200.00. Mr. Chadwick and Ms. Roggeveen can't support a waiver of the fine. The BOH votes 4-1 to deny waiver of penalty request. BOH Update HO Ray has proposed regulations for Madaket with regard to wastewater reduction in Madaket. He would like to set a hearing date for Madaket regulations at the Admiralty Club on August 24th at 4:00 p.m. The BOH agrees to this request. Tick-Borne Disease Committee - HO Ray tells the BOH that the committee is meeting frequently, has a defined schedule and work plan, is looking at all aspects of the disease and will make their recommendation to the BOH sometime this fall. Also, Miacomet Pond will be closed for swimming due to high bacteria levels and will be resample next Tuesday. Warren's Landing is being retested tomorrow, as high bacterial levels were found there as well. BOH is adjourned at 6:45 p.m. - ~_ vvv :~ 1`~: V BOARD OF HEALTH TOWN OF NANTUCKET PUBLIC HEARING -AUGUST 24, 2009 -REGULATION 54.00 MADDEQUET ADMIRALTY CLUB -15 TENNESSEE AVE. MEMBERS PRESENT: Chairman Kopko, Mr. Reinhard, Mr. Chadwick and Mr. Atherton MEMBERS ABSENT: Ms. Roggeveen Chairman Kopko opens the meeting at 4:00 p.m. AGENDA 1. Concerns from the public. None noted ~:~ 2. Public Hearing -Regulation 54.00 -Septic Flow Limitations Within Madaket HO Ray gives a short presentation on the recent past in terms of our water bodies, nutrient loading issues, and inspection programs started to address these issues and to mandate repairs when necessary. HO Ray discusses state and local regulations dealing with nitrogen sensitive properties. With the arrival of town water in Madaket, the nitrogen sensitive label would be removed (any increase in bedrooms will be an increase in nitrogen loading and will impact cleaning up of Madaket Harbor and Hither Creek). Regulation 54.00 protects Madaket by limiting properties to one bedroom for every 10,000 square feet of property even if town water is utilized - it will keep Madaket basically the same as it is today. HO Ray then discusses the definitions and the regulation specifically. Chairman Kopko asks for questions from the Board. None noted. Chairman Kopko asks for public comment/questions. Scott White -asks about further inspections after initial one. HO Ray -none will be required for the town. Ken Giles -asks about exceptions to the rules. HO Ray states that exceptions (variances) will have to come in front of BOH, and he favors replacement of what is in the ground. HO Ray does not favor variances for additional flow/new construction. However, BOH makes fmal decision (by simple majority). Woman -asks about composting toilets and alternative technologies. HO Ray -Massachusetts is strict when approving I/A's (not all composting toilets are approved in Massachusetts) and alternative technology belongs on properties that can't meet the regulations. There are many I/A technologies available and the decision on which to use should be made with an engineer on a case-by-case basis. BOH-PUBLIC HEARING -2- AUGUST 24, 2009 Woman - Is funding available? HO Ray states that local and state funding is available -some with financial criteria restrictions. Regulation 54.00 is endorsed by Madaket Homeowners Assoc., Long Pond/Tristram's Homeowners Association, the Madaket Land Trust and the Nantucket Land Council. Woman -asks about expansion of homes/grandfathering. HO Ray -states that expansion may not be possible. It depends on room count and bedroom count and is controlled by the building permit process. Leslie Forest(?) -asks about Long Pond. HO Ray -states that Long Pond is also a concern, although phosphorous reduction is needed near ponds. There are I/A systems that reduce phosphorous. Fertilizers are discussed and are a contributing factor to our water bodies. HO Ray states Zone A inspections should be done by 12/14/09 and Zone B by 6/14/10. Hydraulic failure must be fixed immediately -technical failure of between 5 and 6 feet will be evaluated and addressed approximately 18 months after all results are in. Violators will be ticketed $300.00. Chairman Kopko closes the public hearing. The BOH unanimously approves Regulation 54.00. 3. Concerns from the Board. None noted. Chairman Kopko adjourns BOH at 4:45 p.m. BOARD OF HEALTH TOWN OF NANTUCKET r.: rv MINUTES -OCTOBER 21, 2009 NANTUCKET SUPERIOR COURTROOM ,a ~~ MEMBERS PRESENT: Chairman Kopko, Allen Reinhard, Patricia Roggeveen, Brian Chadwick and Rick Atherton MEMBERS ABSENT: None. Meeting called to order at 6:35 p.m. AGENDA Chairman Kopko asks for comments/concerns from the public. None noted. The minutes from July 22, 2009 are approved unanimously. Variance Request 9 E Street -Two existing structures (2 bedrooms in each dwelling) that are in septic failure per the HWS inspection. The septic system has been relocated away from the coastal dune and Hither Creek. The homeowner is asking for relief from sideline setback and the 150 foot well separation requirement. They will utilize the Presby leach facility for nutrient reduction (the fibrous mat offers substantial reduction of nutrient loading). Presby is approved for repair use and offers a reduction in the size of the system or a reduction in separation of distance to groundwater (2 ft.). HO Ray recommends granting variance. The BOH approves the variance request unanimously. Status Report on Nantucket Harbor Watershed Protection District - HO Ray presents the most updated map to the BOH showing inspections done in this harbor district. Of a total of 602 systems, 554 have been inspected and 48 are not yet inspected. Some lots are now on sewer and will be removed from our list. A number of fines (tickets) have been issued and paid. Over the next 3-4 months, we will look at the data for recommendations. Mr. Reinhard asks about the estuaries report and the TMDL number and whether we'll have to lower what is being discharged into the harbor. HO Ray states that we will have to lower the discharge, but probably not by much. We are already ahead of the state by performing septic inspections and upgrading systems in failure. The Health Department and the DPW are working together on this project. Mr. Reinhard asks about the Madaket Harbor results. HO Ray states that Madaket `will be harder to reach due to the shallow harbor, Hither Creek, greater concentration of homes near water bodies on smaller lots, etc., but again with the septic systems being inspectedlrepaired, it will help us. Mr. Reinhard asks about fertilizer reduction to help us achieve our goal and that is something HO Ray agrees to look at in the planning. ~ ~ BOH MINUTES -2- October 21, 2009 Hummock Pond Association Watershed Protection District -The Hummock Pond Association brought some concerns to the BOH (via UMass Field Station) about the state of Hummock Pond. At UMass's advice, we closed the pond due to the toxic blue/green algae bloom. The Health Department sat down with the Hummock Pond Association along with Mr. Atherton to look at approaches to remediation. An unanswered question is what is the limiting nutrient in Hummock Pond? In repairing septic systems around any water body, improvement in both nutrient and phosphorous will be seen. We want to create a zone around the pond, while researching the water, to inspect and upgrade septic systems if necessary. HO Ray shows a tentative map of this protection zone which will probably change over time and with research. Some time next spring, HO Ray expects to have another map designating this zone. After research is done regarding the pond's chemistry, we will work on an inspection protocol similar to what is currently being done in Nantucket and Madaket Harbors. Dave Fronzuto of the Marine Department states that sampling has been done by the Marine Department since 1993 and data has been given to the estuaries people. Nantucket has been given a reduction in costs associated with this project due to the data that has already been compiled by the town. "We are not starting from ground zero on any of these water bodies -Hummock Pond has also been sampled." H1N1 Flu Vaccine Update - HO Ray tells the BOH that on Saturday, we vaccinated about 44 pregnant women and a number of direct care health care workers at a clinic for H1N1. No cases of H1N1 have been diagnosed to date on island. HO Ray states his frustration with the CDC for not having vaccines available as promised. The CDC is advising towns to cancel local clinics until production can be met (the middle of December or so). Vaccines for H1N1 are coming in very small numbers and are given to doctors' offices for distribution. Since H1N1 is affecting those 25 and under at a greater rate, the distribution of vaccine should go to pregnant women and health care workers, children under 10, elementary, high school and college kids, then adults 25-45, and lastly 50 and over (taking into consideration those of any age with underlying health issues). He also states that guidelines are being instituted for employees and their children with regard to staying home from work if you have the flu, to remind folks about frequent hand washing, coughing/sneezing into their arm, and checking in with their family doctor. Ms. Roggeveen states that in a discussion with Chairman MacNab of the Tick-Borne Disease Committee, a final recommendation will be available for the BOS within several weeks and that a working committee should continue after their final recommendation. She also thanks HO Ray and the committee for their hard work. The BOH is adjourned at 7:10 p.m. BOARD OF HEALTH -~' ~, TOWN OF NANTUCKET v MINUTES -DECEMBER 9, 2009 `~=` NANTUCKET SUPERIOR COURTROOM ~~; MEMBERS PRESENT: Chairman Kopko, Ms. Roggeveen, Mr. Reinhard, Mr. Atherton and Mr. Chadwick. MEMBERS ABSENT: None. Chairman Kopko calls the meeting to order at 6:00 p.m. AGENDA Nantucket Tick-Borne Disease Committee Report - HO Ray introduces Committee Chair, Dr. Malcolm MacNab, who discusses the committee's report. Chairman MacNab outlines the problem, the transmission of diseases, and the solutions. He also summarizes six recommendations: to manage the deer herd (10 per sq. mi.); manage habitat; the use of pesticides; the use of 4 posters, public education; and personal protection. This must be a continuing, long-term community message. The BOH asks about funding and resources (shared?) (a sense of dollars coming from the town itself'?) and states that costs will depend on the approaches the town takes to limit diseases (civic group involvement?). Chairman MacNab gives BOH a general idea of costs associated with various recommendations. BOH asks the committee to continue with their work and ask that reporting of disease be a priority. Ms. Roggeveen asks the committee to focus on special implementation actions, to work on the wording of the non-binding referendum questions, and structuring the financial mechanism (data tracking and education). Chairman Kopko asks for public comments. Mrs. McLaughlin thinks that the "February hunt" repeat is a bad idea. Mr. Willauer suggests the possibility of individual civic associations funding their own 4 posters. Ms. Dunton agrees that deer numbers have to be reduced to control diseases. HO Ray indicates that the entire Tick-Borne Disease Committee Report is available on the Town's website. Update of H1N1 - HO Ray announces that on December 10, 2009, from 5-7 p.m., at the Nantucket Cottage Hospital, there will be a flu clinic (nasal spray), for those ages 10-24 years old. BOARD OF HEALTH MINUTES -2- December 9, 2009 Update on Home Rule Petition to Establish Separate Board of Health - Ms. Gibson, Town Manager, informs the BOH that the petition has started going through the legislative process. Mr. Madden has told Ms. Gibson that at this time nothing else can be reported. BOH is adjourned at 7:00 p.m. - r- r~: :v BOARD OF HEALTH TOWN OF NANTUCKET '` MINUTES -DECEMBER 30, 2009 NANTUCKET SUPERIOR COURTROOM MEMBERS PRESENT: Chairman Kopko, Mr. Chadwick, Mr. Reinhard, and Mr. Atherton MEMBERS ABSENT: Ms. Roggeveen Meeting called to order at 6:00 p.m. A('TF,Ni~A The minutes from October 21, 2009 are approved unanimously. HO Ray gives the BOH a document required by DEP (as part of their approval process) to be signed by BOH fora 15 lot subdivision (one septic system servicing homes at Bartlett Rd. and Somerset Rd.) which allows BOH to enter onto property to ascertain that the unit is functioning appropriately, to mandate repairs, etc. BOH unanimously approves signage of the shared system document. HO Ray notifies BOH that of the 474 systems in Madaket that need to be inspected, 257 have been inspected, 178 have passed and 79 have failed inspection. We have reached the end of the two-year time frame for inspections to be done and with the limited number of inspectors on island; HO Ray would like to extend the time frame for inspections in Madaket by 12 months (the same as was done in the Nantucket Harbor Zones). HO Ray will bring his proposal to the Board in the form of a public hearing perhaps in February or so. The Estuaries Report is not yet complete for Madaket. H1N1 Update - At this time we have administered 2,000+ H1N1 vaccines on island as per MDPH guidelines. Communities are now approved to conduct open flu clinics. HO Ray announces what maybe the last flu clinic put on by the Health Department and the Hospital and will take place on January 9, 2010 at NES from 9:00 to approximately 12:00 p.m. This clinic is open to all ages. For those who can't make the January 9th clinic, HO Ray advises phoning your doctor or local pharmacy for an appointment. Health Department Minutes -2- December 30, 2009 Non binding referendum question for April election -The Deer Tick Advisory Committee is offering verbiage for BOH approval to be added onto the April ballot. This will be added to get a sense of how the voters feel and then the BOS will be asked to approach Department of Fisheries and Wildlife to discuss on the town's behalf what avenues should be taken for the 2010-2011 deer hunt. This is amulti-faceted approach to the tick issue. The Tick Advisory Committee's report is on our website. BOH will take this under advisement. BOH is adjourned at 6:22 p.m.