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Home My WebLink AboutJan19_2023 1 BOH,Minutes for January 19,2023,adopted Feb.16 t y i , t „:�- _ BOARD OF HEALTHVG ' ! ? , : r�t�ptdTUC/�Fj�i + r N Meeting , ' {tz-? _ h �\ 2023 FEB 17 AM 9 I"` "' Town of Nantucket,yco - :41-�' 131 Pleasant Street / ��9'°0,1114" Nantucket;Massachusetts 02554 www.nantucket-ma.gov Commissioners: Stephen Visco (chair),James Cooper,Meredith Lepore,Kerry McKenna,Brooke Mohr Staff: Roberto Santamaria, Kathy LaFavre,John Hedden, Cathy Flynn,Jake Visco,Anne.Barrett — MINUTES -- Thursday,January 19,2023 J 4 Fairground Road, Community Room This meeting was held via remote participation usingZOOM and YouTube. Called to order at 4:00 p.m. by Mr.Visco Staff in attendance: R. Santamaria,Health Director;T. Norton,Town Minutes Taker Attending Members: Stephen Visco;James Cooper;Kerry McKenna Absent Members: Meredith Liepore;Brooke Mohr, Select Board NNOUNCEMENTS II. PUBLIC COMMENTS—ANY MEMBER OF THE PUBLIC MAY ADDRESS COMMISSIONERS AT THIS TIME 1. Curtis Barnes — Asked for clarification on-the short-term rentals (STR) and if BOH has,registration forms available. Santamaria—The State will send them to Granicus; they will forward the forms. The Planning Board is involved only in zoning. Barnes — Barnstable & Yarmouth require all rentals to register; confirmed Nantucket is registering only STRs. Thinks Nantucket should be registering all rentals. TC said we couldn't charge more than the actual cost of putting in the fee. Santamaria — If the BOH or Health Department had been consulted at the time, we would have told them our issue has been with years-round rentals;we never saw article 39. The $250 fee was based upon the contract price of Granicus,$3,000 divided by'the number of properties then added$100. Barnes—He thinks the$250 fee is excessive against other locations. 2. Norton—Announced this is her last meeting as minutes taker. ;f1. :1 IRECTOR'S REPORT 1. Thanked Ms. Norton's for her service. 2. We are in a peer review stage for a publication on our Tick-borne Illness Report; he's been working with Dr. Alison Snow, Ohio State University. It shows Nantucket is unique in that we get co-infections such as Lyme- Anaplasmosis and Lyme-Babesiosis and Lyme-Miyamotoi infection.We are also finding that we are grossly under counting Bab\esiosis and Ehrlichiosis co-infections because we're counting and treating Lyme. The Lone Star tick is starting to appear on Island, so Alpha-galactose allergies is showing up;it's not reportable so his information is -anecdotal from our Island medical providers.We have not seen Powassan virus on Island,but it is showing up on the Cape;it's a.matter of time. Fortunately,we are not seeing many of the Tripoli or West-Nile mosquitoes. 3. He was just appointed to the Cape&Island Tick-borne Illness Taskforce.There is a lot of information sharing. 4.. He doesn't have an update on the Massachusetts Institute of Technology project;they were able,to'create a mouse model.The issue is our Whitefoot mouse,vary genetically so can't be mated with the lab mice,so they have to find a model using Island mouse. 5. For Strategic Planning,we are going to create a new 5-year plan this year. IV. APPROVAL OF MINUTES , 1. December 15,2022 ' McKenna—Under the Naushon Way item,he voted negatively. Action Motion to Approve as amended. (made by: Cooper) (seconded) Roll-call vote Carried unanimously Page 1 of 3, 1 ' BOH Minutes for anua 19,2023,ado.ted Feb.16 V. BOH APPLICATIONS REVIEW 1. Loan request for 24 Ridge Lane. Sitting Visco, Cooper;:McKenna Documentation Supporting documents and plans,staff recommendations. Discussion Santamaria — For a septic upgrade; no objections. This is the last of the available funds for this fiscal year;we have a Warrant Article for an additional $2m in funds. He wants to set up a policy of new criteria; he wants a discussion with the Board before July 1". We need to look at capping. We are ahead of the new Title 5 for Madaket and Hummock Pond;we were already using the new Estuaries Map Action Motion to Approve the loan request. (made by:Cooper) (seconded) Roll-call vote Carried unanimously 2. Needle Exchange Program @ Health Imperatives. Sitting Visco, Cooper,McKenna Documentation. Supporting documents and plans,staff recommendations. Discussion Santamaria—Moving this to next month. Action No action at this time. Roll-call vote N/A 3. Variance request for 17 Tetawkimmo Drive, 53-3,septic.setbacks. Sitting Visco, Cooper,McKenna Documentation Supporting documents and plans,staff recommendations. Discussion Santamaria — Boundary line and foundation setbacks. It's a 5' variance; this is a tight lot. Staff recommendation is to deny because it is new construction. Michael Wilson—This is not new construction.A failure of compliance with Title 5 triggered the • upgrade. It would seem the system would fit in the back yard,'which is retained with a stone wall. Tanks would go in the driveway proper. If it went into the back yard, effluence would have to be pumped up to the tank, the walls would be dismantled, and,the trees would have to be removed for installation. In the front, the setback is to proximity to the road. The foundation is diminimis going from 20' to 15' setback.This is repair of an existing 4 BR system. Teddy King, surveyor—The current tank is about 40 to 50' away from the house near the garage / in the rear and about 15' from the foundation. Visco —Suggested drip dispersal to put this in the backyard and still have room or a pool. Leave the leach field where it is and add an LA component. Wilson —From a health perspective, wonders if the system being closer to the road would be a compromise. Santamaria—You can be fully Compliant if the leach is a drip dispersal. Visco—Another option is to reduce the size of the leach. Wilson—Asked this be withdrawn. Action No action at this time. Roll-call vote N/A 4. Variance request for 8 Bank Street,73.1.3-69,septic setbacks for construction of.a basement. Sitting Visco, Cooper,McKenna Documentation Supporting documents and plans,staff recommendations. Discussion Santamaria—removed from the agenda. Action - No action at this time. Roll-call vote N/A Page 2 of 3 BOH Minutes for anu. 19,2023,ado.ted Feb.16 VI. BOH BUSINESS 1. Ratify Emergency Condemnation of basement at 40.5 Essex Road. Sitting Visco, Cooper,McKenna Documentation Supporting documents and plans,staff recommendations. Discussion Santamaria — Jake Visco, the inspector, found no working toilets, smoke detector, carbon detectors, heat, and proper exists. The tenant vacated the premises. There is a lot of history with improper tenancy at this property. We are working with the owner to correct the problem; they know they are in a tight place with the covenant on the property. Action Motion to Ratify the Emergency Condemnation of the basement of 40.5 Essex Road. (made by: Cooper) (seconded) Roll-call vote Carried unanimously, 2. Ratify Emergency Condemnation of basement at/ICI Union Street. Sitting Visco, Cooper,McKenna Documentation Supporting-documents and plans,staff recommendations. Discussion Santamaria—This is a difficult situation and a sensitive property. We couldn't get into the house proper, but we're looking to get into the rest of the building. The Fire Department is aware of the hording situation. Mr. Hedden put this on our Problem Property Taskforce so we can coordinate with all pertinent departments. If the owner doesn't let us in voluntarily, we will go to the next step: either Chapter 140 inspection or and administrative warrant. Action Motion to Ratify the Emergency Condemnation of th&basement of 44 Union Street. (made by: Cooper) (seconded) Roll-call vote Carried unanimously • 3. McKenna-Asked if there is a process to update and amend regulations. Santamaria —The regulations do need to be updated and close loopholes; he and Mr. Hedden will look at what regulations need to be updated. He will put it on the agenda for next month. We'll have to engage Town Counsel once we have a working draft. VII.ADDITIONAL DOCUMENTS USED 1. Draft BOH Minutes December 15,2022 VIII.ADJOURN Action Motion to Adjourn at 4:43 pm. (made by: Cooper) (seconded) Roll-call vote Carried unanimously Submitted by: Terry L. Norton Page 3 of 3