The meeting convened at 2:00 PM. Present were Chairman Louis Fazen, III, Members Ruth C. Brefka, and Nancy A. Sacco, Public Health Director Paul C. Pisinski, Public Health Nurse Leslie Chamberlin and Administrative Assistant Barbara M. Luther.

The minutes of the November 9, 2005 were approved with a few corrections.

Vouchers totaling $443.38 were approved for payment from the Board of Health Budget.

PETITIONS/PUBLIC HEARINGS
2:35 PM - 243 Parkerville Rd. – Mr. David McCarthy attended the meeting as a potential buyer of 243 Parkerville Rd. Mr. Pisinski explained that current owner Mr. Robert Weiss had contracted with Registered Sanitarian, David Schofield and that Mr. Schofield has designed a septic system to replace the existing system at 243 Parkerville Rd.
Mrs. Sacco asked Mr. Pisinski about both “old” septic tanks; one that was originally on the site and the one that had been illegally installed this fall. Mr. Pisinski reiterated the discussion he had had with Mr. Weiss and Mr. McCart regarding the inconsistencies in the illegal installation, which he had come upon in the fall (i.e. not seeing the bottom, inspecting the tank, and the water around the tank during installation), and stated that he had no idea what had been done with the old tank. He advised the Board Members that the design of the system they were now reviewing was as a result of information derived through deep hole tests and sieve analysis done that identified hydric-soil on the property. He further explained why the system was designed as it is, because of the hydric-soil and the proximity of the brook; that the proposed system is a pumped system; the fact that the illegally installed tank is too close to the property line and will have to be replaced. Mr. Pisinski explained to the members that Mr. McCarthy was hoping for their approval at this meeting because the septic design plan was scheduled to go before the Conservation Commission tomorrow evening, and that the Conservation Commission is reluctant to approve something that the Board of Health has not already approved. Mr. Pisinski informed the members that minor revisions were being made to the plan that they had in front of them, but that none of the changes would affect the efficiency of the design. Mr. Pisinski has asked Mr. Schofield to lower the system approximately ½ foot, which is acceptable even with the presence of hydric-soil on the site. Mr. Schofield agreed to make the revision but was not able to get them to Mr. Pisinski before the meeting. Mr. Pisinski asked that the Board authorize him to approve the revisions to the plan. Acknowledging the inspection process and that an approval of the plan today, was not a “final approval’ so to speak, Dr. Fazen reminded those present that Mr. Pisinski would be witnessing/inspecting the installation and therefore would be able to catch any inconsistencies and refuse to issue a Certificate of Completion and Compliance if anything was done incorrectly. He reminded the other members that an approval today was merely an approval to proceed with the replacement of the system.
In the discussion about installation, Mr. Pisinski stated that it is his understanding that Mr. Weiss would like to have Mr. McCart install the system, but that it would be his recommendation that the Board Members not grant Mr. McCart a license. This is a result of his attempt to install the system without an approve plan, without being licensed in the Town of Southborough to install septic system, and without required inspections by the Approving Authority. Also, Mr. McCart was attempting to install the system during a torrential rain, which is not good practice.
The Board Members unanimously voted to approve the proposed plan for the complete replacement of the septic system at 243 Parkerville Rd. They further authorize Mr. Pisinski to approve and sign the expected revisions to the plan and issue a construction permit for 243 Parkerville Rd.

REPORT ON CORE DIRECTIVES
Tobacco Control – During the last Tobacco Regulation Compliance Check Southborough had only 80% compliance. Two stores were sited for selling to minors. Letters were sent to each store owner informing them of the sales and of the penalty. The sales were made at Ray’s Exxon and Turnpike Liquors.
Mrs. Luther was asked to check into the liability issue with regard to compliance checks. In some towns people are covered by an umbrella like policy. The Board would like to know if Southborough has that type of coverage.

2:00 PM - Emergency Preparedness/Working with Other Departments – Fire Chief John Mauro attended the meeting to instruct the Board of Health Members on what the Fire Department was doing regarding their charge of Emergency Preparedness. Chief Mauro, beginning with the history of the Southborough Fire Department, explained the changes in the major responses the department has been required to handle over the years from fire to medical; education and prevention; code enforcement; and emergency preparedness activities such as identifying shelters, and storage facilities for emergencies of all kinds including disasters or terrorism. While explaining the type of situations the Fire Department responds to, Chief Mauro asked the Board of Health Members to develop a system that would identify someone that the Fire Department could contact in cases that the Board of Heath has jurisdiction and their response is required. Dr. Fazen explained that 24/7 coverage from the Board of Health was something that they are still struggling with, but agreed to continue to look at the issue.
Among other things, Dr. Fazen and Mr. Pisinski asked how many Paramedics were available and if they are able to administer vaccines. Chief Mauro stated that he believed that they were allowed to administer vaccines, and promised to check into the issue for confirmation. The Board will be looking to establish a system for vaccinating the entire population as part of their Emergency Preparedness charge. Chief Mauro also offered to keep the Board of Health updated on any National Incident Command Management System (NIMS) training that comes available. The Fire Department is often the command base for major emergencies combining the efforts of Police, Board of Health and other departments Chief Mauro ended his presentation and left the meeting at 2:35PM

NOTIFICATION OF ACTIONS BETWEEN MEETINGS & PENDING ITEMS
Public Health Director reported on Meetings/Workshops/Seminars attended by the staff:
a) Public Health Director attended Personal Protective Equipment Training put on by the Mass DPH
b) Public Health Director attended “Local Public Health & the Law”
c) 11 lot homeowners shared Septic System – its function and importance of continuing with the prescribed Operation and Maintenance Schedule
d) Public Health Director and Administrative Assistant both attended training session re: “Gold Star Customer Service and Municipalities”

Licenses issued:
251003 Robert Burton Jokave Image Enhancement Massage Therapist
251004 William Perkins Jr. Greenscape Land Design, Inc. Installer’s Lic.
251101 Michael Constantino Ben's Deli & Pizza Food Lic.
251102 Anthony Garcia Vactron Environmental Service, LLC Hauler’s Lic.
251103 Leslie Marie May Jokave Image Enhancement (Nara Med Spa) Massage Therapist
Septic Permits Issued:
Permit Number St. No. St Name Town Applicant Name Map # Parcel# # Bdrms/GPD
2005060 38 Turnpike Rd. Southborough Santo Anza 39 38 3
2005061 16 Brook Lane Southborough Robert Ackley 39 30 3
2005062 12 12 Cross St. Southborough Marion Carloni 75 32 3
2005063 30 Oak Hill Rd. Southborough Cindy Torilli 39 1 3
2005064 124 Parkerville Rd. Southborough Stonegate Realty Trust 27 44 4
2001067 60 Central St. Southborough Francis Castagnetti 38 61 5
2005065 1 Nichols Street Southborough Alice Lebowohl 69 16 4

Mrs. Luther advised the Board Members that 2 applications have been submitted for the Betterment Loan Program. Both the applications are for more than the $22,000.00 amount that the Board has authorized her to approve. She explained that she had sent a letter to each applicant advising them that they could either accept the $22,000.00 or appear before the Board to petition for more money. Neither applicant had responded by the meeting.

Region 4A Meeting – Dr. Fazen reported that both he and Mr. Pisinski had attended the recent Region 4A meeting. He reported that the region is hoping to hire more nurses to assist the region with Emergency Preparedness. Mrs. Chamberlin asked if a nurse for each town would be hired, to which Dr. Fazen replied, no. He said that he believes that in order to provide 24/7 coverage the program will have to break down into regional health departments or possibly three subsections to comply with such complete coverage. It appears that Region 4A is hoping to hire approximately 6 public health nurses.
Leslie Chamberlin explained calls she has made to Grafton, Framingham, and Marlboro regarding their Emergency Dispensing Site (EDS) plans, advising that each of those towns are doing something different and there seems to be no coordination. She explained that Framingham has one nurse spearheading the program and attending the stirring committee meetings; Grafton’s nurse is not going to the meetings, but someone else is and reporting back to the public health nurse. Framingham has four (4) sites setup to such an extent that someone from the Department of Public Health is scheduled to come out, review the sites and advise them on how to proceed. Mrs. Chamberlin agrees that someone needs to be hired to coordinate towns.
Dr. Fazen said that he would like to keep Mrs. Chamberlin involved in the program, helping to sort things out over time. Mrs. Chamberlin said that she too was getting a “regional feeling” from talking to other public health nurses in the area. Dr. Fazen said that he believes that Agents are thinking regionally, but elected officials aren’t there yet. Mrs. Chamberlin reminded the members that towns were still expected to provide EDS sites. Chief Mauro has designated Trottier Middle School as a shelter and the Board of Health has designated Woodward as a distribution site, but there has been nothing done about stocking the sites or recruiting personnel to man the sites.
Mr. Pisinski explained that he and Mrs. Chamberlin have been discussing how the Board of Health might avail themselves of her help to set up the EDS. The budget allows only two (2) hours per week, but Mrs. Chamberlin is actually working about four (4) hours per week or more, just on communicable disease follow-ups. Mr. Pisinski spoke with an executive committee member for Region 4A to see if there might be money available for Southborough to use to pay Mrs. Chamberlin to work on EDS. He was told that there might be some “mini” grants as soon as Beverly Anderson’s replacement comes on board. It is his hope that Mrs. Chamberlin’s time related to EDS planning could be paid for by such a grant.
Dr. Fazen asked Mrs. Chamberlin how much time per week she felt was needed for EDS work, and Mrs. Chamberlin said that she felt it required at least 6 hours per week. She feels that communicable disease follow-up requires about 8 hours per week. This is because of all the phone calls, and time required in contacting doctors/nurses and even the patients. If there was a tuberculosis case the follow-up for that is even more extensive. Mrs. Brefka asked how many hours she was working for the Counsel on Aging to which Mrs. Chamberlin answered 12 hours per week, all of which is needed. Seniors have many issues with medications, etc. that Mr. Chamberlin assists them with.
Dr. Fazen said that if Mrs. Chamberlin didn’t feel that the time allotted was sufficient to do the tasks required, the Board would want to review her hours at the next meeting. He asked Mrs. Luther to have information available for the members to review, and suggested that the Board of Health might spearhead the creation of a position that would share Mrs. Chamberlin with the Counsel on Aging, offering enough hours to meet both departmental needs and provide the incentive of benefits. Dr. Fazen asked Mrs. Luther to find out who he should speak to regarding this possible position. Mrs. Chamberlin was asked to attend the next Region 4A stirring committee meeting.

BUDGET
The Board Members were provided with a quarterly breakdown of expenditures, but time did not allow a review during the meeting.

NEW BUSINESS
Memo to Accounting Department: At the request of the Town Accountant, Dorothy Phaneuf, the Board Members reaffirmed a vote taken at the October 12, 2005 meeting and signed a memo to be kept on file with the Accounting Department authorizing Public Health Director, Paul C. Pisinski to sign weekly payroll and all vouchers accept those which are paid directly to him.

Review of Draft Contract with Public Health Director, Paul C. Pisinski – Mr. Pisinski asked that the Board Members vote on his contract at this meeting. This is because if the vote is favorable a draft of the contract will have to be sent to special counsel for review, before it can be signed by the Board of Health.
The contract proposes that Mr. Pisinski remain as Public Health Director for one more year, from July 1, 2006 through June 30, 2007. After that he would work part-time, no more than 18 hours per week, as an Agent. He would be responsible only for Title 5 issues at an hourly rate. Mr. Pisinski also recommended that the Board begin to discuss how they might want to staff the department; either with another person, whom Mr. Pisinski could train, or contracting out some of the department’s responsibility such as but not limited to Food Inspections, Camp and Pool inspections.
Mrs. Brefka said that she had reviewed the proposed contract and felt that it was complete. Dr. Fazen moved that the Board approved the proposed draft contract and to move it forward to legal counsel for review. The motion passed unanimously.

Discussion of Fuss & O’Neill Report regarding Stinky Stream – Mr. Pisinski reviewed the Fuss & O’Neil report explaining the findings or lack there of for each tested site. No conclusive indication of what might be causing the smell was found at any site. An analysis was done looking for septage, but all indices were low and nothing “reared its ugly head”. Neither Mr. Pisinski nor the investigator from Fuss & O’Neill was able to smell anything. However, the odor that caused the residents in that neighborhood to complain could have dissipated in the year and half that passed before a firm was able to be hired to do the investigation.
The Article that is being placed on this year’s Town Meeting Warrant is a result of complaints like this. At the Town Meeting either a Board Member or Mr. Pisinski will need to explain the need for having a consultant on a retainer to be able to respond to complaints in a timely manner.
Mr. Pisinski asked if the Board wanted the report released to the complainants and the Board of Selectmen. Mrs. Sacco stated that she felt the complete report should be made available to inform the complainants that the Board did follow through on their complaint. Mrs. Brefka also felt that the complainants should be made aware of the investigation and findings. Members decided that copies of the report should be sent to the Storm Water Committee, as well as the complainant and the Selectmen.

Executive Session – at 4:10 PM the Chairman moved to adjourn the regularly scheduled meeting to go into Executive Session under Chapter 39 23c subsection 3. The regular meeting would reconvene at the end of the Executive Session. A roll call vote was taken in response to the motion. Mrs. Brefka voted yes and Mrs. Sacco voted yes. The Executive Session ended at 4:40 PM and the regular meeting was called back into session.

Future Meetings - Members discussed future meetings date and chose to change the Wednesday, January 11, 2005 meeting to Thursday, January 12, 2005 at 7:00 PM at the Central Fire Station. February’s meeting will be held at the Town Hall on February 8, 2005 at 2:00 PM.

The meeting adjourned at 5:00 PM

Respectfully submitted by: Barbara M. Luther, Administrative Assistant to the Board of Health