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HomeMy WebLinkAbout2015-05-28 Board of Health Agenda Packet North Andover Board of Health Meeting Agenda Tli.ursday, May 2g, 201 7:00 pmia 120 Main Street,2°d Floor Selectmen's Meeting Room North Andover, MA 01845 1. CALL TO ORDER II. PLEDGE OF ALLEGIANCE III. PUBLIC HEARINGS IV. APPROVAL OF MINUTES Meeting minutes from April 30,2015to be presented for signature. V. OLD BUSINESS VI. NEW BUSINESS A. 674 Turnpike St.—Jack Sullivan,Engineer for the owner of 674 Turnpike Street,requesting four local upgrade approvals and two variances associated with the septic plan. Local Upgrade Approvals Request: 1) To allow a three foot separation between the bottom of the infiltrator units and the seasonal high groundwater table(4 feet required) 2) A sieve analysis in lieu of field percolation test due to the amount of fill onsite and the high seasonal groundwater table 3) To allow a 16 foot setback from the building foundation to the soil absorption system(20 feet required) 4) To allow a 6 foot setback from the property line to the soil absorption system(10 feet required) Variances Request: 1) Setback distance from wetlands to septic tank(29 feet requested,75 feet required under local bylaw) 2) Setback distance fi•om wetlands to soil absorption system(50 feet requested, 100 feet required under local bylaw, 50 feet under Title 5) VII. COMMUNICATIONS,ANNOUNCEMENTS,AND DISCUSSION A. Ken Farbstein,MPP,public health advocate from the age 21 program,discussing the trend to increase the minimum age for tobacco purchases within the Commonwealth. VIII. CORRESPONDENCE/NEWSLETTERS IX. ADJOURNMENT 2015 North Andover Board of Health Meeting-Meeting Agenda Page 1 of 1 Note: The Board of Health reserves the right to take items out of order and to discuss and/or vote on items that are not listed on the agenda. Board of Health Members: Thomas Trowbridge,DDS,MD,Chairman;Larry Fixler,Member/Clerk;Francis P.MacMillan,Jr., M.D.;Joseph McCarthy,Member; Edwin Pease,Member Health Department Staff:Susan Sawyer,Health Director; Debra Rillahan,Public Health Nurse;Michele Grant,Public Health Inspector;Lisa Blackburn,Health Department Assistant Blackburn, Lisa From: Jack Sullivan <jacksull53 @comcast.net> Sent: Monday, May 18, 2015 10:57 AM To: Blackburn, Lisa Cc: Grant, Michele Subject: Re: 674 Turnpike, NA- Request for Public Hearing with Board of Health Lisa, The following is a summary of the Local Upgrade Approvals required and Variances requested: Local Upgrade Approvals Request: 1) To allow a three foot separation between the bottom of the infiltrator units and the seasonal high groundwater table (4 feet required) 2) A sieve analysis in lieu of field percolation test due to the amount of fill onsite and the high seasonal groundwater table 3) To allow a 16 foot setback from the building foundation to the soil absorption system (20 feet required) 4) To allow a 6 foot setback from the property line to the soil absorption system (10 feet required) Variances Request: 1) Setback distance from wetlands to septic tank (29 feet requested, 75 feet required under local bylaw) 2) Setback distance from wetlands to soil absorption system (50 feet requested, 100 feet required under local bylaw, 50 feet under Title 5) Thank you. Jack Sullivan 781-854-8644 . From: .,,., � w.m,.,, �,..�. ..� ,. ....., u "Lisa Blackburn" <LBlackburn ,townofnorth and over,com> To: "Jack Sullivan" <iacksu1153aa.comcast.net> Cc: "Michele Grant" <marant ,townofnorthandover.com> Sent: Monday, May 18, 2015 8:16:30 AM Subject: RE: 674 Turnpike, NA - Request for Public Hearing with Board of Health Good Morning, Could you possibly send another email that spells out for the Board Members exactly what you are requesting from them at the next meeting? I want them to be sure what is being asked of them. Thanks. From: Jack Sullivan [mailto:jacksull53@comcast.net] Sent: Friday, May 15, 2015 10:38 AM To: Grant, Michele i Blackburn, Lisa From: Jack Sullivan <jacksul]53@comcast.net> Sent: Friday, May 15, 2015 10:38 AM To: Grant, Michele Cc: Isaac Rowe; Sawyer, Susan; Blackburn, Lisa; M Yarnin Subject: Re: 674 Turnpike, NA- Request for Public Hearing with Board of Health Michele, Please accept this email as a written request to be heard at the May 28th North Andover Board of Health meeting to discuss local upgrade approvals and variances associated with the Septic Upgrade plan for 674 Turnpike Street. As you know, the Conservation Commission has already approved the project, including variances, under the Wetland Protection Act and local Con. Comm. bylaws. I will prepare the notice to abutters as required for the May 28th meeting at Town Hall for 7:00 pm. Thank you. I have copied the owner on this email as well. Jack Sullivan 781-854-8644 .............. i MERRIMACK ENGINEERING SERVICES, INC. ` PROFESSIONAL ENGINEERS - LAND SURVEYORS a PLANNERS 66 PARK STREET• ANDOVER,MA 01810•(978)475-3555,373-5721 < FAX(978)475-1448• E-MAIL info @merrimackengineering.com 1 1 May 27, 2015 RECEIVED Board of Health MAY 15 1600 Osgood Street Suite 2035 TOWN OF NORTH PAN VER North Andover,MA 01845 HEAI.TH DErIAR' ENT RE: 1353 Salem Street Dear Mr. Chairman and Members: We have completed a septic system upgrade design for the above referenced site. The site contains wetlands to the rear of the property and ledge outcrops in the front and northerly side of the site such that the only l asible area to site the replacement soil absorption system in compliance with the NA BOH Regulations is in the front yard as shown on the plans which have been submitted to the BOH for review. The plan as designed, requires approval of one LUA which is the setback distance from the S.A.S.to the street or front property line from 10 feet to 7 feet. In addition to the proposed 7 foot setback, there is approximately 9 additional feet of wooded shoulder between the property line and the paved way of Salem Street so there is no reasonable threat or detriment to granting of this LUA. We will be happy to attend the meeting if necessary to discuss this request in more detail, however and as a matter of economics and savings to the owner, we feel the merit of this request speaks to itself and the owner, Jeff Greene, will be present and respectfully requests your consideration of this matter at your May 28th BOH meeting. Very truly yours, William Dufresne,Project Manager Merrimack Engineering Services,Inc. i 1 North Andover Health Department Community Development Division May 20,2015 Vladimir Nemchenok Merrimack Engineering Services 66 Park Street Andover, MA 0 18 10 i Re: Subsurface Sewage Disposal System Plan for 1353 Salem Street Map 106A,Lot 138 Dear Mr.Nemchenok: The proposed wastewater system design plan for the above site dated April 28,2015 and received on May 15, 2015 has been reviewed. Unfortunately, the plan cannot be approved until the following items are corrected, The specific section in Title 5: 310 CMR 15.000,or North Andover regulation that is not met by this design follows each item where applicable. 1. Cleanouts are required at all bends in the building sewer line(310 CMR 15.222(8)). 2. On sheet 2 of 2,the scale profile depicts the infiltrator chambers with a length of 24' instead of 28'. Please be aware the Local Upgrade Approval request will need to be presented at a Board of Health public hearing and the affected abutter(likely the Town of North Andover)will need to be notified 10 days prior to the public hearing. Please feel free to contact the office or Mill River Consulting at 978-282-0014 with any questions you may have. We look forward to working with you to obtain a wastewater treatment and dispersal system which will be in compliance with all regulations and assure protection of public health and the environment of North Andover. Sii e t( 0 .., � , Michele Grant Health Inspector cc: Jeffrey Green File Page 1 of 1 North Andover l-lealth Department, 1.600 Osgood Street, Suite 2035, North Andover, MA 01845 Phone: 978,688.9540 Fax: 978.688,8476 REPORT BRIEF MARCH 2015 INSTITUTE OF MEDICINE OF THE NATIONAI ACADEMIES AdvisIng the nation lirnpiroving health Public Implications of Raising the M10nimmum Age of Legal clobacco Products Over the past 50 years,tobacco control in the United States has led to an esti- mated 8 million fewer premature deaths. However, tobacco use continues to significantly affect public health, and more than 40 million Americans still smoke. In 2009,the Family Smoking Prevention and Tobacco Control Act granted the U.S.Food and Drug Administration(FDA)broad authorities over tobacco products,though it prohibited FDA from establishing a nationwide minimum age of legal access—an MLA for tobacco products—above 18 years of age. It tobacco use continues to also directed FDA to convene a panel of experts to conduct a study on the significantly affect public health, public health implications of raising the minimum age to purchase tobacco and more than 40 million Americans products.At FDA's request,the Institute of Medicine(IOM)convened a com- still smoke. mittee in 2013 for this purpose. In the resulting report,Public Health Implications ofRaising the Minimum Age of Legal Access to Tobacco Products, the committee of experts reviews existing literature on tobacco use initiation, developmental biology and psy- chology, and tobacco policy and predicts the likely public health outcomes of raising the MLA for tobacco products to 19 years,21 years, and 25 years. The committee also uses mathematical modeling to quantify these predictions. Of note, the report contains only conclusions regarding raising the MLA; as requested by FDA, the committee does not offer recommendations as to whether the MLA should be raised. Lowering Initiation Rates decision making,impulse control,sensation seek- The initiation age of tobacco use is critical.Among ing, and susceptibility to peer pressure continue adults who become daily smokers,approximately to develop and change through young adulthood, 90 percent report first use of cigarettes before and adolescent brains are uniquely vulnerable to the effects of nicotine. In addition, the majority reaching 19 years of age, and almost 100 percent report first use before age 26.As mentioned above, of underage users rely on social sources—like FDA cannot raise the MLA nationwide.However, family and friends—to get tobacco. Raising the MLA to 19 will therefore not have states and localities can set a higher minimum age for their communities. Most states currently set much of an effect on reducing the social sources the MLA at 18 years.Four states set it at 19 years, of those in high school.Raising the MLA to 21 will and several localities around the country have mean that those who can legally obtain tobacco raised the minimum age to 21 years. are less likely to be in the same social networks Based on its review of the literature, the as high school students.In the same vein,increas- committee concludes that overall,increasing the ing the MLA from 21 to 25 is not likely to achieve MLA for tobacco products will likely prevent or additional notable reductions in social sources for delay initiation of tobacco use by adolescents and those under age 15. young adults. The age group most impacted will be those age 15 to 17 years, The committee also concludes that the impact of raising the MLA to Reducing Prevalence, Decreasing 21 will likely be substantially higher than raising Disease it to 19. However,the added effect of raising the Delaying initiation rates will likely decrease the MLA from 21 to 25 will likely be considerably prevalence of tobacco users in the U.S. popula- less. tion.To quantify this decrease in both prevalence The parts of the brain most responsible for of tobacco users and in related health concerns FIGURE: Committee Estimates Regarding Effects on Initiation Rates 100% ro 30% 0 MLA 25 25% — MLA 21 E 20% — MLA 19 tu P u 15% — 10% - 5% under 15 yrs 15-17 yrs 18 yrs 19-20 yrs 21-24 yrs Age Group NOTE:This figure was created using data from Table 7-2 In the report. 2 The parts of the brain most responsible for decision makin g impulse control,sensation seeking, and susceptibility to peer pressure continue to develop and change through young adulthood,and adolescent brains are uniquely vulnerable to the effects of nicotine and nicotine addiction. that could be a result of raising the MLA,the com- cent decrease if raised to 25. mittee commissioned the use of two established Given a decline in the initiation rates of and complementary tobacco simulation models, tobacco use by adolescents and lower prevalence SimSmoke and the Cancer Intervention and Sur- in the population, it follows that tobacco-related veillance Modeling Network smoking population disease would also decrease in proportion to the model(CISNET). reduction in tobacco use. It is generally known In using the models,the committee employed that smoking-related diseases like cancer and all available evidence and expert judgment to heart disease develop over decades, and there- project outcomes. The committee also had to fore, it could take many years to lower rates of make assumptions with important implications. these diseases; however, there could be imme- The models only address cigarette smoking, but diate decreases in other tobacco-related health the committee expects the MLA and relative effects. effects on initiation to apply to all tobacco prod- The committee concludes that raising the ucts.In addition,the models project the effects of MLA will likely immediately improve the health raising the MLA on the United States as a whole of adolescents and young adults by reducing the and do not take into account existing variations number of those with adverse physiological effects in tobacco use—such as by race or socioeconomic such as increased inflammation and impaired status—initiation rates,and tobacco control activ- immune functioning caused by smoking, as these ities. In addition, the rapidly changing landscape could potentially lead to negative health conse- of tobacco products—for example, e-cigarettes— quences, including increased hospitalizations provides unknowns and could affect the future of and lessened capacity to heal wounds. Adverse tobacco product use in ways that the committee maternal, fetal, and infant outcomes—includ- was unable to anticipate due to lack of evidence. ing preterm births,low birth weight, and sudden Based on the modeling and backed up by the infant death—will also probably decrease due to literature review, the committee concludes that reduced tobacco exposure in mothers and infants. raising the minimum age of legal access to tobacco Raising the MLA will also lessen the populatioWs products in the United States,particularly to ages exposure to secondhand smoke and its associated 21 and 25,will likely lead to a substantial reduc- health effects,both now and in the future. tion in smoking prevalence. If the MLA were Over time,the committee concludes that rais- raised now,the models projected that by the time ing the MLA will likely lead to substantial reduc- today's teenagers were adults, there would be a tions in smoking-related mortality,though results 3 percent decrease in prevalence of tobacco use from the models suggest that these results will not among those adults if the MLA were raised to 19, be observed for at least 30 years,assuming that the a 12 percent decrease if raised to 21,and a 16 per- MLA increase occurs now. The CISNET model 3 f I f Committee on the Public Health Implications of Raising the projected that if the MLA were raised now to 21 Minimum Age for Purchasing Tobacco Products nationwide,there would be approximately 223,000 Richard J.Bonnie(Chair) Jonathan D.Klein Harrison Foundation Professor Associate Executive Director, fewer premature deaths,50,000 fewer deaths from of Medicine and Law, Julius B.Richmond Center of Professor of Psychiatry and Excellence for Children and lung Cancer, and 4.2 million fewer years of life lost Neurobehavioral Sciences, Secondhand Smoke,American Director of the Institute of Law, Academy of Pediatrics for those born between 2000 and 2019. Psychiatry,and Public Policy, Paula M.Lantz University of Virginia Professor and Chair, Anthony J.Alberg Department of Health Blatt Ness Distinguished Policy and Management, Endowed Chair in Oncology, Milken Institute School of lt� l �1 Professor,Public Health Public Health,The George Sciences,Interim Director of Washington University Hollings Cancer Center,Medical Robin Mer nelstein The public health impact of raising the MLA for University of South Carolina Director of the Institute for Regina Benjamin Health Research and Policy, tobacco products depends on the degree to which NOLA.com/Times Picayune Professor of Psychology, O tS change an e local and State their h- Endowed Chair in Public Health Clinical Professor of g g p Sciences,Xavier University, Community Health Sciences, New Orleans School of Public Health, Cles. These decisions will depend on each state's Institute for Health Research Professor,Operations o Jonathan Caulati ons Research and Policy,University of Illinois, Or locality s balance between personal interests and Public Health Policy,Heinz Chicago and the privacy of young adults to make their own College of Public Policy and Rafael Meza Management,Operations Assistant Professor, choices versus society's legitimate concerns about Research Department, Department of Epidemiology, Carnegie Mellon University University of Michigan protecting public health. Bonnie Halpern-Felsher Patrick O'Malley The IOM committee makes conclusions about Professor,Department Research Professor,Institute of Pediatrics,Director of for Social Research,University likely public health outcomes of raising the MLA Research,Associate Director of Michigan of Adolescent Medicine Kimberly Thompson for tobacco products. Overall, In the absence Of Fellowship Program,Division of Professor of Preventive Adolescent Medicine,Stanford Medicine and Global Health, transformative Changes In the tobacco market, University University of Central Florida Swannie Jett College of Medicine,President, social norms and attitudes, or in the knowledge of Executive Director,Florida Kid Risk,Inc. Department of Health in patterns and causes of tobacco use,the committee Seminole County is reasonably confident that raising the MLA will Harlan Juster Director,Bureau of Tobacco reduce tobacco use initiation, particularly among Control,New York State Department of Health adolescents 15 to 17 years of age;improve the health Consultants of Americans across the lifespan;and save lives. _`i Theodore R.Holford Maria Roditis Susan Dwight Bliss Professor Postdoctoral Research Fellow, of Public Health(Biostatistics) Adolescent Medicine,Division and Professor of Statistics, of Adolescent Medicine, Yale School of Medicine,Yale Department of Pediatrics, University Stanford University David T.Levy Professor,Lombardi Comprehensive Cancer Center, Georgetown University Medical Center Study Staff Kathleen Stratton Doris Romero Study Director Financial Associate Leslie Y.Kwan Rose Marie Martinez Research Associate Senior Board Director,Board Bettina Ritter on Population Health and r� Research Assistant Public Health Practice INSTITUTE OF MEDICINE Anna Martin Senior Program Assistant OF THE NATIONAL ACADEMIES Study sponsor Ad^ ishi the riatlwi - Iniprovii,ig health U.S.Food and Drug Administration 500 Fifth Street, NW Washington, DC 20001 TEL 202.334.2352 FAx 202.334.1412 www.iom.edu The Institute of Medicine serves as adviser to the nation to improve health. 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