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Agenda 2023 02-20NEW HANOVER COUNTY Z07_1Noxelace] AI A I R W [a]ill 1: 1C4�1c]: 1►1171 Assembly Room, New Hanover County Historic Courthouse 24 North Third Street, Room 301, Wilmington, NC 28401 Bill Rivenbark, Chair I LeAnn Pierce, Vice -Chair Jonathan Barfield, Jr., Commissioner I Deb Hays, Commissioner I Rob Zapple, Commissioner Chris Coudriet, County Manager i Wanda Copley, County Attorney I Kym Crowell, Clerk to the Board FEBRUARY 20, 2023 9:00 AM MEETING CALLED TO ORDER (Chair Bill Rivenbark) INVOCATION (Reverend Richard G. Elliott, St. Andrews on the Sound Episcopal Church) PLEDGE OF ALLEGIANCE (Chair Bill Rivenbark) APPROVAL OF CONSENT AGENDA CONSENT AGENDA ITEMS OF BUSINESS 1. Approval of Minutes 2. Adoption of Resolution Supporting the Request of the Lower Cape Fear Water and Sewer Authority for the North Carolina General Assembly to Provide Funding of a 10-Mile Parallel Line Phase 2 3. Approval to Amend Fee Schedule to I ncrease Deputy Contract Pay from $36 per hour to $46 per hour 4. Approval of Donation of Permanent Utility Easement to the North Carolina Department of Transportation (NCDOT) for the Installation of a Traffic Signal at the Intersection of Halyburton Memorial Parkway and River Road 5. Adoption of a Resolution to Support the N.C. Department of Public Safety's Efforts to I ncrease Division of Juvenile Justice Staff Salaries 6. Second Reading: Approval of Solid Waste Franchise Agreement for Weis Waste, LLC dba Bin There Dump That 7. Adoption of Amendment to the New Hanover County Code of Ordinances Chapter 17, Civil Emergencies, Article 11, Department of Emergency Management 8. Approval of Representation for New Hanover Regional Medical Center Retirement Plans 9. Adoption of Budget Amendments ESTIMATED MINUTES REGULAR AGENDA ITEMS OF BUSINESS 10 10. Presentation of Service Awards and Introduction of New Employees 10 11. New Hanover County ABC Board Update 10 12. Consideration of Resolution and Bylaws Establishing the New Hanover County Hispanic/Latino Commission 10 13. Community Health Needs Assessment Presentation Board of Commissioners - February 20, 2023 10 14. Fiscal Year 2022-2023 —Second Quarter Financial Results 5 15. Committee Appointments PUBLIC COMMENTS ON NON -AGENDA ITEMS (limit three minutes) ESTI MATED MINUTES ADDITIONAL AGENDA ITEMS OF BUSINESS 16. Additional Items County Manager County Commissioners Clerk to the Board County Attorney 17. ADJOURN Note: Minutes listed for each item are estimated, and if a preceding item takes less time, the Board will move forward until the agenda is completed. Mission New Hanover County is committed to providing equitable opportunities and exceptional public services through good governance to ensure a safe, healthy, secure and thriving community for all. Vision A vibrant, prosperous, diverse coastal community committed to building a sustainable future for future generations. Core Values Professionalism - Equity- Integrity - Innovation - Stewardship - Accountability Board of Commissioners - February 20, 2023 NEW HANOVER COUNTY BOARD OF COMMISSIONERS REQUEST FOR BOARD ACTION MEETING DATE: 2/20/2023 Consent DEPARTMENT: Governing Body PRESENTER(S): Kym Crowell, Clerk to the Board CONTACT(S): Kym Crowell SU BJ ECT: Approval of Minutes BRIEF SUMMARY: Approve minutes from the following meetings: Agenda Review held on February 2, 2023 Closed Session held on February 2, 2023 Regular Meeting held on February 6, 2023 STRATEGIC PLAN ALIGNMENT: RECOMMENDED MOTION AND REQUESTED ACTIONS: Approve minutes. COUNTY MANAGER'S COMMENTS AND RECOMMENDATIONS: (only Manager) COMMISSIONERS' ACTIONS: Approved 4-0. Board of Commissioners - February 20, 2023 ITEM: 1 NEW HANOVER COUNTY BOARD OF COMMISSIONERS REQUEST FOR BOARD ACTION MEETING DATE: 2/20/2023 Consent DEPARTMENT: Governing PRESENTER(S): Commissioner Zapple and Tim Holloman, Lower Cape Fear Water and Body Sewer Authority Executive Director CONTACT(S): Commissioner Zapple and Tim Holloman SU BJ ECT: Adoption of Resolution Supporting the Request of the Lower Cape Fear Water and Sewer Authority for the North Carolina General Assembly to Provide Funding of a 10-Mile Parallel Line Phase 2 BRIEF SUMMARY: The Lower Cape Fear Water and Sewer Authority (LCFWASA) is requesting the Board to adopt a resolution in support of its request of the NC General Assembly to appropriate the funding for the second phase of the ten -mile parallel line project for redundancy, reliability, and emergency management of the critical regional water supply in Eastern North Carolina in the Fiscal Year 2024-2025 state budget. The attached resolution contains the details. STRATEGIC PLAN ALIGNMENT: RECOMMENDED MOTION AND REQUESTED ACTIONS: Adopt the resolution. ATTACHMENTS: Resolution COUNTY MANAGER'S COMMENTS AND RECOMMENDATIONS: (only Manager) Recommend approval. COMMISSIONERS' ACTIONS: Approved 4-0. Board of Commissioners - February 20, 2023 ITEM: 2 NEW HANOVER COUNTY BOARD OF COMMISSIONERS RESOLUTION SUPPORTING THE REQUEST OF THE LOWER CAPE FEAR WATER AND SEWER AUTHORITY FOR THE NORTH CAROLINA GENERAL ASSEMBLY TO PROVIDE FUNDING OF A 10-MILE PARALLEL LINE PHASE 2 WHEREAS, the Lower Cape Fear Water and Sewer Authority (LCFWASA) serves Bladen, Brunswick, Columbus, New Hanover, and Pender counties as well as the City of Wilmington with a board of directors representing those local governments; and WHEREAS, the LCFWASA is the most extensive regional water system in Eastern North Carolina and its primary role is to provide raw water from the Cape Fear River to supply treatment facilities that serve 550,000 customers: and WHEREAS, the LCFWASA Board of Directors wishes to ensure reliable availability and redundancy; and WHEREAS, in November 2021, the LCFWASA experienced a significant leak on unparalleled infrastructure in the lower 10 miles of its raw water distribution system; and WHEREAS, had the leak occurred during the peak seasonal months, critical regional facilities would have been severely affected, including the North Carolina State Ports, Sunny Point Military Terminal, the Port terminal in Boiling Springs Lakes, the rail terminal in Leland, ten regional medical facilities, and multiple other essential operations, businesses, and facilities; and WHEREAS, the retail water systems served by the LCFWASA would also have been compelled to take extreme water conservation measures during a similar worst -case crisis scenario in the summer; and WHEREAS, according to the analysis and opinion of the LCFWASA Engineer of Record, the direct and cumulative effect of such an event would be "catastrophic"; and WHEREAS, the design and construction of a 48-inch parallel raw water line, over 51,800 feet in length (Project) from the current termination points of parallel infrastructure in the LCFWASA system to the final meter vaults serving Pender and New Hanover counties, provides a solution to the outstanding risks to the LCFWASA infrastructure; and WHEREAS, the current estimated cost of the Project is $60.2 million, and the budgetary impact of the Project would effectively double the LCFWASA wholesale rates if it were solely funded by the LCFWASA; and WHEREAS, in recognition of this significant impact in terms of both needs and cost, the North Carolina General Assembly (NCGA) appropriated partial funding in the amount of $23.5 million to the LCFWASA to begin construction; and WHEREAS the LCFWASA customers, specifically Cape Fear Public Utility Authority and Pender County, have agreed to contribute a total of $11.7 million to the Project, for a total of $35.2 million toward construction of the first phase of the Project; and WHEREAS an additional allocation request of $25 million will be required to complete the Project in a second phase of construction; and WHEREAS, the LCFWASA Board of Directors has requested the North Carolina General Assembly to appropriate the funding for the second phase of the ten -mile parallel line project for redundancy, reliability, and emergency management of the critical regional water supply in Eastern North Carolina in the Fiscal Year 2024-2025 state budget. NOW, THEREFORE, BE IT RESOLVED, that the New Hanover County Board of Commissioners supports the request by the LCFWASA for the North Carolina General Assembly to allocate funding for the second phase of the ten -mile parallel line for redundancy, reliability, and emergency management. ADOPTED this the 201h day of February, 2023. NEW HANOVER COUNTY William E. Rivenbark, Chair ATTEST: Kymberleigh G. Crowell, Clerk to the Board Board of Commissioners - February 20, 2023 ITEM: 2 - 1 - 1 NEW HANOVER COUNTY BOARD OF COMMISSIONERS REQUEST FOR BOARD ACTION MEETING DATE:2/20/2023 Consent DEPARTMENT: Sheriff PRESENTER(S): Chief Deputy Ken Sarvis CONTACT(S): Chief Deputy Ken Sarvis SU BJ ECT: Approval to Amend Fee Schedule to Increase Deputy Contract Pay from $36 per hour to $46 per hour BRIEF SUMMARY: The Sheriff's Office currently allows businesses and other groups to contract directly with the Sheriff's Office for off - duty deputies to provide security, which totals about 8,200 hours per year. This program is currently managed by the Sheriff's Office. The current fee is $36 per hour, where $30 is paid to the deputy and $6 is retained by the county as an administrative fee. The Sheriff's Office request the fee be increased to $46 per hour, where $40 will be paid to the deputy, $1.40 will be retained by the county as an administrative fee, and $4.60 will be paid to a company to administer the program. As a result of the decrease in the amount of the administrative fee, there will be a reduction in revenue collected by the county of approximately $38,000. Some of the advantages of contracting the administration of the program are as follows: the company has an interactive software program that will allow deputies to view and sign up for assignments, will provide for better transparency of the program, will allow supervisors to have better insight on assignments, and will allow for reassignment of Sheriff's Office administrative support duties. The reason that this item is being presented to the board of commissioners for approval at this time, instead of as part of the budget process, is to ensure that the deputies' pay for this security work is comparable with the City of Wilmington. If approved, this change will take effect on March 1, 2023. STRATEGIC PLAN ALIGNMENT: • Superior Public Health & Safety o Sustain the community capacity to prepare for and respond to public safety demands ■ Collaborate to optimize system -wide responses and outcomes RECOMMENDED MOTION AND REQUESTED ACTIONS: Approve amendment to fee schedule. COUNTY MANAGER'S COMMENTS AND RECOMMENDATIONS: (only Manager) Board of Commissioners - February 20, 2023 ITEM: 3 Recommend approval. COMMISSIONERS' ACTIONS: Approved 4-0. Board of Commissioners - February 20, 2023 ITEM: 3 NEW HANOVER COUNTY BOARD OF COMMISSIONERS REQUEST FOR BOARD ACTION MEETING DATE:2/20/2023 Consent DEPARTMENT: County Manager PRESENTER(S): Tim Burgess, Deputy County Manager CONTACT(S): Tim Burgess SU BJ ECT: Approval of Donation of Permanent Utility Easement to the North Carolina Department of Transportation (NCDOT) for the Installation of a Traffic Signal at the Intersection of Halyburton Memorial Parkway and River Road BRIEF SUMMARY: The North Carolina Department of Transportation (NCDOT) has requested the donation of a permanent utility easement at the intersection of Halyburton Memorial Parkway and River Road for the purpose of installing a traffic signal. Following is NCDOT's request in part: "The department is looking to add a traffic signal at the intersection of Halyburton Memorial Parkway and River Road in New Hanover County. Our research indicates the county owns the right of way of Halyburton Memorial Parkway. The project is warranted for safety and increased traffic along both roads as many of the roads in New Hanover County. In order to facilitate this project NCDOT needs an easement area in the current right of way of Halyburton Memorial Parkway. The easement area is a 50' x 60' rectangle in the right of way. I have attached a plan sheet that shows the needed easement area. We would like to ask the county to consider donation of the easement, as we work to make the roads safer for the traveling public." NCDOT anticipates that the traffic signal could be installed by March 2024. Both county staff and New Hanover County Schools staff support this request. STRATEGIC PLAN ALIGNMENT: RECOMMENDED MOTION AND REQUESTED ACTIONS: Approve the donation of the permanent utility easement to N C DOT. ATTACHMENTS: Plan Sheet Permanent Utility Easement COUNTY MANAGER'S COMMENTS AND RECOMMENDATIONS: (only Manager) Recommend approval. Board of Commissioners - February 20, 2023 ITEM: 4 COMMISSIONERS' ACTIONS: Approved 4-0. Board of Commissioners - February 20, 2023 ITEM: 4 Z O NOW OR FORMERLY NATHAN S.SANDERS AND WIFE JUDIA B SANDERS 'OPEN SPACE' DB 3143 PO 347-350 BB 1556 PG 1773-1779 DB 1353 PG 1609-1612 MB 41 PG 358-361 S 54189.4V R / NOW OR FORMERLY NATHAN S. SANDERS AND WIFE JUDIA B SANDERS DB 2019 PG 158-I61 OB 1556 PC 1773-1779 DB 1353 PG 1609-1612 -L- STA 16t28J8 = -Y- STA 104.00M 91 EW NC GRID NAD 83 NA 201E s J$E/VETERANS PARR, INC OB 4532 PG 19-82 OP52 30.00' LT FIbY�1E EPSErRG RiR D.55' R/11 0 EIPLa — W 37 4rs$. ocRs ! BENT fAYATE £ItRfMG R/R -Y- STA 11+00.00 2S'WFER R+u LArosE4PE ERSE NT r[R W 0 k P 30.00 STA 15+98.07 = 50,00, RT o DI BEM nP bg :6 o TEO SAMPLE $'° CHRISTINA DARBY HUBERT D, NORRIS, III AND WIFE z AND HUSBAND AND WIFE JULIEANN SAMPLE DEREK DARBY JENNIFER NORRIS DB 6350 PG 1203-I205 I DB 645T PC 2721-2TZS 08 63TO PG 530-532 "1 N COMMON AREA 2 Ijllj N BELLA PORT HOA 08 1,092 PG 101 N E MB 63 PG 311 2 I 10 -L- POT Sta.10+00.00 1 Eel Board of Commissioners February 20,_2023 ITEM: 4 - 1 - 1 13 PROTECT REFERENCE NO. I SHEEr NO. 48658 RW04 I ,Christopher J. Sawyer , cerlj that the permanent easement monumentation for this direct from Location and Surveys LOCATION AND SURVEYS UNf1 project shown herein was completed under my and responsible charge an actual survey made under my su ervlslon; that all horizontal closures had a minimum ratio of precision of 1:10.000 (Class A� Field work was performed November 1, 2022 and December 5, 2022, and all coordinates are based on NAD8312011; That this survey was DmSION 3 performed to meet the requirements of 21 NCAC 56.1600 as applicable. CASIIE' HA1�MADOS BLVD., ROLITE 1 b429 This loth day of December, 2022. PROJECT SURVEYOR or bc�-z•- Cr..;-si•-f' nnrrltpr o•�tiK CAg0�9�, ProteordmInAnd Surveyor L-4526 : - '•`F SEAL $ L-4526 `A •kNp .� Q,pH. �Rni;... DOCUMENT NOT CONSIDERED FINAL UNLESS ALL SIGNATURES COMPLETED 6 N NOTES: 1. IF FURTHER INFORMATION REGARDING PROJECT CONTROL IS NEEDED PLEASE CONTACT THE LOCATION AND SURVEYS UNIT. 2. PROJECT CONTROL WAS ESTABLISHED USING GNSS, THE GLOBAL NAVIGATION SATELLITE SYSTEM. 3. RIGHT OF WAY MONUMENTATION ESTABLISHED NOVEMBER 1, 2022 and DECEMBER 5, 2022. L-0 I OMi N 0 Revenue Stamps $ NA PERMANENT UTILITY EASEMENT THIS INSTRUMENT DRAWN BY Ben Sox RETURN TO: Division R/W Agent, NCDOT- Kaye Baggett 5501 Barbados Blvd. Castle Hayne, NC 29329 NORTH CAROLINA COUNTY OF New Hanover TAX PARCEL NA CHECKED BY T. Michael Satterfield TIP/PARCEL NUMBER WBS ELEMENT ROUTE 065SR1576 001 48858 SR 1576 THIS EASEMENT, made and entered into this the day of 20 23 by and between New Hanover County 230 Government Center Drive Wilmington, NC 28403 hereinafter referred to as GRANTORS, and the Department of Transportation, an agency of the State of North Carolina, 1546 Mail Service Center, Raleigh, NC 27611, hereinafter referred to as the Department; WITNESSETH THAT WHEREAS, the DEPARTMENT desires to construct and maintain a utility facility through and across the property of GRANTORS, AND WHEREAS, GRANTORS, recognizing the benefits accruing to their said property through the construction and maintenance by the DEPARTMENT of roads and highways upon or in the vicinity of said property of GRANTORS, NOW, THEREFORE, in consideration of said benefits, and further consideration of $ 1.00 and other valuable considerations, GRANTORS hereby release the DEPARTMENT, its successors and assigns, from any and all claims for damages by reason of the construction and maintenance of said utility facility across and through the lands of GRANTORS, and GRANTORS hereby give, grant, bargain, sell and convey unto the DEPARTMENT, its successors, and assigns, an easement for the construction and maintenance of a utility facility across and through the property of GRANTORS located in Federal Point Township, New Hanover County, and being more fully described in a deed recorded in Book 2149 Page 697 New Hanover County County Registry, said easement being described as follows: Beginning at existing iron pipe (bent), said point being located 50.00 feet right of L station 15+98.07 and located at the intersection of the eastern right of way of River Road (SR 1576) (a 100' right of way) and the southern right of way of Halyburton Memorial Parkway (a private 60' right of way); thence with the eastern right of way of River Road (SR 1576) N 02 deg. 21 min. 23.70 sec. W a distance of 60.00 feet to a point located at the intersection of the eastern right of way of River Road (SR 1576) ( a 100' right of way) and the northern right of way of Halyburton Memorial Parkway (a private 60' right of way); thence with the northern right of way of Halyburton Memorial Parkway N 87 deg. 46 min. 9.08 sec. E passing through an existing iron pipe at a distance of 0.55 feet and continuing the same bearing a distance of 49.52 feet to a point; thence S 02 deg. 13 min. 50.92 sec. E a distance of 60.00 to the southern right of way of Halyburton Memorial Parkway (a 60' private right of way) a set rebar and cap; thence with the southern right of way of Halyburton Memorial Parkway (a 60' private right of way) S 87 deg. 46 min. 9.08 sec. W a distance of 49.93 feet to the point of beginning as shown on the NCDOT Right of Way Plans for Project 48858 and containing an area of 2999.99 sq. ft (0.069 acres) FRM7-U Page 1 of 3 Revised 02/17/15 Board of Commissioners - February 20, 2023 ITEM: 4 - 2 - 1 COUNTY: New Hanover WBS ELEMENT: 48858 TIP/PARCEL NO.: 065SR1576 001 The final right of way plans showing the above described area are to be certified and recorded in the Office of the Register of Deeds for said county pursuant to N.C.G.S. 136-19.4, reference to which plans is hereby made for purposes of further description and for greater certainty. Said Permanent Utility Easement in perpetuity is for the installation and maintenance of utilities, and for all purposes for which the DEPARTMENT is authorized by law to subject same. The Department and its agents or assigns shall have the right to construct and maintain in a proper manner in, upon and through said premises utility line or lines with all necessary pipes, poles and appurtenances, together with the right at all times to enter said premises for the purpose of inspecting said utility lines and making all necessary repairs and alterations thereon; together with the right to cut away and keep clear of said utility lines, all trees and other obstructions that may in any way endanger or interfere with the proper maintenance and operation of the same with the right at all times of ingress, egress and regress. The underlying fee owner shall have the right to continue to use the Permanent Utility Easement area(s) in any manner and for any purpose, including but not limited to the use of said area for access, ingress, egress, and parking, that does not, in the determination of the Department, obstruct or materially impair the actual use of the easement area(s) by the Department of Transportation, its agents, assigns, and contractors. It is understood and agreed that the Department shall have the right to construct and maintain the cut and/or fill slopes in the above -described permanent utility easement area(s). It is further understood and agreed that Permanent Utility Easement shall be used by the Department for additional working area during the above described project. None This easement is subject to the following provisions only: There are no conditions to this EASEMENT not expressed herein. To HAVE AND TO HOLD said perpetual easement for highway purposes unto the DEPARTMENT, its successors and assigns, and the GRANTORS, for themselves, their heirs, successors, executors and assigns, hereby warrant and covenant that they are the sole owners of the property; that they solely have the right to grant the easement; and that they will forever warrant and defend title to the same against the lawful claims of all persons whomsoever; The Grantors acknowledge that the project plans for Project # 48858 have been made available to them. The Grantors further acknowledge that the consideration stated herein is full and just compensation pursuant to Article 9, Chapter 136 of the North Carolina General Statutes for the acquisition of the said interests and areas by the Department of Transportation and for any and all damages to the value of their remaining property; for any and all claims for interest and costs; for any and all damages caused by the acquisition for the construction of Department of Transportation Project # 48858 New Hanover County; and for the past and future use of said areas by the Department of Transportation, its successors and assigns for all purposes for which the said Department is authorized by law to subject the same. IN WITNESS WHEREOF, GRANROR, pursuant to a resolution dated , has caused this instrument to be signed in its corporate name by its CHAIRMAN OF NEW HANOVER COUNTY BOARD OF COMMISSIONERS, its corporate seal hereto affixed, and attested by it CLERK OF THE NEW HANOVER COUNTY BOARD OF COMMISSIONERS, by order of the NEW HANOVER COUNTY COMMISSIONERS, this the day and year first above written This instrument does not transfer the herein described interests unless and until this document is accepted by an authorized agent of the Department of Transportation. FRM7-U Page 2 of 3 Revised 02/17/15 Board of Commissioners - February 20, 2023 ITEM: 4 - 2 - 2 COUNTY: New Hanover WBS ELEMENT 48858 TIP/PARCEL NO.: 065SR1576 001 (CORPORATE SEAL) BY: NEW HANOVER COUNTY William E. Rivenbark, Chairman of New Hanover County Board of Commissioners ATTEST: Kymberleigh G. Crowell, Clerk of New Hanover County Board of Commissioners North Carolina, New Hanover County I, , a Notary Public for County, North Carolina, certify that personally came before me this day and acknowledged that he/she is the CLERK of the New Hanover County Board Of Commissioners, and that by authority duly given, the foregoing instrument was signed in its name by , its CHAIRMAN of the New Hanover COUNTY (Official Seal) BOARD OF COMMISSIONERS, sealed with its corporate seal, and attested by as its CLERK. Witness my hand and official seal this the day of , 20 23 Notary Public My commission expires: FRM7-U Page 3 of 3 Revised 02/17/15 Board of Commissioners - February 20, 2023 ITEM: 4 - 2 - 3 NEW HANOVER COUNTY BOARD OF COMMISSIONERS REQUEST FOR BOARD ACTION MEETING DATE:2/20/2023 Consent DEPARTMENT: County PRESENTER(S): Tufanna Bradley, Assistant County Manager and Tim Buckland, Manager Intergovernmental Affairs Manager CONTACT(S): Tufanna Bradley SU BJ ECT: Adoption of a Resolution to Supportthe N.C. Department of Public Safety's Efforts to Increase Division of Juvenile Justice Staff Salaries BRIEF SUMMARY: The New Hanover County Juvenile Crime Prevention Council is requesting a resolution of support from the New Hanover County Board of Commissioners for efforts by the N.C. Department of Public Safety to secure salary increases for staff of the Division of Juvenile Justice. STRATEGIC PLAN ALIGNMENT: • Superior Public Health & Safety o Sustain the community capacity to prepare for and respond to public safety demands ■ Reduce or prevent community risks RECOMMENDED MOTION AND REQUESTED ACTIONS: Adopt the resolution. ATTACHMENTS: Division of Juvenile Justice Support Resolution COUNTY MANAGER'S COMMENTS AND RECOMMENDATIONS: (only Manager) Recommend approval. COMMISSIONERS' ACTIONS: Approved 4-0. Board of Commissioners - February 20, 2023 ITEM: 5 NEW HANOVER COUNTY BOARD OF COMMISSIONERS RESOLUTION SUPPORTING EFFORTS TO SEEK SALARY INCREASES FOR DIVISION OF JUVENILE JUSTICE AND DELINQUENCY PREVENTION SECURE DETENTION AND YOUTH DEVELOPMENT CENTER STAFF WHEREAS, the Division of Juvenile Justice and Delinquency Prevention provides secure confinement in Juvenile Detention Centers and commitment services in the State's Youth Development Centers that are essential to the protection of the community and rehabilitation of juveniles; and WHEREAS, the lack of adequate staffing constrains effective implementation of the therapeutic and rehabilitative model of care in the state's juvenile facilities; and WHEREAS, New Hanover County Juvenile Crime Prevention Council has a distinct interest in promoting programming for youth that is both therapeutic and conducive to rehabilitation while protecting the community; and WHEREAS, the N.C. Department of Public Safety has requested compression pay increases for staff at juvenile facilities that would recognize and reward experience, and make compensation more competitive, as well as ensure qualified staff recruitment and retention; and WHEREAS, the Division of Juvenile Justice and Delinquency Prevention is contending with a significant vacancy rate, largely due to the impact of the pandemic, which has driven salaries and wages higher across the board. NOW, THEREFORE BE IT RESOLVED, that New Hanover County Board of Commissioners supports efforts by the N.C. Department of Public Safety to seek an adequate and timely increase of the salaries of juvenile facility staff across the State of North Carolina to make those positions competitive and to ensure qualified staff are compensated adequately for experience for the purposes of retention, as well as recruitment of qualified staff for all youth -serving facilities which will ensure the protection of the community and strengthen rehabilitative services for those juveniles most in need. ADOPTED, this the 201h day of February, 2023. NEW HANOVER COUNTY William E. Rivenbark, Chair ATTEST: Kymberleigh G. Crowell, Clerk to the Board Board of Commissioners - February 20, 2023 ITEM: 5 - 1 - 1 NEW HANOVER COUNTY BOARD OF COMMISSIONERS REQUEST FOR BOARD ACTION MEETING DATE:2/20/2023 Consent DEPARTMENT: County PRESENTER(S): Kemp Burpeau, Deputy County Attorney and Joe Suleyman, Attorney Environmental Management Director CONTACT(S): Kemp Burpeau and Joe Suleyman SU BJ ECT: Second Reading: Approval of Solid Waste Franchise Agreement for Weis Waste, LLC dba Bin There Dump That BRIEF SUMMARY: New Hanover County requires a county issued franchise to collect solid waste. Pursuant to County Ordinance 44.55, the applicant has provided information about business organization, equipment, personnel, and fiscal responsibility. The Environmental Management Director has no objection to the franchise request. The franchise period would run for seven years. All franchise agreements shall now include the following requirements: Should franchisee provide curbside collection for services; franchisee must also offer customers a curbside recycling option. Staff has reviewed only for compliance with the County Code. Prospective customers of any hauler must make their own determination as to suitability of provider and services. The first reading was approved 5-0 on February 6, 2023. STRATEGIC PLAN ALIGNMENT: • Good Governance o Effective County Management ■ Increase transparency and awareness about county actions RECOMMENDED MOTION AND REQUESTED ACTIONS: Authorize franchise award. Upon award, the company will provide Certificates of Insurance, agree not to bring outside waste into the county and to haul all waste to a county designated facility, if required by law. ATTACHMENTS: Franchise Agreement Supporting Documents COUNTY MANAGER'S COMMENTS AND RECOMMENDATIONS: (only Manager) Board of Commissioners - February 20, 2023 ITEM: 6 Recommend approval. COMMISSIONERS' ACTIONS: Approved 4-0. Board of Commissioners - February 20, 2023 ITEM: 6 New Hanover County Contract # 23-0343 STATE OF NORTH CAROLINA AWARD OF FRANCHISE AGREEMENT FOR COUNTY OF NEW HANOVER SOLID WASTE SERVICES THIS FRANCHISE AGREEMENT made and entered into this the day of 2023, by and between NEW HANOVER COUNTY, North Carolina, a political subdivision of the State of North Carolina, hereinafter called "County" and WEIS WASTE, LLC DBA BIN THERE DUMP THAT, a North Carolina limited liability company, with its principal mailing address 1440 Parkview Circle Unit 208 Wilmington, North Carolina 28405, hereinafter called "Operator." WITNESSETH WHEREAS, the County has, through the power granted to it under G.S. 153A-136, adopted an ordinance regulating the collection and disposal of solid wastes and requiring that all waste haulers have a license and a franchise in order to operate in the County, in order to provide the residents and commercial customer of the County with reliable, environmentally sound waste disposal now and in the future; and WHEREAS, Operator has contracted with commercial and/or residential customers located in New Hanover County in order to provide solid waste collection and disposal; and NOW THEREFORE, in consideration of the mutual benefits inuring to the parties hereto and based upon the mutual covenants contained herein and the considerations stated herein, the parties do hereby covenant and agree, and County hereby conveys a non- exclusive franchise to Operator, to collect and dispose of solid wastes to commercial and/or residential customers in the County. The parties therefore agree to the following terms and conditions: 1. Terms of Agreement. The initial term of this Franchise Agreement shall be seven (7) years from the date of signing. The Franchise may automatically renew and extend for a subsequent seven (7) year term, contingent upon County Commissioners approval pursuant to G.S. 153A-46. 2. Scope of Services. For the term of this Franchise Agreement, Operator agrees to provide commercial and/or residential customers with solid waste collection and transportation to County -approved disposal sites. 3. Disposal at County -Approved Facilities. Operator agrees to dispose of all waste collected in the County, as part of this franchise agreement, at County -approved facilities consistent with State law. With regard to County -approved facilities, said approval must be obtained by Operator prior to the disposal at said facilities, and said approval shall be granted or denied entirely at the discretion of the County. The County also has the authority to designate which facilities shall be used. 4. Curbside Recycling. Should Operator provide curbside trash collection services, Operator must also offer customer a curbside recycling option. 5. Administration/Billing. All billing of customers shall remain the responsibility of the franchisee. Board of Commissioners - February 20, 2023 ITEM: 6 - 1 - 1 New Hanover County Contract # 23-0343 6. Franchise. It is understood and agreed that all of the terms and conditions of New Hanover County Code Chapter 44, entitled "Solid Waste," pertaining to a franchise for solid waste collections are incorporated herein by reference and made a part hereof as if fully set forth, including but not limited to insurance requirements. 7. Personnel and Equipment. Operator shall equip and maintain all vehicles with staff and equipment to comply with any applicable regulations and laws. 8. Independent Contractor. It is mutually understood and agreed that Operator is an independent contractor and not an agent of the county, and as such, Operator, its agents and employees shall not be entitled to any County employee benefits, and as such, Operator, its agents and employees shall not be entitled to any County employment benefits, such as, but not limited to, vacation, sick leave, insurance, workers' compensation, or pension or retirement benefits. 9. Indemnity. To the extent permitted by law, Operator shall indemnify and hold the County, its agents and employees, harmless against any and all claims, demands, causes of action, or other liability, including attorneys' fees, on account of personal injuries or death or on account of property damages arising out of or relating to the work to be performed by Operator hereunder, resulting from the negligence of or willful act or omission of Operator, its agents, employees and subcontractors. To the extent permitted by law, the County shall indemnify and hold the Operator, its agents and employees, harmless against any and all claims, demands causes of action, or other liability, including attorneys' fees, on account of personal injuries or death or on account of property damages arising out of or related to the solid waste services operated and administered by the County, and resulting from the negligence of or willful act or omission of the County, its agents, employees, and subcontractors. 10. Commercial General Liability. Franchise shall maintain Commercial General Liability (CGL) and if necessary, Commercial Umbrella Liability (CUL) insurance with a total limit of not less than $1,000,000 for each occurrence for bodily injury and property damage. If such CGL insurance contains a general aggregate limit, it shall apply separately to this work or services, or the general aggregate shall be twice the required limit. 11. Business Auto Liability. Operator shall maintain applicable Business Liability and, if necessary, Commercial Umbrella Liability insurance with a limit of not less than $1,000,000 each accident. Such insurance shall cover liability arising out of any auto, including owned, hired, and non -owned autos used in the performance of work or services. 12. Assignment, Contracting_ The parties agree that this agreement is not transferable or assignable by either party without the written consent of the other party to this agreement. Operator shall not subcontract with another entity to perform the services described herein without the approval of the County Manager or his designee. 13. Termination. The franchisee may terminate this franchise upon three hundred sixty-five (365) days written notice, or less notice with the consent of the County. The County may only revoke the franchise for cause as set out in Chapter 44, Board of Commissioners - February 20, 2023 ITEM: 6 - 1 - 2 New Hanover County Contract # 23-0343 "Solid Waste," of the New Hanover County Code. This franchise may be modified or revoked by the County in the event that an ordinance is passed by the Board of Commissioners creating an exclusive franchise system for residential solid waste collection in the unincorporated County. 14. Non -Waiver of Rights. It is agreed that County's failure to insist upon the strict performance of any provision of this agreement or to exercise any right based upon a breach thereof, or the acceptance of any performance during such breach, shall not constitute a waiver of any rights under this agreement. 15. Equal Opportunity. In connection with the performance of this agreement, Operator agrees not to discriminate against any employee or applicant for employment because of race, religion, color, sex, age, disability, or national origin. 16. Entire Agreement. This agreement constitutes the entire understanding of the parties with regard to the provision of solid waste collection and disposal. No modification of rescission of this agreement shall be effective unless evidenced by a writing signed by both parties to this agreement. 17. E-Verify Compliance. Operator shall fully comply with the U.S. Department of Homeland Security employee legal status E-Verify requirements for itself and all its subcontractors. Violation of the provision, unless timely cured, shall constitute a breach of contract. IN WITNESS THEREOF, the parties have hereunto set their hands and seals by authority duly given on the day and year first above written. [SEAL] STATE OF COUNTY CONTRACTOR NAME Member/Manager (SEAL) I, , a Notary Public of the State and County aforesaid, certify that came before me this day and acknowledged that (s)he is Member/Manager of , a North Carolina limited liability company, and that by County duly given and as the act of the corporation, the foregoing instrument was signed and sealed in its name by its Member/Manager. WITNESS my hand and official seal, this day of , 2023. Notary Public My Commission Expires [SEAL] Board of Commissioners - February 20, 2023 ITEM: 6 - 1 - 3 New Hanover County Contract # 23-0343 New Hanover County digital signature page attached hereto and incorporated herein by reference. Board of Commissioners - February 20, 2023 ITEM: 6 - 1 - 4 Burpeau, Kemp From: Burpeau, Kemp Sent: Tuesday, January 10, 2023 2:34 PM To: Burpeau, Kemp Subject: FW: Franchise Agreement - Bin There Dump That Kemp Burpeau County Attorney, Deputy New Hanover County - County Attorney (910) 798-7121 p 1 (910) 798-7157 f KBurpeau@nhcgov.com 230 Government Center Drive, Suite 125 Wilmington, NC 28403 www.NHCgov.com If you have received this message in error, please destroy it without reading, printing, copying, or forwarding. All attorney - client communications must by law be kept confidential. Please let us know of the sending error immediately so we can prevent its re -occurrence. You should send your reply directly to the sender of this message. From: BTDT Wilmington <wilmington@bintheredumpthat.com> Sent: Tuesday, January 10, 2023 1:36 PM To: Burpeau, Kemp <KBurpeau@nhcgov.com> Subject: Franchise Agreement - Bin There Dump That ** External Email: Do not click links, open attachments, or reply until you know it is safe ** Good Afternoon Mr. Burpeau, In accordance with New Hanover County Policies and Ordinances, I am reaching out to provide you with the following information in order to obtain a Franchise Agreement for my waste hauling business, Bin There Dump That. (1) Name and address of applicant and whether a sole proprietorship, corporation, or partnership, with disclosure of the ownership interests. - Asher Weisman 1440 Parkview Cir Unit 208 Wilmington, NC 28405 - LLC: Weis waste LLC dba Bin There Dump That (2) A list of the equipment possessed, available, or to be obtained within 18 months by the applicant. - Currently possess one leased Dodge Ram 5500 and 24 dumpsters (3) Number of employees the applicant expects to use in said business. - 3-4 employees IN Experience of the applicant in solid waste collection. - 3 years (5) Balance sheet or equivalent financial statement prepared by a certified public accountant or other person satisfactory to the board as of the close of the applicant's last business year, showing the net worth of the business. All financial data submitted in compliance with the requirements of this paragraph shall be confidential under G.S. 132-1.2, and shall not be regarded as public information. In lieu of the financial statement, the county will accept a notarized statement from a certified public accountant verifying the 1 Board of Commissioners - February 20, 2023 ITEM: 6 - 2 - 1 financial viability of the applicant business. - Year-end balance sheet attached Please let me know if there is anything else I can provide or if you have any questions! Thank you, Asher Weisman Managing Partner Bin There Dump That Wilmington 1440 Parkview Circle #208 Wilmington, NC 28405 O: 910-380-1318 C: 540-524-0871 asher@bintheredumpthat.com Bin There Dump That - Wilmington r Bin There, That' Residential Friendly Dumpsters 2 Board of Commissioners - February 20, 2023 ITEM: 6 - 2 - 2 NEW HANOVER COUNTY BOARD OF COMMISSIONERS REQUEST FOR BOARD ACTION MEETING DATE:2/20/2023 Consent DEPARTMENT: Emergency Management PRESENTER(S): Steven Still, Emergency Management Director CONTACT(S): Anna McRay, Emergency Management Assistant Director SU BJ ECT: Adoption of Amendment to the New Hanover County Code of Ordinances Chapter 17, Civil Emergencies, Article II, Department of Emergency Management BRIEF SUMMARY: During the revision of the New Hanover County Emergency Operations Plan, it was discovered that the New Hanover County Code of Ordinancees Chapter 17, Civil Emergencies, Article II, Department of Emergency Management was not in alignment with current planning, coordination, and tactics of public safety partners. It is recommended to: • Amend Section 17-32 to reflect current practice and tactics. The amendment changes the county's role from conducting and coordinating search and rescue activities to supporting response agencies with search and rescue and recovery activities. • Add a new subsection to Section 17-32 reflecting the coordination and coordination efforts of local Emergency Management. STRATEGIC PLAN ALIGNMENT: RECOMMENDED MOTION AND REQUESTED ACTIONS: New Hanover County Fire Rescue, Sheriff's Office, and Emergency Management have reviewed the proposed verbiage and recommend adoption. ATTACHMENTS: Proposed Amendment to New Hano\,er Code of Ordinances Chapter 17 COUNTY MANAGER'S COMMENTS AND RECOMMENDATIONS: (only Manager) Recommend approval. COMMISSIONERS' ACTIONS: Approved 4-0. Board of Commissioners - February 20, 2023 ITEM: 7 NEW HANOVER COUNTY BOARD OF COMMISSIONERS ORDINANCE AMENDING NEW HANOVER COUNTY CODE CHAPTER 17 CIVIL EMERGENCIES The Board of Commissioners of New Hanover County, North Carolina does hereby enact and ordain the New Hanover County Code, Chapter 17, Civil Emergencies, Article II, Department of Emergency Management, be amended as follows: I. Section 17-32 — "Intent and Purpose", subsection c is hereby amended by deleting the existing section to be replaced as follows: (c) As the lead agency within local government, it shall support response agencies with search and rescue and recovery activities. This includes, but is not limited to, supporting: 1. Municipal, County, State, and federal law enforcement partners with ground search and rescue efforts, missions, and assignments. 2. Municipal, County, State, and federal fire services partners with technical urban search and rescue efforts, missions, and assignments. 3. Municipal, County, State, and federal fire services partners with water search and rescue efforts, missions, and assignments. II. Section 17-32 — "Intent and Purpose", is hereby amended by adding a new subsection (d) to read: (d) Coordinate with municipalities within the county and other units of local, state, and federal government, and other non-profit, emergency management, and affected organizations in the development and implementation of an emergency management plan and responses to disasters. III. Except as herein expressly awarded, Chapter 17, Civil Emergencies, shall remain unaltered and in full force and effect. This ordinance is adopted and shall take effect on the 201" day of February, 2023. NEW HANOVER COUNTY William E. Rivenbark, Chair ATTEST: Kymberleigh G. Crowell, Clerk to the Board Board of Commissioners - February 20, 2023 ITEM: 7 - 1 - 1 NEW HANOVER COUNTY BOARD OF COMMISSIONERS REQUEST FOR BOARD ACTION MEETING DATE:2/20/2023 Consent DEPARTMENT: Finance PRESENTER(S): Eric Credle, Chief Financial Officer CONTACT(S): Eric Credle and Martha Wayne, Deputy Chief Financial Officer SU BJ ECT: Approval of Representation for New Hanover Regional Medical Center Retirement Plans BRIEF SUMMARY: Representatives of New Hanover County need to be updated to conduct business with First Citizens Bank & Trust Company in its capacity as Discretionary Trustee of New Hanover Regional Medical Center retirement plans that were transferred to New Hanover County as part of the sale of New Hanover Regional Medical Center to Novant Health. STRATEGIC PLAN ALIGNMENT: • Good Governance o Effective County Management ■ Increase transparency and awareness about county actions RECOMMENDED MOTION AND REQUESTED ACTIONS: Approve Eric Credle, Chief Financial Officer and Martha Wayne, Deputy Chief Financial Officer as authorized New Hanover County representatives with authority to conduct business on behalf of New Hanover County with First Citizens Bank & Trust Company, in its capacity as Discretionary Trustee. ATTACHMENTS: Resolution for Signature Authorization COUNTY MANAGER'S COMMENTS AND RECOMMENDATIONS: (only Manager) Recommend approval. COMMISSIONERS' ACTIONS: Approved 4-0. Board of Commissioners - February 20, 2023 ITEM: 8 CERTIFIED COPY OF RESOLUTION OF New Hanover County, State of North Carolina I, the undersigned, hereby certify that I am a representative of New Hanover County in the State of North Carolina and that the following is a true copy of the Resolution duly adopted by the Board of Commissioners of New Hanover County effective the 20th day of February, 2023. RESOLVED, that the officers listed below are authorized Representatives of New Hanover County with the authority to conduct all Trust Business on behalf of New Hanover County with First -Citizens Bank & Trust Company, in its capacity as Discretionary Trustee of the New Hanover Regional Medical Center Employees' Pension Plan & the New Hanover Regional Medical Center Qualified Excess Benefit Plan Name Eric Credle Martha Wayne Title Chief Financial Officer Deputy Chief Financial Officer I further certify that this Resolution has neither been rescinded nor modified. Witness my hand and seal of this 20th day of February, 2023. Signature of Representative: Printed Name: William E. Rivenbark Title: �Signature ��► .� .mot • Board of Commissioners - February 20, 2023 ITEM: 8 - 1 - 1 NEW HANOVER COUNTY BOARD OF COMMISSIONERS REQUEST FOR BOARD ACTION MEETING DATE:2/20/2023 Consent DEPARTMENT: Budget PRESENTER(S): Eric Credle, Chief Financial Officer CONTACT(S): Eric Credle and Michelle Daniels, Budget Officer SU BJ ECT: Adoption of Budget Amendments BRIEF SUMMARY: The following budget amendments amend the annual budget ordinance for the fiscal year ending June 30, 2023. Sheriff's Office 23-042, 23-047, 23-048, 23-050, 23-051 Senior Resource Center 23-045, 23-049 Library 23-046 STRATEGIC PLAN ALIGNMENT: • Good Governance o Strong Financial Performance ■ Proactively manage the county budget RECOMMENDED MOTION AND REQUESTED ACTIONS: Adopt the ordinances for the budget amendments listed. ATTACHMENTS: BA 23-042, 23-051 BA 23-045, 23-049 BA 23-046 BA 23-047 BA 23-048 BA 23-050 COUNTY MANAGER'S COMMENTS AND RECOMMENDATIONS: (only Manager) Recommend approval. COMMISSIONERS' ACTIONS: Approved 4-0. Board of Commissioners - February 20, 2023 ITEM: 9 AGENDA: February 20, 2023 NEW HANOVER COUNTY BOARD OF COMMISSIONERS AN ORDINANCE AMENDING THE FISCAL YEAR 2023 BUDGET BE IT ORDAINED by the Board of County Commissioners of New Hanover County, North Carolina, that the following Budget Amendment(s) be made to the annual budget ordinance for the fiscal year ending June 30, 2023. Section 1: Details of Budget Amendment Strategic Focus Area: Superior Public Health & Safety Strategic Objective(s): Sustain the community capacity to prepare for and respond to public safety demands Fund: General Fund Department: Sheriffs Office Expenditure: Decrease Increase Total BA 23-042 Training & Travel $ 15,700 $ 15,700 BA 23-051 Overtime $ 28,485 $ 28,485 Total $ - $ 44,185 $ 44,185 Revenue: Decrease Increase Total BA 23-042 Governors Crime Commission $ 15,700 $ 15,700 BA 23-051 Miscellaneous Revenue $ 28,485 $ 28,485 Total $ - $ 44,185 $ 44,185 Prior to Total if Actions Actions To av Taken Departmental Budget $ 67,419,970 $ 67,464,155 Section 2: Explanation BA 23-042 budgets a Governor's Crime Commission grant that will be used for training to certify 10 Sheriffs Office personnel to teach Crisis Intervention and Mental Health First Aid. BA 23-051 budgets FBI and U. S. Marshals Service overtime reimbursement from August 2022 to December 2022. Section 3: Documentation of Adoption This ordinance shall be effective upon its adoption. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of New Hanover County, North Carolina, that the Ordinance for Budget Amendment(s) 23-042 & 23-051 amending the annual budget ordinance for the fiscal year ending June 30, 2023, is adopted. Adopted, this 20th day of February, 2023. (SEAL) William E. Rivenbark, Chairman ATTEST: Kymberleigh G. Crowell, Clerk to the Board Board of Commissioners - February 20, 2023 ITEM: 9 - 1 - 1 AGENDA: February 20, 2023 NEW HANOVER COUNTY BOARD OF COMMISSIONERS AN ORDINANCE AMENDING THE FISCAL YEAR 2023 BUDGET BE IT ORDAINED by the Board of County Commissioners of New Hanover County, North Carolina, that the following Budget Amendment(s) be made to the annual budget ordinance for the fiscal year ending June 30, 2023. Section 1: Details of Budget Amendment Strategic Focus Area: Effective County Management Strategic Objective(s): Deliver quality service at the right time Fund: General Department: Senior Resource Center Ex enditure. Decrease Increase Total BA 23-045 Senior Resource Center $ 39,574 $ 39,574 BA 23-049 Senior Resource Center $ 5,100 $ 5,100 Total $ - $ 44,674 $ 44,674 Revenue: Decrease Increase Total BA 23-045 NC Dept of Trans ROAP Grant $ 39,574 $ 39,574 BA 23-049 CNCS FGP Grant $ 5,100 $ 5,100 Total $ - $ 44,67 1 $ 44,674 Prior to Total if Actions Actions Tod a Taken Departmental Budget $ 4 985 719 $ 5,030,393 Section 2: Explanation BA 23-045 increases the budget for the Rural Operating Assistance Program (ROAP) grant by $39,574 to match the state's actual award. The total ROAP allocation for FY23 is $261,472 ($220,844 FY23 allocation plus $40,628 carry over from FY22 allocation). ROAP includes the Elderly and Disabled Transportation Assistance Program (EDTAP), the Employment and Transportation Assistance Program (ETAP) and the Rural General Public Program (RGP). The RGP portion is passed through to the Cape Fear Public Transportation Authority. BA 23-049 increases the budget for the Foster Grandparent Program (FGP). Effective April 1, 2023, the Corporation for National and Community Service (CNCS) increased the hourly stipend rate from $3.15 to $4.00. To support the stipend increase, CNCS increased the grant award $5,100. While there is a 10% match requirement, the county overmatches in allowable in -kind contributions that will provide the additional $510 match. Section 3: Documentation of Adoption This ordinance shall be effective upon its adoption. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of New Hanover County, North Carolina, that the Ordinance for Budget Amendment(s) 23-045 & 23-049 amending the annual budget ordinance for the fiscal year ending June 30, 2023, is adopted. Adopted, this 20th day of February, 2023. (SEAL) William E. Rivenbark, Chairman ATTEST: Kymberleigh G. Crowell, Clerk to the Board Board of Commissioners - February 20, 2023 ITEM: 9 - 2 - 1 AGENDA: February 20, 2023 NEW HANOVER COUNTY BOARD OF COMMISSIONERS AN ORDINANCE AMENDING THE FISCAL YEAR 2023 BUDGET BE IT ORDAINED by the Board of County Commissioners of New Hanover County, North Carolina, that the following Budget Amendment(s) be made to the annual budget ordinance for the fiscal year ending June 30, 2023. Section 1: Details of Budget Amendment Strategic Focus Area: Effective County Management Strategic Objective(s): Deliver quality service at the right time Fund: General Department: Library Expenditure., Decrease Increase Total BA 23-046 Libra $ 120,587 $ 120,587 Total $ - $ 120,5--71 120,587 Revenue: Decrease Increase Total BA 23-046 Non -Recurring State Aid $ 120,587 $ 120,587 Total $ - $ 120,587 $ 120,587 Prior to Total if Actions Actions Tod a Taken Departmental Budget $ 5,403,547 $ 5,524,134 Section 2: Explanation BA 23-046 accepts an American Rescue Plan Act (ARPA) grant passed through the NC State Library in the amount of $120,587. The funds have to be obligated by December 31, 2024, and spent by December 31, 2026. The funding will be used on three initiatives, Hispanic services, collection diversity and staff professional development. There is no county match requirement for this grant. Section 3: Documentation of Adoption This ordinance shall be effective upon its adoption. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of New Hanover County, North Carolina, that the Ordinance for Budget Amendment(s) 23-046 amending the annual budget ordinance for the fiscal year ending June 30, 2023, is adopted. Adopted, this 20th day of February, 2023. (SEAL) William E. Rivenbark, Chairman ATTEST: Kymberleigh G. Crowell, Clerk to the Board Board of Commissioners - February 20, 2023 ITEM: 9 - 3 - 1 AGENDA: February 20, 2023 NEW HANOVER COUNTY BOARD OF COMMISSIONERS AN ORDINANCE AMENDING THE FISCAL YEAR 2023 BUDGET BE IT ORDAINED by the Board of County Commissioners of New Hanover County, North Carolina, that the following Budget Amendment(s) be made to the annual budget ordinance for the fiscal year ending June 30, 2023. Section 1: Details of Budget Amendment Strategic Focus Area: Superior Public Health & Safety Strategic Objective(s): Sustain the community capacity to prepare for and respond to public safety demands Fund: Special Purpose Department: Sheriffs Office Expenditure: Decrease Increase Total BA 23-047 Special Purpose Fund -Schools $ 103,214 $ 103,214 Total $ - $ 103,214 $ 103,214 Revenue: Decrease Increase Total BA 23-047 Due Schools -Fines & Forfeiture $ 103,214 $ 103,214 Total $ - $ 103,214 $ 103,214 Prior to Total if Actions Actions Today Taken Departmental Budget $ - $ 103,214 Section 2: Explanation BA 23-047 New Hanover County Sheriffs Office Property and Evidence Unit compiled a list of currency from 149 disposed cases that have been adjudicated and ready to transfer to the New Hanover County Board of Education per N.C. General Statute § 90-112(dl). Funds will be transferred after approval of this budget amendment. Section 3: Documentation of Adoption This ordinance shall be effective upon its adoption. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of New Hanover County, North Carolina, that the Ordinance for Budget Amendment(s) 23-047 amending the annual budget ordinance for the fiscal year ending June 30, 2023, is adopted. Adopted, this 20th day of February, 2023. (SEAL) William E. Rivenbark, Chairman ATTEST: Kymberleigh G. Crowell, Clerk to the Board Board of Commissioners - February 20, 2023 ITEM: 9 - 4 - 1 AGENDA: February 20, 2023 NEW HANOVER COUNTY BOARD OF COMMISSIONERS AN ORDINANCE AMENDING THE FISCAL YEAR 2023 BUDGET BE IT ORDAINED by the Board of County Commissioners of New Hanover County, North Carolina, that the following Budget Amendment(s) be made to the annual budget ordinance for the fiscal year ending June 30, 2023. Section 1: Details of Budget Amendment Strategic Focus Area: Superior Public Health & Safety Strategic Objective(s): Sustain the community capacity to prepare for and respond to public safety demands Fund: Controlled Substance Tax (CSTAX) Department: Sheriffs Office Expenditure: Decrease Increase Total BA 23-048 Supplies $ 6,000 $ 6,000 BA 23-048 Training & Travel $ 3,730 $ 3,730 Total $ - I $ 9,730 Is 9,730 Revenue: Decrease Increase Total BA 23-048 Controlled Substance Tax $ 9,568 $ 9,568 BA 23-048 Interest Earnings $ 162 $ 162 Total $ - $ 9,730 $ 9,730 Prior to Total if Actions Actions Toda Taken Departmental Budget (CSTAX) $ 137,1 $ 146,906 Section 2: Explanation BA 23-048 budgets Controlled Substance Tax receipts dated 12/14/22, 01/13/23 and interest income from November and December, 2022. Funds will be used for supplies and training/travel for law enforcement purposes only. Section 3: Documentation of Adoption This ordinance shall be effective upon its adoption. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of New Hanover County, North Carolina, that the Ordinance for Budget Amendment(s) 23-048 amending the annual budget ordinance for the fiscal year ending June 30, 2023, is adopted. Adopted, this 20th day of February, 2023 (SEAL) William E. Rivenbark, Chair ATTEST: Kymberleigh G. Crowell, Clerk to the Board Board of Commissioners - February 20, 2023 ITEM: 9 - 5 - 1 AGENDA: February 20, 2023 NEW HANOVER COUNTY BOARD OF COMMISSIONERS AN ORDINANCE AMENDING THE FISCAL YEAR 2023 BUDGET BE IT ORDAINED by the Board of County Commissioners of New Hanover County, North Carolina, that the following Budget Amendment(s) be made to the annual budget ordinance for the fiscal year ending June 30, 2023. Section 1: Details of Budget Amendment Strategic Focus Area: Superior Public Health & Safety Strategic Objective(s): Sustain the community capacity to prepare for and respond to public safety demands Fund: Federal Forfeited Property Department: Sheriffs Office Expenditure., Decrease Increase Total BA 23-050 Capital Outlay Equipment $ 65,401 $ 65,401 Total $ - $ 65,401 $ 65,401 Revenue: Decrease Increase Total BA 23-050 Federal Forfeited Property $ 62,794 $ 62,794 BA 23-050 Interest Earnings $ 2,607 $ 2,607 Total $ - $ 65,401 $ 65,401 Prior to Total if Actions Actions Tod a Taken Departmental Budget (FFP) $ 403,359 $ 468,760 Section 2: Explanation BA 23-050 budgets Federal Forfeited Property receipts dated 9/21/22 and 12/15/22, interest income for August 2022 through December 2022, and GovDeals sales for three vehicles. Funds will be used for supplies and equipment for law enforcement purposes only. Section 3: Documentation of Adoption This ordinance shall be effective upon its adoption. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of New Hanover County, North Carolina, that the Ordinance for Budget Amendment(s) 23-050 amending the annual budget ordinance for the fiscal year ending June 30, 2023, is adopted. Adopted, this 20th day of February, 2023. (SEAL) William E. Rivenbark, Chairman ATTEST: Kymberleigh G. Crowell, Clerk to the Board Board of Commissioners - February 20, 2023 ITEM: 9 - 6 - 1 NEW HANOVER COUNTY BOARD OF COMMISSIONERS REQUEST FOR BOARD ACTION MEETING DATE: 2/20/2023 Regular DEPARTMENT: Human Resources PRESENTER(S): Commissioners and Chris Coudriet, County Manager CONTACT(S): Bo Dean, Human Resources Analyst SU BJ ECT: Presentation of Service Awards and Introduction of New Employees BRIEF SUMMARY: Service awards will be presented to retirees and employees. New employees will be introduced. STRATEGIC PLAN ALIGNMENT: • Good Governance o Effective County Management ■ Increase transparency and awareness about county actions RECOMMENDED MOTION AND REQUESTED ACTIONS: Present service awards and meet new employees. COUNTY MANAGER'S COMMENTS AND RECOMMENDATIONS: (only Manager) Present service awards and meet new employees. COMMISSIONERS' ACTIONS: Presented service awards and met new employees. Board of Commissioners - February 20, 2023 ITEM: 10 NEW HANOVER COUNTY BOARD OF COMMISSIONERS REQUEST FOR BOARD ACTION MEETING DATE: 2/20/2023 Regular DEPARTMENT: Governing PRESENTER(S): Bruce Shell, New Hanover County ABC Board Chairman and Charles Body Hill, ABC Board Chief Executive Officer CONTACT(S): Kym Crowell, Clerk to the Board and Charles Hill SU BJ ECT: New Hanover County ABC Board Update BRIEF SUMMARY: The New Hanover County ABC Board will provide an update to the Board of Commissioners. Attached is the information regarding this board. STRATEGIC PLAN ALIGNMENT: RECOMMENDED MOTION AND REQUESTED ACTIONS: Hear presentation. ATTACHMENTS: New Hanover County ABC Board Member List New Hanover County ABC Board Presentation COUNTY MANAGER'S COMMENTS AND RECOMMENDATIONS: (only Manager) Hear presentation. COMMISSIONERS' ACTIONS: Heard presentation. Board of Commissioners - February 20, 2023 ITEM: 11 NEW HANOVER COUNTY ABC BOARD Number of Members: 5 - Chairman designated by County Commissioners Term of Office: Three years - may be reappointed but may not serve more than two consecutive terms and cannot be reappointed until at least one year after the last term. Regular meeting: Third Thursday of every month at 9:00 a.m. at the ABC General Office, 6009 Market Street, Wilmington, NC. Compensation: $300 per month for Chairman and $250 per month for other members, effective 2/18/2013. Statute or cause creating Board: N. C. General Statutes 18B-700; increased membership from 3 to 5 members effective 10/1/2010. Qualifications: Appointed on the basis of appointee's interest in public affairs, good judgment, knowledge, ability and good moral character. Brief on the functions: 1) Establish stores and adopt local policies. 2) Set budget including employees' salaries. 3) Hire general manager to oversee day-to-day operation of the system. 4) Buy or lease property for the system. 5) Review reports and perform other duties in accordance with 18B-701. 6) Board is an independent entity of the State. CURRENT MEMBERS TERM OF OFFICE APPOINTMENT EXPIRATION Angie Barr First 6/20/22 6/30/25 3128 Kirby Smith Drive Wilmington, NC 28409 910-540-2753 (H) Cedric A. Dickerson First 6/17/19 6/30/22 5919 Oleander Dr., Ste. 104 Second 6/20/22 6/30/25 Wilmington, NC 28403 910-617-8389 (C) 910-395-4064 (W) Bruce Shell, Chairman First 6/22/21 6/30/24 1921 Atlantic Avenue Wilmington, NC 28411 910-619-7188 (H) Thomas Wolfe First 6/15/20 6/30/23 3739 Restron Ct. Wilmington, NC 28403 910-228-8569 (C) Bill Rivenbark, County Commissioner Appointed: 1/19/21; Undesignated 230 Government Center Drive, Suite 175 12/20/21; 1/9/23 Wilmington, NC 28403 910-798-7260 (NHC) Board of Commissioners - February 20, 2023 ITEM: 11- 1 - 1 NEW HANOVER COUNTY ABC BOARD (Continued) TERM OF OFFICE CURRENT MEMBERS APPOINTMENT EXPIRATION New Hanover County Ex. Officio Member: Appointed 4/19/10 Wanda Copley, County Attorney Charles Hill, CEO New Hanover County ABC Board File: /ABC 6009 Market Street Revised: 01 /2023 Wilmington, NC 28405-3617 910-762-7611 Fax: 910-343-0491 Board of Commissioners - February 20, 2023 ITEM: 11- 1 - 2 P A I cW ALCOHOL BEVERAGE CONTROL NEW HANOVER COUNTY Annual Report to the New Hanover County Board of Commissioners FY ending June 30, 2022 Board of Commissioners - February 20, 2023 ITEM: 11- 2 - 1 ABC Board Organization Board Members • Bruce Shell, Chair • Cedric Dickerson, Vice Chair • Bill Rivenbark, Member • Tom Wolfe, Member • Angie Barr, Member • Wanda Copley, Legal Counsel Management Team • Charles Hill, General Manager • James Casteen, Assistant General Manager • Kathy Clark, Finance Officer • Danny Meeks, Purchasing & Logistics Director • Steven Welty, Payroll/H.R. Generalist • Karen King, Accounts Payable/Procurement Specialist Board of Commissioners - February 20, 2023 ITEM: 11- 2 - 2 1935 New Hanover County First to Legalize the sell whiskey in the State By Special Act In 1935 New Hanover First County To Legalize: Whiskey Sales s. �.. +o.F,. .. r.rr r ww r.. '•■ �11n(1 w e ....{. nacw.........l.rr.. Yrl RM •.q r s• . ! Nr�r +.1I �:.Ila r• 9r• YF�.R •Y Y. wu ILYY• ++•11•.! 11� '.Yf W II. !'r .: u6F 11 Yr�. Il T {I • tr1•.Vr wf rr r.T r w k'l.l [ + IyY .r/n. rq 1.1 ��.Ir .tYa.Yra.N � . Ili 1lN .. I�.1 Ie 1• L.r.r Yy1� {�rM rk1 V>9 MI lr I.i11 {.r rwwl Y1fl►1.1�•�Mrry M11r� Ti w. Frrl F: l.,rr N lYl F• h. r.t. IIYi �..I.N.aY1FrM .tlrY4 Yl.� � M+++M W •Mlfl'..+.r..W e41N P#lrs rl�i4Yr.Y.• VF1YrYY .L• pr CY/YM IYlY•>i .W TIr 1•Ila.\.rawVlw Yy... 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It.A . r.Y rnr7•INIYr Y..�•• C.lr�lraS Y d :I!3. 1w F�YYYI Y�C1{Mll ti\.Rr[r'r rTFr r W� W. wr.r n WrYM r+ A W of Y.IIa Y YV IllrwrY. Nr. r .rr la V•+a. Y as nrhrl J 7H 1. f YI' }Ali 1.11+Y YYN w M Y rwy d F.wr. YN rF rrYry •. w • i YINYMr i.{rwu rwY Y liY .N rlM. 7Y PwJIrF MAC Y � NYY Mir W wW W 11Fn Rim Y{{. * � r rlrlw M `w .grrM N �/1) VYY r •9. l Board of Commissioners - February 20, 2023 ITEM: 11- 2 - 3 ➢ First Store Opened August 3, 1935 ➢ Second Store Opened — Same day in the afternoon ➢ Three additional stores opened on August 5, 1935 Board of Commissioners - February 20, 2023 ITEM: 11- 2 - 4 Total Gross Sales in 2012 - $33.4 Million Total Gross Sales in 2017 — $44.1 Million Total Gross Sales in 2022 - $65.1 Million F }((1V Iy\\ Sol p Board of Commissioners - February 20, 2023 ITEM: 11- 2 - 5 Cases Received Per Week F In 1966 averaged 1000 cases In 2012 averaged 3720 cases In 2017 averaged 4624 cases In 2022 averaged 6300 cases Board of Commissioners - February 20, 2023 ITEM: 11- 2 - 6 Fiscal Year Ending June 30, 2022 Financial Information Total Sales - $65,121,966 • Independent auditors issued a "clean" audit report • Gross Sales t $5.9 Million (10.00%) • Gross Profit t $1.8 Million (11.83%) • Operating Income t $2.2 Million (24.08%) • Local Tax Distribution & t $1.4 Million (13.73 %) Profit Distributions • Operating Expenses It $335K (5.21 %) Board of Commissioners - February 20, 2023 ITEM: 11- 2 - 7 Recognized By NC ABC Commission — 3rd Most Profitable in State out of 171 Boards ABC Board Moore County ABC Board Whiteville ABC Board New Hanover County ABC Boar Belville ABC Board Dare County ABC Board Clinton ABC Board Mecklenburg County ABC Board North Carolina's 7 Most Profitable ABC Boards in FY 2022 Gross 19,295,819 3,420,749 2,646,066 4671199 d 65,121,966 11,110,714 6,969,119 1,128,237 23,857,591 3,785,057 3,413,024 540,211 228,879,277 35,268,308 17.73 % 4 17.66% 1 17.06 % 8 16.19% 2 15.87 % 5 15.83 % 1 15.41 % 28 Board of Commissioners - February 20, 2023 ITEM: 11- 2 - 8 Distributions - Third in the State 2022 Board # of Ranking by Gross Sales Loca I % of StoresABC in State Gross Sales Mecklenburg 28 1 $228,879,277 $22,224,157 o 9.71/0 County Wake County 25 2 $209,307,830 $20,993,865 10.03% New Hanover 8 4 $65,121,966 $10,512,640 16.14% County Greensboro 15 3 $75,910,080 $6,932,602 9.13% Triad Municipal 14 5 $58,992,257 $6,665,059 11.30% Board of Commissioners - February 20, 2023 ITEM: 11- 2 - 9 Local Distribution History In 2012 Total of $3.9 Million In 2017 Total of $5.3 Million 122 Total of $11.8 Million Board of Commissioners - February 20, 2023 ITEM: 11- 2 - 10 Total Distributions to Our Community FY 2022 $ 1197869181 • New Hanover County • City of Wilmington t 13.61 $594069279 $392349277 • Town of Wrightsville Beach $1,049,495 • Town of Carolina Beach $9419834 • Town of Kure Beach $249976 • Law Enforcement $619,320 • 7% Alcohol/Substance Abuse $510,000 Grant Program Board of Commissioners - February 20, 2023 ITEM: 11- 2 - 11 Taxes & Distributions Impact by the Penny on Local Taxpayers' New Hanover County $46,289,254,807 $4,628,925 $1.14 City of Wilmington $21,603,347,080 $2,160,335 $1.50 Town of Wrightsville Beach $2,711,628,017 $271,163 $3.87 Town of Carolina Beach $2,991,316,212 $299,132 $3.15 Town of Kure Beach $1,259,020,664 $125,902 $0.20 Board of Commissioners - February 20, 2023 ITEM: 11- 2 - 12 Alcohol Law Enforcement The Board contracts with the New Hanover County Sheriff's Department — Four Full -Time Officers (current year budget - $370,475). Interlocal Agreements entered into at the beginning of this year with other Law enforcement Agencies across the County for ABC Law Enforcement: Wilmington Police Department 5 officers Wrightsville Beach Police Department 3 officers Carolina Beach Police Department 2 officers Board of Commissioners - February 20, 2023 ITEM: 11- 2 - 13 Law Enforcement Grants 2022 Law Enforcement Grants Offered to all 5 Law Enforcement Agencies in New Hanover County Total Available Grants of $150k Awarded 2022 • New Hanover County Sherriff's Department $4,320 • Carolina Beach Police Department $501000 • Wrightsville Beach Police Department $501000 �• CpROLINA 6EgCk k°+nw cnaaux° •o 2022 Law Enforcement received a total of $619,320 through Contract and Grants Board of Commissioners - February 20, 2023 ITEM: 11- 2 - 14 Community Outreach Annual Grant Program • Grants are awarded to Non -Profit Organization in New Hanover County for funding for education, prevention, treatment and/or research of alcohol and/or substance abuse (substance use disorder) per Chapter 18B-805 (h) of the North Carolina General Statutes. • Awarded amounts from $10,000 to $1001000. • Annually Budgeted total amounts of awarded grants. FY 2022 $5109000 FY 2023 $6209000. Board of Commissioners - February 20, 2023 ITEM: 11- 2 - 15 Awarded Grants FY 2022 • Brigade Boys & Girls Club $1001000 • Coastal Horizons $1001000 • Community Boys & Girls Club $100,000 • Leading into New Communities, Inc. (LINO) $60,000 • The Centre of Redemption, DBA A Safe Place $50,000 • Tides, Inc. $7000 • Peer Recovery Resources $3000 $5109000 Video Highlighting FY 2022 Grantee Awards Board of Commissioners - February 20, 2023 ITEM: 11- 2 - 16 The New Hanover County ABC Board continually strives to improve customer service and optimize profitability to make significant financial contributions for the citizens of New Hanover County. Thank you for the opportunity to update your Board. Questions ? %\ A13 ALCOHOL BEVERAGE CONTROL NEW HANOVER COUNTY Board of Commissioners - February 20, 2023 ITEM: 11- 2 - 17 NEW HANOVER COUNTY BOARD OF COMMISSIONERS REQUEST FOR BOARD ACTION MEETING DATE:2/20/2023 Regular DEPARTMENT: Diversity & Equity PRESENTER(S): Linda Thompson, Chief Diversity and Equity Officer CONTACT(S): Kym Crowell, Clerk to the Board and Linda Thompson SU BJ ECT: Consideration of Resolution and Bylaws Establishing the New Hanover County Hispanic/Latino Commission BRIEF SUMMARY: The Board is being asked to consider the establishment of the New Hanover County Hispanic/Latino Commission. The commission is being formed with the purpose of advising the County on matters related to the Hispanic/Latino community and serving as a liaison between the community and the County. The goal is to promote understanding, inclusiveness, and equity for the Hispanic/Latino community in New Hanover County (County). The attached bylaws outline the membership eligibility, appointment process, terms of service, and duties of the commission's officers. They also detail the schedule and procedures for regular and special meetings, as well as the process for amending the bylaws. The creation of the New Hanover County Hispanic/Latino Commission is an important step in promoting diversity and inclusiveness in our community. The commission shall be organized for the purpose of acting as an advocate for the Hispanic/Latino community and a resource of information on the status of the Hispanic/Latino community for the New Hanover County Board of Commissioners: • To identify the status of the Hispanic/Latino community and assess the needs of Hispanics/Latinos in the County. • To provide a report on the status of Hispanics/Latinos in the County on an annual basis to the Board. • To provide information and recommendations to the Board on the needs and issues important to Hispanics/Latinos as it deems necessary in improving and upholding the opportunities in employment, education, and community services for all people, regardless of gender or age. • To work toward the betterment of the status of Hispanics/Latinos with respect to employment and educational opportunities, health services, childcare services, welfare services, financial services, and community leadership opportunities. • To serve as an umbrella to coordinate and support all Hispanic/Latino initiatives, organizations, and networks in the County including coordinating and cooperating with the U N CW Latino Alliance and other organizations involved in activities on the status of Hispanics/Latinos. • To conduct educational seminars in collaboration with other organizations for residents and businesses in the County. The Office of Diversity and Equity will serve as support for the commission's work. If the proposed bylaws are adopted, the Clerk to the Board's office will advertise the vacancies and the Board will make the appointments at an upcoming meeting. STRATEGIC PLAN ALIGNMENT: Board of Commissioners - February 20, 2023 ITEM: 12 • Good Governance o Effective County Management ■ Increase transparency and awareness about county actions RECOMMENDED MOTION AND REQUESTED ACTIONS: Hear presentation and consider adoption of the resolution and bylaws to establish the New Hanover County Hispanic/Latino Commission. ATTACHMENTS: Resolution Bylaws Presentation COUNTY MANAGER'S COMMENTS AND RECOMMENDATIONS: (only Manager) Recommend approval. COMMISSIONERS' ACTIONS: Approved 4-0. Board of Commissioners - February 20, 2023 ITEM: 12 NEW HANOVER COUNTY BOARD OF COMMISSIONERS RESOLUTION TO ESTABLISH THE NEW HANOVER COUNTY HISPANIC/LATINO COMMISSION WHEREAS, New Hanover County (County) recognizes the importance of promoting diversity and inclusiveness in our community and serving the needs of all our residents; and WHEREAS, the Hispanic/Latino community in the County is an integral part of this community and plays a significant role in the social, cultural, and economic fabric of the County; and WHEREAS, it is in the best interest of the County to provide a platform for the Hispanic/Latino community to bring awareness to their concerns and work with the County to address their needs; and WHEREAS, the New Hanover County Hispanic/Latino Commission shall be composed of 11 members who shall be appointed by the Board of Commissioners. Each member of the commission shall be appointed to initially serve staggered terms, three years thereafter and no member shall serve more than two successive terms. The commission shall hold regular meetings and special meetings as deemed necessary and shall be governed by the bylaws attached as Exhibit A; and WHEREAS, the New Hanover County Office of Diversity and Equity shall provide the appropriate support and resources to the New Hanover County Hispanic/Latino Commission to carry out its duties and responsibilities. NOW, THEREFORE, BE IT RESOLVED, by the New Hanover County Board of Commissioners that the New Hanover County Hispanic/Latino Commission be established to advise on matters related to the Hispanic/Latino community and serve as a liaison between the community and the County. ADOPTED this the 201h day of February, 2023. NEW HANOVER COUNTY William E. Rivenbark, Chair ATTEST: Kymberleigh G. Crowell, Clerk to the Board Board of Commissioners - February 20, 2023 ITEM: 12- 1 - 1 NEW HANOVER COUNTY BOARD OF COMMISSIONERS BYLAWS ESTABLISHING THE NEW HANOVER COUNTY HISPANIC/LATINO COMMISSION Article I — Name and Commission established. The name of this organization shall be the New Hanover County Hispanic/Latino Commission. The commission shall be considered established and effective once the New Hanover County Board of Commissioners (Board) has made the appointments. Article II — Purpose. The commission is established to advise the Board on matters related to the Hispanic/Latino community and to serve as a liaison between the community and New Hanover County (County). The commission will work to promote understanding, inclusiveness, and equality for the Hispanic/Latino community in the County. The Commission shall be organized for the purpose of acting as an advocate for the Hispanic/Latino Community and a resource of information on the status of Hispanics/Latinos in the County: • To identify the status of the Hispanic/Latino population in the County and assess their needs. • To provide a status report of the Hispanic/Latino population in the County on an annual basis to the Board. • To provide information and recommendations to the Board on the needs and issues important to Hispanics/Latinos as it deems necessary in improving and upholding the opportunities in employment, education, and community services for all people, regardless of gender or age. • To work toward the betterment of the status of Hispanics/Latinos with respect to employment and educational opportunities, health services, childcare services, welfare services, financial services, and community leadership opportunities. • To serve as an umbrella to coordinate and support all Hispanic/Latino initiatives, organizations, and networks in the County including coordinating and cooperating with the Latino Alliance and other organizations involved in activities on the status of Hispanics/Latinos. • To conduct educational seminars in collaboration with other organizations for residents and businesses in the County. Article III — Membership. The commission shall be comprised of eleven (11) members. The Board shall serve as the Appointing Authority. Members shall be appointed by the Board consistent with County policies governing appointments to the County governmental commissions, committees, and boards. The members shall be appointed as follows: • Ten members serving at -large (Appointed by the Board of County Commissioners). • One member being from the leadership of UNCW Latino Alliance or designee. Each member of the commission shall be appointed to serve a term of three (3) years. For the initial commission, three (3) of the members shall serve a term of one (1) year; three (3) of the members shall serve a term of two (2) years; four (4) of the members, plus the one (1) member from the leadership of UNCW Latino Alliance, or designee, shall serve a term of three (3) years. Members shall serve no more than two (2) successive terms unless there is a break of at least one (1) full year between appointments. Board of Commissioners - February 20, 2023 ITEM: 12- 2 - 1 In the event that any member of the commission resigns or terminates service for any cause, the Board, shall appoint a qualified successor for the unexpired term. Members appointed by the Board shall be a resident of the County. Persons appointed to the commission shall have displayed genuine commitment to progressive and positive intergroup relations. The appointees shall serve at the pleasure of the Board and can be removed by Board. Members shall serve without compensation. Article IV — Officers. The commission shall elect for one (1) year terms, a Chair, Vice -Chair, Secretary, and such other officers as it shall deem necessary. Those elected to these positions may be reappointed to these positions. The Chair, Vice -Chair and Secretary shall be elected at its inception and then thereafter at the commission's July meeting. The Chair shall have the following duties: 1. Preside at meetings of the commission. 2. Release statements to the media regarding the commission activities, serve as the principal spokesperson of the commission on policy matters, or designate another member to serve in that capacity. The Vice -Chair shall act for the Chair in the Chair's absence. The Secretary shall record and distribute the minutes of all regular and special meetings. Article V — Function, Powers, and Duties. The commission shall have the following duties: 1. Identify and document by assembling existing information, conducting original research, and other appropriate actions to determine the status of Hispanics/Latinos in the County. 2. Educate and inform the general public about the importance of the status of Hispanics/Latinos in the County. 3. Facilitate, collaborate, and promote events and activities that advocate the status of Hispanics/Latinos. Facilitate efforts to identify sources of funds to support events, activities, and programs. Article VI — Meetings At a minimum, the commission shall meet quarterly. The time, day and place of these meetings will be set at its inception and then thereafter each year by the commission. The County shall make space available for the commission meetings. Special or emergency meetings may be called by the Chair, the Vice -Chair in the Chair's absence, or by a petition of seven (7) commission members. Board of Commissioners - February 20, 2023 ITEM: 12- 2 - 2 Agendas and minutes of each regular and special meeting shall be kept and shall become a part of the official records of the commission. A copy of the minutes shall be sent to all members of the commission and to the Clerk to the Board of County Commissioners. A quorum shall consist of a simple majority of the current membership. Ex-officio members will not be considered in determining a quorum. A quorum is required in order for the commission to take official action. Robert's Rules of Order shall provide guidance for all proceedings not otherwise provided for in these bylaws. North Carolina Open Meetings law shall govern the commission meetings. A notice of all meetings will be posted on the County's website. The County will provide operational support to the commission. Article VII — Amendments. Any amendments to these bylaws shall be approved by the Board. THEREFORE, BE IT RESOLVED: THAT, the New Hanover County Board of Commissioners hereby approves Articles I thru VII, which comprises the bylaws for the establishment of the New Hanover County Hispanic/Latino Commission. ADOPTED, this the 20" day of February 2023. NEW HANOVER COUNTY (SEAL) By: ATTEST: Kymberleigh G. Crowell, Clerk to the Board William E. Rivenbark, Chair Board of Commissioners - February 20, 2023 ITEM: 12- 2 - 3 Resolution to Establish The New Hanover County Hispanic/Latino Commission NHC Office of Diversity and Equity Establishing aHispanic/Latino Commission in New Hanover County is important for several reasons: • Representation • Cultural Awareness & Understanding • Community engagement • Growing population nEtt nAr.%iiEK Lpi in i T I Li it, i i nit cI i 'III 'v C I I Id I We j- Ov Lf The Hispanic/Latino Population is Growing Rapidly • U.S Hispanic/Latino population reached 62.1 million in 2020 making it the 2nd fastest growing demographic in the United States. • In NC, the Hispanic/Latino population is over 1.1 million people and rising as of the 2020 census! • The Hispanic/Latino population in NC has grown over 40% in the last 10 years. ❖ Dataxensus.gov Hispanic/Latino Population in New Hanover County In New Hanover County: • Hispanic/Latino individuals make up 6.2 % of the population (and rising as of the 2020 Census) • This number has already risen to 7.7% as of 2021 Numbers from NCdemography.org Status of Hispanics/Latinos in NC: 2021 Snapshot • Statewide, 10.7% of North Carolinas population is Hispanic or Latino, just over half the national average 18.7% . • Approximately 6 out of 10 Hispanics living in NC are US born. • As of 2020 Buying power for Hispanics in NC was $23.8 billion dollars. ❖ Statistics from: Wdemographic.org/snapshot2021 Continued: • The Hispanic/Latino community in NHC is comprised of individuals from a variety of countries, including Mexico, Puerto Rico, E1 Salvador, Honduras, and Guatemala, Venezuela, among others. Many Latinos in the state are bilingual and have close ties to their cultural heritage. • Despite their growing numbers, Latinos in North Carolina and New Hanover County face many challenges, including limited access to education, healthcare, and employment opportunities. In addition, many Hispanic immigrants struggle with language barriers and discrimination. Important Takeaways • Despite these challenges, the Latino community in North Carolina including New Hanover County continues to grow and thrive, making significant contributions to the state's economy and cultural landscape. • The NHC Hispanic/Latino Commission will serve to further promote understanding, inclusiveness, and equity for the Hispanic/Latino community in the County. The Commission shall be organized for the purpose of acting as an advocate for the Hispanic/Latino Community and a resource of information on the status of Hispanics/Latinos in the County. Thank you! Any Questions? NEW HANOVER COUNTY BOARD OF COMMISSIONERS REQUEST FOR BOARD ACTION MEETING DATE:2/20/2023 Regular Health and Donna Fayko, Health and Human Services Director; Jon Campbell, DEPARTMENT: Human PRESENTER(S): Interim Health Director; and Fawn Rhodes, HHS Equity Services Coordinator CONTACT(S): Donna Fayko and Jon Campbell SU BJ ECT: Community Health Needs Assessment Presentation BRIEF SUMMARY: The Community Health Needs Assessment is a process to collect and analyze data to evaluate our community's overall health and well-being. This process identifies strengths, areas for improvement, and resources that impact our community. With this information, priority areas are identified for strategic planning and creation of a Community Health Improvement Plan. Today's presentation will review the New Hanover County 2022 Community Health Needs Assessment and the identified priority areas. STRATEGIC PLAN ALIGNMENT: • Superior Public Health & Safety o Sustain the community capacity to prepare for and respond to public safety demands ■ Collaborate to optimize system -wide responses and outcomes RECOMMENDED MOTION AND REQUESTED ACTIONS: Hear presentation. ATTACHMENTS: Community Health Needs Assessment COUNTY MANAGER'S COMMENTS AND RECOMMENDATIONS: (only Manager) Hear presentation. COMMISSIONERS' ACTIONS: Heard presentation. Board of Commissioners - February 20, 2023 ITEM: 13 New Hanover County 2022 Community Health Needs Assessment )NAM A rY r f Introduction Letter Dear Neighbors, Since 1745 public health has been a cornerstone of life along the Cape Fear Coast. In that year local officials established ordinances addressing street sanitation, proper water drainage, and perishable goods sold in markets. Over 277 years we've made health improvements unimaginable at that time. In June of 1877, a New Hanover County Board of Health and a Wilmington Health Department were chartered and the improvements in our community health have grown at an increasing pace since. Our constants in public health practice have been protection, promotion, and prevention for everyone, and this holds true to this day. The professional public health practitioners I am privileged to serve with commit themselves each day to serving our community in pursuit of the greatest opportunities for health and quality of life possible across our county. This Community Health Needs Assessment (CHNA) is an integral part of how we learn, grow, improve, and serve our community. It provides insights, perspectives, and it identifies priorities, but is also a living document, much like our collaboration with our community must be, an on -going relationship allowing us to grow together. Our CHNA includes information about the current health of our community from surveys, focus groups, and health data. It is designed to help us formulate a plan, what we call a Community Health Improvement Plan (CHIP) to address challenges and make the most of opportunities in individual, household, and community -wide health. Also important in our assessment are learning about important life circumstances, sometimes known as social determinants or non -medical determinants of health. These are known to greatly affect, in many ways both immediate and long-term, individual, family, and community health: examples include access to healthcare, safe and affordable housing, healthy food and water, a positive and supportive homelife, and quality education. We accomplish our mission through direct provision of key public health services, partnerships with many community organizations large and small, and connection with every diverse group of residents across our community. As you read through our CHNA, please find ways, individually and with others, to play a part in making New Hanover County the healthiest place to live, work, learn and play anywhere in the world. Everyone has a role in the betterment of our community and in creating a supportive and positive environment leading to healthier lives. Equitable, fair, and realistic opportunities for health, for everyone, is a responsibility we all share, and an investment we all benefit from - our most valuable wealth is our health. Sincerely, Al*�7 4___1 David G. Howard, MPH, BS New Hanover County Public Health Director Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 2 Table of Contents IntroductionLetter........................................................................................................................................................1 Tableof Contents..........................................................................................................................................................2 Acknowledgements.......................................................................................................................................................6 Community Health Needs Assessment Steering Committee....................................................................................6 StakeholderGroup....................................................................................................................................................6 North Carolina Institute of Public Health..................................................................................................................8 ExecutiveSummary.......................................................................................................................................................9 Purpose of the Community Health Assessment........................................................................................................9 Participation and Community Engagement..............................................................................................................9 Process......................................................................................................................................................................9 Comparisonsand Findings......................................................................................................................................10 Prioritization............................................................................................................................................................11 NextSteps...............................................................................................................................................................11 COVIDContext.............................................................................................................................................................12 Community Engagement During COVID 19.............................................................................................................12 Impact of COVID-19 on Secondary Data and Interpretation...................................................................................13 Chapter1: Introduction...............................................................................................................................................14 Community Health Assessment Overview..............................................................................................................14 CommunityEngagement.........................................................................................................................................14 Data Collection And Comparisons...........................................................................................................................15 SurveyMethods..................................................................................................................................................15 Community Conversation Methods....................................................................................................................15 SecondaryData...................................................................................................................................................16 Priorities..................................................................................................................................................................17 Chapter2: District Profile............................................................................................................................................18 History.....................................................................................................................................................................18 Geography...............................................................................................................................................................18 Economy..................................................................................................................................................................18 Demographics.........................................................................................................................................................19 Race/Ethnicity .....................................................................................................................................................19 Genderand Age..................................................................................................................................................20 Veterans.............................................................................................................................................................. 20 Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 3 Table of Contents PopulationGrowth..............................................................................................................................................20 LifeExpectancy...................................................................................................................................................21 Householdlanguage...........................................................................................................................................21 Urban/Rural........................................................................................................................................................21 Vulnerablepopulations...........................................................................................................................................21 PeopleLiving in Poverty......................................................................................................................................21 People with limited access to resources.............................................................................................................21 Chapter 3: Assessment Findings..................................................................................................................................22 Overview.................................................................................................................................................................22 Comparison to Healthy North Carolina 2030..........................................................................................................22 Neighborhood and Environment.............................................................................................................................22 AirPollution........................................................................................................................................................22 HomeServices.....................................................................................................................................................23 Transportation & Physical Activity Options........................................................................................................23 CHOSResults.......................................................................................................................................................23 Housing....................................................................................................................................................................24 HousingDensity..................................................................................................................................................24 HousingTrends...................................................................................................................................................25 HousingCosts......................................................................................................................................................25 Homelessness & Severe Housing Problems........................................................................................................26 LifelongDevelopment.............................................................................................................................................27 EducationalAttainment......................................................................................................................................27 SchoolEnrollment...............................................................................................................................................28 SchoolDiscipline.................................................................................................................................................28 SchoolPerformance............................................................................................................................................28 CommunityCohesion & Safety...............................................................................................................................29 Linguistic Isolation and Segregation...................................................................................................................29 CivicParticipation...............................................................................................................................................30 Incarceration.......................................................................................................................................................30 CrimeRates.........................................................................................................................................................30 CHOSResults.......................................................................................................................................................31 EconomicOpportunity............................................................................................................................................31 Poverty................................................................................................................................................................32 Employment........................................................................................................................................................33 Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 4 Table of Contents Income................................................................................................................................................................34 FoodSecurity......................................................................................................................................................35 Accessto Care........................................................................................................................................................36 Insurance............................................................................................................................................................36 HealthWorkforce................................................................................................................................................37 MedicalFacilities.................................................................................................................................................37 HospitalUse........................................................................................................................................................38 CHOSResults.......................................................................................................................................................38 Disease, Illness, & Injury..........................................................................................................................................39 OverallMortality.................................................................................................................................................39 Cancer.................................................................................................................................................................40 Disability.............................................................................................................................................................41 COVIDVaccination..............................................................................................................................................42 STI/STD & Other Infections.................................................................................................................................42 Reproductive& Child Health...................................................................................................................................42 Fertility& Pregnancy...........................................................................................................................................43 PrenatalCare......................................................................................................................................................43 BirthOutcomes...................................................................................................................................................43 Infant& Child Mortality......................................................................................................................................44 ChildHealth.........................................................................................................................................................45 MentalHealth & Substance Use.............................................................................................................................45 SubstanceUse ED Visits......................................................................................................................................46 Substance -related deaths...................................................................................................................................46 Deathsby Age, Race, & Sex.................................................................................................................................47 CHOSResults.......................................................................................................................................................48 Chapter4: Community Priorities.................................................................................................................................50 PrioritizationSummary...........................................................................................................................................50 PrioritizationProcess...............................................................................................................................................50 Priority1: Housing...................................................................................................................................................52 Priority 2: Mental Health & Substance Use.............................................................................................................53 Priority3: Access to care.........................................................................................................................................54 Conclusion...................................................................................................................................................................54 NextSteps...............................................................................................................................................................54 References...................................................................................................................................................................55 Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 5 Table of Contents Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 6 Acknowledgements COMMUNITY HEALTH NEEDS ASSESSMENT STEERING COMMITTEI The Community Health Needs Assessment (CHNA) Steering Committee met monthly from January to October 2022 to coordinate the work of the CHNA. The team was led by Donna Fayko, David Howard and Diana Hills of New Hanover County Health and Human Services and Scott Whisnant, Sarah Arthur and Michele Bennett of Novant Health New Hanover Regional Medical Center and included consultants from the North Carolina Institute for Public Health (NCIPH; see section below for full list of NCIPH contributors). This team focused on managing the CHNA data collection and timeline and coordinating with the stakeholder group for strategic direction. Donna Fayko Health and Human Services Director New Hanover County Health and Human Services David Howard Health Director New Hanover County Health and Human Services Diana Hills Health Education and Preparedness New Hanover County Health and Human Supervisor Services Scott Whisnant Former Administrator of Community Novant Health New Hanover Regional Relations Medical Center Sarah Arthur Director of Community Engagement Novant Health New Hanover Regional Medical Center Michele Bennett Manager of Community Engagement Novant Health New Hanover Regional Medical Center Lauren Schauer Community Assessment Coordinator North Carolina Institute for Public Health John Wallace Senior Data Advisor North Carolina Institute for Public Health Destiny James Community Engagement Coordinator North Carolina Institute for Public Health STAKEHOLDER GROUP The stakeholder group met monthly throughout the assessment process to provide input on survey questions, determine focus group populations and topics, promote participation in CHA activities, review assessment data, and prioritize topics. The invitation to join the stakeholder group can be found in Appendix 1. Alexis Hunter Wilmington Health Alicia Pickett NHC Health and Human Services Althea Johnson Med North Health Amanda Boomershine Latino Alliance Amber Smith NHC Senior Resource Center Amy Feath Carousel Center Andre Leonard Cape Fear HealthNet Ashley Riffle NHC Health and Human Services Audrey Hart NHC Emergency Management Betsy Graham NHC Veteran Services Beth Gaglione Food Bank of CENC @ Wilmington Cedric Harrison Port City United Christine Kennedy Wilmington Treatment Center Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 7 Acknowledgements Name Organization Name Organization Clifford Barnett Wilmington City Council Jodi Walker NHC Health and Human Cory Bovair Coastal Carolinas Health Services Alliance Joe Conway City of Wilmington Cristen Williams Coastal Horizons John Devaney Cape Fear Clinic Dante Haywood Cape Fear Collective Jon Campbell NHC Health and Human David Heglar Kure Beach Council Services Julie Varnam NHC Schools David Holmes Liberty Healthcare Katrina Knight Good Shepherd Center Deeanna Hale- Coastal Horizons Center Holland Kevin Spears Wilmington City Council Dennis Williams Trillium Health Kim Boyce Smart Start of New Resources Hanover County Derek Macleod New Hanover Disaster Korizma Johnson NHC Health and Human Coalition Services Diana Hills NHC Health and Human Laura Primavera Wilmington Chamber of Services Commerce Dick Jones YMCA of Southeastern Lauren Henderson Good Shepherd Center NC Leah Mayo University of North Donny Williams Wilmington Police Carolina Wilmington Department Liz Carbone Community Relations Easton Fitzpatrick Domestic Violence Advisory Committee Shelter and Services Inc. Leslie Smiley Cape Fear Healthnet Eddie Horger Seaside Pediatrics Louise Hicks Communities in Schools Edel Segovia UNCW Latino Alliance of Cape Fear Eryn Robbins Coastal Horizons Lloyd Singleton NC Cooperative Eugenia Johnson NHC Health and Human Extension Services Lynn Barbee Town of Carolina Beach Evelyn Bryant Northside Bridge Margaret Weller Coastal Horizons Center Builders Marianna Kong Fawn Rhodes NHC Health and Human Matthew Mitchell Coastal Horizons Center Services Frankie Roberts Leading Into New Meade Van Pelt The Harrelson Center Communities, Inc. Meaghan Dennison Cape Fear Collective Genna Wirth Voyage of Wilmington Megan Methany Wave Transit Hannah Gage New Hanover Michele Miller New Hanover Regional Community Endowment Medical Center Hank Miller Miller Realty Associates Morgan King NC Cooperative Jane McDonald Cape Fear Coalition Extension Jane Morrow Smart Start of NHC Natalie English Wilmington Chamber of Commerce Janet Nelson The Harrelson Center Jay Corpening Chief District Court Judge Jeff James Wilmington Health Jeff Wilson Liberty Healthcare Jermaine Armour New Saint Luke AMEZC Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 8 Acknowledgements Olivia Herndon NHRMC -Southeast Area Health Education Center Phil Brown New Hanover Regional Medical Center Regina James -Boston NHC Health and Human Services Robert Shapiro NHRMC -Southeast Area Health Education Center Sarah Ridout Community Care of the Lower Cape Fear Segovia Edelmire Centro Hispano Shirin Jenkins City of Wilmington Parks & Recreation Steve McCrossan NourishNC Sonja McFarland The Harrelson Center NORTH CAROLINA INSTITUTE OF PUBLIC HEALTH Suzette Curry Duke Partners in Caring Tina Pearson NHC Resiliency Task Force Tommy Taylor United Way of the Cape Fear Area Tufanna Bradley NHC Health and Human Services Vanessa Van Gilder New Hanover Regional Medical Center Velva Jenkins YWCA of the Lower Cape Fear Vernice Hamilton Housing Authority of the City of Wilmington Yvonne Hughes Coastal Carolinas Health Alliance New Hanover County Health and Human Services (NHC HHS) and Novant Health New Hanover Regional Medical Center (Novant Health) contracted with NCIPH at the University of North Carolina -Chapel Hill to facilitate the Community Health Needs Assessment process and report -writing. The following report was drafted by the NCIPH team and reviewed by the CHNA Team. NCIPH team members contributing to this report include: Lauren Schauer Project Co -Lead, Community Assessment Coordinator John Wallace Project Co -Lead, Senior Data Advisor Destiny James Community Engagement Coordinator Emily McGee Community Assessment Project Associate Alison Singer Community Assessment Analyst & Advisor Margaret Benson Nemitz Strategic Approaches Coordinator Joe Dawson Digital Communications Specialist Adrienne Hall Data & Spatial Analyst Sara Moreno Student Assistant Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 9 Executive Summary PURPOSE OF THE COMMUNITY HEALTH ASSESSMENT Figure 1: Airlie Gardens. Image courtesy of New Hanover County Flickr account ARTICIPATION AND COMMUNITY ENGAGEMENT A community health needs assessment (CHNA) is a systematic process for evaluating community health. Data is collected, analyzed, and used to illustrate the state of health and wellbeing within a community. During this process, community members and the assessment team work to identify community needs, areas for improvement, resources, and strengths. Using this information, priority areas are selected to be the focus of strategic planning, ensuring a data and community -informed approach to health improvement. The final report describes the process and contains the findings from the assessment. The community assessment process and the final report aim to promote collaboration, action planning and resource sharing between local leaders, community - serving organizations, and community members as they work to improve community health. NHC HHS and Novant Health consulted with NCIPH to facilitate the assessment process. In addition to the steering committee, a stakeholder group comprised of representatives from various health and human service organizations met regularly to plan, review, and analyze data, and discuss priorities. The CHNA team engaged community members throughout the assessment process. The Community Health Opinion Survey (CHOS) engaged 1,334 community members to learn more about their personal health status and concerns, as well as their concerns for the community overall. Additionally, community members were invited to participate in community conversations to share their experiences living in New Hanover County. The conversation populations were identified by the stakeholder group to ensure a diverse set of voices and experiences were represented; they included Latinx community members, Black and African American community members, individuals with disabilities, older adults, LGBTQIA+ community members, and individuals experiencing homelessness. Finally, community members were invited to vote on a set of priorities for the CHNA cycle based on the information gathered during the assessment. PROCESS The CHNA Team worked from January to October 2022 to collect and analyze data, present it for discussion to the stakeholder group, and set priorities that represent the county's needs and concerns. The data collection process included primary data — data collected directly from the community through the community health opinion survey and community conversations — as well as secondary, or existing, data. The secondary data sources included the North Carolina Center for Health Statistics, the United States Census Bureau, and local government, among others. Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 10 Executive Summary COMPARISONS AND FINDINGS Throughout the data collection and analysis process, the CHNA team compared data from New Hanover County to three peer counties (Brunswick, Buncombe and Gaston), which were chosen for their similarity to New Hanover in demographic and community context (e.g., rural and urban populations, regional service hub, or proximity). Data was also compared to the state of North Carolina, as well as targets from the Healthy North Carolina 2030 objectives, which serve as a health improvement plan for the state. In some areas, New Hanover County is performing well compared to peers. For example, New Hanover has the highest percentage of individuals with a Bachelor's degree as their highest level of education as compared to peer counties (27.8%). The high school graduation rate has also been increasing since 2015. New Hanover County is also meeting the Healthy NC 2030 goal of having at least one primary care provider per 1,500 population. The county has 152.8 registered nurses per 10,000 population and 32.8 physicians per 10,000 population. It is important to note that even though New Hanover is meeting the goal for primary care providers, many community conversation participants were concerned about access to care. They cited long wait times to see providers and a lack of providers accepting Medicare and Medicaid. Mental health and substance use are important issues in New Hanover County. New Hanover has seen a sharp increase in drug overdose deaths, from 19.4 per 100,000 in 2014 to 39.7 per 100,000 in 2020 — the highest among peers. When the data is broken down by sex, the rate of total medication and drug poisoning deaths of all intents is 63.5 per 100,000 for males compared to females at 23.9 deaths per 100,000. The rate of deaths for white, non - Hispanic residents is 44.9 per 100,000 population compared to 66.7 per 100,000 population for Black residents. Economic indicators can represent upstream factors that influence health. Unemployment in New Hanover County had been decreasing since 2011, but there was a sharp increase in 2020. This trend is similar to peer counties and the state. It is important to acknowledge that this increase in unemployment may be attributed to the COVID-19 pandemic. Income has been increasing in recent years. In New Hanover, median household income has risen from $50,088 in 2015 to $56,689 in 2020, and per capita income from $29, 880 in 2015 to $36, 324 in 2020. However, not all residents are experiencing this rise in income equally. Household income in the highest quintile (8011 percentile) is increasing more than incomes in the lowest quintile (2011 percentile). Housing is another concern in New Hanover County. Nearly 70% of survey respondents disagreed with the statement that they can find affordable housing. Community conversation participants across groups reported concerns about the lack of affordable housing in the county. Looking at the secondary data, housing costs in New Hanover County are higher than peer counties. As of 2020, 21.3% of homeowners and 44.3% of renters are spending more than 35% of their monthly income on housing. Additionally, 19.1% of New Hanover households have at least one of four severe housing problems (incomplete kitchen facilities, incomplete plumbing facilities, having more than 1.5 persons per room, and a cost burden greater than 50%). Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 11 Executive Summary PRIORITIZATION The stakeholder group was invited to participate in two data walk presentations. During these data walks, data from primary and secondary sources were grouped thematically. NCIPH facilitated the data presentations and discussion, during which community members reacted to the data and provided insight into community context. After the data walks, an online prioritization survey was used to gather votes from New Hanover County residents. The stakeholder group convened again to review the results from community voting, and then vote for themselves on the top three health priorities. The steering committee reviewed these recommendations and selected the following three priority areas: • Housing • Mental Health and Substance Use • Access to care NEXT STE This assessment serves as a foundation for the health improvement process and the next step is to develop health improvement action plans for each of the three priorities. Working with community partners, New Hanover County will develop measurable objectives to address each priority, identify evidence -based strategies to achieve those objectives, and plan evaluation and accountability throughout the next three years. Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 12 COVID Context In December 2019, an emergent virus, SARS-Cci was first detected in Wuhan, China and quickly spread internationally. Commonly termed COVID-19, the virus caused respiratory illness and was declared a pandemic on March 11, 2020, by the World Health Organization. Following this announcement, on March 13, 2020, the United States declared the COVID-19 pandemic a national emergency and effectively went into lockdown to contain the spread of the virus. In North Carolina, Governor Roy Cooper issued a stay-at-home order on March 27, 2020, due to the rampant spread of COVID-19 in the state; this stay-at-home order encompassed New Hanover County. During the years of 2020, 2021 and 2022, the COVID-19 pandemic infected over 3.2 million North Carolinians, with at least 60,698 positive cases and over 444 deaths confirmed in New Hanover County'. In addition to the loss of life, the pandemic has impacted healthcare and social service delivery, community cohesion, and our process for conducting community health needs assessments. Figure 2: New Hanover County Cases and Deaths by Week. Source: North Carolina Department of Health and Human Services. North Carolina COVID-19 Dashboard. 4,000 New Hanover County 3,090 Total Cases 60.698 2,001) Molecular IPCRi Positive Cases 1,001) 45.697 Illlllh�dlhtullllllllllll Illllllllllllhh�,..__...rl�l I III�Ilhurllllll Ill......�dll�ll��l�ll��llllh�,,, Antigen Positive Cases ° --- � 15.101 SpeJ me n callecdon d ate missing for 0 of th a total cases. 2° New Hanover County 15 Total Deaths 444 1° Molecular (PCR) Positive Deaths 400 ° I� 11 II I� I IIIIIIIIIIIII II I I II III I I III IIII II III�1 I III I I II II III III 111111111111 Antigen Positive Deaths 44 y — `� '^ — �� '(• .o ❑ ate of death mi-mg for 0 of the total deaths. COMMUNITY ENGAGEMENT DURING COVID 19 Community engagement is a critical piece of the community health assessment process, beginning with the formation of a stakeholder group made up of representatives from local public health, social service, and community -based organizations. While this group was able to convene both virtually and in -person, the continued demands on everyone's time and energy during the pandemic may have limited the participation of stakeholder group members. Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 13 COVID Context Another component of community engagement is qualitative data collection, which is essential for bringing the voices and lived experiences of those most affected by health inequities to the attention of decision -makers and those implementing public health and social service programs. Qualitative data provides context and insight that is often missed by survey and secondary data. Outreach to communities for community conversations was somewhat limited due to the pandemic, as participants may have been hesitant to convene indoors with people outside their households. Virtual conversations allow community members to meet safely, but also require internet access and a computer or mobile device. Scheduling and participation hurdles are additional challenges in collecting this essential form of data. We have also seen these effects play out in representation of community voice in primary data collection. Prior to the COVID-19 pandemic, door-to-door surveying of randomly selected households selected through cluster -based sampling was NCIPH's primary method of distributing the Community Health Opinion Survey (CHOS); this surveying method assured that data included representation of voice across the county, with survey respondent demographics closely matching US Census demographics. However, due to trust and social contact issues during the pandemic that made door-to-door surveying difficult, surveying for this CHA relied on a modified method. The CHNA team used a hybrid approach of in -person surveying at selected households, postcard mailers to selected households, and distributing a general web survey throughout various networks to promote the survey. This modified approach accepted the potential for low response rates to the household survey in favor of a wider, non - probability -based sampling method. In addition to challenges from low participation, responses to online surveys have tended to be heavily skewed towards white women with higher incomes and higher levels of education than the general population. These challenges required an even more intentional and directed approach to including voices of historically marginalized populations and other under -represented community members in our community conversations. IMPACT OF COVID-19 ON SECONDARY DATA AND INTERPRETATION Data from surveillance systems and national surveys is often available on a delay, so for some measures the most recent data available is for 2017, or 2019, or 2021. This is a limitation normally, but especially during COVID-19 as we seek to measure its impact on our communities. Average life expectancy reported in 2019 will not yet reflect the significant loss of life due to the pandemic. Similarly, data for 2020 and 2021 should be considered within the context of COVID-19. For example, data on emergency room visits will not reflect the individuals who needed services but avoided seeking care due to risk of exposure to the virus. Due to these limitations, the data presented in this report will not be wholly comprehensive of all health characteristics within the communities. Rather, the data provides us with a point of reference for tracking social, economic, and health indicators in our community. Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 14 Chapter 1: Introduction COMMUNITY HEALTH ASSESSMENT OVERVIF The Community Health Needs Assessment (CHNA) was developed to help identify the unmet needs of a community and guide stakeholders towards prioritizing available resources to meet those needs. It is a systematic process for evaluating the overall health status of a community, the factors that contribute to community members' health and well-being, and the resources that are available or needed to address these factors. All local health departments in North Carolina are required to conduct a CHA every three to four years to achieve accreditation by the North Carolina Local Health Department Accreditation program. The Internal Revenue Service Figure 3: Community Health Needs Assessment Phases. Image credit: North Carolina Institute for Public Health requires not -for -profit hospitals to complete a Community Health Needs Assessment every three years. The CHA also involves a collection of information and data on the county of interest from three main sources: secondary data, primary data, and community input. Secondary data are gathered from existing repositories for the assessment county as well as peer counties and the state of North Carolina to allow comparison between trends. Primary data are gathered from the county itself through a mixed methods approach of quantitative and qualitative data. The findings from the data are then presented back to the community and community stakeholders for input on how the data compare to or reflect their lived experiences within the county. Community members and stakeholders are invited to vote on top priorities and CHNA leadership convenes to review data, votes and to synthesize priorities. Action plans are developed with community stakeholders and service providers to address needs in the priority areas. The CHA process is outlined in Figure 2. COMMUNITY ENGAGEMENT The Community Health Needs Assessment Steering Committee met monthly from January to October 2022 to discuss assessment strategy, primary and secondary data analysis, and prepare for broader stakeholder group meetings. The stakeholder group also met monthly and was heavily involved in the planning, data review, and prioritization process. Community engagement in the assessment process is essential to ensure that the primary data and identified priorities are representative of community needs. Community input was solicited in the following ways: The Community Health Opinion Survey (CHOS) received input from 1,334 New Hanover County residents. In addition, the CHNA team conducted six community conversations with county residents to gain an understanding of lived experience. A community conversations workgroup made up of members of the stakeholder group chose to hear from specific identity groups who are often underrepresented in data collection. The CHNA team also conducted two data presentations with the stakeholder group and distributed a priority voting survey, which was open to all adults in New Hanover County, to reach consensus on final priorities. Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 15 Chapter 1: Introduction DATA COLLECTION AND COMPARISONS The CHNA process requires collecting and reviewing two kinds of data: primary data (new data collected from the community) and secondary data (existing statistics collected from external sources). To fulfill the primary data requirement, both quantitative data from in -person and online surveys and qualitative data from community conversations were collected and analyzed. SURVEY METHODS A two -pronged approach was used to recruit adults in New Hanover County to participate in the CHOS. The first involved using a cluster -based sampling design to select 450 households from 45 census block groups across New Hanover County. Sampling was informed by median household income, where 15 population -weighted census block groups were selected from low, medium, and high household income groupings, and 10 households were randomly selected within each census block group for a total of 450 households. Households randomly selected received postcard mailers with a postcard number and a survey link. The random sample was then supplemented with an open -to -the -public convenience survey administered using the same survey instrument, which was open for anyone to take even if they did not receive a postcard mailer. The survey was distributed by stakeholders via social media, listservs, businesses, and networks of stakeholders. The survey instrument included 36 questions about personal health, access to care and barriers encountered, substance use and other community health issues, and was open for a period of eight weeks between May 23 to July 15, 2022. Any adult living in New Hanover County was eligible to complete the CHOS. A total of 1,334 eligible responses were received, and only 105 responses came from those who received postcard mailers. An important consideration is that this process was heavily reliant upon the general community survey, given the low response from the random sample. It was critical for the team to evaluate non -response bias and how well the survey respondent demographics align with county demographics. In general, the respondent demographics were comparable to the demographics of New Hanover County by race, as the data showed roughly 79% of respondents identified as non -Hispanic White and 12% identified as Black or African American. However, only 3% of respondents identified as Hispanic or Latino and women made up 78% of respondents. The complete CHOS survey instrument and methodology can be found in Appendix 2 and 3. COMMUNITY CONVERSATION METHODS Six community conversations were held between May 10 and May 25, 2022. Conversations were conducted in person, via Zoom, and through a hybrid approach and adhered to New Hanover County COVID-19 guidelines. Food was provided for in -person conversations. Attendees were recruited through stakeholder group members' networks and approximately 60 New Hanover County residents participated. Conversations were organized around specific populations, including Latinx community members, Black or African American community members, individuals experiencing homelessness, individuals with disabilities, the LGBTQIA+ community, and older adults. Conversations were mostly held in the morning or evening, and locations were chosen to increase accessibility for community members. One conversation was also facilitated in Spanish. The CHNA team recorded the sessions and took detailed notes, then analyzed the data and identified key themes within and across groups. Community conversations are a valuable resource that provided insight into the stories and experiences of New Hanover County residents. However, when interpreting this data, it is important to remember that individual experiences are not representative of the entire county. Participation is also limited by residents' busy schedules Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 16 Chapter 1: Introduction and the ongoing pandemic. These conversations provided an opportunity for participants to shed light on their lived experiences, however, there is the chance that due to group dynamics and limited time, not all members are able to fully contribute. Finally, due to time and resource constraints, conversation topics were selected to provide information on high priority areas, even though other topics may be of high importance to the community. The community conversation facilitation guide can be found in Appendix 2. SECONDARY DATA The secondary data collected for the CHNA included statistics from federal, state, and local sources around topics such as morbidity (illness) and mortality (death) rates for various health outcomes, demographics, education, poverty, health care services, disease tracking, environmental health, and others. The secondary data collected for this report also includes social determinants of health, which are social and environmental factors that influence personal health, health behaviors, and access to health care. The secondary data collection process involved the comparison of measures from New Hanover County to the state of North Carolina and three peer counties, Brunswick, Buncombe, and Gaston. These peers were selected because of similarities to New Hanover in demographic and community context. Gaston County was chosen as a peer because it has similar population demographics to New Hanover County. Buncombe County is similar in demographics and is similar to New Hanover County in that it serves as a regional service hub serving surrounding counties. As a neighboring county, Brunswick County represents a southeastern NC peer with many residents utilizing shared health systems and services. To compare across regions and across time, the data are often reported as rates, which show the count of an event within a defined population during a specified time interval (see Figure 3). This allows comparisons over time, even when the size of the population is changing from year to year. Figure 4. Definition of a rate. Image courtesy of the North Carolina Institute for Public Health Additionally, since many health conditions are related to age and the different communities may have older or younger populations, an age -adjusted rate is often used. Factoring in the age distribution allows for comparisons of disease burdens across different communities more accurately. Finally, some O secondary data are presented as 5-year averages so that events in smaller communities or less frequent events are not distorted by the natural fluctuations of a few people from year to year. For the purposes of this report, 5-year averaged data will be referenced by the final year in the range. For example, the "2019 estimate" of a 5-year average refers to the average of data from 2015-2019. Full date ranges are referenced in figure captions. Alternatively, some secondary data from infrequent events is not aggregated and is suppressed (or withheld) from official reports. Aggregation or suppression is noted where appropriate. Secondary data is a useful tool for understanding community health at the population level. However, this type of data can be delayed by a few years due to the need to collect, process and analyze data which can be time and Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 17 Chapter 1: Introduction resource intensive. Efforts were made to collect the most recent data available at the time of collection in January 2022, but please be aware of a potential lag between what is happening today in the county and the latest available data. The COVID-19 pandemic has also added to this challenge as data collection, and reporting activities may have been negatively impacted, resulting in delays and interrupted processes. Secondly, the data presented provides an estimation of the true value in the population; while efforts are made to collect data using tools such as outreach and sampling, it is not possible to collect data on every single point of interest for every single resident. Citations throughout this document refer to general source of the data, for example "U.S. Census Bureau, American Community Survey 5-year Data" with the most recent year of data included. The complete list of secondary data sources, including specific data table numbers and all years accessed can be found in Appendix 5. PRIORITIES Choosing community priorities is a crucial step in the CHNA process and enables communities to focus attention and resources to tackle pressing community needs. The prioritization process for the 2022 CHNA began with a review of secondary data trends and data collected from New Hanover County residents via the CHOS and Community Conversations. The NCIPH team conducted two virtual data walk sessions to provide an overview of the findings for stakeholders to discuss. Data was visualized through a Tableau dashboard and NCIPH team members walked stakeholders through the data in small breakout rooms. After the data walks, an online prioritization survey was distributed through stakeholder networks and New Hanover County communication channels for community voting, receiving 468 eligible responses. After community voting, the stakeholder group met for a prioritization meeting, where they discussed community voting results and voted on the top three priorities. The CHNA steering committee considered the feedback from community voting and stakeholder voting and made a final decision on the following priorities: housing, mental health and substance use, and access to care. Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 18 Chapter 2: District Profile New Hanover County is located on the traditional territory of what is known today as the Cape Fear Indians, the Catawba, and Waccamaw people who lived along the Cape Fear River and Lake Waccamaw2. Violence, disease, and displacement reduced the Native population in the area by the turn of the 19th century'. Named after the house of Hanover in England, New Hanover Precinct was formed in 1729, gaining county status ten years later in 1739. The land was developed as plantations and enslaved African Americans cultivated tobacco and other commodity crops. The town of Newton, now known as Wilmington, was developed in 1757 to model the city of Philadelphia. Wilmington became the New Hanover County seat in 1739. The Cape Fear River, which borders the county, helped create a thriving economy'. By 1860, most of the population was Black, and most of them enslaved. During the civil war, the last major coastal stronghold of the Confederacy took place, the Second Battle of Fort Fisher'. After the civil war, New Hanover County was the home of a thriving Black community. The city of Wilmington's middle class was made up of Black doctors, lawyers, and teachers, councilmen, magistrates, and police officers'. This fostered resentment among some White residents. On November 91h, 1898, white supremacist Alfred Waddell led a group of men to the Committee of Colored Citizens to present their demands, the White Declaration of Independence. The following morning, the group of white supremacists led mobs that rioted and attacked the city's Black neighborhoods and residents and overthrew the mayor and city counci16. Over the next few days, between 60-300 Black residents of New Hanover County were killed. The new government passed a constitution that raised barriers to vote, disenfranchising Black community members. Jim Crowe laws were also imposed that reinforced and created inequities that impact the county to this day'. GEOGRAPHY New Hanover County is located in southeastern North Carolina and is bordered by Pender County to the north, Brunswick County to the west, the Cape Fear River, and the Atlantic Ocean. New Hanover County has a total area of 328 square miles. Of these 328 square miles, 192 square miles is land, and 137 square miles (42%) is water. It is the second smallest county in North Carolina. There are 18 incorporated cities, towns, and census designated places in New Hanover County'. ECONOMY New Hanover County was formed as an agriculture economy. Plantations grew tobacco and commodity crops. By the late 1700's- early 1800's, New Hanover began to transform into a trading economy due to the proximity of the Cape Fear River. By the time the civil war began, the city of Wilmington became the state's largest town and a major Atlantic port. With the increase in travelers, Wilmington had to evolve to house everyone, but chose to take a different route to traditional boardinghouses. The city began to develop luxury hotels to make travelers "as comfortable as if they were at home." From this, Wilmington's tourism business began'. As of 2020, 17.4% of New Hanover County residents are employed in health care and social services, 13.4% in retail trade, and 12.1% in accommodation and food services'. In 2021, the top employers in New Hanover were Novant Health New Hanover Regional, PPD Development LLC, now Thermo Fisher, the University of North Carolina at Wilmington, and the New Hanover County School System'. Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 19 Chapter 2: District Profile The North Carolina Department of Commerce assigns County Distress rankings, or tiers, annually. County tiers are calculated using four factors: average unemployment rate, median household income, percentage growth in population, and adjusted property tax base per capita. The 40 most distressed counties are designated as Tier 1, and the 20 least distressed are Tier 3. The tier system is used for various state programs to encourage development in less prosperous areas of the state. The 2022 County Tier Designations ranked New Hanover as a Tier 3 county'. DEMOGRAPHICS Throughout this report, data from New Hanover County is reported alongside data from the state of North Carolina and three peer counties, Buncombe, Brunswick, and Gaston. These peers were selected because of similarities in demographic characteristics and in rural and urban populations. The NCIPH team compiled data from various national, state, and local sources between February -June 2022. RACE/ETHNICITY Based on the 2020 Decennial Census, 74.1% of the New Hanover County population is non -Hispanic white, followed by 12% Black, 7.7% Hispanic or Latino, and 4.0% two or more races. Compared to peers, New Hanover has more racial and ethnic diversity than Brunswick and Buncombe but is less diverse than Gaston County. Close to 80% of Brunswick and Buncombe are White, non -Hispanic, with 8.3% Black and 5.4% Hispanic in Brunswick, and 5.6% Black and 8.1% Hispanic in Buncombe. Only 67.4% of the population in Gaston is White, while 17.4 % is Black and 8.8% is Hispanic"' Figure 5: Race and Ethnicity Distribution. Source: U.S. Census Bureau. 2020 Decennial Census: Table P2 Race & Ethnicity, 2020 New Hanover Brunswick Buncombe Gasto-) NC White, non -Hispanic -74.1% _ 67.4% Black or African American, 12.0% ' 8.3% 15-6% , 17.4% .202% non -Hispanic Hispanic or Latino of Any' Race 7 746 15.4% ' B.196 ' 8.896 ' 10-7% Twoormore races, non -Hispanic I ¢ 0% 13 7% I4 4% I41% I3 9% Asian, non -Hispanic: I15% 0.7-6 I1296 I1.5% �33% Some Other Race, non -Hispanic 0.496 C.3% 0. Sqt 0.4% 0.4% American Indian and Alaskan Native, 0.3% 0.5% 0.3% 0.3% 11.0% non -Hispanic Native Hawaiian and Other Pacific Islander, 0.196 0.2% 0.2% 0. Dqa 0.196 non -Hispanic Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 20 Chapter 2: District Profile GENDER AND AGE New Hanover's sex ratio is similar to the state, at 52.4% female and 47.6% male. However, there is a greater percentage of 18-24-year-olds, at 12.5%than the state and peers" VETERANS The veteran population in New Hanover is very similar to that of the state, at 7.8% in New Hanover and 8.2% in the state overall. In New Hanover, Veterans make up less than 10% of the population, lower than Brunswick and similar to the state and peers. 52% of New Hanover's veterans are 65 years or older12. POPULATION GROWTH POPULATION SIZE New Hanover County has grown steadily since 2000 and growth is forecasted to continue through 2050. New Hanover's population size of 225,702 is most comparable to Gaston County and is larger than Brunswick but smaller than Buncombe. The rate of growth is comparable to Brunswick and higher than Buncombe and Gaston13 Figure 6: Population Growth Trend. Source: NC Office of State Budget and Management, County/State Population Projections Population Growth Trend: Total Population, 2000to2050 3so,oc0 oo,occ uasco, 25o,oa0 6rars; `F r 200,000 1S0,000 100,000 S0,000 O 2000 'Oos 2010 2015 2020 2025 2030 2035 204C 2045 2050 Year BIRTH RATES Birth rates across all races are declining in New Hanover, peer counties, and the state. From years 2010-2020, the birth rate in New Hanover County has decreased from 12.4 live births per 1,000 people to 9.8 live births per 1,000 people. New Hanover County birth rate trends are most like Buncombe County 14 Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 21 Chapter 2: District Profile IMMIGRATION New Hanover saw a growth in immigrant communities entering the United States from 2010 or later, with a simultaneous drop in the community of immigrants entering from 2000 to 2009. Counts of recent immigrants in New Hanover County are similar to Buncombe and higher than Gaston and Brunswick" LIFE EXPECTANCY Life expectancy reflects the length of life expected for babies born in the given year. The life expectancy in New Hanover County is 79 years, which is consistent across peers and the state. Broken down by sex and race, life expectancy is higher among females and lowest among African Americans14. HOUSEHOLD LANGUAGE 92.4% of New Hanover County and peer counties speak only English at home. Spanish is the most common non- English language, spoken in roughly 3.7% of homes in New Hanover and Brunswick, while other peer counties have a higher percentage of Spanish-speaking households15 URBAN/RURAL New Hanover County is much more urban and denser than the peer counties, with over 1,000 people per square mile and only 2% of the population living in rural areas16 VULNERABLE POPULATIONS Age, language barriers, socioeconomic status, chronic disease, disability, veteran status, and incarceration can influence the physical, emotional, social, and economic wellbeing of a population. These factors can increase the population's risk for certain health conditions, as well as their vulnerability to a public health emergency, and leaves certain groups underserved in a community. One of the purposes of a CHNA is to identify the populations at risk within the community and address the disparity in health outcomes they may face. Below is an overview of these populations within the New Hanover community. More detail about people living in poverty is provided below in the Economic Opportunity section. PEOPLE LIVING IN POVERTY Poverty limits people's access to quality housing, childcare, food, transportation, and other factors that support health and wellness. Low income and low wealth mean that families are more vulnerable to economic setbacks and have little extra to invest in education, recreation, and other things that benefit long-term health. In New Hanover County, 14.6% of people live below the federal poverty level12. PEOPLE WITH LIMITED ACCESS TO RESOURCES Many barriers to resources exist for people living in New Hanover County which stems from geographic, systemic, and historical factors. Residents of New Hanover County are limited by a lack of public transportation. Without a streamlined transportation service, many residents require multiple buses to get across the county, acting as a barrier to healthcare appointments. Low-income residents experience this barrier as well, with the public transportation system being costly. Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 22 Chapter 3: Assessment Findings OVER Data collected from primary and secondary sources were analyzed for this assessment and summarized in nine data categories, with the community priority areas highlighted in the linked buttons below. While summarizing the data in categories supports understanding and usability of this report, it is with the recognition that the health outcomes and conditions that support or impede health are complex and interrelated. Multiple years of data were analyzed from most secondary data sources, and data trends are described in the assessment findings that follow. Click buttons below to jump to any section: COMPARISON TO HEALTHY NORTH CAROLINA 2030 The Healthy North Carolina 2030 project is an initiative by the North Carolina Institute of Medicine to serve as the population health improvement plan from 2020 to 2030. This framework includes a set of indicators and targets that provide local health departments as well as the North Carolina Division of Public Health with a set of shared goals to drive activities that support health and well-being across the state 17. Healthy North Carolina (HNC) 2030 goals are referenced throughout this assessment with a HNC 2030 progress update that indicates whether each goal was met ( ) or not met (RED) in New Hanover County as measured by the most recently available data. NEIGHBORHOOD AND ENVIRONMENT The spaces in which people live, work, and play contribute to the health outcomes of community members. According to the County Health Rankings Model, physical environment alone accounts for 10% of overall health factors18. This section will discuss aspects of the built and natural environment in New Hanover County, as well as access to environmental resources within the community. AIR POLLUTION Air quality in New Hanover is generally good. Between the years 2016-2020, there were no Physical Environment reported days where the air quality was considered unhealthy, very unhealthy, or hazardous. The number of days Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 23 Chapter 3: Assessment Findings where air quality was good increased in 2019 and 2020 compared to 201819. Particulate Matter (PM) is a mixture of solid particles and liquid droplets found in the air that can be inhaled and cause serious health issues19. PM10 are particles 10 micrometers or smaller and PM2.5 are generally 2.5 micrometers or smaller and pose the greatest health risk. The number of days in the year that PM2.5 was the main pollutant in New Hanover decreased from 175 days in 2017 to 128 days in 2018 and has remained steady since. PM10 was never the main pollutant in New Hanover between the years 2017-2020. When compared to Buncombe, New Hanover has consistently had fewer days in the year when PM2.5 is the main pollutant since 201720. HOME SERVICES As of 2020, 87.7% of households in New Hanover had an internet subscription. This number has been increasing slightly over the years since 2017, when it was at 81.9%. These numbers are similar to that of Brunswick County. Gaston and Buncombe Counties are slightly lower with 82.2% in Buncombe and 83.5% in Gaston12. Households generally get their water from a Community Water System, which is defined by the EPA as a public water system that supplies water to the same population year-round. In New Hanover, 74.3% of homes were served by Community Water as of 2015, as opposed to private or individual water sources such as residential well or cisterns. This is lower than all peer counties except for Buncombe County at 62%21. TRANSPORTATION & PHYSICAL ACTIVITY OPTIONS Transportation is the extent to which community members can travel around their community, and influences access to key resources such as food, healthcare, and employment. Participants in Community Conversation would like to see more robust public transportation available in the county. They felt public transportation was too expensive, especially for those experiencing homelessness, and described needing to take multiple buses to travel within the county, which can be a barrier to keeping healthcare appointments. Approximately 80% of residents in all counties as well as the state drive alone to work. In New Hanover, 79.4% drive alone to work, which is almost the same as the state at 79.3%. The other two most selected options were working from home and carpooling, which were 10.5% and 7.0% in New Hanover respectively. This is similar to peers and the state with the exception of only 4.4% of residents in Gaston County working from home12. CHOS RESULTS Access to physical activity and nutritious foods can both have impacts on the overall health of a community. Community Health Opinion Survey Respondents were asked about the availability of both in New Hanover County. PHYSICAL ACTIVITY Exercise is defined as having an elevated heart rate for 10 minutes. Among respondents, 79.8% exercise for at least 10 minutes in a week. The most common types of exercise are walking at 82.4%, followed by yard work at 40.7%. 25.6% of respondents stated they are active 5 or more days per week, with 42.4% exercising for at least 30 minutes on a typical day. This means that more than half of respondents receive at least 150 minutes of exercise within a typical week. Of those who exercise, the majority are active at home or in their neighborhood; however, 80% of respondents shared at least one barrier that prevents them from being as active as they would like to be. The primary barriers listed were lack of time at 44.4% and lack of motivation at 41.6%. Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 24 Chapter 3: Assessment Findings NUTRITION Nutrition experts recommend adults eat 2 cups of fruit and 3 cups of vegetables every day. Respondents were asked how often they meet these recommendations, and if not, why not. Just over half of respondents reported eating 2-3 servings of vegetables in a typical day at 54.3%, and 13.7% reported eating 4 or more. Respondents reported less fruit consumption, with 44.6% eating 2-3 servings in a typical day and 37.5% eating only 1. High cost of produce (26.7%) and the availability of less healthy and more affordable options (21.09%) were the primary reasons listed for why respondents don't meet the recommended fruit and vegetable consumption. HOUSING Many factors related to housing affordability and quality can negatively impact health outcomes, including poor air quality, lack of safety, limited space per individual, high cost, and homelessness, among others. Those who are most likely to experience these impacts are children and older adults22. HOUSING DENSITY The total number of households in New Hanover as of 2020 was 97,998, an increase of about 10,000 from 2015. This is less than Buncombe County but more than Gaston and Brunswick Counties, with Brunswick having only 59,416 in 2020. New Hanover has 2.29 persons per household, which is lower than all peer counties as well as the state. The county is similar to peers in terms of household density, with 99% of households having 1.0 or less occupants per room12. The percentage of householders who are 65 years of age and older and living alone has increased in recent years from 10.5% in 2015 to 12.9% in 202012. Figure 7: Median Monthly Housing Costs. Source: U.S. Census Bureau. American Community Survey, 5-Year Estimates: Table DP04 1,400 400 zoo Median Monthly Housing Costs Median Monthly Housing Costs Mortgage Units Median Monthly Housing Costs Rental Units New Hano $1,541 2014 2015 2016 2017 201E 2019 2020 20212014 201S 2016 2017 2016 2019 2020 2021 Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 25 Chapter 3: Assessment Findings HOUSING TRENDS Housing occupancy in New Hanover has remained steady since 2015 with 85% of housing units being occupied. This trend is similar to Gaston and Buncombe who had a steady trend of 88%, with Gaston increasing slightly to 90.8% in 2020 and Buncombe decreasing to 83.6%. Housing occupancy in Brunswick County is much lower at approximately 62%12. Owner -occupied households are more common than renter -occupied in all counties as well as the state; however, New Hanover has the lowest percentage of owner -occupied units by comparison. In New Hanover, 58.4% of housing units are owner -occupied and the other 41.6°% are renter -occupied. In comparison to peer counties, New Hanover has a much lower percentage of owner -occupied units, with Gaston, Buncombe, and the state all averaging approximately 65% owner -occupied and in Brunswick 80.9%12 HOUSING COSTS Housing costs in New Hanover are on the higher end. This was discussed as a concern during community conversations, and nearly 70% of CHOS respondents disagreed that they could find affordable housing. The monthly costs for housing are higher than peer counties, specifically for those who own their home. Spending more than 30% of monthly income on rent is considered a cost burden. The median monthly cost for a mortgage is $1,541 as of 2020, and 29.1% of homeowners are spending 30% or more a month on housing. Median costs for renting are significantly lower; however, they have been increasing in recent years. The median monthly housing cost for a rental unit was $907 a month in 2015 and increased to $1,060 a month in 2020. Although these costs are lower than homeowner's costs, 53% of renters spent over 30% of their monthly income on housing in 2020 12. Figure 8: Household Cost to Income Percent. Source: U.S. Census Bureau. American Community Survey, 5-Year Estimates: Table DP04 Housing Cost to Income 30 Percent or More, 2015 to 2020 Morgage Households Rental Households 55. D9c 50. D9t 45.09E 40. D9c 35. D9t Brunswick 30.D9t ':ew Han 29.14s Buncombe 25. Doc Gaston 20. D9c New Hanover 53.0% Buncombe Brunswick �Gastan -014 2015 -016 -oi- 2019 2019 2020 20212014 2015 2016 2017 2018 2019 2020 Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 26 Chapter 3: Assessment Findings HOMELESSNESS & SEVERE HOUSING PROBLEMS Data on homelessness is collected for a combined region that includes New Hanover, Brunswick, and Pender Counties. The annual point -in -time (PIT) count for people experiencing homelessness in the three counties combined declined from 9.8 per 10,000 people in 2016 to 7.0 per 10,000 people in 2021. When broken down by race and ethnicity, the rate has remained higher for African Americans since 2015, with 25.9 per 10,000 people experiencing homelessness in 202121. While generally recognized as an undercount of the "true" number of people experiencing homelessness, the PIT is a count of all people living in shelters or transitional housing facilities or in unsheltered locations on a single night in January. It does not include people "doubled up" with family or friends or those living in a hotel/motel. Participants in every community conversation group expressed a need for more affordable housing in the county, especially for low-income individuals. Older adults, individuals experiencing disabilities, and LGBTQIA+ individuals cited a specific need for housing within their communities. Individuals experiencing homelessness described many barriers to securing housing, including unaffordable rent prices and expensive housing application fees. Severe housing problems are defined as incomplete kitchen facilities, incomplete plumbing facilities, having more than 1.5 persons per room, and a cost burden greater than 50%. In New Hanover, 19.1% of households have at least one of four severe housing problems. This is higher than peer counties and the state, all of which have approximately 15% of households with one of four problems". Figure 9: Severe Housing Problems. Source: U.S. Department of Housing and Urban Development (HUD), CHAS Data Severe Housing Problems, 2013 to 2018 Households with at least 1 of 4 severe housing problems: incomplete kitchen faci lities, incomplete plumbing facilities, more than 1.5 persons per room, and cost burden greaterthan 50% 20.00,,� New Hanover 19.1% 18.DOXC 16.0% 14.0% y 12.0% c a 10.0% 8.0% 6.0% 4.0% 2.0% 0.D4c Brunswick -012 -013 -014 201s -016 2o1? -016 2019 Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 27 Chapter 3: Assessment Findings LIFELONG DEVELOPMENT Lifelong development includes educational enrollment, performance, environment, and outcomes. Higher educational attainment is linked to better mental and physical health outcomes through increased employment opportunities, higher income, and health literacy. Educational opportunities can also reduce inequalities and support human development. EDUCATIONAL ATTAINMENT When compared to peer counties, New Hanover County has the lowest percentage of adults aged 25 or older with a high school diploma or less as their highest level of school completed, and the highest percentage of individuals with a Bachelor's degree as their highest level of school completed at 27.8%. Among community health opinion survey respondents, 31% had a college degree and 35.7% a graduate or professional degree. The percentage of adults with a high school degree as the highest level of education completed has decreased in recent years from a five-year average of 22.1% in 2016 to 19.9% in 2020, while the percentage of those with at least a Bachelor's degree or graduate degree has increased during those same years. These trends are similar across all peer counties as well as the state 12. Figure 10: Educational Attainment. Source: Source: U.S. Census Bureau. American Community Survey, 5-Year Estimates: Table S1501 Educational attainment population 25 years and older, 2015 to 2020 Highest degree or level of school completed for population 25 years and older, 5-yearaverages Less than 9th 9th to 12th grade grade, no diploma 30.096 25.0% 20.0% c a 1S.0% 10.0% 5.096 - New Hanove 4.7% 0.096 High school graduate (includes equivalency) �r New Hanov 19.9% Some college, no Associate's Bachelor's Graduateor degree degree degree professional degree Buncom Brunswi New Hanove 27.S% Buncombe Gaston 2016 2018 2020 2016 2018 2020 2016 2018 2020 2016 2018 2020 2016 2018 2020 2016 2018 2020 2016 2018 2020 Year Year Veer Year Year Year Year Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 28 Chapter 3: Assessment Findings SCHOOL ENROLLMENT The number of students enrolled in public school between 2004 and 2021 has remained relatively stable at right around 25,000 students. Enrollment trends have also remained constant in peer counties during the same time period; however, the numbers vary significantly. Buncombe enrollment is similar to that of New Hanover, while Gaston County is higher at just over 30,000, and Brunswick County and Asheville City Schools have lower enrollment numbers at approximately 12,000 and 4,000 respectively 25. The drop out trend in New Hanover is much lower than all peer counties and has been steadily decreasing since 2016. It has gone from a rate of 1.65 per 100 students for the 2015-2016 school year to 0.93 per 100 students for the 2019-2020 school year. Brunswick County as well as the state have also seen steady downward trends since 2016, while other peer counties have had more unstable trends in drop out rates25. SCHOOL DISCIPLINE Short term suspensions in New Hanover County are lower overall than peer counties, whereas rates of long-term suspensions are fairly similar. In the 2020- 2021 school year, the short-term suspension rate in New Hanover was 0.8975 per 10 students. When breaking down by race, Black students are more likely to receive suspensions, both short-term and long-term, as well as expulsions. The rate of short-term suspensions for Black students in the 2020-2021 school year was 2.9456 per 10 students compared to 0.3740 per 10 white students. Male students and economically disadvantaged students also have higher suspension and expulsion rates25. SCHOOL PERFORMANCE Improving third grade reading proficiency is one of the indicators for HNC2030. The 3r1 grade reading level in New Hanover is 61.6%, which means that about 60% of 3rd grade students read at a 3rd grade level or higher. This number is higher than peer county school districts and the state average, with the exception of Asheville City Schools that have a 3r1 grade reading level of 69.9%25. High school graduation rates have been increasing in all counties as well as the state since 2015. The percentage of students graduating high school in New Hanover in the 2019-2020 school year was 88.1%. This percentage was higher for females (91.1%) than males (85.2%). When comparing by race, 93% of white students graduated high school in 2020 compared to 78% of Black students and 81% of Hispanic students25. Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 29 Chapter 3: Assessment Findings Figure 11: Third Grade Reading Level. Source: North Carolina Department of Public Instruction. NC School Report Cards (SRC). 70.0% 500% S 0.096 w 40096 a a 30.096 20 0% 10.0% 0 0% Third Grade Reading Level, 2014 to 2019 Percentage of students reading at grade level or higher based on third grade End of Grade exams Asheville City Schools New Hanover County School! 61.64U Brunswick County Schools aL--N. Buncombe County Schools Gastor County Schools 2013 _. _- 2015 2016 2017 2018 2019 2020 COMMUNITY COHESION & SAFETY Community cohesion refers to the social networks, trust, and collective ability to bring about change in a community. Strong relationships and solidarity among members of a community can lead to improved health outcomes by supporting each other to commit to healthy behaviors and by reducing emotional stress. Conversely, social isolation can be detrimental to health and increases mortality26. Respondents of the CHOS were asked to respond to several community statements, and they had the strongest agreement with New Hanover being a good place for social connection, raising children, and growing old. In the following section, community cohesion refers to linguistic isolation, civic participation, incarceration, and crime rates. LINGUISTIC ISOLATION AND SEGREGATION The majority of households in New Hanover County are English speaking only, with 7.6% speaking a language other than English. These numbers are similar to peer counties, with the state average of English speaking only households being the lowest at 88.4%. Of the households in New Hanover speaking languages other than English, 14% are considered limited English-speaking households12. This is defined as a household where all members 14 years and older have at least some difficulty speaking English. Community conversation participants expressed a desire for better access to English literacy classes in the county, including classes held outside of work hours and with childcare options provided. The percentage of Spanish-speaking households in New Hanover that are limited English speaking has decreased from 31.0% in 2016 to 18.3% in 2020. Brunswick, Gaston, and the state have all seen similar trends, while Buncombe County has remained steady in recent years and is also the highest at 34.2%. Among households speaking Asian and Pacific Island languages and Indo-European languages, 19.3% and 5.9%, respectively, were considered limited English speaking .11 Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 30 Chapter 3: Assessment Findings CIVIC PARTICIPATION In New Hanover, 77% of registered voters are white, 11.2% are Black and 1.9% are Hispanic or Latino. This is similar to county demographics. When broken down by age, 38.6% of registered voters are between the ages of 41 and 65, 12.8% are 18-25 and 25.2% were between 26-40 years of age27. In the November 2020 election, 75% of registered voters in New Hanover County voted. The percentage of registered voters who voted by race, ethnicity, age, and sex is similar in New Hanover as it is in peer counties and the state. Approximately 60% of young voters ages 18- 40 voted, while 81% of voters ages of 41-65 voted. About 77% were white voters, 63% Black were African American, and 60% identified as Hispanic or Latin021. INCARCERATION In New Hanover County as well as peer counties and the state, the overall rate of incarcerated individuals decreased between 2016 and 2020. In New Hanover, this number went from 416 per 100,000 residents, to 334 per 100,000 residents. These numbers are very similar to Gaston, while Buncombe had a rate of 268 per 100,000 residents in 2020 and Brunswick was 222 per 100,000 residents21. CRIME RATES The index crime rate, a combined rate of property and violent crime, has decreased in the years 2008-2020 in New Hanover. Property crime, including burglary, larceny, and motor vehicle theft, has decreased from 5,158 to 2,333 per 100,000 residents from 2009 to 2018, with a slight increase in 2019. Violent crimes, including murder, rape, robbery, and aggravated assault, have decreased from 501 to 436 per 100,000 residents between 2015 and 201929. Figure 12: Crime Rates. Source: North Carolina State Bureau of Investigation, North Carolina Uniform Crime Reporting (UCR) Program 500❑ 450❑ 400❑ 350❑ a 0 3000 0 0 0 25CO 2000 15C0 1000 5C0 0 Crime Rates per 100,000 residents, 2008 to 2019 Property Crime Rate Burglary, larceny, and motor vehicletheft Brunswick Violent Crime Rate Murder, rape, robbery, and aggravated assault New Hanove 436 nrunswic 2009 2010 -012 -014 -016 201e -020 2006 2010 -012 2C14 2016 2018 2020 Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 31 Chapter 3: Assessment Findings CHOS RESULTS EMERGENCY PREPAREDNESS Being prepared for an emergency is another crucial element of safety, and respondents of the community health opinion survey were asked questions to determine the level of emergency preparedness throughout the community. 61% of respondents have a basic emergency supply kit, with 54.3% of those kits having enough supplies for 3-6 days and 24.4% having enough for 7-13 days. These emergency kits include water, non-perishable food, necessary prescriptions, first aid supplies, flashlight and batteries, non -electric can opener, and blankets, among other items. Having a kit was more common among white respondents as well as those making $50,000 or more in income. Respondents also reported the ways in which they receive information regarding emergencies in the community. Emergency text alerts are the most frequent source of emergency information at 68.6%, followed by smartphones, television, and internet. 27.7% of respondents said they would evacuate if asked to do so, and those responding that they would not evacuate listed concerns about leaving property and pets behind. Figure 13: Emergency Preparedness Information Sources. Source: 2022 New Hanover County Community Health Opinion Survey What would be your main way(s) of getting information from authorities in a large-scale disaster or emergency? Select all that apply Text (Emergency Alerts) 68.6% Telephone/Smartphone 58.4% Television 57.9% Internet 56.6% Social media (e.g. Twitter, Facebook) Radio NeighborgFriends/Family/Word of Mouth Pre -registered a mergency al ert natificati on s th rough New Hanover County Emergency Management New Hanover County webpage =22.7%1b Print mediainewspaper 911r2.41%6-8% z11 other M 2.3% New HanoverCoumy Spec aI Needs Registry 11.2% Not sure ■ 0.9% Prefer not to answer I0.:4% 0.0se 75_0va 100.0Rn ECONOMIC OPPORTUNITY Economic opportunity within a community can have a direct impact on health outcomes. Employment is often a primary source of access to health insurance, and having a stable income can increase a person's ability to access safe housing, make healthy food choices, and accumulate savings that can help in times of emergencyao Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 32 Chapter 3: Assessment Findings POVERTY The number of residents living below the poverty level in New Hanover has stayed relatively stable in recent years. The five-year average from 2016-2020 shows that 14.6% of New Hanover residents were living below the poverty level, but 32.5% were living below 200 percent of the poverty level. These trends are very similar to peer counties, with the exception of Brunswick where there was a more significant decrease in those living below 200% of the poverty level between the years 2017 and 202012. Figure 14: Poverty Status. Source: U.S. Census Bureau. American Community Survey, 5-Year Estimates: Table S1701 Poverty status in the past 12 months, 2015 to 2020 Below poverty level 40-C% 35.096 30 0% 25 0% m N u 20 096 15 096 New Hanc 14.6% om6e 10.0% Brunswick 5_C% 0.096 2014 2015 2016 2017 2D18 2D19 2020 2D212014 2015 2016 201' 2016 201D 2020 2021 Breaking down by race and ethnicity reveals inequities for those living in poverty. In New Hanover, 94.6% of the residents living in poverty are Native Hawaiian. This is much higher than all other races, however there are still disparities for other. 32.7% of Black residents, 22.5% of Hispanic or Latino residents, and 15.5% American Indian or Alaskan Native residents are also living in poverty. Age also reveals disparities for those living in poverty, specifically among minors. In New Hanover, 18.0% of residents under 18 years of age and 16.3% of residents under 5 years of age are living in poverty, while only 8.4% of those 65 or older are in poverty. This is similar to peer counties and the state, however in all counties except Buncombe the percent of those under 5 living in poverty is more than 20.0%12. The number of families living below the poverty level in New Hanover has been on a decline since 2015. As of 2020, 8.4% of families were living in poverty, down from 11.4% in 201512. This is lower than Gaston County and the state average of 10%, but higher than Buncombe and Brunswick. Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 33 Chapter 3: Assessment Findings Figure 15: Poverty Status by Race and Ethnicity. Source: U.S. Census Bureau. American Community Survey, 5-Year Estimates: Table S1701 Poverty status in the past 12 months By Race/Ethnicity, 2016-2020 New Hanover Brunswick Buncombe Gaston NC Native Hawaiian and other 94 6% 0.0% 0.0% 0.0% 22.8% Pacific Islander alone Black or African American 327% 16.8% 18.3% 18.8% 21.4% alone I Ispanic or I no origin (of any race) 225% 279% 30.9% 22-B% 23.9% Two or more races 211% 22.0% 23.5% 2-3 7% 19 4% American Indian and Alaska 15.5% 4.7% 7.7% 17.3% 24.1% Native alone Some other race alone 14.0% 12.0% 30.3% 20.9% 25.0% Asian alone 13.0% 18.5% 5.7% 3.6% 10.1% White alone, not Hispanic 14.9% 91% 9.4% 11.6% 9.8% or Latina 0.0% 50.0% 100.0% 0.0% 50.0% 100.0% o.D% 50.0% 1oo.0% 0.04n 150.0% 1o0.0e6 o.0se 50.0a: _..: . EMPLOYMENT The unemployment rate in all counties and the state had been steadily decreasing since 2011 and then sharply increased in 2020. It is likely that the COVID-19 pandemic had a significant impact on this increase. The unemployment rate in New Hanover increased from 3.5% in 2019 to 7.3% in 2020. This trend is similar to peer counties. In New Hanover and Buncombe, over 90% of residents work within their county of residence 12. This is much higher than in peer counties and the state. Figure 16: Unemployment Rate. Source: North Carolina Department of Commerce, Labor & Economic Analysis, Local Area Unemployment Statistics (LAUS). Download period = Annual Average. Unemployment Rate, 2011 to 2020 Total number of unemployed persons divided by number of labor force participants I 12.0% 11 0% 10.0% 9 0% i 7 0% u a 6.o% 5.0% 4.0% 3.0% 2.0% 1.0% 0.0% 2010 2011 2012 2013 2014 2015 iswick combe ton Hanover) 7 395 2016 2017 2019 2019 2020 2021 Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 34 Chapter 3: Assessment Findings About 17% of workers in New Hanover are employed in health care and social assistance, followed by 13% in retail trade and 12% in accommodation and food services. The top employers in New Hanover in 2021 were Novant Health New Hanover Regional Medical Center, PPD Development LLC, the University of North Carolina at Wilmington, and the New Hanover County School System. INCOME Both median household income and per capita income have been increasing in recent years across all counties and the state. In New Hanover, median household income has risen from $50,088 in 2015 to $56,689 in 2020, and per capita income from $29, 880 in 2015 to $36, 324 in 2020. Median household income is higher than peers with the exception of Brunswick at $59,763 and per capita income is higher than all peers12. Over 70% of survey respondents made $50,000 or more in household income before taxes, and 55.3% listed lack of sufficient income as factor impacting the health of the community. The median household income in New Hanover is estimated around $57,000. The household income at the 80th income percentile has increased more in recent years than the household income at the 20th percentile in New Hanover and peer counties. Household income in the highest quintile (80th percentile) is increasing more than incomes in the lowest quintile (20th percentile).12 This implies that household incomes among the wealthiest 20% of New Hanover County residents is increasing, while household income has only marginally increased among the lowest 20%. Figure 17: Household Income Quintile Upper Limits. Source: U.S. Census Bureau. American Community Survey, 5-Year Estimates: Table B19080 Household Income Quintile Upper Limits: 2015 to 2020 20th percentile 12D,000 110,000 100,000 90,000 * so,OGO E so,000 40,000 30,000 Brunswick N: 20,000 'vew Hanover 522,956 10,000 80th percentile New Hanover $117,153 uncom Gaston 2014 2015 2016 201? 2010 2019 2020 20212014 2015 2016 2017 2010 2019 2020 2021 Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 35 Chapter 3: Assessment Findings FOOD SECURITY The Supplemental Nutrition Assistance Program (SNAP) is a food assistance program that provides low-income families the food they need for a nutritionally adequate diet. In recent years, the percent of households receiving SNAP benefits has decreased in New Hanover and all peer counties. It is lowest in Buncombe County at 7.7%, followed by New Hanover at 8.6% as of 2020. The state average is 12.0% 12. When broken down by race, 48.6% of households receiving SNAP benefits are white and 45.1% are Black. Given that 12% of residents in New rlanover are biacK, tnls suggests tnat ttlaCK Community members are disproportionately impacted by poverty and food insecurity. These numbers are similar to the state but vary compared to peer counties. In peer counties, between 65-75% of residents on SNAP benefits are white and approximately 20% are Black. 12 Residents in New Hanover who had low-income and low access to a grocery store was at 8.8% in 2019. Only 1.1% of households had no car and low access to a grocery store 31 Figure 18: Food Insecurity. Source(s): Gundersen, C., A. Dewey, E. Engelhard, M. Strayer & L. Lapinski. Map the Meal Gap 2020: A Report on County and Congressional District Food Insecurity and County Food Cost in the United States in 2018. Feeding America, 2020; Gundersen, C., Strayer, M., Dewey, A., Hake, M., & Engelhard, E. (2021). Map the Meal Gap 2021: An Analysis of County and Congressional District Food Insecurity and County Food Cost in the United States in 2019. Feeding America. Food Insecurity Rate Child Food Insecurity Rate 2019 2019 New Hanover -14.3% Brunswick -13.5% 19.3% Buncombe -13.5% 15.7% Gaston 14.3% 18.8% NC 13.5% 18.3% 0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 0.0% 10.096 20.0% 30.0% 40.0% S.- Child food insecurity has seen a slight decrease in all peer counties as well as the state between 2018 and 2019; however, it remains a concern. In 2019, 17.2% of children in New Hanover were food insecure 32. This is higher than all peers and the state except for Brunswick County. During the 2018-2019 school year, 59.4% of students in New Hanover County schools were enrolled in the free or reduced price lunch program which is very similar to the state tota 133 Participants across community conversations highlighted the need for better access to healthy food, specifically near the food desert in the Northside community in Wilmington. Participants also expressed a desire for more nutrition information to be available in Spanish. Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 36 Chapter 3: Assessment Findings ACCESS TO CARE Healthcare serves an important role in preventing illness and providing diagnosis and treatment. Access to care includes the availability of high -quality care and community members' ability to take advantage of that care. A community's access to healthcare can be challenged by barriers such as lack of health insurance, high cost of care, few providers, and limited transportation to healthcare facilities. INSURANCE There have been similar trends in the number of uninsured in New Hanover and peer counties since 2010. The number of people without health insurance saw large decreases in all age groups through the year 2016, and then started to increase or level off. In New Hanover, the 18-64 year -old age group decreased from 22.5% in 2013 to 13.1% in 2016, and then began a slow increase34. Among CHOS respondents, 25% said insurance not covering the service they needed was a major barrier to receiving care. These trends were similar when broken down by poverty status, although the number of uninsured is slightly higher for those living in poverty. The number of individuals on public health insurance alone is low compared to peer counties at 14.5%. There are 8.7% on Medicaid and 5.4% on Medicare. These numbers have stayed steady over years, with a slight decrease in Medicaid and a slight increase in Medicare". Figure 19: Uninsured Population. Source: U.S. Census Bureau. Small Area Health Insurance Estimates (SAHIE) 260% 24.0% 22.0% 200% 18.0% 16.0% 14.0% m u I"u d 12.046 10.0% B.096 6 096 4.096 2096 0 096 Uninsured, Ages 18 to 64 years, 2010 to 2019 2009 2010 2011 "012 3013 3014 201s "016 "01? Brunswick New Hang 14.4% 2.02E 2019 2020 Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 37 Chapter 3: Assessment Findings HEALTH WORKFORCE Next to Buncombe, New Hanover County has the highest rate of registered nurses and physicians. In 2020, there were 152.8 registered nurses per 10,000 population and 32.8 physicians per 10,000 population. In all other healthcare workforce fields, New Hanover County resembles peer counties with low rates of each provider type that have remained steady over time3s Among CHOS respondents, lack of a significant health workforce was cause for many barriers to care. When asked what problems were experienced while seeking care, 28.6% said there were no available appointments in the timeframe needed, and 17.1% said there were not enough providers offering the service. Many community conversation participants expressed concerned with the lack of available appointments with providers and their inability to find providers who accept Medicare and/or Medicaid. Participants specifically described a need for more mental health providers in the county, citing long waitlists. Participants also noted a lack of providers who are equipped to work with a diverse patient population, including culturally competent providers, providers of color, and those who are familiar and open to working with LGBTQIA+ patients. MEDICAL FACILITIES There are 28.7 general hospital beds per 10,000 residents in New Hanover County. This is similar to Buncombe and much higher than in Gaston or Brunswick. The number of available nursing home beds in New Hanover is much higher at 46.69 beds per 10,000 residents. This is similar to Gaston and Brunswick, while Buncombe has 68.38 beds per 10,000 residents36. The rates of medical facilities vary by type across all counties. There are 2.283 licensed mental health facilities per 10,000 residents in New Hanover, which is much lower than both Gaston and Buncombe. New Hanover also has fewer adult care facilities than peer counties. New Hanover and Brunswick have much more available hospice facilities than Gaston and Buncombe, with 0.18 hospice facilities per 10,000 residents in New Hanover and 0.29 per 10,000 in Brunswick. Gaston and Buncombe are at 0.04 and 0.04 respectively37. Figure 20: Medical Facilities. Source: North Carolina Division of Health Service Regulation (Last updated 12/17/2021) and population counts from North Carolina Office of State Budget and Management year 2021 Lieensed New Hanover Mental Gaston Health Buncombe Facilities Brunswick Adult New Hanover Care Gaston - C.564 Facilities Buncombe -C.770 Brunswick - C.427 Hospice New Hanover Facilities Gaston �C.043 Buncombe �C.037 Brunswick _ C.265 Medical Facility Rates, 2021 1.140 12.0 3.0 Rate per 10,000 = 4.862 4.617 3.7 4.0 4.5 5.0 Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 38 Chapter 3: Assessment Findings HOSPITAL USE Data on emergency department visits was collected from New Hanover Regional Medical Center. The patient population using the emergency department has been relatively consistent in recent years. The majority of patients using the emergency department are between the ages of 18-44 at 41%, followed by 24% ages 45-64. The population over age 65 is 16.6%. The payer type for emergency department visits is generally the same across the four most common types: Commercial or HMO 25.9%, Medicaid 21.4%, Medicare 25.1%, and uninsured 21.9%. These numbers have also stayed relatively stable since 2015, with a slight decrease in Medicaid and increase in Medicare35. The rate of preventable hospitalizations for Medicare enrollees has been decreasing since 2016 from 4,469 per 100,000 beneficiaries to 2,524 per 100,000 beneficiaries in 2020. Broken down by race, 26.9% of African Americans have visited the emergency department in 2020 compared to 64.9% of white residents38. Figure 21: Emergency Department Visits. Source: North Carolina Hospital Discharge Data Descriptive Statistics. Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill 40. D5c 3 S. D5c 30. D5c 2 S. Doc a 20. D4c 1 S. Doc 10. D4c S.D4c 0.D4c Emergency Department Visits, 2015 to 2020 Coinmercial/HMO Medicare Uninsured Medicaid Other government 25.94a 2S.14h -0142016 2018 202D 20142016 2018 202D 20142016 2018 202D 20142016 2018 202D "0142016 2018 202D Since 2014, New Hanover has had a higher rate of general hospital discharges than peer counties at 1,960 per 10,000 residents36. In short term acute care discharges, New Hanover and Buncombe County have similar numbers in terms of number of discharges and total days. Gaston and Brunswick both have much lower numbers for both categoriesss CHOS RESULTS HEALTH INFORMATION Respondents reported the most frequent source of health information as a doctor or primary care provider at 86.0%, while 47.9% of respondents use the internet, and 35.9% look to friends, family, or community for health information. 20.5% reported receiving health information from New Hanover County health department and Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 39 Chapter 3: Assessment Findings 69.7% said they trust information from the health department a lot, compared to 27.8% who said they somewhat trust it. Five respondents said they do not trust this information at all. DISEASE, ILLNESS, & INJURY Many diseases, illnesses, and injuries are influenced by the health factors, policies and programs described throughout this chapter. This section explores mortality, chronic conditions, infections, injuries, and disabilities and how they impact New Hanover residents. Understanding which conditions primarily impact communities, and where there are disparities within communities, can help identify opportunities to improve health outcomes. OVERALL MORTALITY New Hanover's overall mortality rate is 718.6 per 100,000 residents and is most similar to Brunswick County at 707.8 per 100,000 residents. It is below the overall mortality rate of North Carolina at 780 per 100,000 residents. When broken down by race and sex, disparities exist across all counties. The mortality rate for African Americans in New Hanover County is 967.4 per 100,000 compared to 689.7 per 100,000 for white residents. Males have a mortality rate of 846.0 per 100,000 compared to females at 615.3 per 100,00014. The top two causes of death in New Hanover County, surrounding counties, and the State of North Carolina are cancer of all types and heart disease. Cancer is the leading cause of death for most age groups, and for those 85 and older, it is heart disease14. Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 40 Chapter 3: Assessment Findings Figure 22: Top Causes of Death. Source: North Carolina State Center for Health Statistics County Health Data Book: Table CD11A, Death Counties and Crude Death Rates per 100,000 Population for Leading Causes of Death, by Age Groups, S-year data Top Causes of Death by Type: 2015-2019 Mortality Rate per 100,000 Residents, All Race/Ethnicity New Hanover Brunswick Buncombe Gaston I INC TotaICaricer _ 147.4 Trachea, Bronchus, and Lung Cancer, 40.3 Breast Cancer 20.5 Prostate Cancer 118.2 Pancreas Cancerl10.0 Colon, Rectum, and Anus Cancer I8.6 Diseases of Heart = 138.7 Cerebrovascular Disease N 55.5 Other Ischemic Heart Disease § 47.7 All Other Unintentional Injuries, 46.4 Chronic Lower Respiratory Diseases' 31.8 Alzheimer's Disease 1 19.3 Acute Myocardial Infarction I 18.8 Diabetes Mel Iitus 115.4 Suicide I15.2 Nephritis, Nephrotic Syndrome, and Nephrosis 1 15.1 Septicemia I13.1 Pneumonia and influenza 111.8 Unintentional Motor Vehicle Injuries I11.1 Chronic Liver Disease and Cirrhosis 18.5 Homicide 16.5 Acquired Immune Deficiency Syndrome (AIDS) CANCER _149.0 _150.0 _173.6 _158.0 42.0 139.7 . 55.1 42.0 117.5 118.5 1 18.5 20.6 118.0 116.1 115.8 19.5 19.4 111.5 110.7 10.9 113.1 112.8 114.6 13.3 _ 146.7 _ 142.6 _ 179.4 157.3 139.4 141.2 145.7 42.7 ■ 67.1 .57.2 ■ 71.5 58.1 .50.8 .53.2 , 41.1 39.3 40.4 144.8 ■ 68.0 44.0 124.0 132.8 § 52.3 36.9 127.3 118.3 121.8 128.7 118.1 116.9 ' 33.2 23.8 113.7 118.6 116.9 13.4 111.6 113.5 115.8 16.5 112.7 18.6 17.7 128.0 110.4 115.6 ' 26.3 16.7 119.1 112.2 116.7 14.7 19.1 111.7 113.7 10.6 5.0 13.9 15.5 6.8 2.4 11.8 100 200 3•-•2 - 100 200 300 ❑ 100 200 300 ❑ 100 200 300 0 100 200 300 Rate per100k Rate per look Rate per 100k Rate per 100k Rate per look The overall cancer incidence rate in New Hanover County is 472.2 per 100,000 population and the overall cancer mortality rate is 147.4 deaths per 100,000 residents. Cancer incidence rates for individual types of cancer are similar across counties and the state. Female breast cancer has the highest incidence rate at 171.4 per 100,000, followed by prostate cancer at 109.6 per 100,00014. Similar to overall mortality rates, there are disparities when looking at sex and race. Male cancer mortality is 177.0 per 100,000 residents compared to females at 126.1 per 100,000. African Americans have the highest cancer mortality rate at 200.3 per 100,000, while white residents have a cancer mortality rate of141.4 per 100,00014. Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 41 Chapter 3: Assessment Findings Figure 23: Total Cancer Mortality. Source: NC Department of Health and Human Services, North Carolina State Center for Health Statistics, County Health Data Book: Table CD12B, NC Resident Race/Ethnicity-Specific and Sex -Specific Age -Adjusted Death Rates, 5-year data Total Cancer Mortality, 2014 to 2019 All h.Iale Female African American, non-H. White, non -Hispanic 240 220 200 180 New Hanover 160 177.00 a a 0 140 New Hanover - 147.40 e� 120 100 go 60 40 20 0 2014 2016 2018 2020 2014 2016 2018 2020 2014 2016 2018 2020 2014 2016 2018 2020 2014 2016 2018 2020 DISABILITY The overall percentage of the population reporting having a disability has stayed relatively stable over years and was at 12.3% in 2020. The most reported disabilities in New Hanover included ambulatory difficulty (5.9%), independent living difficulty (5.4%), and cognitive difficulty (5.1%). Among residents 75 years of age and older, 45.5% reported having a disability. In community conversations, participants with disabilities expressed a desire for more opportunities to advocate for their needs and concerns through engagement with elected officials. They suggested a disability commission to address this request. Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 42 Chapter 3: Assessment Findings Figure 24: Disability Demographics. Source: U.S. Census Bureau. American Community Survey, 5-Year Estimates: Table S1810 Disability Demographics, 2016-2020 New Hanover Brunswick Buncombe Gastonr5-6% C By Age 75 years and ever _ 45.5% _ 40.2% _ 47.9% - 50 4%648.5% 65to74years ■ 20.9% ■ 17.3% ■ 207% - 31 4% %5 35to64years, 11.5% ■ 16.1% .12.49b ■ 16.39b 19 to 34 years' 7.0% ' 8.9% ' 7.2% ' 6_7% 5to17years 15.8% 8.2% 14.8% 15.5% under5years 0.2% 0.8% 0.4%'0 0.8% 0.7% By Race/ Two or more races ■ 17.3%5 14.5% .14.5%6 ,11.5% 103% Ethnicity Blackor Africar 014.5%6 ■ 16.5% ■ 16.8%5 .12.9% 14.4%$ American Alone Asian Alone 0 13.3% ,10.3%6 .14.1%$ ' 7.0% 5.3% whitealone, not.12.2%6 ■ 16.4%6 .13.6% ■ 16.5%5 14.4%6 H ispanic or Latino White alone,11.9% ■ 16.2%6 013.2%6 ■ 16.0%5 13.8% Some othealone,10.2%6 ■ 20.8%6 ' 5.6% ,113%6 6.6% alone Alaskan American Indianor' 6.6% Native Rlone ■ 18.7%5 ,12.1% 253%5 183% Hispanic orLatina c(of '6.9% any race) ,11.2% I4.3% 6.7% 6.6% Native Hawaiian or 0.095 other Pacific Island.. ' 8.9% 0.09fi 9.296 D.096 50.095 100.045 0.0% 50.095 100.0+;• 0.0?h 50.096 100.096 0.096 50.0% 100.096 0.0% 50.0% 100.096 COVID VACCINATION The COVID-19 vaccine became available to the public in December 2020. As of early March 2022, New Hanover, 63.1% of residents in New Hanover were vaccinated. Additionally, 66.3% of residents in New Hanover had received at least one dose and 33.5% had received a boosted. These numbers are similar to Brunswick and Buncombe in all 3 categories, with Gaston reporting much lower numbers'. STI/STD & OTHER INFECTIONS The rates for STIs and STDs in New Hanover are similar to those reported in peer counties and the state, and newly reported cases of chlamydia and hepatitis C have been declining in all counties. New Hanover and Brunswick also have declining rates of gonorrhea, with the rate in New Hanover falling from 211.6 to 119.6 per 100,000 residents from 2016 to 2020. Chlamydia is the most common reported infection, but decreased from 555.3 per 100,000 residents in 2019 to 404.9 per 100,000 in 202031. REPRODUCTIVE & CHILD HEALTH Reproductive and child health includes a specific subset of health services and outcomes pertaining to reproductive health, pregnancy, birth, and childhood. Reproductive and child health outcomes are influenced by social, economic, and environmental factors. The United States holds a higher mortality rate for birthing parents when compared to other developed countries and has significant racial disparities in birth outcomes, particularly impacting non -Hispanic Black families40. Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 43 Chapter 3: Assessment Findings FERTILITY & PREGNANCY Fertility rates are lowest in New Hanover compared to peer counties at 45.5 per 1,000 females ages 15-44. When breaking down by race/ethnicity, Hispanic females have the highest fertility rate across all counties when compared to other races and ethnicities. Pregnancy rates are also lower in New Hanover at 56.9 per 1,000 females ages 15-44. Similar to fertility rates, pregnancy rates are highest for Hispanic females41. PRENATAL CARE The percent of births where prenatal care began in the first trimester was 63.9% in New Hanover in 2019, similar to the state and all peer counties except Buncombe at 82.9%. Broken down by race, Non - Hispanic White residents in New Hanover had the highest percentage at 68.9%, followed by African American residents at 53.7% and Hispanic residents at 49.6%41. Prenatal smoking in New Hanover has been slowly decreasing since 2015 from 8.6%to 5.6% in 2020. This is lower than all other counties as well as the state average of 6.8%41. BIRTH OUTCOMES The percent of preterm births has remained around 10% in recent years across all counties. Disparities in preterm births by race show that 15.8% of Black mothers had a preterm birth in 2019 in New Hanover, compared to 9.2% of white mothers and 11.6% of Hispanic mothers41. A low -birth -weight birth is defined as one less than 2500g or 5.5lbs. The percentage of low -birth -weight births is 8.3% in New Hanover, which is slightly lower than peer counties and the state. Racial disparities exist here as well, with 15.6% of Black mothers having a low birth weight baby compared to only 6.5% of white mothers and 7.7% of Hispanic mothers41. Figure 25: Preterm Births. Source: NC Department of Health and Human Services, North Carolina State Center for Health Statistics, North Carolina Health Data Query System, Birth Data Preterm Births, 2015 to 2019 All Races & Ethnicities - Trend 12.0% New Hanove 10.7% 10.❑4E Gaston Brunswick B. CSC v 6.O�i a 4. D°h 2.0% 0. DSE 2616 2018 Year Preterm Births, 2019 by Race/Ethnicity Race Eth Region Non- New Hanover 15.3% Hispanic Brunswick 696 12696 Black/ Buncombe African Gaston 11.1% American NC ' 14.3% Hispanic New Hanover 11846 Brunswick M 15.4% Buncombe 9-9% Gaston 9 8% NC 9.410 Non- New Hanover 11.1 Hispanic Brunswick 3-3% Other Race Buncombe 44% Gaston 12.1% NC Non- New Hanover 9.2% Hispanic Brunswick s-5% white Buncombe 9-sea Gaston 9-6% NC 950- 0-0% 5-0% 1D-096 15-096 20-096 Percent Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 44 Chapter 3: Assessment Findings INFANT & CHILD MORTALITY Infant mortality is an indicator that can reflect the health of the broader community and future generations, and it also serves as a proxy indicator for health disparities. The United States consistently has large racial disparities in infant mortality especially between Black and White births. The overall infant mortality rates are similar across all counties and the state and have stayed relatively stable throughout recent years except for Brunswick County which has had fluctuations in numbers. New Hanover's infant mortality rate as of 2019 was 3.7 per 1,000 live births, which was a slight decrease from 7.5 per 1,000 live births in 2018. When broken down by race, the rate is higher for Black births which peaked at 20.7 per 1,000 live births in 2017 and Non - Hispanic Other Race which was 21.3 per 1,000 in 2018. Infant mortality among Hispanic births has been decreasing in recent years and was at 0.0 per 1,000 in 2019. The Black/White disparity ratio comparing infant mortality (used in Healthy NC 2030) is 3.9, meaning that the rate of infant mortality for Black births is 3.9 times the rate for White births. This is comparable to Gaston (3.7) but higher than the state (2.7) and all other peers. These racial disparities can be traced back to historical segregation and accumulated stress from discrimination, along with a variety of other disparities in social and economic factors41. Figure 26: Infant Mortality. Source: North Carolina State Center for Health Statistics, Infant Death Races by Perinatal Care Regions (PCR) and County of Residence, North Carolina, 1-year data All Races & Ethnicities 20 Infant Mortality per 1,000 live births, 2015 to 2019 r m 1s a 4 ti 10 a m s:on 5 New Hanover 3 7D 0 2015 2015 2D17 2018 2D19 Non -Hispanic Black/African Non -Hispanic White American mbe New Han 2.70 Hispanic Gaston Brunswick 2015 201b 2017 2018 2019 2015 2016 2D17 2018 2D19 2015 2D15 2017 2D18 2019 Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 45 Chapter 3: Assessment Findings CHILD HEALTH The total child mortality rate in New Hanover is 50.2 per 100,000 resident children ages 0-17. The top causes of child mortality include perinatal conditions at 14.1 per 100,000 resident children, illnesses at 11.7 per 100,000, birth defects at 6.1 per 100,000, and other causes also at 6.1 per 100,000. These are the top causes among all peer counties and the state; however, the rate varies for each41. The rate of children in foster care under the Department of Social Services custody in New Hanover is 9.4 per 1,000, which is generally higher than peer counties except for 2020 when Brunswick surpassed at 10.4 per 1,000. The rate in which children are entering welfare custody in New Hanover is generally similar to peer counties. In 2020, the rate was 2.9 per 1,000, which is the lowest it has been since 2012. All counties are higher than the state average which is steadily at 1.8 per 1,000. Figure 27: Foster Care. Source: University of North Carolina at Chapel Hill Jordan Institute for Families, Management Assistance for Child Welfare, Work First, and Food & Nutrition Services in North Carolina (0.2). File sent by communication with Steve Guest. 0 0 0 6 Q 4 2 0 Children in foster care under DSS custody Children entering child welfare custody (under 18), 2011 to 2019 (under 18), 2011 to 2019 2011 2012 2013 2014 2015 2016 2017 2018 2019 2011 2012 2013 2014 2015 2016 2017 2018 2010 MENTAL HEALTH & SUBSTANCE USE er Mental health is as important as physical health to total well-being. The Public Health 3.0 initiative specifically emphasized incorporating mental health and substance use partners into the field of public health. Mental health and substance use are distinct yet interrelated health topics that our society often stigmatizes, which makes identifying, discussing, and improving these issues particularly challenging. Mental health and substance use are both influenced by social, economic, and environmental factors and should be considered in relationship with physical health. While secondary trend data related to substance abuse only show limited aspects of mental health in a community (mental health emergency department visits, overdose deaths, suicide), the primary data collected were able to fill gaps and paint a more complete picture. Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 46 Chapter 3: Assessment Findings SUBSTANCE USE ED VISITS Emergency department visits for poisoning and medication or drug overdoses in New Hanover declined from 459.3 per 100,000 residents in 2017 to 251.4 per 100,000 residents in 2019, and then increased to 289.3 per 100,000 in 2020. This trend was similar in Brunswick County, however all other peer counties and the state continued to see decreases through 202042. SUBSTANCE -RELATED DEATHS The number of substance related deaths from both drug overdose and those related to any opioid have been on the rise in recent years across all counties and in the state. New Hanover has seen a sharp increase in drug overdose deaths from 19.4 per 100,000 in 2014 to 39.7 per 100,000 in 2020—the highest among peers. Similarly, overdose deaths related to any opioid is highest in New Hanover at 38.54 per 100,000 population in 202021. The percentage of overdose deaths involving illicit opioids has also been increasing over the last 15 years. All counties have seen an increase since 2011; however, New Hanover remains the highest with 82.8% of overdose deaths involving an illicit opioid as of 202028. Figure 28: Drug Overdose Deaths. Source: NC Department of Health and Human Services, Department of Health and Human Services, Division of Public Health, Injury and Violence Prevention Branch, The NC Opioid Data Dashboard. Sourced from North Carolina State Center for Health Statistics, Vital Statistics, Death Certificate Data, 1999-present. 4E 40 35 m 30 c 1c 0 Drug overdose deaths, 2001 to 2020 aw Hanow 39.70 3uncombe 3runswick 3aston 2000 2005 2010 2015 2020 Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 47 Chapter 3: Assessment Findings Figure 29: Overdose Deaths Involving Illicit Opioid. Source: NC Department of Health and Human Services, Department of Health and Human Services, Division of Public Health, Injury and Violence Prevention Branch, The NC Opioid Data Dashboard. Sourced from North Carolina State Center for Health Statistics, Vital Statistics, Death Certificate Data, 1999-present. 1000% 90.0% 000% 70.0% 600% a so .a9b d a 40.0% 30.0% 20.0% 10.0% 0.0% Percentage of overdose deaths involving it licit opioid, 1999 to 2020 New Hang 82.3% Gaston 3uncombe 3runswick 2000 200s 2010 101s 2020 DEATHS BY AGE, RACE, & SEX There are several disparities in medication and drug poisoning deaths when breaking down by race and sex. In all counties, the rate of death in males is much higher. In New Hanover, the rate of total medication and drug poisoning deaths of all intents is 63.5 per 100,000 for males compared to females at 23.9 deaths per 100,000. By race, the rate of deaths for white, non -Hispanic residents is 44.9 per 100,000 population compared to 66.7 per 100,000 population in Black residents43. These trends are generally consistent across all indicators. Notably, mortality rates are highest among Black residents in New Hanover and Buncombe counties when compared to non -Hispanic White residents. In Gaston, Brunswick, and NC, rates are highest among non -Hispanic White residents43. Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 48 Chapter 3: Assessment Findings Figure 30: Total Medication and Drug Poisoning Deaths. Source: Analysis by NC Injury and Violence Prevention Branch, Epidemiology Surveillance and Informatics Unit with data sourced from NC State Center for Health Statistics, Vital Statistics Death Certificate Data. Total Medication and Drug Poisoning Deaths, All Intents, North Carolina Residents, 2020 New Hanover Gaston Buncombe Brunswick NC All All Race/Ethnicity 43.0 21.4 37.4 ■ 35.6 29.2 By Age Age 25-34 92.2 59.6 86.4 _ 96.4 64.4 Age35-44 94_6 24.9 626 -1097 60_2 Age 45-54 94.6 51.2 37.5 51.3 45.1 Age 55-64 2fi_0 19 4 30.1 3.7 34.3 Age 65+ 9.7 2.6 12.3 7.3 Black or African American, By Race 66.7 12.6 46.6 27.8 non -Hispanic Ethnicity ;46 Race/Ethnicity: White, 9 27 3 40.5 9.7 36.3 non -Hispanic By Sex Male 63.5 31.6 51.4 50.9 41_6 Female 23.9 11.9 24.3 4 18.7 50100 Rteper100,DO0 150 0 so 100 Rate per 1a00a0 15D 0 so 10D Rate per 100,000te 150 o 10D 15D 0 Per 100,000 50 100 150 Rate per 100,000 CHOS RESULTS MENTAL HEALTH STATUS When asked to describe their overall mental health, 34% of survey respondents said their overall mental health is good and 27.5% said it was very good. 20% reported fair mental health and 5.8% reported poor mental health. Respondents making less than $50,000 in annual salary were more likely to report poor mental health and experience mental health symptoms. Over a third of respondents experienced mental health symptoms that impacted daily activities over the last six months (35%). Among those reporting mental health symptoms in the last 6 months, 67% received treatment. Treatment was sought primarily from primary care providers (40%) or mental health counselors (32%). Figure 31: Mental Health Status. Source: 2022 New Hanover County Community Health Opinion Survey Considering your mental health overall, would you describe your health as... Less than $50k Greater than or equal to $50k Excellent N9.2% ,11.395 Very good _20.1% -30.4% Good 31.4% 34.4% Fair 26.8% F4.51% Poor 10.9% Don't know/Not sure 0. % 00.3% Prefer not to answer 0.8s5 0.2% 0.0% 25.0% 50.0% 75.0% 100.0% 0.0% 25.0% 50.096 75.0% 100.0% Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 49 Chapter 3: Assessment Findings SUBSTANCE USE 20.4% of respondents reported themselves or a friend or family member having used marijuana in the past year, and 5.6% of respondents reported themselves or a friend or family member having taken medication not prescribed to them. This includes but not limited to codeine, Vicodin, Percocet, morphine, oxycodone, Tramadol, fentanyl, hydrocodone, and OxyContin. Of respondents reporting illicit or prescription drug use by a friend/family member/themselves, 9.8% sought treatment. About 25% of survey respondents reported binge drinking behavior, with 8.8% reporting binge drinking 7 or more times in the past month. 43.9% of respondents said that their alcohol use impacted their well-being. Black and Hispanic/Latino respondents were less likely to report their well-being was impacted by alcohol usage. Just over 10% of respondents use tobacco or nicotine products at 11.3%. Of those using tobacco or nicotine products, 68% know where to go to get help quitting. Among respondents using tobacco or nicotine, 89.6% use cigarettes and 41.6% use e-cigarettes. Across all respondents, 28.9% report exposure to secondhand smoke, most commonly on sidewalks (19.2%), restaurants or bars (8.8%), and parks (8.7%). SUBSTANCE USE SERVICES Of respondents who reported a friend/family member/themselves not seeking treatment for substance use, 72.9% said that it was not needed. Other reasons for not seeking treatment included cost (8.1%), time off work (6.7%), and stigma (5.7%). Across all respondents, there was more disagreement than agreement that substance use services are accessible, high quality, and affordable. Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 50 Chapter 4: Community Priorities RIORITIZATION SUMMAR Identifying community health priorities is a key component of the Community Health Assessment process, and the culmination of months of data collection and analysis and community engagement. Ultimately, the selection of housing, mental health and substance use, and access to care will serve to guide community resource distribution, action planning, and collaboration. This section includes details about the prioritization process, the rationale for the priority, and data related to the priority's impact on the community. PRIORITIZATION PROCESS The prioritization process began with reviewing data collected during the assessment, including both primary and secondary data. Two data walks were conducted with stakeholder group members in June and August 2022, and additional contextual information was solicited from stakeholder group members about the data and the existing resources and gaps in the community. The CHA leadership team then reviewed the data and feedback and selected ten priority voting options for the community -wide priority voting process: Access to Care Insurance, health workforce, medical facilities, hospital utilization Disease, Illness, & Injury Mortality, chronic conditions, disability, COVID- 19, sexually transmitted infections Reproductive & Child Health Birth outcomes, infant mortality, maternal smoking, child mortality Mental Health Mental health status, anxiety, depression, treatment Substance Use Tobacco, opioid, heroin, alcohol Community Cohesion Civic participation, incarceration, crime, linguistic isolation Neighborhood & Environment Air pollution, access to physical activity Housing Housing trends, housing costs, homelessness & housing problems Lifelong Development Education attainment, K-12 enrollment, school performance & discipline Economic Opportunity Employment, income, food security, child food security Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 51 Chapter 4: Community Priorities Community Prioritization Voting was conducted online through a Qualtrics survey which was open for the last two weeks of August 2022. The link to the survey was distributed to community members through stakeholder group members' networks, city newsletters, and to community conversation participants. In total, the survey received 468 eligible responses. The top five priorities selected are listed in the table below: Housing 64.4% Mental Health 46.7% Access to Care 41.0% Economic Opportunity 35.4% Substance Use 32.4% The demographic characteristics of respondents to prioritization voting generally aligned with census data for New Hanover County. Roughly 77% of voters identified as women, 76.1% identified as White, 10.1% identified as Black or African American, and 3.1% identified as Hispanic or Latino. Males and Hispanic or Latino community members were underrepresented in this voting survey. When priority results were broken down by race and ethnicity, the top four priorities remained the same. After the priority voting results were collected and analyzed, the CHNA stakeholder group met in September 2022 to review summaries of the primary and secondary data alongside the priority voting results. This group was able to give feedback on how well this information represents what they see in their community. After discussion, the stakeholder group engaged in a live vote to identify the top three health issues in New Hanover County using the Mentimeter voting platform. Twenty-five community representatives in attendance cast votes and results are shown below. Attendees cast the most votes for housing, followed by mental health, and access to care. Substance use and economic opportunity tied for 4th place. Further group discussion supported combining mental health and substance use into one priority as the two are often interrelated and there is already alignment in services. Meeting attendees also emphasized the importance of addressing economic opportunity through each selected priority as it is an upstream factor that can influence numerous health outcomes. After reviewing the community voting, the stakeholder voting, the relevant data, and the reflections from the prioritization meeting, the CHNA leadership synthesized the priority areas into three: housing, mental health and substance use, and access to care. Figure 32: CHNA Stakeholder Group Priority Votes via Mentimeter New Hanover County Priorities 20% 21% 11% 4% 3% 1% m 0% 41 � k Access to Care Dlsease,lllnass, Reprotluctive& Mental Health Substance Use Community Nelghbah-dl Housing &Injury Child Health Cohesion &Environment 11% 3% O �o Lifelong Economic Development Opportunity A Mentimeter Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 52 Secondary Data + New Hanover County has higher mor thly housing costs than peers- 2 1%of homeowners and 44%of renters spend 35% or more of income on housing (cost burden) - About 19% of households have at least one severe housing problem - Primary Data: CHOS + 76% of respondents are concerned about the lack of affordable & safe housing in the county - Nearly 70% disagreed that they can find affordable housing - Primary Data: Community Cornremations + Participants report unaffordable housing prices pushing residents out of the county - Reported need for more housing options for those on fixed income and who are a part of the older adult;, disability and LGBTQIA+ communities- • Suicide -is the 3rd leading cause of death among residents aged 2G4 39 in NHC and the skate. • Drug overdose deaths in NHC have increased from 19.4 per 1DO,ODO in 2014 to 39.7 per 10O,O0D in 2020. Medication and drug poisoning deaths are 50% higher among Black residents as compared to White residents (66.7 per 1OOk vs 44.9) Primary Data: CHOS 1 in 4 respondents reported fair or poor mental health. 35% reported mental health symptoms that impacted their daily activities over the last 6 months. 24% reported challenges finding rnentaI health resources in NHC. 3U% of respondents reported substance use among themsehfes or a friendffamily member in past 30 days. 29% reported substance use services were not accessible and 25% reported the services were not affordable. Primary Data: Community Conversations Reported need for more mental health services and providers, especially for youth, people of color, and the LGBTQIA+community_ Secondary Data a About 22% of ED visits in 2021 were uninsured patients_ • NHC has fewer licensed mental health facilities per population than Gaston and buncombe counties_ Roughly 27% of ED visit patients identified as African American_ Primary Data: CHOS • 2/3 of respondents reported a barrier tD care in past year, top responses were high cast, lack of available appointments, insurance not covering what is needed_ • Respondents most frequently cited receiving health information from their doctor or PCP, the internet, and friends/family/community Pri mary Data: Commu n ity Conve rsations + Reported lac k of avai lable appointments for care_ • Need for translation services at healthcare facilities_ • Need road maps for finding&accessingservices,desirefor both Pape rand online health information resources • Need fora list of LGBTQIA+ compete ntfincIusive providers CONCLUSION References 1. North Carolina Department of Health and Human Services. North Carolina COVID-19 Dashboard. September 4, 2022. Accessed April 9, 2022. https:Hcovidl9.ncdhhs.gov/dashboard 2. ywca Lower Cape Fear. Land Acknowledgement. ywca Lower Cape Fear. Accessed September 20, 2022. https://www.ywca-lowercapefear.org/land-acknowledgement/ 3. Land Acknowledgement for UNCW. University of North Carolina Wilmington Diversity and Inclusion. Accessed September 20, 2022. https:Huncw.edu/diversity/land-acknowledgement.html 4. BiblioBoard. Accessed July 20, 2022. https://library-biblioboard- com.libproxy.lib.unc.edu/content/857aed3a-cbb5-4a04-95f6-53e6452d5c3b 5. Wilmington Riot of 1898 - Document - Gale eBooks. Accessed July 20, 2022. https://go-gale- com.libproxy.lib.unc.edu/ps/i.do?p=GVRL&u=unc_main&id=GALE%7CCX3045302974&v=2.1&it=r&sid=sum mon 6. The Wilmington Massacre Is a Lesson in American History I Time. Accessed July 20, 2022. https://time.com/5861644/1898-wilmington-massacre-essential-lesson-state-violence/ 7. U.S. Census Bureau QuickFacts: New Hanover County, North Carolina. Accessed July 20, 2022. https://www.census.gov/quickfacts/fact/table/newhanovercou ntynorthcarol ina/PST045221 8. North Carolina Department of Commerce, Labor & Economic Analysis, Quarterly Census of Employment and Wages (QCEW) Largest Employers. https:Hd4.nccommerce.com/QCEWLargestEmployers.aspx 9. NC Commerce: County Distress Rankings (Tiers). Accessed July 20, 2022. https://www.nccommerce.com/grants-incentives/county-distress-rankings-tiers 10. U.S. Census Bureau. 2020 Decennial Census. 2021. Accessed February 1, 2022. https://data.census.gov/cedsci/table?q=United%20States&tid=DECENNIALPL2020.Pl 11. U.S. Census Bureau. Population Estimates Program. 2019. Accessed February 1, 2022. https://data.census.gov/cedsci/table?q=United%20States&tid=PEPPOP2019.PE PAN RES 12. U.S. Census Bureau. 2016-2020 American Community Survey 5-year Estimates. 2022. Accessed April 1, 2022. https://data.census.gov/cedsci/all?d=ACS%205-Year%20Estimates%20Data%20Profiles 13. North Carolina Office of State Budget and Management. County/State Population Projections. Accessed December 13, 2021. https://www.osbm.nc.gov/facts-figures/population-demographics/state- demographer/countystate-population-projections 14. North Carolina State Center for Health Statistics. County Health Data Book. 2022. Accessed January 31, 2022. https:Hschs.dph.ncdhhs.gov/data/databook/ 15. U.S. Census Bureau. 2015-2019 American Community Survey 5-year Estimates. 2021. Accessed February 1, 2022. https://data.census.gov/cedsci/all?d=ACS%205-Year%20Estimates%20Data%20Profiles 16. U.S. Census Bureau. 2010 Decennial Census. 2011. Accessed January 31, 2022. https://data.census.gov/cedsci/table?q=United%20States&tid=DECENNIALPLNAT2010.Pl 17. North Carolina Institute of Medicine. Healthy North Carolina 2030: A Path toward Health. North Carolina Institute of Medicine; 2020. Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 56 References 18. County Health Rankings. Physical Environment. County Health Rankings Model. 2022. Accessed August 31, 2022. https://www.countyhealthrankings.org/explore-health-rankings/measures-data-sources/county- health-rankings-model?componentType=factor-area&componentld=5 19. United States Environmental Protection Agency. Particulate Matter (PM) Basics. Particulate Matter (PM) Pollution. July 18, 2022. Accessed August 25, 2022. https://www.epa.gov/pm-pollution/particulate-matter- pm-basics 20. U.S. Environmental Protection Agency. Air Data: Annual Summary Data. Accessed January 18, 2022. https:Hags.epa.gov/agsweb/airdata/download_files.html 21. Dieter CA, Linsey KS. Estimated Use of Water in the United States County -Level Data for 2015. US Geological Survey. Published online 2017. doi:10.5066/f7tb15v5 22. Office of Disease Prevention and Health Promotion. Quality of Housing I Healthy People 2020. Healthy People 2020. Accessed May 20, 2022. https://www.healthypeople.gov/2020/topics-objectives/topic/social- determinants-health/interventions-resources/quality-of-housing 23. NC Coalition to End Homelessness. Point -in -Time (PIT) Count Data. Accessed January 24, 2022. https://www.ncceh.org/datacenter/pitdata/ 24. U.S. Department of Housing and Urban Development (HUD). Consolidated Planning/Comprehensive Housing Affordability Strategy (CHAS) Data. 2021. Accessed March 1, 2022. https://www.huduser.gov/portal/datasets/cp.html 25. North Carolina Department of Public Instruction. NC School Report Cards (SRC). June 18, 2021. Accessed December 7, 2021. https://www.dpi.nc.gov/data-reports/school-report-cards/school-report-card- resou rces-resea rchers 26. Office of Disease Prevention and Health Promotion. Social Cohesion. Healthy People 2030. Accessed August 31, 2022. https:Hhealth.gov/healthypeople/priority-areas/social-determinants-health/literature- summaries/socialcohesion#:-:text=High%201evels%20of%20social%20support,through%20behavioral%20a nd%20psychological%20pathways.&text=For%20example%2C%20social%20support%20may,23%20and%20 reduce%20emotional%20stress 27. North Carolina State Board of Elections. Voter Registration Data: Current Registered Voter Stats and Historical Voter History Stats. 2021. Accessed December 20, 2021. https://www.ncsbe.gov/resuIts- data/voter-registration-data 28. North Carolina Department of Health and Human Services. Opioid and Substance Use Action Plan Data Dashboard. 2021. Accessed February 21, 2022. https://www.ncdhhs.gov/opioid-and-substance-use-action- plan-data-dashboard 29. North Carolina State Bureau of Investigation. Uniform Crime Reports. 2020. Accessed February 1, 2022. https://www.ncsbi.gov/Services/SBI-Uniform-Crime-Reports.aspx 30. County Health Rankings & Roadmaps. What Works? Social and Economic Opportunities to Improve Health for All. September 2018. Accessed April 11, 2022. https://www.countyhealthrankings.org/reports/what- works-social-and-economic-opportunities-to-improve-health-for-all 31. U.S. Department of Agriculture. USDA Food Research Atlas. 2019. Accessed February 28, 2022. https://www.ers.usda.gov/data-products/food-access-research-atlas/download-the-data/ 32. Gundersen C, Dewey A, Engelhard E, Strayer M, Hake M. Map the Meal Gap 2021: A Report on County and Congressional District Food Insecurity and County Food Cost in the United States in 2019. Feeding America. 2021. Accessed February 27, 2022. https://www.feedingamerica.org/sites/default/files/2020- 06/Map%20the%20Meal%20Gap%202020%20Combined%20Modules.pdf Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 57 References 33. Annie E. Casey Foundation. Children Receiving Free/Reduced Price Lunch in Ohio. KIDS COUNT Data Center. Accessed March 1, 2022. https://datacenter.kidscount.org/data/map/2470-children-receiving-free- reduced-price-lunch?loc=1&loct=1#1/any/true/true/868/any/5144// 34. U.S. Census Bureau. Small Area Health Insurance Estimates (SAHIE) Program. 2021. Accessed February 1, 2022. https://www.census.gov/programs-surveys/sahie.html 35. Cecil G. Sheps Center for Health Services Research. NC Health Workforce - North Carolina Health Professional Supply Data. 2021. Accessed February 1, 2022. https://nchealthworkforce.unc.edu/interactive/supply/ 36. North Carolina Office of State Budget and Management. Vital Statistics and Health, Log Into North Carolina (LINC). North Carolina Office of State Budget and Management; 2020. 37. NC Division of Health Service Regulation. NC DHSR: Providers. December 17, 2021. Accessed February 1, 2022. https://info.ncdhhs.gov/dhsr/provider.html 38. Centers for Medicaid and Medicare Services. Mapping US Medicare Disparities. 2021. Accessed February 28, 2022. https://www.cros.gov/About-CMS/Agency-Information/OMH/OMH-Mapping-Medicare- Disparities 39. North Carolina Division of Public Health. Communicable Disease Facts & Figures. 2021. Accessed February 1, 2022. https:Hepi.dph.ncdhhs.gov/cd/figures.html 40. Tikkanen R, Gunja MZ, FitzGerald M, Zephyrin L. Maternal Mortality Maternity Care US Compared 10 Other Countries I Commonwealth Fund. The Commonwealth Fund. November 18, 2020. Accessed June 30, 2022. https://www.commonwealthfund.org/publications/issue-briefs/2020/nov/maternal-mortality-maternity- care-us-compared-10-countries 41. North Carolina State Center for Health Statistics. Vital Statistics. 2021. Accessed February 1, 2022. https:Hschs.dph.ncdhhs.gov/data/vital.cfm 42. North Carolina Division of Public Health, Injury and Violence Prevention. Emergency Department Data Analysis by North Carolina Division of Public Health, Injury and Violence Prevention with data sourced from NC DETECT. Population denominators are from the North Carolina Office of State Budget and Management. Published online 2020. 43. North Carolina Division of Public Health, Injury and Violence Prevention. Overdose Death Analysis by North Carolina Division of Public Health, Injury and Violence Prevention, Epidemiology Surveillance and Informatics Unit with data sourced from North Carolina State Center for Health Statistics, Vital Statistics Death Certificate Data. Published online 2020. Board of Commissioners - February 20, 2023 ITEM: 13- 1 - 58 r- dig . It f do Aw loop w NEW HANOVER COUNTY BOARD OF COMMISSIONERS REQUEST FOR BOARD ACTION MEETING DATE:2/20/2023 Regular DEPARTMENT: Finance PRESENTER(S): Eric Credle, Chief Financial Officer CONTACT(S): Eric Credle and Martha Wayne, Deputy Chief Financial Officer SU BJ ECT: Fiscal Year 2022-2023 — Second Quarter Financial Results BRIEF SUMMARY: On a quarterly basis, county staff updates the Board of County Commissioners on the financial status of the county. The second quarter of fiscal year 2023 will be presented, which includes financial activity through December 31, 2022. As an overview: • The General Fund has received $211.6 million, or 52.2% of budgeted revenue for the year, and has expended $165.4 million, or 42.6% of total budgeted expenditures for the year. • The Debt Service Fund has received $20.3 million, or 50.2% of budgeted revenue for the year, and has expended $33.6 million, which is 58.0% of total budgeted expenditures for the year. • The Environmental Management Fund has received $8.1 million (34.3%) and expended $5.4 million (22.9%). • The Fire Services Fund has received $12.4 million (59.2%) and expended $11.3 million (53.9%). • The Stormwater Services Fund has received $3.4 million (72.9%) and expended $2.2 million (47.0%). • The American Rescue Plan Fund received $0.3 million (1.2%) and expended $5.4 million (18.9%). All of the funds' revenues and expenditures are in -line with expectations and are generally tracking closely to prior years. STRATEGIC PLAN ALIGNMENT: • Good Governance o Strong Financial Performance ■ Proactively manage the county budget RECOMMENDED MOTION AND REQUESTED ACTIONS: Hear the presentation. ATTACHMENTS: Executi\e Summary for the Second Quarter of Fiscal 2023 Financial Summary for the Second Quarter of Fiscal 2023 Board of Commissioners - February 20, 2023 ITEM: 14 COUNTY MANAGER'S COMMENTS AND RECOMMENDATIONS: (only Manager) Hear presentation. COMMISSIONERS' ACTIONS: Heard presentation. Board of Commissioners - February 20, 2023 ITEM: 14 NEW HANOVER COUNTY EXECUTIVE SUMMARY QUARTER ENDED DECEMBER 31, 2022 INTRODUCTION: Attached is a brief fiscal summary for select New Hanover County funds for the six months ended December 31, 2022. Included is a summary of revenues and expenditures as recorded by the County for the General, Debt Service, Environmental Management, Fire Services, Stormwater Services, and American Rescue Plan Act Funds. This information is provided to help keep you abreast of the financial status of the County on a regular basis throughout the fiscal year. The narrative below provides analysis of the tables and charts that follow. GENERAL FUND HIGHLIGHTS: • Ad Valorem Taxes are generally due by the end of the first week in January of each year. Thus, receipts are heavy in the December -January period. Through December 31, 2022, the county had collected 77.1 % of the total budgeted amount which is consistent with the first six months of the prior two years. o In terms of dollars, the county has collected $159.4 million compared to $162.2 million in the prior year, with the decrease being primarily due to the two -cent decrease in the ad valorem tax rate in the current year. • Sales taxes are received from the State in the third month following the related sale. Thus, this report reflects taxes from sales occurring from July 2022 to September 2022. Sales taxes have been tracking higher than budget thus far in the fiscal year, with actual receipts of $23.4 million representing 27.7% of the total budget. This compares favorably to $20.3 million at this point in fiscal 2022 (24.4% of the total received for the full year) and $16.2 million for fiscal year 2021 (22.1 %). o Receipts for October and November 2022, which have been received since January 1, 2023, continue to track higher than budget, with an approximately $5 million favorable variance through November 2022. • Other Taxes and Charges for Services of $3.4 million and $6.4 million, respectively, are tracking consistent with plan at approximately 51-52% of the total budget halfway through the year. • Compared to prior years, operating expenditures through the second quarter of this fiscal year are lower as a percent of budget in most county functions, generally ranging from 38% to 48% of the annual budgeted amount halfway through the year, with a total percentage of 42.6%. At this point in the prior two years, the county had expended 45-48% of total expenditures for the fiscal year through the first six months. DEBT SERVICE FUND HIGHLIGHTS: • As with the General Fund, the bulk of ad valorem taxes are received in December and January. Collections through the second quarter were approximately $12.2 million compared to $16.8 million in the prior year, with the decrease being due to the dedicated tax rate declining from 5.30 cents to 3.21 cents. As a percentage of budget, year-to-date collections are at 78.3%, which is virtually unchanged from the collection rates from the prior two years. • As with the General Fund, this report includes three months of sales tax receipts. Also consistent with the General Fund, sales taxes are tracking favorable to budget, with the first three months of receipts amounting to 28.0% of the annual budget compared to collections in the prior two years comprising approximately 24%-25% of the total received for the year. • Debt service payments for the first six months of the fiscal year totaled $33.6 million, which are paid from this fund when they become due and is consistent with expectations. ENVIRONMENTAL MANAGEMENT FUND HIGHLIGHTS: As with the General Fund, many revenues and expenses do not fall evenly throughout the year for Environmental Management. • In total, revenues through the first half of the year were $8.1 million and expenditures were $5.4 million. • Charges for Services realized in the first six months of the fiscal year amounted to $7.7 million, which is higher than the prior year amount of $7.4 million, with the increase being primarily related to the increase in the tipping fee. The current year charges equate to 41.0% of the budget for the year compared to this point in each of the two prior years being at 43.1 % of the total for the year. • Salaries expense of $1.2 million is virtually unchanged from the prior year and represents 44.7% of the total budget compared to 45.6% in the prior year. • Operating expenditures of $3.7 million are higher than the prior year amount of $3.2 million due to budgeted increases in the current year. As a percent of total budget, they are at 34.9% in current year compared to 41.5% in prior year. Board of Commissioners - February 20, 2023 ITEM: 14- 1 - 1 • Debt service and capital expenses occur when related capital assets are needed and payments are due. FIRE SERVICES FUND HIGHLIGHTS: • As with the General Fund, the bulk of ad valorem taxes are received in December and January. Collections through December 31, 2022 were approximately $11.0 million, or 81.1 % of the total budget, both amounts of which are consistent with the prior year ($10.9 million and 80.7%). • As with the General Fund, this report includes three months of sales tax receipts. Also consistent with the General Fund, sales taxes are tracking favorable to budget, with the first three months of receipts amounting to 29.8% of the annual budget compared to collections in the prior two years comprising approximately 25% of the total received for the year. • Salaries and benefits of $6.0 million are higher than the prior year amount of $5.0 million due primarily to new positions and are tracking budget with expense to date comprising 50% of the annual total. • Debt service and capital expenses occur when related capital assets are needed and payments are due. • Overall, expenditures through the first half of the fiscal year are at 53.9% compared to 50.5% in the prior year with the increase due to the timing of capital expenditures. STORMWATER SERVICES FUND HIGHLIGHTS: This is the second year of providing this service to the unincorporated county. During the first year, fees charged to residents were subsidized with an allocation from the general fund. Thus, this is the first full fiscal year with a stand-alone balanced budget. • Total revenues for this fund halfway through the year were $3.4 million and total expenditures were $2.2 million. • Stormwater fees are included with property tax bills, and thus follow the same pattern of receipt as ad valorem taxes — predominantly in December and January. Through December 31, 2022, there has been $3.4 million collected, or 73.0% of the annual budget. • Salary expense has amounted to 41.4% of the total budget, while operating expenses are at 50.8% of budget. Capital expenditures occur when payments are due. AMERICAN RESCUE PLAN ACT FUND HIGHLIGHTS: • Program expenses through December 31, 2022 amounted to $5.4 million and are being incurred in a manner consistent with the approved plan. Thus far in the fiscal year, 62% of expenditures have related to physical and mental health. • Related to revenue, a true -up entry will be recorded at the end of the fiscal year that will result in revenue matching expenditures. Board of Commissioners - February 20, 2023 ITEM: 14- 1 - 2 NEW HANOVER COUNTY Financial Summary Quarter EndedndedDecember 31, 2022 GENERAL FUND YTD %to YTD %to YTD %to YTD %to YTD %to YTD %to Actual Actual Actual Actual Actual Actual Budget Actual Budget Actual Actual Actual Actual Actual Actual Budget Actual Budget FY20-21 12-31-2020 Collected FY21-22 12-31-2021 Collected FY22-23 12-31-2022 Collected FY20-21 12-31-2020 Expended FY21-22 12-31-2021 Expended FY22-23 12-31-2022 Expended Revenues Expenditures Ad Valorem Taxes 1]],959:061 140,442,192 ]8.9% 206,6]3,504 162,2101 M5 ]].]% 206,]24,11 151:111,121 11.1% General Government 45,901,542 22,369,876 48.]% 54,488,402 22:494,8G4 41.3% 7 ,275,231 31,300,250 42.1% Sales Taxes ]3,058,538 16,158,399 22.1% 83,102,]DO 20,250,345 24.4% 84,41],B36 23,358,105 2].]% Human Services 63,245,168 26,503,651 41.9% 66,6]3,6327 26,336,896 42.5% 61,491,107 31,949,756 39.2% Other Taxes 6,486,627 2,939,91 45.3% ],596,509 4,020,161 52.9% 6,509:11 3,364,172 51.]% Public Safety ]9,G0],929 19,2:5,956 49.]% 11,154,635 17,503:014 46.2% 91,471,297 42,27 ,848 46.2% Cha rges for Service 13,354,356 5,5]1,246 41.]% 14,069,066 6,101,]19 43A% 12,442,689 6,414,2]1 51.6% Public Safety -Hurricanes 322,263 194,634 60.4% 0],56] 26,294 59.5% 8]4,493 10,254 1.2% Intergovernmental Revenue 56,252,816 1],446,164 31.0% 50,243,655 1],562,526 35.0% 46,566,662 15,099,453 32A% Economic and Physical Development 1,565,610 1,391,90] e].8% 1,293,391 681,695 66.2% 2,449,652 946,.38 38.]% Other Revenues 352,0]5,493 306,532 0.0% (16,389,939) 1,009,]30 -5.5% ],9]2,2]B 3,9]1,359 49.6% Culture and Recreation 12,168,133 5,4]],O6] 45.0% 13,]4],2]2 6,419,988 46.]% 21,333,625 6,822,640 32.0% Long Term Debt Issued with Premium 1,626,112 - 0.0% 5,467,655 - 0.0% 6,644,686 - 0.0% Education- Community College 10,823,244 5,411,622 50.0% 10,950,946 5,475,474 50.0% 13,494,742 5,8]],l8] 43.6% Appropriated Fund Balance - - 33,66],319 0.0% Transfers Out: Education -Public Schools 83,374,975 43,065,489 51.7% 92,866,956 46,433,478 50.0% 96,674,493 46,240,160 47.8% Hurricane Florence - - - - - - - - - TOtalGeneralFundRevenues 680,813p03 182,664,515 26.8% 350,963,352 211,150,911 60.2% 405,344,9]] 211,619,186 52.2% Other 1,351,334 0.0% 6,521,247 0.0% 5,937,203 0.0% Total General Fund Expenditures 297,780,198 143,710,202 48.3% 327,744,053 147,573,643 45.0% 388,G08,845 165,422,533 42.6% DEBT SERVICE FUND 1TD %to YTD %to YTD %to Actual Actual Actual Actual Actual Actual Budget Actual Budget YTD%to 1TD%to YTD%to FY20-21 12-31-2020 Collected FY21-22 12-31-2021 Collected FY22-23 12-31-2022 Collected Actual Actual Actual Actual Actual Actual Budget Actual Budget Revenues FY20-21 12-31-2020 Expended FY21-22 12-31-2021 Expended FY22-23 12-31-2022 Expended Ad Valorem Taxes 23,455,231 18,474,979 ]8.8% 21,]39,625 11126:113 ]]A% 15,566,8331 12:182,647 ]8.3% Expenditures Sales Taxes 16,390,582 3,884,136 23.]% 16,900,6]4 4,]45,914 25.1% 19,616,023 5,495,200 28.0% Debt Service 62,099,]]2 40,33],51] 65.0% 58,930,332 36,992,728 62.8% 57,819,712 33,558,438 58.0% Intergovernmental Revenue 6,661,418 3,304,436 49.5% 5,519,961 2,153,142 51.0% 5,31,722 2,611,850 10.2% Investment Earnings 535 361 6].5% 143 60 42.0% - 358 - TransferinfromOther Funds - - - 278,762 - 0.0% - - - Appropriated Fund Balance - - - Total Debt Service Fund Expenditures 62,099,]]2 40,33],51] 65.0% 58,930,332 36,992,728 62.8% 57,819,712 33,558,438 58.0% Total Debt Service Fund Revenues 46,527,766 25,663,912 55.2% 46,509,165 24,425,229 52.5% 40,483,580 20,337,259 50.2% COMBINED GENERAL FUND AND DEBT SERVICE FUND Total Revenues 727,340,769 208,328,427 28.6% 397,472,517 235,576,140 59.3% 445,828,557 231,956,445 52.0% 50.0% 0.0% 10.0% 20.0% 30.0% 40.0% 50.0% BOA% 70.0% 0FY23 Qtr 2-%to Budget .FY22 Qtr 2-%to Actual 0FY21 Qtr 2-%to Actual •%of Year Total Expenditures 359,879,970 184,047,719 51.1% 386,674,385 184,566,371 4].]% 445,828,557 198,980,971 0.0% 30.0% -re, 30.0% 40.0% 50.0% 60.0% 0FY23 Otr 2-%to Budget .FY22Qtr2-%to-1 11FY21Qt12-%to Attual •%of Year Board of Commissioners - February 20, 2023 ITEM: 14- 2 - 1 NEW HANOVER COUNTY Financial Summary Quarter Ended December 31, 2022 ENVIRONMENTAL MANAGEMENT OPERATING FUND YTD %to YTD %to YTD %to Actual Actual Actual Actual Actual Actual Budget Actual Budget FY20-21 12-31-2020 Collected FY21-22 12-31-2021 Collected FY22-23 12-31-2022 Collected Revenues Charges for Service 18,001,214 7,763,932 43.1% 1],11],535 1,1741692 43.1% 18,863,256 7,733,121 41.0% Intergovernmental Revenue 595,959 - 0.0% 63],]91 152,]82 24.0% 586,000 166,225 26.6% Intergovernmental Rev -Fed Grant Hurricanes 916,93] - 0.0% 1,]19,635 305,646 1].8% - - - Other 512,312 224,266 43.8% ]31:606 269,551 3].9% 541,000 244,215 45.1% Long Term Debt Issued - - - 670,654 - 0.0% 1,195,83] - 0.0% Transfers in from GF - - - - - - 36,850 - 0.0% Appropriated Fund Balance - - - - - - 2,520,]]9 - 0.0% Total Revenues 20,032,422 7,988,198 39.9% 20,856,621 8,102,671 38.8% 23,745,722 8,145,561 34.3% YTD %to YTD %to YTD %to Actual Actual Actual Actual Actual Actual Budget Actual Budget FY20-21 12-31-2020 Expended FY21-22 12-31-2021 Expended FY22-23 12-31-2022 Expended Expendin- Sal ries and Benefits 2,136,426 1,241,226 41.1 2,]59,1 2 1,217,125 45.1% 2,]]1,517 1:236,9]2 44.]% Operating Expenditures 6,990,149 3,545,504 50.]% ],]40,442 3,211,045 41.5% 30,698,590 3,]34,547 34.9% Operating Exps- Hurricanes 2,611,983 2,611,983 100.0% - - - - - - DebtService 156,859 ]2,509 46.2% 10],228 13,3' 12A% 194,113 24,95] 12.9% Ca pital Expenditures 1,448,8]4 25],931 1].8% 371,428 209,642 56A% 1,920,6]0 42],133 22.2% Transfers: To General Fund - - - - - - 664,471 701 0.1% To Capital Projects 10,140,000 - 0.0% 10,]00,122 - 0.0% 6,000,000 - 0.0% Administrative Reserve 125,473 - - 1,496,301 0.0% Total Expenditures 24,084,491 7,854,626 32.6% 21,678,927 4,691,112 21.6% 23,745,722 5,426,310 22.9% Revenues Over Expenditures (4,052,069) 133,572 (822,306) 3,411,559 2,719,251 FIRE SERVICES FUND YTD %to YID %to YTD %to Actual Actual Actual Actual Actual Actual Budget Actual Budget FY20-21 12-31-2020 Collected FY21-22 12-31-2021 Collected FY22-23 12-31-2022 Collected Revenues Ad Valorem Taxes 10,898,912 B,]3],4]2 80.2% 13,460,433 10,656,08] 80.]% 13,52],204 10,9]0,439 Bl.l% Sales Taxes 3,913,]29 926,360 23.]% 4,511,088 1,151,891 25.5% '509,151 1,404,461 29.8% Intergovernmental Revenue 91,2]8 431 0.4% - - - 72,000 - 0.0% Charges for Services 25,939 11,110 42.8% 45,951 20,440 44.5% 42,995 23,305 54.2% Other 128,310 10,013 ].8% 1]8,]36 13,]48 ].]% 5,968 10,543 1]6.]% Long Term Debt Issued 650,683 - 0.0% 1,159,151 - 0.0% - - - Transfers: From General Fund 835,246 - 0.0% - - - 148301 - 0.0% From Special Revenue - - - - - - 1,671:474 - 0.0% Appropriated Fund Balance - - 788,736 0.0% Total Revenues 16,550,097 9,687,385 58.5% 19,355,359 12,042,166 62.2% 20,965,829 12,408,148 59.2% YTD %to WD %to YTD %to Actual Actual Actual Actual Actual Actual Budget Actual Budget FY20-21 12-31-2020 Expended FY21-22 12-31-2021 Expended FY22-23 12-31-2022 Expended Expenditures Salaries and Benefits 10,125,648 4,545,952 44.9% 11,436,389 4,9]8,183 43.5% 12,096,33'1 5,991,616 49.6% Operating Expenditures 3,2]5,245 2,1]],26] 66.5% 3,936,]BO 2,]34,686 69.0% 4,385,493 2,525,851 5].6% Debt Service 1,549,84: 921,217 59.4% 1,602,401 1,076,088 6].2% 1,638,159 1,091,869 66.]% Ca pital Expenditures 1,663,487 696,967 41.9% 1,268,984 717,226 56.5% 2,531,528 1,681,38] 66.4% Transfers: To General Fund - - - 520,667 - 0.0% - - - ToCapitalProjects 300,000 - 0.0% - - - - - - AdministrativeReserve - - 314,316 0.0% Total Expenditures 16,914,229 8,341,403 49.3% 18,766,221 9,486,185 50.5% 20,965,829 11,296,723 53.9% Revenues Over (Under) Expenditures (364,132) 1,345,982 589,138 2,555,981 1,112,025 Board of Commissioners - February 20, 2023 ITEM: 14- 2 - 2 NEW HCOUNTY Financialal Summary Summary Quarter Ended December 31, 2022 STORMWATER FUND YID%to YID%to Y D%to Actual Actual Actual Actual Actual Actual Budget Actual Budget FY20-21 12-31-2020 Collected FY21-22 12-31-2021 Collected FY22-23 12-31-2022 Collected Revenues Chargesfor5e,ice - - - 726,538 614,146 84.5% 4,672,729 3,413,042 73.0% Long Term Debt Issued 2,041,471 - 0.0% - - - - - - InvestmentEarnings - - - 5 - 0.0% - 132 - IntergovernmentalRevenue - - - - - - - - - Other - - - - - - - - - Transfer In from General Fund 226,295 - 0.0% - - - 12,309 - 0.0% Appropriated Fund Balance - 3,017,567 0.0% - Total Revenues 2,273,766 - 0.0% 3,744,110 614,146 16.4% 4,685,038 3,413,174 72.9% YID %to YID %to YID %to Actual Actual Actual Actual Actual Actual Budget Actual Budget FY20-21 12-31-2020 Expended FY21-22 12-31-2021 Expended FY22-23 12-31-2022 Expended Expenditures Salaries and Benefits - - - 646,006 223,120 34.5% 1,020,034 422,715 41.4% Operating Expenditures 424,704 368,185 86.7% 1,531,646 609,472 39.6% 1,840,420 934,448 50.8% Operating Exps- Hurricane - - - - - - - - - DebtService ,]0 - 0.0% 406,45: 210290 51.]% 412,019 216,161 52.5% Expenditures 6611 , ,, 9G0,42 00 1,Capital 40,236 627,794 44.8% Transfers: To General Fund - - - 276,295 - 0.0% - - - Administrative Reserve - - 12,309 0.0% Total Expenditures 1,094,398 417,910 38.2% 3,986,125 1,943,344 48.8% 4,685,038 2,201,206 47.0% Revenues Over Expenditures 1,179,368 (417,910) (242,015) (1,329,198) 1,211,968 4J Stormwater Expenditures 3 .2% 50.0% J2.9% is % Stormwater Revenues 0.0% 60.0% 0.0% 30.0% 20.0% 30.0% aco% 50.0% 60.0% 70.0% 80.c% 0FY23 cur 2-%to Budget YH22Qtr2-%t1Attual •FY21Qtr2-%to-I •%of Year IERICAN RESCUE PLAN FUND YID%to VID%to Remaining YID%to Actual Actual Actual Actual Actual Actual Budget Actual Budget FY20-21 12-31-2020 Collected FY21-22 12-31-2021 Collected FY22-23 12-31-2022 Collected Revenues Intergovernmental Revenue 5,537,843 - 0.0% 11,384,2]9 11,364,]]6 99.8% 28,252,751 - 0.0% Charges for Services - - - 3,119 - - - 140,553 - Investmen[Earnings 5,061 - 0.0% 33,685 9,]]5 29.0% - 1B5,553 - Transfer In from General Fund - - - 358,23: - 0.0% - - - Appropriated Fund Balance - - - TotalRevenues 5,542,904 0.0% 11,]]9,921 11,374,551 96.6% 28,252,751 326,106 1.2% YID %to 1TD %to YID %to Actual Actual Actual Actual Actual Actual Budget Actual Budget FY20-21 12-31-2020 Expended FY21-22 12-31-2021 Expended FY22-23 12-31-2022 Expended Expenditures Broadband Assista nce - - - 13,402 - 0.0% 139,098 16,396 12.5% Business& Employment Assistance - - - 3,309:132 3,2]9,004 99.1% 1:137,011 6,1]6 0.5% Housing - - - 1,622,]29 1,.99,165 6].]% 3,6]G,203 1:108,342 49.3% Physical & Mental Health - - - 3,202,189 591,537 18.5% 16,895,179 3,314,394 19.6% Infrastructure & EM - - - 434,588 206,4]] 48.0% 1,116,152 155,G4G 13.9% Essential County Gov't Services 5,869,197 - 0.0% 3,101,]24 ]1,B63 2.3% 165,665 - 0.0% Reserve&Administration - - - 96,157 37,220 38.7% 5,128,845 49,462 1.0% Total Expenditures 5,869,197 0.0% 11,]]9,921 5,287,266 44.9% 28,252,751 5,350,810 Revenues Over(Under) Expenditures (326,293) 6,087,285 (0) (5,024,704) Board of Commissioners - February 20, 2023 ITEM: 14- 2 - 3 NEW HANOVER COUNTY BOARD OF COMMISSIONERS REQUEST FOR BOARD ACTION MEETING DATE:2/20/2023 Regular DEPARTMENT: Governing Body PRESENTER(S): Chair Rivenbark CONTACT(S): Kym Crowell, Clerk to the Board SU BJ ECT: Committee Appointments BRIEF SUMMARY: Vacancies exist on the following boards and committees: • New Hanover County Industrial Facilities and Pollution Control Financing Authority • Wilmington -New Hanover Port, Waterway and Beach Commission STRATEGIC PLAN ALIGNMENT: RECOMMENDED MOTION AND REQUESTED ACTIONS: Make appointments. ATTACHMENTS: New Hano%er County Industrial Facilities and Pollution Control Financing Authority Wilmington -New Hanover Port, Waterway and Beach Commission COUNTY MANAGER'S COMMENTS AND RECOMMENDATIONS: (only Manager) Make appointments. COMMISSIONERS' ACTIONS: The following appointments were made. New Hanover County Industrial Facilities and Pollution Control Financing Authority: Robert F. Ruffner, Jr. and Phillip Watts were appointed. Wilmington -New Hanover Port, Waterway and Beach Commission: Dennis Barbour was appointed in the NC Beach and Waterway Association category. Harry K. Knight was reappointed in the Environmental Concerns category. Phillip Watts was appointed in the Terminals and Industry category. Board of Commissioners - February 20, 2023 ITEM: 15 New Hanover County Industrial Facilities and Pollution Control Financing Authority Vacancies: 2 Term: 6 years, expiring 2/22/2029 Applicants Eligible For Reappointment Nominations Robert F. Ruffner, Jr. Phillip Watts NOTE: This committee meets once a year in October. Additional meetings are held as called by the Chairman of the Authority. Attachments: Committee Information Sheet Attendance Applications Board of Commissioners - February 20, 2023 ITEM: 15- 1 - 1 NEW HANOVER COUNTY INDUSTRIAL FACILITIES AND POLLUTION CONTROL FINANCING AUTHORITY Number of Members: 7 (Must be a qualified elector and resident of New Hanover County. No member can be an elected official) Term of Office: 6 years (G.S. 159C-4 requirement) Regular Meetings: As called by the Chairman of the Authority - annual meeting in October Statute or cause creating Authority: N.C. General Statute 159C-4. New Hanover County Resolution dated February 7, 1977 creating Authority. Purpose: To promote the right to gainful employment opportunity, private industry, the prevention and control of the pollution of the air, land and waters of the State of North Carolina in the safety, morals and health of the people. Brief on functions: (1) To aid in the financing of the industrial manufacturing facilities for the purposes of providing employment and raising below average manufacturing wages by financing industrial and manufacturing facilities through the issuance and sale of tax free revenue bonds; and (2) to provide tax free revenue bonds for established industries that are in need of modernization in order to meet the pollution control requirements of the country, state, county and city. TERM OF OFFICE CURRENT MEMBERS APPOINTMENT EXPIRATION William H. Cameron First 2/15/93 2/22/99 P.O. Box 3649 Second 2/15/99 2/22/05 Wilmington, NC 28406 Third 3/14/05 2/22/11 (910) 392-2511 (H) ( 0)1262-2676 (W) Fourth 9/19/11 2/22/17 601 Fifth 3/20/17 2/22/23 Tara L. Lanier First 2/18/19 2/22/25 5521 Skeet Rd. Wilmington, NC 28409 910-791-5209 (H) 614-323-3936 (C) Maverick Pate First 2/15/21 2/22/27 3929 Willowick Park Dr. Wilmington, NC 28409 910-880-2239 (C) William Pearson Unexpired 8/24/20 2/22/25 113 Hallbrook Farms Cir. Wilmington, NC 28411 910-319-7071 (H) 224-659-0677 (C) Nivine Richie First 2/15/21 2/22/27 641 Jenoa Dr. Castle Hayne, NC 28429 910-465-3195 (C) 910-962-3606 (W) Board of Commissioners - February 20, 2023 ITEM: 15- 1 - 3 INDUSTRIAL FACILITIES AND POLLUTION CONTROL FINANCING AUTHORITY (CONT.) TERM OF OFFICE CURRENT MEMBERS APPOINTMENT EXPIRATION Robert F. Ruffner, Jr., Secretary First 2/15/93 2/22/99 1801 Hawthorne Road* D I Second 2/15/99 2/22/05 estyts P.O. Box 4189 $ Wilmington, NC 28406 A&ffi Mal -�VJM Third 3/14/05 Fourth 9/19/11 2/22/11 2/22/17 (910) 343-1017 (H) (910) 392-5220 (W) Fifth 3/20/17 2/22/23 Charles J. Whitley First 2/18/19 2/22/25 8919 New Forest Dr. Wilmington, NC 28411 910-599-8291 (C) 910-679-4551 (W) Ex-Officio: Steve Diab, Attorney Revised: 2/2021 1979 Eastwood Road, Suite 101 File: /Industry Wilmington, NC 28403 (910) 763-2426 (W) Board of Commissioners - February 20, 2023 ITEM: 15- 1 - 5 Long, Melissa From: Lauren Dwyer <lauren@murchisontaylor.com> Sent: Wednesday, February 8, 2023 1:27 PM To: Long, Melissa Cc: G. Stephen Diab Subject: RE: Attendance - Bob Ruffner "" Exteirn4i [Elrnaflk� Do not cAick hifl(s, opeiri attac,'hinents, )r rqfly i.flItil YOU know It ➢s safc,, Melissa, Apologies for delay. I only have the following information on -hand: 10/27/2017 - Mr. Ruffner was absent 10/30/2018 - Mr. Ruffner was present Going back through my emails, it looks like there was not a meeting in 2019 and with COVID we aren't sure about meetings in 2020 or 2021. Best regards, Lauren 'Mrr G"ON il,VS 1979 Eastwood Road, Suite 101 Wilmington, NC 28403 Lauren Dwyer Legal Assistant Direct: 910-218-7242 Phone: 910-763-2426 ext. 111 Facsimile: 910-763-6561 1i N I N of this e-mail from all computers, and destroy any printed copies of this e-mail. Board of Commissi4ners - February 20, 2023 ITEM: 15- 1 - 7 Lon. , Melissa From: noreply@civicplus.com Sent: Thursday, February 2, 2023 11:47 AM To: Crowell, Kym; Long, Melissa Subject: Online Form Submission #1346 for Board and Committee Application External Email: Do not click links, open attachments, or reply until you know it is safe Board and Committee Application I Board or Committee Being New Hanover County Industrial Facilities and Pollution Control Applied to Financing Authority First Name Robert Last Name Ruffner Email rfruffneragmail.com Home Phone 910-343-1017 Cell Phone 910-520-6678 Business Phone Field not completed. Fax Field not completed. Home Address 1801 Hawthorne Road City Wilmington State North Carolina Zip Code 28403 Mailing Address (if different Field not completed. from home address) City Field not completed. State Field not completed. Zip Code Field not completed. Years Living in New 38 Hanover County Board of CornmissioAers - February 20, 2023 ITEM: 15- 1 - 9 Personal information collected below kSbJassure g of the community is represented. Gender yWe|e Race White Age 75 Occupation - Retired Applicant's Employer N/A Professional Activities Field not completed. Volunteer Activities Field not completed. Why do you wish to serve Since retirement | have time bo give back to the community and on this board or have served Vnthis board for years. committee? What areas ofconcern | wish itwas more active. would you like tosee addressed by this committee? Qualifications for serving _ | have served on this board for some years. Other municipal orcounty None boards / committees on which you are serving Doyou have afamily No member employed byNew Hanover County? List three local personal references and phone numbers Reference Ted Davis Reference 1Phone 910-524-4498 Reference Danny McComas Reference Phone 910-812'9393 Reference --- PeterFenoe| Reference 3Phone 910-540-1528 Board ofCommissi6iiem February 20.2023 Additional comments Field not completed. Upload additional Field not completed. information Date 2/2/2023 Consent �|understand that any board nrcommittee appointee may be removed without cause bvmmajority ofCounty Commissioners. Email not displaying correctly? View it in our browser. Board ofCommi~iA~m February 20.2023 1/31/23, 9,151 AM Print hfps:// ,,nhcgov.cc)min/ r&r'nun/F rrrnCe nt.er/Submissiorros/Prlrnt/8 3 Board and Committee Application - Submission #893 Date Submitted: 1/23/2023 Board or Committee Being Applied to* New Hanover County lndustriai F°ar:;iiities and PoMuflon Control Financing Authority Category* What category do you represent in the list of required categories for the desired committee / board? 22 First Name* last Name* Philip Email* Home Phone* ..phili_,.pcwatts@gmail,comW._.W,.,.._�._.�.._......_.��,_...�......w�...,.,_...__..�.,�.....�,...,._...�.�._._.._.,,...e.. ._..._...�.,.�_.e�..��,.....,_.._.._...._.�..�.___,._.,.,..,�_�...,....._�_...m.....,r..._,.,._,..._...µ__�__.�._._.,.�_._...._, 9042288051 Cell Phone Business Phone . 711 Avalon Ave ., w...,..._.,.... ,..w,....._....,...._.. _._..... .... �...._..._...e..............,....,,.....,.........__,...,,.._._._.,,,,,,........,....,.....,,..,............................,.,................. Zip Code* 28409 _...._... _,_._._.._.. ... _,._..._...,..,..,_B.oard.,of-Cnmrxiission rs ITEM: 15- 1 - 13 hftps:/l .nlhegov,cori/aka°iirrilin/Form enter/ a.ibmissioris/lPriitit/893 114 999991mgm hftps://www,nhcgov.com/Admin/FormCenter/Submissions/Print/893 City State Zip Code ..... ...... . . ... . ... ..... . . . ..... .. . ........ .. ..... . .... ..... ... . ......... ..... . .. . .. . . . ....... ................. . ..... . . ...... . .. . ... . ................... . .... ...... . . ..... . .. ............. ............ . .......... .. . ........... .. . .. . . . .............. .. ..... . ......... . . . .... .. ..... . . .......... . ........... . .. .. .. .. . Years Living in New Hanover County* NC Personal information collected below Is to assure a cross-section of the community is represented. ,Do you have a family member employed by New Hanover County? Applicants Employer* Colonial Terminals Inc, North Carolina Yes No— ----- In accordance with Article VI, Sec. 7 of the New Hanover County Personnel Policy, a person currently employed by the agency or department for which this application is made must resign his/her position with New Hanover County upon appointment. Furthermore, the applicant should have no immediate family member employed by such agency or department. Occupation* ..Terminal Manager Professional Activities Treasurer - Clean Land and Harbor Spill Cooperative, SE North Carolina Executive Steering Committee -Area Maritime Security Committee, United States Coast Guard Sector North Carolina Local Emergency Planning Committee, New Hanover County ................ ...... ........ . ......... . ......... ............... ...... . ....... . .. ........ . . . . .. . ......... . .... .. .. . .... . ..... M. Mj7T_1U= WMPO Go Coast Committee Board of Commissioners - February 20, 2023 ITEM: 15- 1 - 14 hftps://www.nhcgovpcom/Admin/FormCenter/Submissions/Print/893 214 1/31/23, 9:51 AM trttps:// .ntrcgovcorn/A.drnin/ForrnCenter/ ubrnissions/Print/893 Why do you wish to serre on this board or committee?* I would like to use irny numerous years of Industry background to help support the growth of new and emerging industries in our area, and to also facilitate the growing need for an educated workforce to support these Industries. I also have an educational background in environmental management, whereby I understand the need for regulatory requirements in industry and how to roster positive relationships between regulators and the private, industrial sector. I feel that I can positively contribute as a member of this group. Conflict of Interest: If a board member believes they have a conflict or potential conflict of interest on a particular issue„ that member should state this belief to the other' members of his/her respective board during a public meeting. The member should state the nature of the conflict, detailing that they have a separate, private, or monetary interest„ either direct or indirect, in the issue under consideration. The member should then excuse thernself from voting on the matter. What areas of concern would you like to see addressed by this committee? To help identify and promote new and d emerging industries to our community and region. To help insure that industries are meeting their regulatory requirements. -........................................_..................................................................................................._.m........ ............ ........ .... .............. ........,....,.. # 1111b,1141 ..-_....._m.,__..-............_.._..._-_�..-..W...w..._....m'.n.lndustrial and.Regulatory..-..._�_..�..,___.. .,_...,. ��_.__.,...._._._...-__._-_._�____w.__._..._..._..._............... . Overyg 27 ears working sectors. Positive contributions as a member of numerous committees and organizations. Other municipal or county boards / committees on which you are serving* Volunteer - WMPO..Go�Coast Committee If you do not serve on any other municipal board or committee, please indicate "None." List three local personal references and phone numbers Reference 1* Reference 1 Phone* ._._...................._...._.........u..........,..._.....................................................�..,,......................-...,..�..........,...........__.........,......................_....,�.....,............_........................................ Neal Andrew .910-202-5555.........._........................................................._............_..�.............�.......-..........._...w.._._.-.�._........_.w..........._-....................,...-_._.. Reference 2* Reference 2 Phone* ................................................................................ ....._....,........,.............. ,........... ............................................,...._.._........�w................................._ .....u...................._... .g.�..0-022-3......................................................................._...............-...............e._._....._._........_...............-...................,.........._......................,,. William Murrell III Reference * Reference 3 Phone* Alberto Cabrera .. ........_... _,.__.. _... .......-. 21..- a-E14 ...w _,........ _ ...... _ ._.w__ .. _ _.... 1 Board of Commissioners - February 20, 2023 ITEM: 15- 1 - 15 http,s:// w.nhcgov.corri/Adryiiri/For-mCent r/Submissions/Print/893 BE Additional comments Upload additionalNfomation Date* � ChoosmR|e Nofile chosen 1/23/2023 |fyou need bnsupply supplemental information, itcan be uploaded here. Accepted file types: doc.docx.pdf,xot As, x|nx, bd, rt[ ppt, ppbx.jpg. png' gif. Limit of5files and 50yWBtotoi �|understand that any board or committee appointee may be removed without cause byamajority of County Commissioners. Board ofCommissioners February 20.2023 ITEM: 15'1 10 hupu://v*wwohognvpom/Admin/FunnCenmr/Gubmboiono0zhnV893 4N Wilmington - New Hanover Port, Waterway and Beach Commission Vacancies: 3 Categories: Environmental Concerns NC Beach and Waterway Association Terminals and Industry Term: 3 years, expiring 2/28/2026 Eligible for Applicant Category_ Reappointment- Nominations NC Beach and Dennis Barbour Waterway Association Harry K. Knight Environmental X Concerns Eve Phillips Terminals and Industry Phillip Watts Terminals and Industry Attachments: Committee Information Sheet Attendance Record Applications Board of Commissioners - February 20, 2023 ITEM: 15- 2 - 1 Board of Commissioners - February 20, 2023 ITEM: 15- 2 - 2 WILMINGTON/NEW HANOVER PORT, WATERWAY & BEACH COMMISSION PAGE 2 TERM OF OFFICE CURRENT MEMBERS CATEGORY APPOINTMENT EXPIRATION LeAnn Pierce County 1/9/23 Undesignated 230 Government Center Drive, Commissioner Suite 175, Wilmington, NC 28403 910-798-7149 (NHC) Dennis Barbour, Chairman NC Beach and First 2/17/14 2/28/17 511 Clarendon Boulevard Waterway Second 2/20/17 2/28/20 Carolina Beach, NC 28428 Association Third 2/17/20 2/28/23 910-458-5043 (H) 910-470-5041 (C) e 910-458-3049 (W) Robert P. Divoky Shipping First 2/19/18 2/28/21 5252 Woods Edge Road Second 2/15/21 2/28/24 Wilmington, NC 28409 910-792-1260 (H) 910-232-2204 (C) Donald E. Harris Commerce and First 2/18/19 2/28/22 213 Dorchester Place Finance Second 2/21/22 2/28/25 Wilmington, NC 28412 910-796-9696 (H) 910-617-8844 (C) Harry M. Knight Environmental First 2/17/20 2/28/23 3225 Aster Court Concerns Wilmington, NC 28409 910-398-7090 (C) 910-794-4956 (H) Eve Phillips Terminals and First 2/ /17 2/28/20 715 Glenarthur Dr. Industry Second 2/17/20 2/28/23 Wilmington, NC 28412 910-742-9535 (C) 910-819-4956(W) Wilmington Representatives Neal Andrew, Vice -chair First 8/16/16 2/28/19 3811 Peachtree Ave., Suite 300 Second 2/18/20 2/28/23 Wilmington, NC 28403 Kevin P. Flowers First 2/21/17 2/28/20 1913 Nun St. Second 2/28/24 Wilmington, NC 28403 910-850-1065 (H) 910-344-0323 (C) James Hundley, Jr. First 6/21/16 2/28/19 909 Rabbit Run Second 2/18/20 2/28/23 Wilmington, NC 28409 (910) 612-0972 (H/C) (910) 799-2295 (W) Luke Waddell, Councilman Wilmington City 12/21 Undesignated P.O. Box 1810 Council Wilmington, NC 28402-1810 910-341-7815 Board of Commissioners - February 20, 2023 ITEM: 15- 2 - 3 WILMINGTON/NEW HANOVER PORT, WATERWAY & BEACH COMMISSION PAGE 3 OF OFFICE CURRENT MEMBERS CATEGORY APPOINTMENT EXPIRATIONTERM Gregory ashin ton First 10/1/1 2/2 /1 15 South 5th Avenue Second /21/1 2/2 /19 Wilmington, NC 23401 Third 2/18/20 2/2 /2 10-622-5 21 (C) 10-762®3 31 Beach Town Representatives Council Member Jay Healy Carolina Beach Appointed 2022 desi nat d 1121 N. Lake Park Boulevard Carolina Beach, NO 2646 910-458-2992 Office Town Commissioner Allen Oliver Kure Beach Appointed Undesignated 117 Settlers Lane designee 1/10/1 Kure Beach, NC 2644 458-8216 Town Hall 919-22 - 143 (C) Alderman Ken Dull Wrightsville Appointed Undesignated 321 Causeway Drive Beach 2020 PO Box 626 Wrightsville each, NC 28480 910-2 6-7900 WB Office Other Representatives Natalie English,President/CEO Chamber 7/2016 Undesignated Greater Wilmington Chamber of Liaison Commerce One Estell Lee Drive Wilmington, NC 26401 910-762-2611 Office Todd C. Walton, Environmental State Ports 1/9/12 Undesignated Supervisor Ex-fficio North Carolina State Ports Authority Member Box 9002 Wilmington, NC 28402 910-251-5678 Office David Kellam Figure 3 7/1/13 Undesignated Figure 3 Homeowners Association Homeowners 15 Bridge Road Association Wilmington, NO 26411 Ex-fficio 910- 686-0635 ( Member Eric Cr le, Chief Financial Officer NHC Staff 7/22 Undesignated 230 Government Center Drive, Liaison/Special Suite 165 Appointee Wilmington, C 26403 910-79-7137 / 1-796-711 Board of Commissioners - February 20, 2023 ITEM: 15- 2 - 4 WILMINGTON/NEW HANOVER PORT, WATERWAY & BEACH COMMISSION PAGE 4 CURRENT MEMBERS CATEGORY TERM OF OFFICE APPOINTMENT EXPIRATION Staff Support NHC Shore 11/12 Undesignated H. Layton Bedsole, Jr., REM. Protection New Hanover County Engineering Coordinator 230 Government Center Drive File: /Port Wilmington, NC 28403 Revised 910-798-7104 Office 01/2023 Board of Commissioners - February 20, 2023 ITEM: 15- 2 - 5 x Ui U z z A U U x 0 x 06 ---- 0 ---- 0 ---- 0 z x ;F 0 41 U 0 x x CL CL U? (0) 00 to 40 OLO x x CD 75 -5 -5 Ob 4 Xf^ M x 7 x O rf Ob ca M CL CL CL rn x > co Lt x Qj L a) x x 7 Ob rn C14 :3 0 0 0 CL L s CL O (0 Co 00 co con r1i M C13 to 0 rSl 0 rNi Uj L = Uj L = Uj -c ILII I I I U I I Board of Commissioners - February 20, 2023 ITEM: 15- 1/10/23, 11:33 AM Print https://www.nhcgov.com/Admin/FormCenter/Submissions/PrinV498 Board and Committee Application - Submission #498 Date Submitted: 1/10/2023 Board or Committee Being Applied to* 4lilmMgton-New Hanover Poft, Watemay and Beach Commission .. _... _ _...... _...... ...... vwo,. ASS k ) What category do you represent in the list of required categories for the desired committee / board? First Name* Last Name* Dennis Barbour mi Home Phone* _..____.._..__.__..__.._______....._...__... ....... ... ___ _..w......__ .___...__._- .-__------- _.....w..-------- ..................___...____..._._.___..__..._____....____..._..._._.._...__......._ dennisbarbour@charter.net 9104705041 " }. - 9104705041 Fax ' r ',11. https://www.nhcgov.com/Admin/FormCenter/Submissions/PrinV498 1/4 1/10/23, 11:33 AM https://www.nhcgov.com/Admin/FormCenter/Submissions/Print/498 City State Zip Code [- --- -- ---- - ----- ------------ -- ------------- .. . .... ..... ............. Years Living in New Hanover County* NO Personal information collected below is to assure a cross-section of the community is represented. Gender* Race* Age* ._....._._ ................__..._....------_.__.._...________.__.___.. __..._._ ...._------ _.-.__.__. ___.._._........ _. = Male White 72 Female Other------.. ..._ _ ---- -. ....... .... .... �..__.....�.. Do you have a family member employed by New Hanover County?_ Applicants Employer* * ... ......... ..............._... _.......__.. None Yes No In accordance with Article VI Sec. 7 of the New Hanover County Personnel Policy, a person currently employed by the agency or department for which this application is made must resign his/her position with New Hanover County upon appointment. Furthermore, the applicant should have no immediate family member employed by such agency or department. Occupation* Business Owner Board of Commissioners - February 20, 2023 ITEM: 15- 2 - 8 hftps://www.nhcgov.com/Admin/FormCenter/Submissions/Print/498 2/4 1/10/23, 11:33 AM https://www.nhcgovcom/Admin/FormCenter/Submissions/Print/498 Why do you wish to serve on this board or committee?* that member should state this belief to the other members of his/her respective board during a public meeting, The member should state the nature of the conflict, detailing that they have a separate, private, or monetary interest, eith direct or indirect, in the issue under consideration. The member should then excuse themself from voting on the matt] What areas of concern would you like to see addressed by this committee? If you do not serve on any other municipal board or committee, please indicate "None. List three local personal references and phone numbers Reference 1* Reference 1 Phone* __. ._..__._.. ...__..... .. ...........__ ........._. ............... -_..------ .-------- ............-------- _...__.......___. ._.......... _ _-------------- Layton Bedsole 910-798-7104 Reference 2* Reference 2 Phone* Lynn Barbee, Mayor of Carolina Beach 910-458-2995 Reference 3* Reference 3 Phone* _- ........__._.._..... _ _... __ __ .._......._._. ___..., m. _ ........... __..._ _ ...._.... __w._ ... _...._....._----------- ------------- LeAnn Pierce 91.0-520-5912 Board of Commissioners - February 20, 2023 ITEM: 15- 2 - 9 hftps://www.nhcgov.com/Admin/FormCenter/Submissions/Pdnt/498 314 1/10/23, 11:33 AM hftps://www.nhcgov.com/Admin/FormCenter/Submissions/Print/498 Upload additional information Date* No file chosen 1/10/2023 If you need to supply supplemental information, it can be uploaded here. Accepted file types: doc, docx, pdf, xcf, As, xlsx, txt, rtf, ppt, pptx, jpg, png, gif. Limit of 5 files and 50MB total. Consent* ny I understand that any board or committee appointee may be removed without cause by a majority of County Commissioners. Board of Commissioners - February 20, 2023 ITEM: 15- 2 - 10 hftps://www.nhcgov.com/Admin/FormCenter/Submissions/PrinV498 4/4 Lonq, Melissa From: noreply@civicplus.com Sent: Tuesday, January 31, 2023 7:15 AM To: Crowell, Kym; Long, Melissa Subject: Online Form Submission #1237 for Board and Committee Application External Email: Do not click links, open attachments, or reply until you know it is safe Board and Committee Application I Board or Committee Being Wilmington -New Hanover Port, Waterway and Beach Applied to Commission Port Waterway & Beach Environmental concerns Commission Categories Category Environmental Issues First Name Harry Last Name Knight Email hknight846@qoLqqm Home Phone 910-794-4956 Cell Phone 910-398-7090 Business Phone Field not completed. Fax Field not completed. Home Address 3225 Aster Ct City Wilmington State NC Zip Code 28409 Mailing Address (if different Field not completed, from home address) City Field not completed. State Field not completed. Zip Code Field not completed. Board of CommissioAers - February 20, 2023 ITEM: 15- 2 - 11 Years Living in New 22 Hanover County Personal information collected below is to assure a cross-section of the community is represented. Gender Male Race White Age 59 Occupation Retired GE EHS Manager, Real Estate Broker Applicant's Employer Intracoastal Realty Corporation Professional Activities See Resume Volunteer Activities See Resume Why do you wish to serve This is a re -appointment. I currently serve as the Environmental on this board or Concerns position and wish to continue to serve in that position committee? What areas of concern Continued funding for beach renourishment and resolve the re - would you like to see interpretation by the US EPA that is preventing us from moving addressed by this sand removed during dredging on southern portions to more committee? northern portions so that we can "recycle" the resource in an environmentally friendly manner Qualifications for serving Current member of the board asking for re -appointment. Former GE Nuclear Environmental Health and Safety Manager with extensive experience managing environmental issues and interfacing with state and federal agencies Other municipal or county Lower Cape Fear Water and Sewer Authority (currently vice - boards / committees on chair) which you are serving Do you have a family No member employed by New Hanover County? List three local personal references and phone numbers Reference I David Small Board of Commissi4hers - February 20, 2023 ITEM: 15- 2 - 12 Reference 1Phone Reference 2 Reference 2Phone _ Reference Reference 3Phone Additional comments Upload additional information Date 910-255-3112 Jay Burney 910-471-9436 ChriayWonettu 010-547-1116 Field not completed. � 1/3O/2O23 �|understand that any board orcommittee appointee may be removed without cause byamajority nfCounty Commissioners. Email not displaying correctly? View it i your browser. Board ofCommissiAem February 20.2023 Education and TrainLng BSME from West Virginia University (1985).3.4C3FAot graduation. ^ Qualified Naval Nuclear Power Plant Engineer (1989) (Functional equivalent of Masters of Science Nuclear Engineering,Noactual degree given) ^ Obtained 12of24required credits for K88K8E(Material Science) from RP|(1999) ^ Completed GE, Martin Marietta, and Lockheed Martin Corporation Training Programs: KrapnmrTm*Qo Problem Analysis, Process Review Facilitator, Shipley Association Technical Writing Course, High Performance Organization, Covey Seven Habits of Highly Successful People, and LMT Center of Excellence Management Training. GE New Manager, Advanced Management and Plant Manager training courses. ^ Previous holder ofDOD Top Secret, Restricted Data and O<]E (] level, Restricted Data security clearances. Both currently inactive (no current need toknow status) Boards and Commissions * Wilmington/New Hanover Port, Waterway, and Beach Commission — Appointed Feb. 2020 * Lower Cape FeerVVatermndSewerAuthohty—AppmintedJune 2020 * NC|Board ofLicensing Soil Scientists — Appointed July 2O2O Self Employed. Small Business Owner (1/2014 to current) Resigned/retired early from corporate business world to start and run small business. Operate asuccessful real estate investment and renovation company. Currently NC Licensed as a Real Estate Broker and represent Intracoastal Realty Corporation, the negion'm premier brokerage firm. Work Experience and Histo!y (General Electric Company, Nuclear Diyis:io�n Project Director Steam D[yers, GE Hitachi Americas 11012009 - 12/2013). Responsible for the design, analysis, and modification team mfengineers and scientists for Nuclear Reactor Pressure Vessel Internals related tothe Steam Dryer. Team ofpersonnel located onboth U@coasts and Japan. Exclusively assigned all non -US reactor work due to previous international nuclear experience. Also assigned and successfully completed the largest US Nuclear Plant Instrumentation Upgrade in record time, schedule and on budget to support Nuclear Plant emergent issue with regulatory agency. Environmental Health aqd Safety Manager, Nuclear Fuel Cycle (1012006 — 1RIZ009 The EHS Manager 'Fuel Cycle serves as the leader of the Environment, Health & Safety (EHS) organization for the Nuclear Fuel Cycle business inthe Americas, Japan and Global Laser Enrichment. Responsibilities include ensuring the development and continuous improvement of Environment, Health and Safety programs; and leadership of the Licensing, Security, Nuclear Safety, Radiation Safety and Material Control & Accountability functions within GNF-A. Reports directly to the Chief Executive Officer and manages all aspects materially required byNRC Special Nuclear Materials License for Global Nuclear Fuels and Global Laser Enrichment. Board ofCommissioners February 20.2023 Emerciencv Director, Global Nuclear Fuels J1 2/2002 — 10/20091 Concurrent position with other responsibilities. Fully responsible and ultimate authority for all actions taken during off -normal conditions of the nuclear facility in accordance with NRC special nuclear materials license. Reports directly bnChief Executive Officer during performance ofduties Eq2LComponents Operafign Manager, Global Nuclear Fuels (8/2004 — 10/29261 Assigned responsibility for recovery ofthe Fuels Components Manufacturing Operation following Zirc Fire event in July of 2004 that shutdown the facility. Re-established safe operating conditions and controls returning the operation bofull production. Established anoperational structure that recovered and exceeded 2004 production by 40% for the year. During 2005 and 2006 continued to improve FCO operations including right sizing organization, exceeding historical tubing production capability and de|mymhngorganization for more efficient operation. ° Established record tubing production with 10Y6reduction inC}T ° Reduced VV|Pbvapproximately $6OOk ° Established Channel production Lean Model line creating >$500k funds flow * Reduced escaping defects byapproximately 7OY6 • Improved Tubing yields such that approximately $400k annual savings achieved through raw material m savings » Reduced FC[>recordable injuries tolowest ever achieved ° Introduced GNF2product line capability for tubing (P9) and Channels ° Maintained Site Emergency Director primary responsibilities and completed NRCoboenaad drill with no significant comments Responsible for all aspects ofmoving incoming raw material and outgoing customer delivery of nuclear materials around the world from both the USA and Japan facility. Established the One GNF Logistics Organization combining the strengths ofthe USA and Japan organizations into osingle organization. During this assignment I was also responsible for the design modifications, testing, initial licensing and construction of the RA-JII bundle shipping container for use in the USA and other foreign locations based on the current Japanese designed container. Both the container project and operations of Logistics required interface with governmental agencies (Foreign and Domestic) for licensing and approval of operations/construction. This position was also responsible for the Environmental Projects initiatives. During my tenor the CaF2 Lagoon cleanup project was completed. This was the single largest Environmental Project inGEadthe time. Project vvasrnainbminedmheadofmchedu|eandunderbudged. Responsible for overall Security and Emergency Response capability for the Wilmington, NCNuclear and Aircraft Engines facility. Upgraded the site's security plan and physical protection scheme based onthe events of 9-11. Numerous GE corporate and Governmental agency reviews of the new security measures and plan identified this site am a best practice within GE and industry. Also during this time | program managed the licensing and initial construction of the new nuclear powder shipping container (NPC) an $DyWKn Capital Investment project. Running this project required extensive travel emwell eo interface with governmental regulatory agencies (Foreign and Domestic) getting license approval and construction Board ofCommissioners February 20.2023 Work ExDerience and History (Knolls Atomic Power Labjnc. a Lockheed Martin Radioactive Materials LaboratoEy Manager (2199-5/2000). Assumed management of the Naval Reactors Radioactive Materials Laboratory due to performance and personnel issues within the laboratory. Fully responsible and accountable for the Radioactive Materials evaluation program. Responsible for the testing and evaluation of new structural and fuel materials for the NR program. Also responsible for post decommissioning material evaluations to ensure equipment and material performed as expected during their lifetime. Line manager responsible for a $14M equipment, facility and capability upgrade. 3-year company sponsored program b)obtain en advanced degree inanengineering discipline. Must be selected for the program by company senior managers based wnsustained excellent performance and technical capability. Final approval toenter program approved bythe General Manager. ~ 1 -year intensive KAPL taught courses in Electrical Engineering, Mechanical Engineering (heat transfer and fluid Oow)'and Nuclear Engineehno/[}eeign. ~ 2yeerm intensive study at RP! University in an Engineering discipline. Cunnp|atmd 2 of mamnmsbans before being transferred to RML management to correct previous management issues ~ Completed I rst rotating assignment in the Material and Fabrication Processes group. Assignment dealt with the evaluation of new materials and methods to support the NR program. Currently onassignment inthe TO/Radioactive Materials Lab. Assignment involves the coordination and setup ofe$14k4K8|E investment in state of the art material property evaluation equipment for new NR fuel systems. Responsible for the overall leadership and coordination of skilled craft resource activities related to development of advanced materials and technological advancement ofthe Naval Nuclear Power Program. ^ Implemented improved methods to forecast and utilize skilled resources to meet the laboratories testing needs. Production was increased bv25percent. This was inspite mfmcontinuing downsizing environment within the Naval Reactors Program. ^ Worked with the Union represented personal at the laboratory to promote a more open and cooperative atmosphere within the company. Grievances and complaints over the period dropped and represented personal are now more involved inthe overall process. " Assumed overall responsibility for the Company's Welding and Quality Inspection programs. The welding program obtained full recovery from a self-imposed shutdown of activities a year prior. The welding program is now fully engaged and capable of supporting the testing needs of the business. The Quality Inspection program increased its capability by greater that 50 percent and is now considered one ofthe best programs onsite. This is a significant change from their old reputation of barely supporting the needs ofthe customers and the program. ^ Routinely used bmlead orparticipate intask groups toevaluate and improve below standard performing organizations within NAPL Directly responsible for the overall maintenance and operating schedule ofthe nuclear plant and support equipment. ^ Reduced the length of planned maintenance shutdowns by 33 percent while increasing the amount of maintenance performed bv25percent during these shutdowns. ^ Developed and implement methods to safely conduct maintenance during operating periods that historically were performed during shutdown periods. Reduced the number ofshutdown periods bv33 percent' ~ Reduced the plants out of commission and restricted use only equipment to historical lows. At the time of final shutdown the plant had zero out of commission and restricted use equipment. Never been achieved before except atinitial startup inthe eady1BGO'o. ^ Coordinated operations affecting other site organizations including discharge systems to New York Waterways. Improved overall operation of the system such that no State Pollution Discharge Elimination System permit violations occurred during this period. Board ofCommissioners February 20.2023 Senior assistant to the Operations Manager. Performed the following functions and responsibilities: ~ Implementation of all changes affecting plant operating and technical manuals. Several changes were made increasing the p|onfo reliability and flexibility. ~ Planning, coordination, and executing special test procedures. Several one ofakind and first ofakind tests were run during this period. All executed flawlessly with better than expected results. ~ Implemented several improvements inthe plants operating schedule and manual requirements to increase the p|an[adepletion mission. Received several awards from the Site Manager for continuous improvement inthis area. ^ Acted for the Operations Manager routinely inhis absence. Shift Supervisor (10/91-11/93). Senior supervisor assigned to the plant oneach shift. Direct representative ofthe Plant Manager and has commensurate authority bzcarry out his duties and responsibilities. His responsibilities are mnfollows: ^ Ensuring the safe, effective and efficient conduct of evolutions including training, testing, maintenance and repairs. Maintain proper upkeep and cleanliness ofengineering spaces. ^ Ensure his staff (approximately 50 Staff and 150 students) maintain adequate technical knowledge and watohntmnderocomply with procedural and formal standards. Directing the Engineering Officer ofthe Watch incarrying out his duties. Carryout the plant program eMficiendyand expeditiously. ^ Participate in h**t procedure technical and operational reviews. Ensure plant readiness for start mf testing and proper execution ofnuclear plant testing. Nuclear Plant Engjpeerj6/86-_10/91J. Assistant tothe Shift Supervisor for the day boday operation, maintenance, training, and testing of the nuclear power plant including all support systems. Directly responsible for operations during xvmtchntmnding. Qualified Shift Supervisor and Nuclear Test Engineer while onshift during this time. Board ofCommissioners February 20.2023 1/9/23, 8:54 AM Print hftps://www.nhcgov.com/Admin/FormCenter/Submissions/PrinV369 Board and Committee Application - Submission #369 Date Submitted: 1/5/2023 Board or Committee Being Applied to* Mmirigix.m-New Hariover Port, Waterway and Beach C xrnniussiori Category* ..... ... .. . - — - - - - ----- -- --------- ----- -- ------ - -- ... ... .... ..... What category do you represent in the list of required categories for the desired committee / board? First Name* Last Name* Eve Phillips . . . . ....... . ........ I -" -'' -- -- - ........ . . .... . ...... -- ---------- Email* Home Phone Se ------ ---- evey5l6@gmail.com 19104093498 .. . ....... .... ..... . . . .. ... .. ..... . Cell Phone Business Phone - ----- ---- ----------------- — ----- .............. . -- ------ ----- -- IT hftps://www.nhcgov.com/Admin/FormCenter/Submissions/Print/369 1/4 1 /9/23, 8:54 AM hftps://www.nhcgov.com/Admin/FormCenter/Submissions/Printt369 City State Zip Code Years living in New Hanover County* 30+ Personal information collected below is to assure a cross-section of the community is represented. Gender* Race* Age* Male White 43 Female Other�..._.__..._... _....-_...._............ _._._.� ..........__...... ...._. _......_..... Occupation* Finance Manayr County Personnel Policy, a person currently employed by the agency or department for which this application is made must resign his/her position with New Hanover County upon appointment. Furthermore, the applicant should have no immediate family member employed by such agency or department. Board of Commissioners - February 20, 2023 ITEM: 15- 2 - 19 hftps://www.nhcgov.com/Admin/FormCenter/Submissions/Print/369 2J4 1/9/23, 8:54 AM hftps://www.nhcgov.corrdAdmin/FormCenter/Submissions/Print/369 Why do you wish to serve on this board or committee?* I want to continue to support the health, funding, and overall support of our beaches and waterways. Conflict of Interest: If a board member believes they have a conflict or potential conflict of interest on a particular issue, that member should state this belief to the other members of his/her respective board during a public meeting. The member should state the nature of the conflict, detailing that they have a separate, private, or monetary interest, either direct or indirect, in the issue under consideration. The member should then excuse themself from voting on the matter. What areas of concern would you like to see addressed by this committee? If you do not serve on any other municipal board or committee, please indicate "None." List three local personal references and phone numbers Reference 1* Reference 1 Phone* Robin Lewis 910-274-2642 Reference 2* Reference 2 Phone* ---------- -- --------- - - - — - - - ------------ ----- - -- - Layton Bedsole 9107987104 ......... . Reference 3* Reference 3 Phone* ... .... . ... ..... David Sledzik 910-547-2764 ... .. .... ... Additional comments Board of Commissioners - February 20, 2023 ITEM: 15- 2 - 20 hftps://www.nhogov.com/Admin/FormCenter/Submissions/Print/369 3/4 1 /9/23, 8:54 AM hftps://www.nhcgov.comtAdmin/FormCenter/Submissions/Printt369 Upload additional information Date* No file chosen 1/512023 If you need to supply supplemental information, it can be uploaded here. Accepted file types: doc, docx, pdf, xcf, xls, xlsx, txt, rtf, ppt, pptx, jpg, png, gif. Limit of 5 files and 50MB total. Consent* [7 I understand that any board or committee appointee may be removed without cause by a majority of County Commissioners. Board of Commissioners - February 20, 2023 ITEM: 15- 2 - 21 https://www.nhcgov.com/Admin/FormCenter/Submissions/Print/369 4/4 Lonq, Melissa From: noreply@civicplus.com Sent: Thursday, February 2, 2023 8:13 AM To: Crowell, Kym; Long, Melissa Subject: Online Form Submission #1340 for Board and Committee Application External Email: Do not click links, open attachments, or reply until you know it is safe Board and Committee Application Board or Committee Being Wilmington -New Hanover Port, Waterway and Beach Applied to Commission Port Waterway & Beach Terminals & industry Commission Categories First Name Philip Last Name Wafts Email Philiocwatts(cDamail.com Home Phone 9042288051 Cell Phone Field not completed. Business Phone Field not completed. Fax Field not completed. Home Address 1711 Avalon Ave City Wilmington State North Carolina Zip Code 28409 Mailing Address (if different Field not completed. from home address) City Field not completed. State Field not completed. Zip Code Field not completed. Years Living in New 9 Hanover County Board of CornmissioAers - February 20, 2023 ITEM: 15- 2 - 22 Personal information collected below iSb}assure a cross-section Dfthe community is represented. Gender Male Race Caucasian Age 52 - - -- - - Occupation Terminal Ternlnd _ Applicant's Employer Colonial Terminals Inc, North Carolina Professional Activities Traoaurev-CleonLandondHarborSpiUCoopenaUve.SENorth Carolina Executive Steering Committee - Area Maritime Security Committee, United States Coast Guard Sector North Carolina Local Emergency Planning Committee, New Hanover County -' Volunteer Activities WMPO Go Coast Committee - Why doyou wish to serve | would like touse mynumerous years ofIndustry background on this board or tohelp support the growth cfnew and emerging industries h1 commucee/ our area, and toalso facilitate the growing need for an educated workforce to support these industries. | also have on educational background inenvironmental management, whereby | understand the need for regulatory requirements in industry and how tofoster positive relationships between regulators and the private, industrial sector. | feel that | can positively contribute oaomember ofthis group. _ What areas ofconcern Tohelp identify and promote new and emerging industries b> would you like tosee our community and region. addressed bythis Tnhelp insure that industries are meeting their regulatory committee? requirements Qualifications for serving Over 27years working inIndustrial and Regulatory sectors. Positive contributions anamember ofnumerous committees and organizations. Other municipal orcounty Volunteer -VVMPDGoCoast Committee boards / committees on which you are serving - Doyou have afamily No member employed byNew Hanover County? Board ofCommissi4nem February 20.2023 List three local personal references and phone numbers Reference Neal Andrew Reference 1 Phone 010-202-5555 Reference William Murrell III Reference 2 Phone 810-622-3833 Reference 3 Alberto Cabrera Reference 3Phone 321-828-0441 Additional comments None otthis time but | can forward any supporting documents if requested. Upload additional Field not completed. information Date 2/2/2023 Consent �|understand that any board orcommittee appointee may be removed without cause bymmajority ofCounty - [|onnnnieaiunens. Email not displaying correctly? Board ofCommissidhem February 20.2023