02/04/2004
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North Carolina Association of
Public Health Nurse Administrators
December 22, 2003
Mr. David E. Rice, Health Director
New Hanover County Health Dept.
2029 South 17th Street
Wilmington, NC 28401
Dear Mr. Rice:
The North Carolina Association of Public Health Nurse Administrators is proud to honor
Betty B. Creech with this Resolution written by her co-workers and affirmed by the membership
of our entire organization. They have asked that we share this pleasure with you by sending you
a copy of the Resolution.
We are indeed fortunate to have so many dedicated, long term Public Health
Professionals in our state. Thank you for your part in recruiting, retaining, and/or supporting
them in their important work for the citizens of North Carolina.
Sincerely,
~ I! iJlnw
Sandra P Glover, RN
Chairperson, Resolutions Committee
SPG/jmw
Enclosure
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'R'ESOL'l1TION TO J-fONO'R
'.B'ETTy '.B. C'R'E'ECJ--{, 'R:N"
'DecemfJer 2003
WHEREAS, Betty Creech retired from the New Hanover County Health Department after more than 29
years of dedicated service as a Public Health Nurse, Public Health Nursing Supervisor and Public Health
Nursing Director; and
WHEREAS, she began her public health career as a Public Health Nurse Trainee in 1973 and rose
through the ranks to a Public Health Nursing Director; and
WHEREAS, she exhibited unwavering loyalty to public health and resolved to ensure the smooth
operation of the Community Health Programs; and
WHEREAS, she has been a mentor to many nurses with her calm demeanor and a stabilizing strength
during troubled times of natural disasters, staff shortages and disease outbreaks in the community; and
WHEREAS, she implemented and planned numerous programs during her tenure such as Orthopedic,
Neurology, Kindergarten Health, Well Baby, Nursing Clinics, Disaster Health, School Health and the Jail
Health programs; and
WHEREAS, she was recognized as an expert in disasters, serving on committees with the Cape Fear
Chapter of the American Red Cross representing New Hanover County Health Department, and
developed the first Emergency Policy and Procedure Manual for the Health Department, and
WHEREAS, she was a recipient of the Margaret B. Dolan award from the nursing section of the North
Carolina Public Health Association; and
WHEREAS, she served as President in 1999 and on the Governing Board of the North Carolina
Association of Public Health Nurse Administrators, and on the North Carolina Board of Nursing
Continued Competency Committee; and
WHEREAS, she demonstrated commitment to public health and an outstanding work ethic by coming to
work early, staying late, and canceling vacation leave to unselfishly serve the citizens of New Hanover
County; and
WHEREAS, she inspired her staff, co-workers and residents of New Hanover County with her
leadership, her love of God and family, and her tireless efforts to promote public health for all; be it
therefore
RESOLVED, that the North Carolina Association of Public Health Nurse Administrators go on record as
honoring Betty B. Creech, and that a copy of this resolution be presented to her; and be it further
RESOLVED, that a copy of this resolution be sent to the North Carolina Association of Public Health
Nurse Administrators; Dr. Joy Reed, Director of Public Health Nursing and Professional Development;
W. Edwin Link, Jr., Chairman of the New Hanover County Board of Health; Mr. Ted Davis, Chairman of
the New Hanover County Board of Commissioners; and Mr. David E. Rice, New Hanover County Health
Department Director.
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New Hanover County Health Deparbnent
Revenue and Expenditure Summary
December 2003
Cu~ulative: 50.00% Month 6 of 12
Revenues
CurrenlY_ PrlorY_
Budgel8cl Revenue Balance % Budgel8cl Rev,nue Balance %
Amount Earned Remalnln Amount Earned RemaIn! .
$ 1,954,958 $ 955,495 $ 999,463 505,207 $ 1,200,001
$ 570,161 $ 304,760 $ 265,401 ZTO,797 $ 317,147
$ 1,046;060 $ 297,492 $ 746,568 264,576 $ 770,810
$ 273,333 $
$ 300,212 $ 97,937 202,275
$ 111,850 $ 88,860
$ 2,340,815 $ 1,2n.488
Expenditures
CurrentY_
Budgel8cl ExperJMd Balance
Amount Amount Remain!
PrlorY_
ExperJMd
Amount
%
%
BudgeI8d
Amount
Summary
Budgeted Actual %
FYO~ FYO~
Expenditures:
Salaries & Fringe $10,021,623 $4,405,410
Operating Expenses $1,683,027 $653,112
Capital Outlay $369,863 $81,306
Total Expenditures $12,074,513 $5,139,828 42.57%
Revenue: $6,597,409 $3,021,833 45.80%
Net County $$ $5,4n,104 $2,117,995 38.66%
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Revenue and Expenditure Summary
Fiscal YearN
As of December 31,:z003
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NHCHD BOARD OF HEALTH APPROVED GRANT APPLICATION STATUS FY 03-04
Date (BOH) Grant Requested Pendlnn Received Denied
Cape Fear Memorial Foundatlon- Funds needed to
enhance health education In 4 areas other than 1~,5W
11712004 Diabetes (an enhancement to Diabetes Today Grant). $20,000 $20,000
1213/2003 No activity to report for Ociober 2003.
Cape Fear Memorial Foundation- Funds needed to
cover dental services for needy children as Identified by
11/512003 School Health Nurses. $3,000 $3,000 .
NC Medical Foundation - Through the Good
Shephard Ministries for nursing services to the
population frequenting the shelter. $25,000 $25,000 .
Duke Unlverslty- To provide 10 hours of nursing
services for TB Outreach. $10,388 $10,700 -$312 .
NC Tobacco and Control Branch, DHHS-
Continuation ofTobacco Prevention Program. $100,000 $&4,093 $35,907 .
10/112003 No activity to report for October 2003.
New Hanover County Safe Schools- Uniting for
Youth .U4Youth.(fundlng will be received over a
91312003 3 year grant period) $49,000 $49,000
Safe Kids Coalition- Fire Prevention (Please nol8
this grant was pullsd- coalillon not able to ~
deadline for request) $2,500 $2,500
81612003 NC DHHS- OPH Prenaredness and Response $82,350 $31,950 $50,400
Smart Start- Partnership for Children (Grant
71312003 Increase for Part Time Nurse Position) $5,523 $5,523
Cape Fear Memorial Foundation - Diabetes
Today (lwo-year request; $42,740 annually)
(Received $25,00 year 1 and $20,000 year 2) $85,480 $45,000 $40,480
Duke University Nlcholaa School of the
Envlronment-Geographlc Information Systems
Grant (Env Health) $10,000 $10,000
Safe Kids Coalltlon- Safe Kids Mobile Car Seat
Check up Van $50,000 $50,000
Safe Kids Coalitlon- Risk Watch Champion
6/412003 Teem $10,000 $12,500
Smart Start- Partnership for Children: Chlld
51712003 Care Nursing Program (Prelimlnery Approval) $171,977 $172,500
Smart Start- Partnership for Children: Health
Check (Preliminary Approval) $41,035 $41,747
UNC.cH: Child Care Health Consultant $62,849 $&4,495
Cape Fear Memorial Foundation (through
Partnership for Children): Navigator Program $178,707 $180,000
4/312003 No activity to report for April 2003.
3/512003 No activity to report for March 2003.
21512003 No activity to report for February 2003-
1/812003 NC DHHS- OPH Preparedness and Response $115,950 $33,600 $82,350
121412002 No activity to report for December 2002.
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As of 112812004
. NOTE: NotIflcation received sInoa lest RIPOIl
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NHCHD BOARD OF HEALTH APPROVED GRANT APPLICATION STATUS FY 03-04
NC Health and Wellness Trust Fund-Teen
Tobacco Use Prevention & Cessation Program
111612002 ($100,000 per year for 3 years) $100,000 $100,000
Safe Kids Buckle Up Program-North Carolina
101212002 Safe KIds $5,000 $5,000
Developing Geographic Information Systems
(GIS) Capacity In Local Health Department In
Eastern North Carolina-Duke University
Nicholas School of the Environment and Earth
= Sciences (NSEES) $18,000 $18,000
W. acuvlty to report TOr ..epl8mDer zuu=<.
o acuvlty to report Tor AU9~
No acuvlty to report Tor ~ulY .
I Totals $1,146,759 $69,000 $717,585 $366,648
6.02%
62.56%
31.99%
Pendina Grants 2 10%
Funded Total ReQUest 11 52%
Parilally Funded 4 19%
Denied Total Request 4 19%
Numbers of Grants Applied Far 21 100%
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Jean McNeIl
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To: David E RiceJNHC@NHC, Marilyn RobertslNHC@NHC
cc: (bee: archille)
Subject: Ordinance Amendment
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01/141200411:35AM
HI Dave
The infonnation below will be covered at the ACS Advisory Committee Meeting on January 21, 2004.
Piease include the documentation for the Board of Health, even though they meet after the BOH packet is
completed. This is the ordinance change that Legal wanted to do last month. They knew it had to go
through our proper channels before it went to the County Commissioners, but it is a high priority, issue ,for
our licensing procedures.
Thank you, Jean
_ j-UtWlIIu...i Ur .lean McNeiiI10iHC on 01/1412004 11:30 AM -
/lh.ClncIy
Kee-MacPheraon
12lO2l2OO3 10:56 AM
To: Jean McNeiIlNHC@NHC, Delay BrownINHC@NHC
cc: Andrea D Rhames/NHC@NHC, (bee: archille)
Subject: Ordinance Amendmilnt
Attached is a draft of the Request for Board Action. We noted the Meeting Date of 1120104 but know that
this may be changed as you must take this request before the Advisory Committee, ExecUtive Committee
and Board of Health. Please make any and all changes as you wish to reflect your concerns.
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ACRequest.doc
Also attached is the draft for the amended ordinance. The only thing I changed in this section is regarding
certified mail and changing 7 days to 20 days to respond with payment or hearing. I did not see any other
changes that needed to be made In the remaining ordinance regarding payment of the citations. Again,
please feel free to expre88 your thoughts and changes.
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AC ORDINANCE.doc
Cindy Kee-MacPherson
ParalegallFiscal Support Supervisor
County Attorney's OffIce
Phone: (910) 341-7169
Fax: (910) 341-4170
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NEW HANOVER COUNTY BOARD OF COMMISSIONERS
REQUEST FOR BOARD ACTION
Meeting Date: 01120104
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Departme!lt Legal
Presenter: David RIce, Health Director
Contact: Cindy Kee-MacPherson, Pars legal
DRAFT
SUBJECT:
Regular Agenda. First Reading.
Ordinance Amendment for Chapter 5, Animals.
BRIEF SUMMARY:
The Animal Control Division malls approximately electronic citations per month. The
current ordinance requires for citations to be served In person or by registered mall with return
receipt at a cost of $4;42 for each parcel. The cost of certified mall with no return receipt Is $.17
per perceL
Though the current ordinance requires the violator to either pay the citation or make a written
appeal within 7 days of receipt of said citation, the Animal Control Division ae well as theSherIII'a,
Inspections and Fire Marshall's offices allow 20 days from the date of the citation to payor appaL
RECOMMENDED MOTION AND REQUESTED ACTIONS:
Consider the ordinance amendment. A second reading will be required If the ordlnanee
amendment Is not unsnlmously approved by the Board.
FUNDING SOURCE:
Will above action result in: No change in Position
Explanation:
ATTACHMENTS:
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AN ORDINANCE
OF THE
NEW HANOVER COUNTY
, BOARD OF COMMISSIONERS
The Board of Commissioners of New Hano;ver County, North Carolina, does hereby
ordain that the Code of Ordinances, Chapter 5, Animals. Article I, Section 5-3(7) is hereby
amended by deleting subsection (7) and substituting the fol1owing:
(7) The director and all animal control officers are empowered to issue citations to any person if
there is probable cause to believe that such person has violated any of the' provisions of this
chapter.
Citations so issued may be served in person upon the violator by the director or any animal
control officer or they may be mailed by certified mail. Any citation so served or mailed sha1l
direct the alleged violator to make payment of the fine provided therein to animal control on or
before a specific day and hour stated on the citation and the period so specified shall not be less
than 72 hours after service or delivery to the vioJator. If the violator is served by mail, thtl
vioJator shall have 20 days from the date of the citation to pay said citatiOD. The citation fines
may be recovered by thtl county in a civil action in the nature of a debt if the offender does not
pay the pena1ty within 20 days after being cited.
Any alleged violator may make written appeal of the citation to the health director or his designee
within 20 days of the date of the citation. The right to appeal from the health director is to the
New Hanover County Superior Court. '
Except as expressly amended above, Chaptq 5 shall remain unaltered, in full force and
effect
This the
day of
.20_.
[SEAL]
NEWHANOVERCOUNlY
Chairman
AlTEST:
Clerk to the Board
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NEW HANOVER COUNTY BOARD OF COMMISSIONERS
, Request for Board Action
Agenda:
Meeting Date: 02116/04
Sub' ect: Additional Women, Infant and Children C State Fundin $30,908
Brief Summary: The New Hanover County Health Department bas received an
additional. $30,908 ofWtC funding to be expended by June 30, 2004. These funds are to
be used to support any of the four WIC activities (Client Services, Nutrition Education.
General Administration and Breastfeeding); however a minimum ofSS,170 must be used
. to su rt Breastf1 .
Recommended Motion and Requested Actions: To approve and accept additional WIC
fun' in the amount of $30,908 and to a rove associated bud et amendment.
Funding Source: Department of Health and Human Services, Division of Public Health,
e Nutrition Services Branch, Women's and Children's Health Section.
Will above action result in:
[]New Position Number ofPosition(s)
DPosition(s) Modification or change '
~o Change in Position(s)
I Explanation:
Attachments: Letter from State Nutrition Services Branch and fundin authorization.
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North Carolina Department of Health and Humllll Services
Division ofPubHc Health - Women's" ChildteD's Health Secticm
1914 Mail Senice Cc:ctt:r. RaIdgh. North CuoIiDa 77699-1914
Tel 919-733-2973. Fax 919-733-1384
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Michael F. ~. Govemor
, .
Cumea Hooker 0cI0m, Secmuy
January 7, 2004
TO:
ATTENTION:
Local Health Directors
FROM:
W1CDirecto)' i I.J.~
Kimberly ~ Operations Manager
Nutrition Services Branch
SUBJECT:
Amendment to WIC Agreement Addendmn SFY 2003-2004
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The purpose of this memo is to notify al110cal W1C agencies of an amendment to their budget and Agreement
Addendum for State Fiscal Year (SFY) 2003-2004. We have been able to increase the cost per participant to
$11.50 per month. A caseload increase bas also been issued to counties that have an average caselolld based on
the first four months of the SFY that exceeds their 2003 base. In addition. funds are being added to your
budgets for new or ,,"hanced breastfeeding support and/or promotion activities.
Attached please find 2 original agreement addenda, a budgetary estintate, and a budget revision form. The per
participant and caseload increases have been allocated under activity #5403. Local agencies may distribute this
funding according to their needs across the four activities. However, the breastfeeding funds have been
budgeted in activity #5409 and serve as the minimum amount that can be budgeted in this activity.
.
There are several options available for how you can ~ the breastfeeding funds. These options are addressed in
the scope of service. Please return both of the original agreement addendum, the budget revision. and your
breastfeeding plan to the Contracts Unit by January 30, 2004. Please contact your Regional Nutrition
Consultant if you have any questions.
cc:
Alice l,P.nu.....
Regional Nutrition Consultants
Nutrition Services Branch Unit Supervisors
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N.<=, mvr.IoD or Public B.....
Budletary EstImate to Local aesItb ~ SFY 03-84
- ActIYItJ . 5483 ActIYItJ N_ ~
111_1'7_ "
ACM' , Tal8I
r-dllllCCfRll '_4fII .i I\,,~ '~_._.RC '_...afLCCRIC .- PllIndl1ICCI'II --
1110 ,. a 1ItO 1101 II 11tD .tv.. 1110 .trt OR ".11"" 1UClI1V1..Q1! tl.. ".. DC tl1l IW 118 '-All'
, ....- ........
",,--- ....-- ~- ...,..... - -,- ::-- ~-
0?m-1_ ,,- 0?m-1_ tt_ 071llO-t_ - ....- tt_
-- -- -- -- -- -- -- --
.GIIaI'. 1IlDtur:;t DIIOI ,. 1Dta rI~t -- ,- -- ,-
0
at AlJ\MNOICE 133,408 fll11 $38 rrrr
214 ~ 1I".&IlLE REG $3,8t2 14,IU SM.-I
Cl2 MEXIINlIER I .._I .~ ' .....1
04_ I $1--.oiif '1 $8.-1
21M -...m! - $37.8821
rn~ '1117lll1 - "1.488
III IIlADEN fI_1 .ua '11_
10 ...-.ac .,__1 $3.1. "1 us
,,_ -ta' '10 Mol "'ll1ll
'1"- '11..,1 h.2tol SID.4IIl
I' CA8MRUlI .......1 $1.ntl "1,218
toO CMDWELI. .....1 SUIlI _I
'I CNnERET .,aNl .,- '12,Z1S
,., CASWEu. 14-1 ml S5.ll88
'I CAT_ 127-1 fI,IU 134.178
'I CHATIWl ...1 so so
2D CHERCIIEE .-1 'UOB $1_
EUM- ",llIII1 - $2._
125_1 14.818 $3.13'
.18....1 $3188 '11'-
IlICRA_ mlrnl fI,lI84 PI.ia'
a "Ot-' '11"" '1'1182
a_ "_I , '1_ $1.tl1
18 DAII1D8ON $3104 fI,ll84 ....'88
1IO DAVIE 18.1112 '1.818 ".187
lit IlI.I'Ul so so so
1IZ~ so so llill
as EDGECOtIlC '18,0811 ...-I atoM?
.. FORSYTH SM.211 '11,888 .1to.ll0
35 fIIW'IIUI '10 ... I2.2IlI '12,81lI
_ GASTOIl lIS. t48 - 18._
-- $2,_ - I128SI
>>1 _VANCE - $lI,lM8 sso.-I
40 GREBIE $1-1 .1441 .......1
., GUILRlRD - .18..... 'lllUllol
G HAUFAX so .. so
os HARNETT - 14 127,887
... HAYWOOD 18,8. IUIIl .1I,2l1O
4S He<<:lB tSON $ZI, In 15.13'1 SSO.-
I20s IERT_TEB II8.22S '1,111 .,....1
" HOlCI! 11..... ......-;;;;r '11'-
.. HYDE .1,811 _I $2. nil
48 IREDEU. AB,lI8II 14..... hl.2t8
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N.C. Dlvblou of PubUe HuJ1h
Budgetary EstImate to LoclII Healtb Departmculs, SF\' Q3.OoI
Orlg\Da1 _
Revlsloull_17_
Ac1Ivl1y 1# 5403
Ac1IvIty Name: Wle
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,
ROW 1 ......dIRC:CRC - ............. .- ..........,.". ............. - ~ T....
'IC......01-GD 154D "~E 1MQ..6404..QD 1S4G-I404-GE ,_5-GD ,_ll-GE l$lOo1OO1oGD ,__E 01 All
"-'" PorIocI PoymooI...rIocI Poymoo1"'_ Paymoo1_ Paymoo1_ "'_'l/OSo "-,,,- Poymont -
OTm-t_ ,,_ 07_'_ ,,_ D7JDS-1D1D3 - 07_'_ n_
-- .......- -- .......- -- -...- _..- __ad
-- ,........_ - ,........_ DlIIlIHIOS 10/0S00_ -- 10/0S00_
aau.....
so JACKSON $8,_ '1,514 . $8,019
51 JOHNSTON 11I.148 ".554 S2ll,303
52 JONES 33.221 $814 14.036
53 ,lJ3: $18,188 52.563 521.351
54 LENOIR 518_ 53.003 $19.887
55 UNCOl.H $17.758 52.112 120,530
56 IotACON 18._ 51,883 $8,563
51 MAllISON $8.1M' 51,023 $8,157
118 MAR- TYR-WASH 51..144 51.343 518..el
80 MECKLENBURG 5180,818 518,235 5188,811
81 MONTGOMERY 511.112 12.1Dl 514,873
83 MOORE 1 511."0 53,080 520,890
54 NASH I 520,281 ".210 $24,571
85 NEW HANOVER 515._ 55,170 530,808
88 NORniAMPTON $8.883 51.122 58,015
87 ONSLOW 581,818 513,848 118,183
88 ORANGE SO SO .
88PAMllCO 51,154 -
11 PENDER 510.882 $1.118
73 PERSON $8.088 51.341 58,400
14 pm 137.885 58.852 ......807
18 RANDOLPH 511.888 $8,808 $36,803
17 RICHMOND 518.888 13.201 121.881
18 ROBESON 141,854 58.018 "',873
19 ROCKINGHAM 52M18 13.8M 525,308
80 ROWAN 530.181 $8,818 135,859
218 RoP-M SO SO SO
82 SAMPSON 111.311 13.088 120,388
83 SCOTLAND 51..GOO 52.188 518.188
54 STANLY 512._ $1 ,83& 514,032
85 STOI<E8 17.710 51,812 $8,oISQ
88 SURRY $11.1~ 13.881 120.885
81 SWAIN 13_ 0 - 14.011
205 TOE RIVER .S13.no 51.m $18.883
88 TRANSYlVANIA IS,oIl. '1,_ $8,583
to UNION 515,811 55,411' 131,235
82 WAIaE 5118._ 528." 5155.850
83 WARREN 57.218 51 ,OM 18.312
96 WAYNE $32,oee sa,435 138,523
81 WIU<ES SO SO so
88 WIlSON 511,658 ".708 528,384
99 YADKlN 18.118 $1,815 58,833
TOTIUl'" CENT!; SO 51,851.838 SO SO , SO I II> SO 5382.871 52,210.808
CHECII.. IJ.O l>L), v1... " .A . /,~" 'fA '- J I i' It) ct 52 210,808
vv
~1o/}::hZ~~"0~ E ()f 8l.na1u.. .0. Da1o- 61v101oo 01 p.bII.14u1th rfi.oo~ otn..
!ll....... ... Data 0 DPH __ CIIIII f
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NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda:
Consent Meeting Date: 02/16/04
A enda: [gI
Presenter: Cind Hewett, Business M
Sub. em: Additional Aid-to-Coun Funds $2,259 for Health De artment
Brief Summary: The New Hanover County Health Department will receIVe an additional
$2,259 in Aid-to-County Funding to be used to purchase new refrigeration equipment for
vaccine stora e and handlin . These funds must be ex ended b Ma 31, 2004
Recommended Motion and Requested Actions: To approve and accept the additional
Aid-to-County State funding in the amount of $2,259 to be used to purchase new
refrigeration equipment for vaccine storage and handling. Also, to approve associated.
budl!et amendment.
Funding Source: North Carolina Department of Health and Human Services, Division of
Public Health, Immunization Branch.
Will above action result in:
ONew Position Number ofPosition(s)
DPosition(s) Modification or change .
[gINo Change in Position(s)
I Explanation:
I
I Attachments: Supportin~ documentation.
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NllI1h CaroIiDa Department ofHea1th and Human Services
Division of Public Hea1th - WOIDCIl'S lit aDIdra1's Hea1th~
191Hfail ServiceCemer. RaIeigb. Nonh Oudina 27699-1917
Tel 919-733-7752 . Fax 919-715-6781
/BOfiPJ} .
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Mi!:boelP. ~r 0.....-
C'.oaDm HooIIer Odam, 5.-_,
December 15,2003
RE:
Local Health Department
Local Health Director t2
Nursing Direetor
Beth Rowo-West, R.N., B.S.N., cad
Immunization Branc:h
Funds for Vaccine Storage and Hand1ing ImprovemenlB
Universal Childhood Vaccine Distribution Progtam (UCVDP).
TO:
FROM:
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Tb.e purpose of this memo is to notify you that, as part of our continuing efforts to improve vaccine.stonp
and handling, we have identified funds to award to each local health department to improve your vacciDe .
storage arid handling capability. A total ofS2,2S9 per local health department (one time award) is allocated
for the purchase of new refrigeration equipment. Your local health department will receive this one titDe
addition to your Aid-to-County funds in a special cost cOde (IS70-6083-EJ) to be used by May 31, 2004.
Begin by reviewing your Disaster Recovery Plan to identify the type of equipment needed for your cOunty to
ensure proper storage aild handling of state supplied vaccine; Additionally we have enclosed the updated
UCVDP Minimum Reouired Orderinll.. Handlin\!. and Storlllle Procedures which may also help you decide
what equipment is needed. Take the time to evaluate the age of your current vacciDe storage equipment.
Please consider whether or not you have adequate storage Space to hold a 3-month supply of vaccine. IfDoe.
you may want to purchase a larger commercial style refrigerator or an additional tiill-size refrigerator. Local
health departmenlB may choose any items from the liSt below to improve your county's vaccine storage and
. handling capability.
. Back up generator,
. Alann system attaA;bed to the refrigerator/freezer,
. Large C<luu.....,ia1 refrigeratorlth:ezer.
. Miscellaneous items such as thennometeni, temperature chart recorders, plug guards, door lOcks.. eta.
If you have any queations pr need help determining your refrigeration equipment needs, please contact your
Regional r.......mi....tion Consultant. '
Attachmen1B (I)
cc: SMT
Regional Consultan1B
Central Office Staff
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NEW HANOVER COUNTY
HEALTH DEPARTMENT
2029 SOUTH 171B STREET
WlLMlNGTON, NC 28401-4946
TELEPHONE (910) 3f3-6S00 FAX (910) 341-4146'
JanUary 27, 2004
To: New Hanover County- Board of Health
From: Cynthia W. Hewett, MSIS
BuSiness Manager
Subject: Changes in the New Hanover County Health Department Fee Policy :Narrative
1. We are requesting approval to delete all references to the JailMedical Health
Program.
2. Additionally, we are requesting approval for the following changes as they relate to
services provided within our Personal Health Services Division. Note: Changes I
additions are shown in bold priilt:
New Hanover County Health Department Fee Policy
,
I. General Guidelines
F. The :New Hanover County Health Department (NHCHD) will require ''proof
of income" to reduce charges when applying the sliding fee scale. If a patient
is unable to produce this required information, they will be placed on a 100%
sliding fee scale status~ror a period of ten (10) days. If proof of income is
provided within the ten day period, the patient will be billed accordingly.
If proof of income is not provided within the established timeframe, the
patiellt will be billed at 100%. The NHCHD representative has the right to
verify income information in all cases, however the patient must read,
understand, and sign the income statement (page 30) in omerfar their income
to be checked. The sliding fee scale does not apply to all services. Services
with flat ~te fees do not require proof of income. In extreme or unusual
circumstances, the Health Director or designee may make exceptions..
H. Payment, or co-pay for third party billing, is expected at the time of service
for all chargeable services. Partial payment is accepted for all chargeable
services, with the exception of vaccines not provided by the state. Co-pays
As of 01118104
23
e
are not subject to sliding fee scale. Medicaid patients are exempt from
co-pays.
, ,
I. If a patient has a remaining balance on their account, a payment agreement
and schedule will,be established and signed by the patient (page 31). Patients
who have demonstrated no "good faith" effort.to pay may be subject to
service restrictions as allowed by law.
Maternity Care Coordination, Child Sen1ce Coordination, Maternal
Outreach, Intensive Home Visiting and Parenting Classes will he billed to
Medicaid. For Non-Medicaid patients, these services will be billed to state
grants.
Orthopedic and Neurology clinic services are available only to Medicaid
eligible and indigent patients. All Non-Medicaid visits will be billed to state
grants.
O. Reimbursable visits, for patients with insurance coverage, will be billed to the _
insurance company. If there is a balance remaining after the insurance ,.,
payment is,received by NHCHD, the balance will be billed to the patient
based on thelr established slidiJ1g fee scale rates.
S. New Hanover County employees may purchase certain in-stock medications,
at a reduced priee, for themselves, their spouses, and their dependent
children.
T. All clinic and laboratory fees will be collected 88 part of the check-oat
process by the New Hanover County Health Department Billing Clerk.
II. Program Specific Information
A. Environinental Charges- Water Bacteriology
2. On an as needed basis. the Environmental Health clerk will submit a
report to the Laboratory Director listing total water sample revenues
for the designated time period.
3. Fees, for water samples, not collected by the Environmental Health e
Division will be processed by the NBC Health Department Billing
Unit.
A. nfntLlRlll4
~
e
"
B.
Women's Preventive Health
.. I I
5. Charges may be made for supplies not required by the plan of
contraceptive care based on cost of supplies. Charges for extra
cycles of pills may also be 'made. Charges for family planning
services, to include supplies, will be billed based on sliding fee
scale. However, non-family planning services will be charged
according to locally established fee schedule and will apply to all
patients (Pages 24-28). '
C. Laboratory
2. The patient will be directed to the billing cierk.
D. ChDd Health Servi~
1. Children seen for Child Ilealth Services will be charged in
accordance with the NHCHO Sliding Fee Scale (Page 25).
e
m. Accounts Receivable
The Accounts Receivable Bookkeeping System includes:
1. The fee policy will be explained to each patient with explanations
of purpose and details of procedure when the patient presents for
services. Each patient is given an opportunity to pay and every
effort will be made by the staff to collect total or partial payment
on the day of the visits. Payment in fuR is required for flat fee
services.
2. ProvIded that patient confidentiality is not jeopardized, bills
showing total charges Qess siiding scale discount) will be mailed to
patients 30 days after their visit Two additional statements with
balance owed will be mailed if no payment or subsequent visit is
made.
3.
Patients with account balances who have demonstrated no "good
faith" effort to pay will be subject to service restrictions. Service
restrictions will be at the discretion of the Health Director or
designee and may include prioritizing or restricting appointments.
e
1.3 of 01118104
25
e.
FEDERAL POVERTY LEVELS FOR 2003
.
Familv Size Gross Annual Income .
" 1 $8,980
2 12,120
3 15,260
4 18,400
5 21,540
6 24,680
.7 27,820
8 30,960
8 334,100 e
10 37,240
11 40,380
12 43,520
e'
A.ofOI/IRIll4
-,
e
"
N. C. Division of Public Health
Women's and Children's Health Section
Annual Gross Family Income
sliding Fee Scale -100% to 250% of Poverty
New Hanover County Health Department
. ,
Revised 2/2003
Family
Size
Federal
Poverty
Twenty Percent
From To
Forty Percent
From To
Sixty Percent
From To
Eighty Percent
From To
Full
,.(:,;- ,-<,;,.I~l~r~ /,IiS1:~-f~' .c_S':~~--:"4~ ' ~<--:~!~~~:',"'~i:.;"--~.- -::,c'";;"~~:(~;~"Jf[" ~-),::~~,"l;~.~ ~-:-~'-'.-:~~ ~';'~":
2
$12,120 $12,121 $16;665 $16,666 $21,210
$21,211 $25,755
$25,756 $30,299
$30,300
'L'::'~ '._~ '~~"~~~l;:;'f~~' r ,,~...d:;"~,:': .J'.4'..;:v!.r;~~::- '>.~)~<~l.!;' ~-...:\?.(~ :-,?w . ~~),;:,--.;'f"l;;:' ~\.~;<.~'''t~~'~' > ;~~:~~~J.b..7, "-'{~'"I' ~- ~l'~~~,~'
4
$18,400 $18,401$25,300 $25,301 $32,200
$32,201 $39,100
$39,101 $45,999
$46,000
e
6
$24,680 $24,681
$33,935
$33,936 $43,190
$43,191 $52,445
$52,448 $61,699
$61,700
_.~ '.' "..I,)r-,~,,:/;~ .(:<.'9.. ,:~y,' "S:-r~,~ /;~.:' ':.gs';~~'?J;.'-: ~~~;;'I;:,i:t;- ~~<:'6~:..,f*<e ;~~I;;r~ ~ ,~~:;\~ :.1'..:; ~~;{~}r;/.l~ . J.~~'- 10i
8
$30,960 $30,981 $42,570 $42,571 $54,18Q
$54,181 $65,790
$65,791 $77,399 $77,400
10
$37,240 $37,241 $51,205 $51,206 $65,170
$65,171 $79,135
$79,136 $93,099 $93,100
.. ;.""1 > ~ ,f,:-::: r~ ~'i;t;': ";'!~(3,~l'-' '~~~4~ I~'C.' -<" . ~:i.;i.; -3"~.....1 ::-~r,~:~$'. ;';;>:7~\;;;;r:-- 1?i;'~~~~. Js:l~I;,- ::1:12 r. "I[ f:: t '~~~-)~ . ~c
12
$43,520 $43,521 $59,840 $59,641 $76,160
$76,161 $92,480
$92,481 $108,799 $108,800
e
As of 01118104
27
N. C. Division of Public Health
Women's and Children's HealthSeclion
Annual Gross Family Income
Sliding Fee SClIle -100% to 350% of Poverty
New Hanover County Health Department
Family
Size
Federal
Poverty
Twenty Percent
From To
Forty Percent
From To
#
e.
Revised 212003
Sixty Percent
From To
Eighty Percent
From To
Full
>"">,~ ---"'~:i;:~~f;1': ,,.I,,;"~)Vf:J....,2..:~,.~,:1~~'~" ~~...-:;_~'_,....,.;~, ','-~1);>:-:_~'_ _"-,,~:::Jg';:~~~--':"::-~--' '>'.:;:-;..,,:..:...;," -, ~,,_,:, -~,'..",,:,~"
2
$12,120 $12,121_
$19,696_
$27,271_ $34,846 $42,419 $42,420
'/~ ,~ .. ~:.ylt;-";':>2;1_ " ~,-'0::).?"1" J<:v.,',:r;@l: .- -.,,;y.' 'J~0;' ~.~.~,.o',;::<,.-.> -":~~~~"';~1~'__~'Y'-;'_t~.;rl.;, .., ""';-';-;:~~" .~...;,",;;;" ...- -t.:'~,'.-
4
$18,400 $18,401_
$29,901_
$41,401_ $52,901 $64,399 $64,400
- l.-~ <' i':-:")j':;;:.L "':~~~}I'''';~,l: '''';'~;f;,r~I-;r:< ;'-'t'~('lj~l~~'~~:V~fi"!~- ~- ~~4E,1~;:-:,~~-;": ~',~~, ~- ~;;~~~(:!l)r~ '::,'>_,1:('". "-,~~,I.'f:-\
6
$24,680 $24,681_
$40,106_
$55,531_ $70,956$86,379 $86,_
8
$30,960 $30,961_
$50,311_
$69,661_ $89,011 $108,359 $108,360
10
$37,240 $37,241_
$60,516_
$83,791'" $107,066 $130,339 $130,340
"1\~" \ ~~~1(.~\;{': .. ;'~"::"~~j~(~:-' .- ",).,f:;t...:'J;-ii~,:. ''':~~;::1'(; ,,~r- .:~{;; .: <f~f~\:;b;"-~<~~,;'_\::'"' ~~\', .... . ""1H]J(l:' '~" ~";,~<, ".~..;, r r, -.:"
12
$43,520 $43,521_
. _----""'__....1.......________
$70,721_
$97,921_ $125,121 $152,319 $152,320
.'
:i.
-
"
e
e
e
NEW HANOVER COUNTY HEALTH DEPARTMENT
BAD DEBT WRITE OFF POLICY
After. all prOcedures have been followed lI$ previously described in the New Hanover CoUnty HeaIIh
Department fee policy, the bad debt write offprocedures will be asfollowed:
.,
I Bad debts will be written off as uncollectable, 13 months following the date of the last visit elI:cept when:
1. There has been no intervening charge visit within 13 months and the patient sti1l wishes to remain
an active patient Future services may be denied if effort for payment is not made.
2. Small amounts are being paid toward the bill.
An itemized list of uncollectahle outstanding patient balances will be prepared at the end of the fiscal year fur
the Health Director's review. Those approved by the Health Director and the Board of HeaIIh Win be writlm
oft: The Accounts Receivable system shall indicate the recording of the bill as uncollectah1e by adjusting die
patient balance to zero. Evidence shall be on file to document required billings.
A self-pay patient (categorized as a 60"10 or greater on the sliding fee scale) with a previous bad debt write off.
will not be alloWed tocbarge services unless aJ>aymeol is made toward their previous baIanc:lI and odIIr
payment arrangements are agreed upon. A self-pay patient, categorized as 40% or beloW on die sliding file
scale, will not be denied services but their account will re reactivated. .
If a patient retwns to the health department after a bad debt has been determined uncollectahle their bad debt
write off shall be reactivated and the billing process resumes. The patient's account. balance will be reinstllted
at the full amount of the write oft: .
A patient should never be infonned that a debt has been writlm oft:
All eligible bad debts wID be referred to tbe North Carolina Local Government Debt-Setolr
aearlngbouse for possible collection. Upon coliection, tbe patient's account wID be re-ilctlvated.
A copy of the Bad Debt Write-off for the fiscal year wID be sent to the New Hanover Comrty Finance Office.
DatIl
Health Director
Chairman. Board ofHeaIIh
As of 01/18104
29
NEW HANOVER COUNTY
HEALTH DEPARTMENT
'2029 SOUTH 17TH STREET
WILMINGTON, NC 28401-4946
TELEPHONE (910) 343-6500 FAX (910) 341-4146
To: New Hanover County Board of Health Executive Committee
From: tI' Cynthia W. Hewett, MSIS
Business Manager
Date: January 20, 2004
Subject: Budget Workbook Fiscal Year 04-05
Attached are summary sheets from our Budget Workbook for Fiscal Year 2004-2005.
These pages provide summaries of the information contained within the workbook. The
entire workbook will be available for your review at the New Hanover County Board of
Health Executive Committee on January 27,2004.
e
Our total Budget Request FY 2004-2005 is $11.728.929. This is a projected increase of
$ 290,789 (2.54%) over the Adopted Budget FY 04 amount of $11,438, 14Q. Under the
direction of the County Manager, no new position,s are being requested for FY 04-05.
Revenues through federal and state grants, fees, Medicaid, and other sources show an
increase of $ 284,881 (4.79%). The net increased cost to the county is $ 5,908 (.11%).
This budget request does not include projections for possible cost increases in fringe
benefits (insurance), salary market adjustments or merit.
Our Budget Request for FY 2005 is due to the County Budget Office on February 13,
2004; for review by the County Manager, Allen O'Neal, and his Budget Committee. In
May we will receive the County Manager's Recommended Budget for FY 2005 for the
New Hanover County Health Department. Any revisions to our original Budget Request
will be presented to you at a later date. On May 17, 2004, a Public Hearing is
scheduled providing you with the opportunity to appear before the County
Commissioners to discuss budget matters.
e
C: Board of Health Budget Committee
David E. Rice, Health Director
Health Department Management Team
30
"UAGlthv P"nnle. Healthv Environment, Healthy Community"
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New Hanover County
Health Department
Requested Budget FY 05
Summary
January 27, 2004
(120.
1,01
10,
OVerall
Increase:
$290,789
21%
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Capital Outlay: IT Requests for FY OS
. Replacing Windows 98
Units (75 systems) for
lllP AA Compliance
. . InstallingW2003 Server
. Upgrading AS400
Total IT Requests: $200,000
e
Additional Capital Outlay Requests
. Vector Control
- Tractor & peripherals
. 586,100
. Laboratory
- Hemotology Machine
. $10,000
Total Additional Capital Outlay: $106,200
Combined Capital Requests: $306,200
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-+->-- (1,111) .,...
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I '0427 ...
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Overall
Increase
S 284,881
4.790/0
Summary of Projected Revenue
110700
,
.,
,
. State Funding
. $72,265
. Fees
. $ ~500
. Medicaid Earnings
. $105,741
Total Increase in Projected Revenue Cor FYOS,
5284,881 4.79%
. Other
. $107,375
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Total Cost. to County for FY05
Salary & Fringe
Operating
Capital
Total
Revenue
Cost to County
FY 03-04
510,049,953,
5 1,353,187
$ 35,000
$11,438,140
$5,941,701
$5,496,439
FY 04-05
$10,049,953
$ 1,372,776
$ 306,200
$11,777,265
$6,226;582
$5,502,347
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New Hanover County Board of Health
, Committee Assignments
2004
Executive Committee:
Dr., Melody C Speck, Chairman
Mr. Donald P. Blake, Vice-Chairman
Mr. Marvin E. Freeman, Sr.
Dr. Sandra L. Miles
Dr. Edward Weaver, Jr.
Environmental Health Committee:
Dr. Edward Weaver, Jr., Chairman
Mr. James R. Hickmon
Mr. John S. Tunstall
Mr. Donald P. Blake
Personal Health Committee:
Mr. Marvin E. Freeman, Sr., Chairman
Dr. Philip P. Smith,Sr.
Mrs. Cheryl Lofgren
Dr. Sandra L. Miles
Mr. Stanley G. Wardrip, Jr.
Animal Control Services Advisory Committee:
Dr. Melody C. Speck
Association of NC Boards of Health
Dr. Melody C. Speck
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David E RIce
0112312004 04:10 PM
To: donblake@aol.com, eweaver@ec.rr.com. freemanm@wrightcorp.com,
MCSpeck@bizec.rr.com, iamsmiles@bizec.rr.com
cc: Marilyn RobertslNHC@NHC. Jean McNeiIlNHC@NHC
Subject: BOH Infonnation - Bears in NHC
NHCBH Executive Committee Members,
Please review the email with attachments from Jean McNeil. The NHCBH Executive Committee will need
to discuss the "Bears" under other business on January 27, 2004. If you have questions, please contact
me (343-6591) or Jean at (341-4197 x209).
Thanks, Dave
_ fOl_.:Ied by David E RicelNHC on 0112312004 04:04 PM-
.
To: David E RicelNHC@NHC, Marilyn RobertsINHC@NHC
cc: (bee: archive)
Subject: BOH Infonnalion - Bears in NHC
Jean McNeIl
0112312004 03:55 PM
Hi Dave
ACS staff discussed the Himalayan bears at our January 5, 2004, meeting. General consensus was to
keep these animals from being allowed to be housed in a residential location in NHC. We have concerns
as a staff about the addition of a potential rabies vector, and who would police after the animals if they
were to get loose. The couple, Monica and Howard Loughlin, though appearing very responsible, cannot
guarantee that their pets will not present a danger to the county's citizens.
Attached Is a copy of the minutes from the ACS Advisory Committee held on January 21, 2004, where the
Loughlins pleaded their case. The Advisory Committee had the same concerns as ACS staff, specifically
the threat of adding another rabies vector to the animal roster in NHC. They questioned the couple's
ability to have insurance coverage in case of damage by the bears. They had no immediate answer The
Committee also was concemed about county liability, if we are the overseeing group granting permission
for the bears to reside here. They are seeking the right from the Board of Health to house their pets in
NHC. Also attached is the BOH Wildlife Regulation, in particular, Section Two regarding maintenance of
wild or exotic animals.
There are a number of lettars and signed petitions from neighbors to support their right to house the bears
here. Zoning, the USDA, and the Wildlife Commission have no restrictions for them to keep them here
(see letters). Their veterinarian Is Dr. Bill Rohn, from Port City Animal Hospital. The bears are twins, bom
at Totem-in-Zoo. They have been neutered and front paw declawed. The species Is not indigenous to
North America.
The Loughlins would like to attend the February BOH meeting to discuss this with the Board. The
additional documents will be available at the Health Department I have left a voice-mail message with
county attomey, Holt Moore, requesting his attendance at the Executive BOH meeting Tuesday evening.
He has prior knowledge of the bear situation.
Thanks, Jean
~
BOH WILDLIFE HEALTH REGULATION..
~
01-21-Q4AdvComM'mutes.dt
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REGULATIONS FOR THE POSSESSION, SALE,
AND DISTRIBUTION OF ANIMALS BELONGING
TO THE ZOOLOGICAL ORDER CARNIVORA
OTHER THAN THE DOMESTIC FERRET, DOG, AND CAT
AND MAINTENANCE OF OTHER WILD OR EXOTIC ANIMALS
Be it ordained by the New Hanover County Board of Health that the following
regulations are hereby adopted, pursuant to authority granted by Chapter 130 of the
General Statutes of North Carolina, and shall apply throughout New Hanover County for
the possession, sale, and distribution of animals belonging to the zoological order
Carnivore other than the domestic ferret, dog, and cat, and the maintenance of other wild
or exotic animals.
Section I, Possession. Sale. and Distribution of Animals Belon2inl!: to the Zool02ical
Order Carnivore other than the Domestic Ferret. DOl!:. or Cat UnlawfuL It shall be
unlawful in New Hanover County to posses, sell, distribute, trade, barter, exchange,
adopt, or give animals belonging to the zoological order Carnivore other than the
domestic ferret, dog, and cat. These animals shall include, but are not limited to foxes,
raccoons, skunks, weasels, mink, otters, bobcats, civet cats, margays, ocelots, golden
cats, fishing cats, leopard cats, cheetahs, lynxes, cougars, leopards, jaguars, wolves,
coyotes, dingoes, and hybrids resulting from crossbreeding domestic dogs with wolves,
coyotes, and dingoes, except as follows:
(I) Institutions registered by the U. S. Department of Agriculture pursuant to the
Animal welfare Act, as amended, the North Carolina Zoological Park, and
other zoological Park Council may possess these animals. Dealers licensed
pursuant to the Act may distribute or sell such animals to these parks and
institutions.
(2) A person in possession of a carnivore included in this regulation on October I,
1987, may continue to possess the animal, if, by January I, 1988, the person
obtains a permit from the Animal Control Division of the New Hanover
County Health Department. To obtain a permit for each animal in possession,
the person shall submit the following information:
a) The person's name, address, and telephone number.
b) Location of where the carnivore will be maintained.
c) Number of carnivores in possession on October 1,1987, and
d) Statements from a licensed veterinarian that each carnivore has been
spayed or neutered.
All permits issued pursuant to this subsection are nontransferable, and shall
expire at the death of the animal. Upon the death of the animal, the Animal
Control Division must be notified.
(3) A licensed veterinarian may have in possession any of the aforementioned
carnivores for the sole purpose of providing veterinary services.
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Section 2. Other Wild or Exotic Animals. Maintenance Of. Employees of the Animal
Control Division of the New Hanover County Health Department shall have the right to
inspect the premises where any animals commonly categorized as wild or exotic are to be
kept to determine if the animal may be kept or maintained without menacing the health
and safety of any persons or property. In furtherance of such goals, The Board of Health
may require that any such animals be caged or secured, and may, after due notice, make
additional rules regulating the keeping of these animals.
Section 3. Animal control officers are authorized to enforce the provisions of this section
and shall have the right of entry pursuant to G.S. S130A-17 for this purpose.
Section 4. This act shall be effective the first day of February 1994.
jpm DOH WILDLIFE IlEAL TH REGULATlON.doc
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New Hanover County
Animal Control Services
Advisory Committee
Meeting 01/21/04
Present: Joyce Bradley, John Boozer, Jewell Ann Diehn, Jeannie Leonard, Gretchen
Colby, JoE. Needham, Martha Raynor, Jean McNeil
Absent: Melody Speck (excused), Sylvia Hall, Patrice Kaizer
General public - three minute segments to cover areas of concerns:
I) Monica and Howard Loughlin - presented request to obtain permit to keep
Himalayan bears in residential housing area in NHC.
2) Teresa Goldston - concerned with hearings appeal process.
Old Business
1. Gretchen Colby's right of refusal notice.
Approved by Board of Health (thanks, Melody!). Posted in front office.
2. Spay/neuter facility.
Target completion date is April. May need additional fund-raisers to equip
the facility due to increased fees to build. To develop veterinarian contract
w/ Martha. Group mentioned Bob Barker's fund for additional money to
equip the facility. Also, PetsMart Charities. We may check into a possible
grant, if needed.
3. Seized animals (pit bulls).
What should we do as a group? Mentioned possibility of a video segment on
NHC- TV to county overseers. Nothing done in this area. Jean & Joyce will
speak to Mark Boyer about a possible NHC- TV segment to air.
4. Inner City Rabies Clinic.
Held on Saturday, November 15,2003, from one until three. Thanks to
Gretchen, John, and other volunteers to make it happen. It was successful
enough to consider it a continued effort. Approximately 45 animals were
vaccinated.
6. Seized animals (this year's!)
We went to court on January 12,2004 (all day!). We go again on February
3, 2004, since the judge was not satisfied with the plea agreement. The
animals will probably go to various rescue groups, if they become our
property.
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7. SIN reimbursement fund from state.
I have joined a group called Citywide Neighborhood Network (CNN). DSS
personnel are also members, and I have talked with them about implementing
this program. Volunteers welcome to assist!
New Business
1. Title change.
I am now Animal Control Manager, as opposed to director or public health
division manager. Another portion of the organization changes in the health
department.
2. Wildlife as pets in NHC.
Discussion on whether or not these can be approved to be kept at a residential
household in NHC by permitted approval. Reference wildlife regulation per
Board of Health. The group first felt the bears were outside our jurisdiction,
because they are non-domestic animals. However, the BOH regulation
stipulates about the maintenance of wild or exotic pets in NHC.
Conclusions: Concerned that we would add another rabies vector to the ones
already in NHC. Also, liability responsibility to NHC, if the bears escape.
The prevalence of rabies virus in our community was a serious concern.
3. Hearings appeals process.
Discussion on procedural coverage and related issues. Group is pleased with
our proceedings. Suggested to Ms. Goldston to continue calls to ACS, if the
dogs are viewed running loose again.
4. Ordinance change.
Must have approval from Advisory Committee to present to BOH. Deals
with computer-generated citations. Must be mailed certified. Group gave
unanimous approval to change.
5. HD accreditation process.
Minimal provision for animal control agencies. Good idea to send info to
group to add more ac-related criteria to document. Please include mandatory
spay/neuter of all adopted pets as a criteria. Also, some means of education
and a euthanasia protocol.
6. Adoption outreach program.
Consider implementation after SIN facility complete and operational. Pets
would be taken off site and adopted there. Some possible locations are
PetsMart and Pet Supermarket. Animals must be neutered prior to starting
this practice.
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7. Draft by-laws review.
Discussion on adoption of draft w/ appropriate changes. Will review and
cover these at our next meeting.
8. Education program.
Gretchen, Jeannie, and JoE. Will work on a plan to do school education.
Tom Grady is a Star News reporter doing animal-related articles in the paper.
9. License allowance.
Group discussed a lowered licensing fee for the disable or elderly. Agreed
that should be allowed only if the pet was neutered. Decided to table this
ides until the spay/neuter reimbursement was in place.
Respectfully submitted,
Jean McNeil
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WILDLIFE REGULATION
REQUEST FOR ExEMPTION
By
MONICA AND HOWARD LOUGHLIN
FEBRUARY 4, 2004
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TABLE OF CONTENTS
WILDLIFE REGULATION
LETTERS
PICTURES
PLANS: SrrE; ENCLOSURE
PETITIONS
AsiATIC BLACK BEAR FACT SHEET
RECEIPTS
MISC
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Ie WILDLIFE REGULATION
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REGULATIONS FOR THE POSSESSION, SALE,
AND DISTRIBUTION OF ANIMALS BELONGING
TO THE ZOOLOGICAL ORDER CARNIVORA
OTHER THAN THE DOMESTIC FERRET, DOG, AND CAT
AND MAINTENANCE OF OTHER WILD OR EXOTIC ANIMALS
Be it ordained by the New Hanover County Board of Health that the following
regulations are hereby adopted, pursuant to authority granted by Chapter 130 of the
General Statutes of North Carolina, and shall apply throughout New Hanover County for
the possession, sale, and distribution of animals belonging to the zoological order
Carnivore other than the domestic ferret, dog, and cat, and the maintenance of other wild
or exotic animals.
Section 1. Possession. Sale. and Distribution of Animals Belonl!'inl!' to the Zoolol!'ical
Order Carnivore other than the Domestic Ferret. DOl!'. or Cat Unlawful. It shall be
unlawful in New Hanover County to posses, sell, distribute, trade, barter, exchange,
adopt, or give animals belonging to the zoological order Carnivore other than the
domestic ferret, dog, and cat. These animals shall include, but are not limited to foxes,
raccoons, skunks, weasels, mink, otters, bobcats, civet cats, margays, ocelots, golden
cats, fishing cats, leopard cats, cheetahs, lynxes, cougars, leopards, jaguars, wolves,
coyotes, dingoes, and hybrids resulting from crossbreeding domestic dogs with wolves,
coyotes, and dingoes, except as follows:
(1) Institutions registered by the U. S. Department of Agriculture pursuant to the
Animal welfare Act, as amended, the North Carolina Zoological Park, and
other zoological Park Council may possess these animals. Dealers licensed
pursuant to the Act may distribute or sell such animals to these parks and
institutions.
(2) A person in possession of a carnivore included in this regulation on October 1,
1987, may continue to possess the animal, if, by January 1, 1988, the person
obtains a permit from the Animal Control Division of the New Hanover
County Health Department. To obtain a permit for each animal in possession,
the person shall submit the following information:
a) The person's name, address, and telephone number.
b) Location of where the carnivore wilI be maintained.
c) Number of carnivores in possession on October 1,1987, and
d) Statements from a licensed veterinarian that each carnivore has been
spayed or neutered.
All permits issued pursuant to this subsection are nontransferable, and shall
expire at the death of the animal. Upon the death of the animal, the Animal
Control Division must be notified.
(3) A licensed veterinarian may have in possession any of the aforementioned
carnivores for the sole purpose of providing veterinary services.
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Section 2. Other Wild or Exotic Animals. Maintenance Of. Employees of the Animal
Control Division of the New Hanover County Health Department shall have the right to
inspect the premises where any animals commonly categorized as wild or exotic are to be
kept to determine if the animal may be kept or maintained without menacing the health
and safety of any persons or property. In furtherance of such goals, The Board of Health
may require that any such animals be caged or secured, and may, after due notice, make
additional rules regulating the keeping of these animals.
Section 3. Animal control officers are authorized to enforce the provisions of this section
and shall have the right of entry pursuantto O.S. S130A-17 for this purpose.
Section 4. This act shall be effective the first day of February 1994
jpm BOHWILDLIFEHEALTIlREGULATION.doc
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LETTERS
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NEW HANOVER COUNTY
INSPECTIONS SERVICES
230 MARKET PLACE DRNE - SUITE 110
WILMINGTON, NORTH CAROLINA 28403
TELEPHONE (910) 798-7118
FAX: (910)798-7060
ANN 5. HJNe)
Odef Zcoing
EalloJ<b...rt 0IIlcial
January 5, 2004
Mrs. Monica Loughlin
138 Mohawk Trail
Wilmington, NC 28403
RE: Exotic Animals in New Hanover County
Dear Mrs. Loughlin:
This is to address your letter of January I, 2004, regarding the possession of barnyard or exotic
animals in New Hanover County, specifically, goats and Himalayan black bears. Under the New
Hanover County Zoning Ordinance, such animals are not regulated. Therefore, the possession of such
animals would not be a violation of the Zoning Ordinance. However, this does not release you from
complying with other federal, state or local codes in relation to the possession of such animals.
Should you have any other questions, please don't hesitate to contact me at (910) 798-7118.
Sincerely,
~q~
Rod A. Conatser,
Zoning Enforcement Official
cc: Ann S. Hines
Chief Zoning Enforcement Official
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~ North Carolina Wildlife Resources Commission ~
Charles R. Fullwood, Executive Ditector
January 6, 2004
Ms. Monica V. Loughlin
138 Mohawk Trail
Wilmington, NC 28409
Dear Ms. Loughlin:
We have received your letter of January I, 2004 regarding any requirements for pennits
or licenses for possession of Himalayan Black Bears in North Carolina. While we do
regulate American Black Bears, we do not require any pennits or licenses for possession
of exotic bears, including the Himalayan Black Bears. If you obtain the bear(s) from a
source within this state, no additional state pennits would be required.
Be advised that you would potentially be subject to regulations at the local (city, county)
level.
s~~
Randall C. Wilson, Section Manager
Division of Wildlife Management
(919) 661-4872
/rcw
CC: Div. of Wildlife Enfurcement
DIVISION OF WILDLIFE MANAGEMENT
l\falll..g Address: 1722 Mail Service Center . Raleigh, NC 27699-1722
Office Location: 512 N. Salisbury Street. Raleigh, NC ;. Telephone: (919) 733-7291 . Fax: (919) 733-2176
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USDA
United States
Department of
Agriculture
Animal and Plant Animal Care
Health Inspection Eastern Region
Service
Suite 200
920 Main Campus Dr.
Raleigh, NC 27606
January 15,2004
Monica Loughlin
138 Mohawk Trail
Wilmington, NC 28409
Dear Ms. Loughlin:
Per our earlier phone conversation, this letter is to confirm that USDA, APHIS does not
require licensing of those persons who keep or transport wild/exotic animals, such as
bears, for their personal use. We do require that those persons who sell or exhibit such
animals obtain a USDA license prior to such activity We also regulate those persons
who transport such animals for hire.
As you requested, your application for license will be terminated. Please contact me at
(919) 552-8495 if you have any further questions.
Miava Binkley, DVM
Veterinary Medical Officer
USDA, APHIS, AC
Raleigh, NC
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~ted States
"'partment of
Agriculture
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Marketing and
Regulatory
Programs
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Animal and
Plant Health
Inspection
Service
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Animal Care
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920 Main Campus
Drive, Suite 200
Raleigh, NC
27606-5213
Tel. 919-716-5532
Fax: 919-716-5696
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USDA
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Monica Loughlin
138 Mohawk Trail
Wilmington, NC 28409
January 20, 2004
Customer No 10574
RE APPLICATION TERMINATION
Dear Applicant
We have terminated your application for a Animal Welfare Act (AWA) license
or registration for the reason(s} listed below
~ 1 Your current activities are exempt from regulations
2 At your request, we did not perform the required
pre-licensing inspection
3 We did not receive your licensing fees/completed APHIS
Form 7003A by the assigned deadline
4 Our inspector was unable to contact you to arrange for
the required pre-licensing inspection
5 After one or more noncompliant inspections, you requested
that we cancel your application
6 Your facility failed to come into compliance after three
pre-licensing inspections
7 The licensing process was not completed within the prescribed
gO-day time frame
If your application was terminated for the reasons indicated in Items 1 through
4, you may submit a new application at any time However, if Items 5 through 7
are checked, you may not reapply for a period of 6 months from the date of your
last inspection After the 6-month period has passed, you may then reapply for
licensure If you do not wish to wait for the required period, you may request
a hearing in accordance with the U S Department of Agriculture's Rules of
Practice -- available upon request -- to show why your application for a license
should not be denied If you desire such a hearing, you must notify us in
writing by certified mail within 20 days of receipt of this letter Please be
advised that, if you engage in activities covered under the AWA without being
licensed or registered, you will be cited for violating the Act
We hope this information is helpful, and we look forward to hearing from you
Contact this office at 919-716-5727 if you have any questions regarding this
letter or the Animal Welfare Act
Sincerely,
&~Q.,~d,.~~
Elizabeth Goldentyer, DVM
Regional Director - Animal Care
Eastern Region
cc
F Miava Binkley, DVM
~
APHIS. Protecting American Agriculture
An Equal Opporlunity Employer
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December 29,2003
To: Jean McNeil, New Hanover County Animal Control Services
From: Bill Rohn, DVM
Port City Animal Hospital
Jean,
I wanted to send this letter in support of Howard and Monica Loughlin. I
have been involved, on a small scale, with the care of the Himalayan Black Bears
under the care of the Loughlins. The bears have come into our hospital several
times to assess their body weight, and two or three times for veterinary care. The
bears have not shown any tendency toward aggressive behavior and were
relatively easy to examine and treat. They have interacted with numerous people
on these occasions, most of whom the bears had never encountered previously,
and have reacted to the attention of those people in a very positive manner
As you know, bears are omnivorous and prefer to eat
plantslfruitslvegetables. The recent incident of a lion (?) mauling and killing a
child, though unfortunate, is an entirely different situation. That animal's instinct
was to hunt and kill another animal. I know the Loughlins have taken several
measures to ensure the safety of the general public as well as the safety of the
bears. The Mure educational opportunity the Loughlins are offering our
community should be looked upon in a favorable manner These animals are
nearing endangered status; Howard and Monica are providing care and a home
to a few species in need.
Please give me a call if you would like to discuss these bears further. As
someone who has been privileged to encounter these bears, I would hate to see
them sent somewhere else.
Thanks, J.
~oc x-?
Bill
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JANUARY 6, 2004
NEW HANOVER COUNTY ANIMAL CONTROL
DIRECTOR, JEAN MCNEIL
TO WHOM IT MAY CONCERN:
HOWARD AND MONICA LOUGHLIN HAVE BEEN ASSOCIATED WITH US FOR
OVER SEVEN YEARS. THEIR INTERACTION WITH THE HIMALAYAN ASIATIC
BLACK BEARS, AS CUBS OR ADUL TS, WAS ALWAYS WHAT WAS BEST FOR
THE ANIMALS. THERE HELP IN RAISING THE NEW OFFSPRING OF TOTE EM
IN ZOO WAS EXTREMELY HELPFUL. WHETHER, THE OFFSPRING WAS
BEARS OR GOATS THEY MADE HUGE SACRIFICES TO ACCOMMODATE THE
ROUTINE OF THE ANIMAL THAT WE WERE RAISING.
WE HAVE EXAMINED THE ENCLOSURE THAT THEY HAVE PROVIDED FOR
THE BEARS AND IT IS ONE OF THE BETTER ONES THAT WE HAVE SEEN.
THEY HAVE SPARED NO EXPENSE AND THEY HAVE ASSURED US THAT
THEY UNDERSTAND ABOUT THE SAFETY, HEALTH AND USDA
REQUIREMENTS. WE HAVE DISCUSSED THE SEDATION AND THE
POSSIBLITY OF THE ANIMAL BEING DESTROYED IF CIRCUMSTANCES
ARISE.
CONTRADICTORY TO WHAT WECT 6 REPORTED THAT THE BEARS THAT
WERE ON EXHIBIT WERE THE ONES SOLD TO THE LOUGHLINS IS TOT ALLY
INCORRECT. THE REPORTER DIDN'T ASK TO SEE ANY DOCUMENTATION
TO THE FACT FROM THE TREGEMBO'S. THEY PROVIDED THEIR OWN
INTERPATION OF THE FACTS WHICH WAS INCORRECT. THE FACILITY
NEEDS TO UPGRADE THEIR USDA REQUIREMENTS AND THEY WOULD OF
KNOWN WHA T WAS CORRECT. TOTE EM IN ZOO TURN IN THEIR USDA
LICENSE ON MONDAY NOVEMBER 17,2003. THE FACILITY THAT EXISTS
NOW IS NOT UNDER ANY LICENSES STATE OR USDA.
THE LOUGHLIN'S WILL PROVIDE A WONDERFUL, SAFE AND HEALTHY
ENVIROMENT.
NEW HANOVER COUNTY RESIDENTS NEED TO BE MORE ALARMED ABOUT
THE FACT THAT THERE ARE MORE HOMES IN THAT COUNTY WITH EXOTIC
VENOMOUS SNAKES ON THEIR PERMISES. THAT IS, A MUCH GREATER
DANGER TO FIREFIGHTERS AND NEIGHBORS THAN THE LOUGHLIN'S
BEARS.
SINCERELY
JERRY
TOTE EM
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UTILE MAN'S ZOO
222 .f~ q)_
~ <me 28481
910-654-.!i'Z'25
January 11, 2004
Ms. Jean P. McNeil, Director
New Hanover County Animal Control Services
180 Division Drive
Wilmington, NC 28401
Dear Ms. McNeil,
We met Howard and Monica Loughlin last year through Jerry and Sheme
Brewer, the owners of Tote-Em-In Zoo. We leamed that Howard and Monica
visited the adult Himalayan black bears at Tote-Em-In Zoo every Sunday to bring
them pies, fruit and rawhides as a treat The Loughllns were quite fond of the
offspring as weU. So fond that they purchased the twin cubs that were bom last
January and donated them to us at Little Man's Zoo. They wanted to keep the
family of bears close to home.
From the end of March until the first of November, the Loughlins would travel to
Chadboum every Friday to pick the twin cubs up and take them to their house for
the weekend. As the cubs grew, the Loughlins wanted to have a bigger, more
secure facility for the bear cubs to reside when the cubs visited on the
weekends, so the Loughlins built a zoo-type facility. When we saw the facility
that the Loughlins had built, we were amazed at the construction. The enclosure
is one of the best enclosures that we have seen in the zoo business. We were so
amazed that we donated the bear cubs to the Loughlins.
Teddy and Baloo (bear cubs) are like the Loughlins children. The time the
Loughlins have spent with Teddy and Baloo is astonishing. The Loughlins have
provided a safe and healthy environment for Teddy and Baloo as well as for the
public. We would love to see Teddy and Baloo back home in New Hanover
County where they were bom and belong.
Please do not hesitate to contact us if you have any questions. Thank you.
Sincerely,
fo14-~ ~W
Pat and Herlar Faircloth, Owners
Andrew & Kuske
= = CONSULTING ENGINEERS, INC.
= = 902MarketStreetWilmlngton.NC28401-4733
== -==- 910/343-9653 910/343-9604 Fax
= ~ www.andrewandkuske.com
John R. Andrew, P.E.
John S. Tunstall, P.E.
John A. Kuske, III, P.E.
James T. Pyrtle. P.E.
J. Phillip Norris. P.E.
Neal W. Andrew, P.E.
J.A. Kuske, P.E. of Counsel
C. Lawrence Sneeden, Jr., P.E.
January 21, 2004
Monica Loughlin
138 Mohawk Trail
Wilmington, NC 28409
Re: Review of Bear Enclosure
138 Mohawk Trail
Wilmington, NC 28409
Dear Ms. Loughlin:
Andrew & Kuske Consulting Engineers, Inc. has reviewed the information provided to us
regarding a bear enclosure located at the above address. The information provided by
you include the overall dimensions, materials used for construction, and sizes, spans,
and spacings of the materials used. Multiple photographs were also included in order to
verify the as-built conditions matched the original construction documents.
Based upon this information, it is the professional opinion of Andrew & Kuske that this
enclosure is structurally sufficient for its intended purpose as a bear enclosure.
We trust that this letter meets your needs with regards to this matter If there are any
questions or concerns about this' letter, please call us.
Sincerely,
ANDREW & KUSKE
CONSULTING ENGINEERS, INC.
Jd~
~:a~. Andrew, P.E.
NWAlasn
NWA Monica Loughlin-Itr
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EXIST. COMPOST BINS
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EXIST. 6' PRIVACY FENCE
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EXIST. 6' CHAIN UNK FENCE
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EXIST. 4' CHAIN UNK FENCE
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XIST. 6' PRIVACY FENCE ON ADJACENT PROPERTY.
. XIST. 4' CHAIN LINK FENCE TO BE REMOVED AND
REPLACED WITH 8' PRIVACY FENCE ALONG ENTIRE
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PETITIONS
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----
.----.
We, the undersigned, express our support for the twin Himalayan black bears to
reside in New Hanover County, NC We believe that the owners have taken all
precautions to ensure the health and safety of any persons or property.
NAME
ADDRESS
r
1 Sr < ,-I,.... _ .-( "'~
2. &:'Hc-~ SCL~{~
3. _A <!r ._c.-.;..- .bJrU-
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9. c; \enV""\ 6-t \ s
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LIoncrusher's Domain -- Asiatic Black Bear (Ursus thibetanus) facts and pictures
Page 1 on
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Lio!lJ:nl~he1"sJ}!)!mdn > Ursidae > Asiatic Black Bear
Range
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Taxonomy
Kingdom: Animalia
Phylum: Chordata
Class: Mammalia
Order: Carnivora
Family' Ursidae
Genus: Ursus
Species: thibetanus
Physical Attributes
Height: ?
Length:
Body' 47-71 in. (120 - 180
em)
Tail: 2.5-4 in. (6.5-10.6 em)
Weight: 110-440 Ib (50-200
kg)
Life Information
Gestation: 6-8 months
Litter size: 2-3
Age at sexual maturity:
Male: 3-4 years
Female: 3-4 years
Life Span: ?
Status
CITES: Appendix I
IUCN: Vulnerable
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Asiatic Black Bear
(Ursus thibetanus)
Range and Habitat
They live in south-eastem Asia, being found
primarily in the mountains and forests of India,
Pakistan, Nepal, Bhutan, Sikkim, Vietnam, China,
Thailand, Laos, and Kampuchea. Small
populations live in Taiwan and the Japanese
islands of Honshu and Shikoku.
Physical Appearance
The Asiatic black bear is a medium sized bear.
The males are about twice the size of the
females, with the males weighing 220 - 440 Ib
(100 - 200 kg), and the females weighing from
110 - 275 Ib (50 - 125 kg). Their fur is uniformly
black, with a lighter brown muzzle, and a distinct
white chevron (V-shape) across its chest. They have large rourided ears that set
low on its head. They have relatively short hair all over their body except for a large
mane of hair that sticks out of the sides of its head.
Like all bears, the black bear is plantigrade, which means that it walks with its
entire foot like a human, rather than on its toes like dogs and cats, which are
digitigrade. They can also stand up in their hind legs for extended periods of time,
which makes them look rather human. Bears also tend to sit down on their rear
with their upper body off the ground, like a person, too. They have a very short,
stubby tail, just like all bears.
Diet
The Asiatic black bear is primarily herbivorous. They feed on different parts of
plants at different times of the year to extract the most nutrients from those parts.
They feed on various nuts, raspberry canes, cow parsnip, butter bur and
hydrangea in the springtime, fruits, berries, and bamboo shoots in the summer, and
acoms, hazelnuts, chestnuts, pine nuts, beech nuts, and walnuts in the autumn.
Reprodnction and Social Behavior
Mating season is from June to July. but in the southem areas of their range mating
can be as late as August. The pair stays together for only a few days during the
breeding season, and during this time they copulate many times. Female bears are
induced ovulators, meaning they have to be stimulated several times in order to
ovulate, so this is why they must mate so often. Also, like other mammals in the
order camivora, the male bears have a special bony structure in their penis called a
"baculum" This structure serves to stimulate the female into ovulating, as well as
prolonging copulation by widening to lock the two mating bears in a copulatory
"tie" This tie may last for 10 - 30 minutes. The gestation period for this bear
http://www.lioncrusher.com/anima1.asp?anirnal=87
02/03/2004
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LIoncrusher's UomalD -- Asiatic Black Bear (Ursus thibetanus) facts and pictures
Page 2 of2
species is unknown, but it is certain that they have a period of delayed implantation
like other bear species.
The cubs are bom in a den during the winter denning months, usually in January
Two or three cubs usually comprise the litter, and they weigh 10 oz (300 g) when
they are bom. Bears, unlike any other mammal, are born very small, much smaller
than mammals of a similar size. In fact, when they are born, their weight is 10% of
that of a mammal of similar size. The reason bears are born so small is because
their mother fasts (does not eat) during the gestation period (pregnancy) with her
young, unlike any other mammal which continues to eat while pregnant with her
young. The mother bear's body proteins actually break down to provide glucose in
order to nourish the young while they are still inside her And since the baby bears
obtain very little nutrients while still inside the mother, they are bom premature. To
make up for the lack of nutrients during gestation, the milk of bears is more rich in
nutrients than other camivores. Because the milk is so rich in fats and nutrients,
young bear cubs do not need to drink as much milk as other carnivore cubs.
Like most bear species, the Asiatic black bear dens in wintertime, since food is
relatively scarce. Besides this fact, very little is known about Asiatic black bear
behavior It is assumed that it is similar to the American black bear, being solitary
and territorial, but until more information is gathered about this bear, little will
remain known about its social habits.
Threats
The Asiatic black bear is suffering mainly from human encroachment on their
territory, as well as being hunted for their body parts.
Subspecies
Initially there was believed to be four subspecies of Asian black bear: U.t. japonicus
(Japan), U.t. fonnosanus (TaiWan), U.t. ussuricus (Mongolia) and u.t. thibetanus
for all other regions. Now, all these subspecies are considered to be just racial
diversities, and not separate subspecies. Now, there is believed to be only one true
subspecies: u.t. gedrosianus (southem Pakistan).
References
. Stirling, Ian ED. Bears. Fog City Press: San Francisco, CA, 1993.
. Ward, Paul and Suzanne Kynaston. Bears of the World. Blandford Press:
London, 1999.
Links
· AojlRal [)jV.!lI~ity_IJ'{E!P; Urs.~_Ht]itJE!tilm!~
· '!Qhn'sJ:!().IllsiO~.!JnivE!~ity.;.W<!IIs(,Jr'~_ Marltl)1--'!llLOHh.!l)'VoJjd Onl.in!'J;.Q.(,J!1~~
UI'5.!J_s
t;_,M~jLMe -- IkcoJ!l!Ilend thj~~g~ -- 9Ios~3!Y()f-Ie_fIlI~ -- IIl\~geJ..l.n1<il)g Policy
Lioncmsher's Domain 0 Rebecca_PQ~tanQ.wicz. 1997-2003. Images are copyrighted by their respective owners.
Page and database design and scripting by M!l!!.Nc.Qlynl"!.
http://www.lioncrusher.comlanimal.asp?animal=87
02/03/2004
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patio- drive-walk
1155 Kidder Street. Wilmington. NC 28401
Bill To
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Quantity
Invoice
Date Invoice #
10/22/2003 2465
P.O. No. Terms
Description
Provide all necessary labor, equipment, & materials for job as per quote
Rate Amount
850.00 850.00
1,811
NC Sales Tax
* (9101392-l1l142
0.00 0.00
0.00 0.00
7.00% 0.00
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Quantity
Date Invoice #
1212/2003 2557
P.O. No. Terms
Due on receipt
Rate Amount
400.00 400.00
7.00% 0.00
Description
Provide all necessary labor, equipment, & materials for job as per quote
313
NC Sales Tax
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LOWE"S
LOWE"S
WILMINGTON. NC
(910)397-0137
-SALE-
SALES" S113GON147444 12-15-03
WILMINGTON, NC
(910)397-0137
-SALE-
SALES I: S1138Mll 880915 12-31-03
10383 8816L 130.68
8LOCK 8X8X16 REGULAR
108 @ 1.21
[LOJ
10353 '<3]. 62
CEMENT TIPE S 701751 00
6 @ 6.27
[LOJ
19178 COMNERCIAL GRADE
3 @ 4.42
10391 60LB MORTAR MIX
8 i 2.97
13.26
23.76
SUBTOTAL.
TAX 38080
INVOICE 01074 TOTAL.
37.02
2.59
39.61
40.00
2
FREIGNT ANDLOELIUE~,
"
BALANCE DUE.
39.61
INVOICE 81637 SUBTOTAL:
206,30
LCC 39.61
INVOICE 81637 SUBTOTAL:
SUBTOTAL
TAX 38080:
208.30
208.30
14.58
lce XXXXXXXXXXXX6926
lBA/PO: N
AMOUNT: 39.61
001096
BALANCE DUE:
222.88
-------~------~---------------------
CNECK :
222.88
1138 TERMINAL: 01 12/31/03 12:20:00
1138 TERMINAL: 01 12/15/03 15:35:04
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BARRUS CONCRETl:
604 E. NEW BERN ROAD
P.O. BOX 399
KINSTON, NC ~8502
252.527.8024
CONCRETE SERVICES
2327 N. WESLEYAN BLVD.
P.O. BOX 7098
ROCKY MOUNT, NC 27804
252.442.6181
GODWIN CONCRETE
3240 BURNT MILL AD.
P.O. BOX 4067
WILMINGTON, NC 28406
910-254-1331
~J
APAC . CAROLINA, INC.
TICKET 'OA 1'E'
165771
SHIP TO:
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QUOTE
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SUB.PURCHASE ORDER
.'CHECW". 'S1'ATU$
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CYLINDER fEU ON JOB
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Dun CONCRETE h GnflI1NTEtL' 1;1);. '3rf'l~NlifH 0'.:OiGt-lfii [,"ii rJNL " 1['- r::ENliTII I'" fl.; I.Jr. QUE
BY ilSTM & AU I~E 1 HDfiS. ,
THE f)J)f\fTWN OF ANY WlTEfil,1L (IN[! U1))"lG lif",:r:
WfTH ASfl1 i; Ilel MOHIIDS i:lLL nF:GrltE;--"-"--,-""
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nc r-H fLUH[ ! 0 i)! .tiU'. tlND cum:. l N ;-)r.f'Cjf.~
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BOOl PACE
2! 78
0557
--..., Iraft......CDClllellby * VIIiaas-l-*_of_.a.siDJ
,....... (~l of* lalsofadaor* __ofT-.' ".SoIbdi.....IIlIl...... ~
fidl_..s 1IIIIaiIy.. -a * Ilalriai.c c..
NOWTHEREFORE.*,-a...'i" 1pvpa\J_IIoRby-a*.R~ '-c
eo-ofTqIewoocL Scaiaas 1.2. 3,..... 5. -.Icd. sot bIil*-, ......
liIIIDIis:
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sbKI: . .., ....... """"'-1 __ slaIII be
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be lIiadiDa... III pMios..s III,.... cbialia& lidedaaasb.., ...--.IUiI...... I.
:zoos.. wIIida lime.... .~- ~. --.......... sbIIllIc _.... ....- -ItJ ~ ... I,.
B . "" JIOIiods 01.... (10) _ada....... by _oe*........_ otalllljadlJ 01
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IN WITNESS WIlEROF. *"'_/ale"" dIIir.....IIlIl.....*claylllll
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2178 0556
STATE OF NORTH CAROIJNA AMENDMENT 10 RESTRlCllOtlS
TANGLEWOOD SUIlDIVISION
COUNTY OF NEW HANOVER
1IIis /1- I ~...1IIIdt Ibis _ day of Ji1al8y. 1m. die die ...0...;...... PRJPCIlY
- ill........ SOCliGas ofT"",,- SuIldivisiclIr;
WIlNESSImf:
n. ....... CanlIims.......Iac........ ............ be...............
Il&salai.... eo.- ........................... ofTlII8k...... So.IxIivisiolu, as SOlIilnb
bdow:
SECllONONE (I) - lIooU71......243.NHCItqisby.
SECllONTWO(2) - Boot669. .....604. NHC~.
SECllON1IIJtEE(3) -Boot690......117.NHC~.
SECllONFOUIt(4) - Boot700......4IO'NHC~.
SECllON FtVE(5) - Boot 834...... 736. NIfC Rqisay.
WIlma, -........... bas __a", die u...........0I......... . of.
Rali.~e:.. . -Soaioas 1.2. 3II1II4._........5 ofdle Raaicln." eo.-
- Sa:tiaa s. wIIicb po..... .~.. ':.J1y pmridc tIat.........lniIer, -. sIl8dt.. ~ . .Z
-..... be 1ocalaI...., lot .1IlIIIlI...,..... ..,..;' _......., boiIdiaa...
_01." .. -J-beponm-'oosaidlol;aod
WIlma, i1_ ~.., CaoIiaa Laods, ..... (aod C. L Reavis wUb........'"
Sa:tiaa 5)aod..' .... f"''''1ot OW-'.............1IlIiIa" iadadaI molIiIe
..................... II1II lII........simiIor ............... _1IIIl......, llaiII...siIo;_
die JIIIlia....... daite '" -.t. taIriI:lioos '" dItiJit _1IIIb men ddiaile II1II callIia
· ,. ...~ ':'.. ............lDiIas, molIiIe ........-simiIorIJPUl........... wIIicb_1IIIl
ZIIIIIl1Ilai11....._.. -.., liIba......... ....................... be JlIllI>a&d 00
..., lot ill die lllWioitioD;mI,
WIlma, die ~ Co.-_ T......... Subdiwisioa, aIlllElioas,. poviIe
... -- be ~ -......... ..cIJotwd...., ........... JIIUPOII1u.........
......,. iDdi.iluallot.. pili dtaoot.., wriUat III , ........., Cavliaa Laods,.....
(- u.. Sa:tiaas, .., C. L Rtavis) lIIId"'" __ oflllll lea _ siDy paatII(~) of
...subdividallotl..podSof..........hidu........ 'ioJ-OftlI7...,.. . ''-''
ill.. 0fIicc of.. Rqisla-ofDoods of New u-nrc-r.lIIId
WIlma, IllidlcrCaoliaa LauoIs.Iac. _ iIs 6
..., or... loti ill..., 8liaaofTq/cwood; II1II
WIIaeu,.. JIIIlia IIenID (.. u ......~ ....... tbo IIIIIbipIe ldoadca1 oripraJsoflbis
.........,.......'~ __ill
(PIlEP_ BY: .IOIIUIWI V. I&ASBBDIlIJ. "'......,)
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467596
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".__... .',hn_"__.
.... .'_.n.......... ..
/
to. No 10' U lhown by Ibl offlolal Plan.o' 'h. MOY. '01, 1tI111" r...uWl'llldld unl... such pari 01 Ibe lubcflvld
lot bKOIMI . part of . wholl 101 and the r...lndl,. 0" ,h. lubdl'fldecl lot "etOftItl . ,.,-, 'of -"Of....,. who II 10'.
U. IUI. on'lI lohwllPbt ,.id by C.,.ol1..l. Llhdl, Inc., until dtllwry of d..II,.t whlcll f1... thtt parHcul.,.
101 will tin. ~..,. p.14 for 'ft 'ull.
i12. 'Thl deal0n 0' .., buildings which I"IJI bl 'net... on any lot wl't b, lubJect to thl 'pproval ., 1t..1 deniopet'
~Of' ft.1 Aglfttl for Ihl dlVlloper.
I). It I' COYlnlll'M Ird Igrled Ityend llletwtI" lhe ",,'1.. .......t. and lIMIt . ,ar' 0' tlla conI14..... Ion 'hlrto' "'hi'
n.. proper,,,, _ell'l conn,. I. aold lubJect to"lbl 'MM'IIIII'.'lo"l, condltlo"'l, ,."Irtetra", Ind"prOYlslolll "'Itb
'h.I' be con,'rUed .. CO...n.& runnIng _Ith th. IIIMI end ....11 b, blndllll on ~II ,...11.& Ind 11'IkrSOtl& Cla'lItlnlil
....... 'h, liIr,,.,..s har'jn unlll Jun'.1", ISle, .t ....,ch tI.. 'ht.. coV_inl' iratI! .. tulolllufn f, IXllndld lor ,ucc
'I"'" pwldcl. of 'I" I 0'. ,tnrt tatti unl''''by YOI. of 'h. rtcorde(l own.... ot I IIIJor", 0' loll In ..If .lIOcIlyl.lo
It 'I. agr," to eIlangl .ald covlflant. In whol. or In port.
,. ''''ICSS WKRE"'. ,.. C....".. L..... ,~... ... ...... th'. "'''''0 .... .....,.. ...". ."........ .... "
.,,,.... ,,,.,.,. 291' .'r" "0"'. ,.... CMOLI.. LAIDS, ,tIC. l~.
eVI E". Mldd IHnfl
Pr..ld",t
l:hrlatll'la H Mark!!!;
StWlt''-y
ATE fI SWfH CAROL.NA ~
:;OOUN1V fI CMMLESTON
~: I, 8arbara M. Corl.y, a Not.,,, Public In Ind Iw Ihl Stale and County afore..ld~ urlll, Iha' Chrbtlnl N. ...,.
lP"'~l'\IlIy c.. lII.fore.. tbl, day tnCI 6ChncMlttd.. tN' aM 't Ster.tor, 0' Caroline LMd., 1M., a corpatatlon,.
:th.t, b, "Ihorlty duly given ande. 'h. ee. 0' thl corpor.'IOft" lhe forttD1nO and '''ked I....r.....'.... 'Ioned In
1,1t. .... by It, Pr..ld,n" ...Itd'wllh II, cor"'lll ...1 ani I....ted Illy C.....'.lIn. H. ....ka .. ft. Sea-.hry.
t .Itn...., tIInd end nolarlal 5.., I.... 29th dIJ 01 August, 1~.
:jHo'arlal S..I Barbara M. cort.y
1I HOlary Putlllc
:'!I"t COlnIII..lon txplrea: At 'h.plnIUl'"I 0' tha Go.,.,.nor.
;:STATE CW NCRTH CIIROLI~
IIi: :'0::.:::",..,. 0/ .".". a. c",., No''', ''''''e ., Haw ........ C.un'r ,. ..J...... I... ......,t. L., ..
lfnst,,,,,,"t with the C...tlllc.l.b. reeordH. This the 1'1 uyo. AIII"II.1961. Dr.,.. by J. C. WIS..II, Jr.
I ~laJ.~
~ Aua. CI..-It Su,.,.lor Cour'
ec...., end rec<<ded "II'fl 11, 1961,
la' .120 end .,.,.111...
~ .
;! 11 I' /U.,.-'.;-
I A"te.er of D,teIa
L------------_____________________________________________
IA. , S. FOClD SImES, INC~ I
. TO I STATE: CF NORTH CAROLINA :
-. LACE WIIJ~ISALE. CQ\f'Atty, --. I
M(RTGMit I COUNTV fI NEW IWIOVER
.....---.................
THIS CMTTU. ..TGMiiE".... 'hi. Ih. 3O,h day 01 -"erell, 1961, b.'.en the
. R~ afllt S. FOod Slons Incorponted, . Corpor.tlon, erN.ed ... ..I.. 1"1 undw .... III, vlr'ue 01 'be I.... of 'b. Sto'
of Jrfart.. c.nanDt, -II" It. princiPii plsce of _latH No. 2818 Sou," Front Str..., 1I1I.'''I'Oft, I. C.. of ... firs
pwt; ... n. Wolleu WhoI...I. COlIptfty, Of .'lIsn, IIortb Cwo...... of teeonlf ,.,.,.
lUIJ!UI1IBI
~ THAT 1ICRE.U, .... .eld f 1'.1 .-r.y f. Just I, I.....ed to ,,,,. Hfd hCIlnd "'" I_ .h. ".01 Two ThoU:Stllll
11S2000.001 Doll..., '1 I. .vldenclCl..bY U. "..1...,., not. of .... d.t, I" ,... ... of U200C).ClOlDolle,.. due end PI
.1, 0It Of' be'or. the fir.'.., of ~tolt.., 1861. wltlll I.......' ot ,... I'll. o. .,. per CIfIl' ,........., And.........
Il'M Mid first part, I. ,.,..lrouI 0' .1tCW'1., ,....... of 'M Hid note. -.., 1_.''''', 'he ..Id Ill. .... S. FOCMI Stor
iI IACOrpor'lld, ,.r'y 0' Ih. flnt ,.., _. her", "",,'ft .. s.lI, .ell.,.. ..... conv., to the pMt, of .be .econd ,...
!I 'h. 'ollOfIIll wtlcl.. 0' personel propert,.IO Wltl
I' One, New Fr.ecsrlch CVlfM S. S. "lII'eble dl,p'ey c..., One" II. F,.feclrfcll CI'81'M IDpell"I.y onl" produce CISI.
. OM, .. Frl_lda W'y Itll- for' produce ... .....'..1.. OM" ... of ...... fer c:aat.. On. ...... N. p. refrl"".tI_
..It 12011/6D. .Ir COOl_I COlIpI"e wltll ... "....... contro'.. 000, .... Fr''''I,* , Too <<1.000 IRU PKkttt ell'
dltl..., 22OIJlGO' H. P. anll, _1I1l ,1 en.., One New Frl.rfch (Al_ ..1' .....Ic. ..et 1:'" _Itb IIott_ .tor...
door. .....1.. ell r..., OM"... I H. p. 22011/150 .Ir eGOlleI r.'rl.....tlon 1Ul1t, OMlpI.t. wll" .......... control.,.
..... , loa _DCI COOllne I...., OM" Ifew )I' H. p...." 'IWl:l "- 'rledrlch Olalrlnr In, Co. cMc.........tlhCll., .c_pl.,
with cl.....t'. It.-, ..,.chsltdl.... ..... "flouI b.",,,, .tatlon. ~ ,.., ..... '''I_f~ OI.trfbu.'''I Co..."'lvl.." '0':'
eet_ with ell 0'..... IlIIlvl., In ,'or., 11n., ..... 8J!-)"-4'I.88SATo', c..... One Cash ...I.t... ~d a.'_1I1 '''pencor
Ga....t ... ITol1llD ac..e Co.1 W., SaoI ..... ....8211. Ope Mee' ..I...... SEE 1WO
, .
1'ID.. 'rltdrldl ..,rlt...tI.. Co. c.... Oft. t2 foot 'rOHft 'CIOd Wel ar12 R6.. _ '. ,2530, Ooe 12 '001 c...IIoII.1
IN S" .... ..,.. OM, tH ""'.. .., toledo Seal.., .
tOft'her ."111..11 oth.. fl...... "III equlpllnt 01 ..,.., IIlnd and n...... "Iso .....1,.. .tocll of ""'*"41" 1ft pl'C,
l.t '1M. 'II.. ........ _II ,'oclr: pwcllt.ed IrCllllII_ to 11.. d""", perlOll .hI.IIIOI'..... 1"I".'If*oI.
10 *'It AN) 10 ItOU) th...teI ptl:'eoi;.. proptrly, .'..11 IS Iny and .11 stOCk 0' ..-cheAdf.e, tottiI' .ald ..Ilac
"'I...f. eo.,..y,' It. .1tCCIUClI'. and or ...I,nt, and Ih, pr'Y 01' I.... f Ira' pwt co....... wit" 'HONIi Plr.y that
,lie pro,..t, ..." COIW8J'Id II 'r.. ,... ......anc.., .... Ihet It ... .Q9OlII.,.ttht Idd ,.... '0 ..k. lhl. conveyanc
... that U .111........, .... de'''';''. ,It I.. to the.... 'pl".t.1I ...,.. c.......
a.t on thl. aptelal .,...., .ha, " Ih. "td IIn' part" It. succ....... on ...~... ,"11 well end 'r\l~".~
e..... to lie pel. '0 thl Hid second pert" II. .ucce..... .Dot ."'." the Il,'ar. ....,,~ed fnd_tld..... accordfft'
'0 .he eonillllens 0' tbe "or...ld Note, harl"l ev-. "t. __Uh, end 01110 I:l~f. ,'''....., at tht rat. of et.,
ctlIt ,.. .IIA... ,,,... 'hle I........ 110 II. INII .... YOIlI, 0'''''''' toh .. hlf force.. ",.,.
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OJ d.gr.. :so IIlI,nut.. Weat 52.2 ,... I~ . ,tak, In teld IlReJ thence North 88 d...... :so IIlI"u... W... and a' right
angl.. 200 f.,t. 10 . "th, IMnct North Ot dagr.. :so ..Iftuln Eut and at right tnll.. !t.ot 'H' '0 I .'ake, thMce
South 88 deV'" '0 Illl""... hat and a' right .,.glu 200 ,.,. to 111.1 BfGINNlttG, conlalftlng Lot I) In PloclI: la, ~c
Plan, Welt,'1 per 1M' by E. .I.W.And.,.. end S. H. l~... Nowtftlber, 1006, tnd bal,., ft.t.... proptr'r conn)'t'd to
.....s Vell.y by O.teI r~dtd In Book " at Pagt 8} 01 the It.,. Hanov... eoUn'y Raglstry. I
To~th" with III and ,Intul.. IhI ttn_enh, "-rlCllt...."'. ... tpparhnanuI th',..un'o balongln.. or In ''''''hf
Ippv,a1n1no. I:
TO HAVE AIO TO HOlD" ont- ,twe If ,.. Iftt.nal III III. MOV' dncrll." In, lna "...1,.. ,",10 U" NIIlI peril.. 01 ~'
,tit 'eeond "", 11I.lr'II,lr, ,lid ''''"n', 'n I.. a'lIp" FaVER. I
A~' ,he ,.Id ,.rll.. of ,be fir., ''''. "or 1_"1"'., 'h.lr 1I.lr., 'x.cuta,.. end ....nl.tnta-. dO CO'<<nSft' I
10 .~Ild _I'''''''' ..lel''''''II.. 0' 'he 'ecOl'ld ,irl, '",It 1I.lr, IfId ...11"', '1I.,'t"', .... .ela" .hi '...of Nld on...
twelftll.I....or..' In ,Ite Ibov. .,.inller aM d.scrlbed prlllt..., .nd ..... good ,f.., to ,.11 _ cGllY.y tll. ... In '''Ii
Sllllpll' thet III' ,- ....'r.. and cl..r 'rOIl''', end 'II Incwlbr-MC", .ncI 'M' 'tlla, will .lWI.tlltlr "'Ir.. n.caitotli
and tchnlnl,.rl'or', 'hI'.' WMRANI' Ato D.EFEM).tll' ~h'l to ,.... un .pll'ls' 1"1 '.....'ul chl..a ancl 4....n4. 0' an, and II
III p.rson. ~.~~. . I
IN TESTUIOHT VdOEOf. III. ..Id partl.. 0' Ill. first part IIlv, .....""to ..t Ih.lr henda .I'KI ...1. ,..1. Ih. de, !
and y..r flrat "bOY' wrltt.n. II.
",.18,.1. !!:49G. Al"n. (SEAL I
I WI r II... , A"II. JI" fSEAlI II
SlATE OF NatTH CAROLINA jl
ItcOUHT'T Of Ntw *NOYER ~
~I I, June l,W"!t1na, a Not., Public In.net lor 11M> SI.I..net Count, .for...ld, dO tler.b, elf',lI, tll.' WllllNA TJ
!ARns, JR., Ind wlf., VAlERIA SU'iGS ARTIS, '....on.II' .,,....0 b.lor... Ihlt d~ and Itch .OhOlJfl.dgN lilt due 'X1-9
l,cutlon of lite forego'''' In,'r_,. II
'! WITNESS My lIend and no,,,...1 "tl, this 'hi 28'" d., of Marc", liNn. !
"~ ~l,_'kIM
ij .er.'1 S"I Holtry'ubllc J
I'''' CClnIlsslon '1CpIr.., 11-18-62 ~
ilsTATE OF NORTH CAROlI~ l!
t, "
;;NDr w.NOVEA coum ~
;' II
:1 TIt. fango In. c...tlf'cal. of ..~ l.W.UII,.. No'ory Public of Hew Hanov.. toun,y, I. ICIJwgtcl '0 h CorTlC'. ltll~'
ljthe Ihllr~t with t... C....lllc.l. b. rtcorded. This the 28th d.., 01 ....ch, 1961, Dr....' l. Gln,on All.... .
I, I
.I V....,..II O.V.... 11
t. AssI. Clork Su,erlor Co..-t ,
u.lvect and recor4td .... 28, 1961, I
at -4:3S.rId v.rlfl... !
i. _ ~~~:~~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ . _ _ . _ _ _ . _ . _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~
II lINA LAN)S, INC. I ~
STRICTIOHS - TAN6lE*OCD; STATE Of N:lATH CAROLINA I CAAOI.IIM. LAIQS, INC.
1I0.. 2 I REStRICT IONS .;. TNIliLEIliUlO
.. - - ... - .. .. - - - .. .. ... - .. .. COUNn OF NEW tM,NlM;R SECTIoN 2
~
~
./
,
It-
1. Inyalllt.Jlon of an, 0ftI 01 I.... ~I.., JudgMftl or courl orctor ahall I.. no wi.. ."lICt en, o. ,be ot....
ta .....I....le.. ...... r_11'I 1ft f.l. fa-a.... "'KI. \
2. II IlIt perU.. ......to, _ .... of ....., or tlleJl~ b.lr. or ...1..., ....11 '1lo.att or .ft..,. to vlolat. III, of t...
t. ...,..IR, It ..... b. ......ul for 6h' oflltr prSOfll", prlOftl, _'''' 1ft'( rMI prO,.,." .ltlHlt. .a 'b...ab-
''1I.len to prOMCU.. ...,. pl"OCMlI1"I It 1_ or In eqult, .plnst t h. ptl"1OII or ,...~ ~lol.II"'# or an..,tI,.. '0
vlal.ta any ~ COftftIllI', IIIld 1"_ to pre..n' ... or t.... frOll 10 GOing or '0 rec:ovlr .....,.., or 01".. ..... for
such vlol.lloft.
J. TIle pr:!oprt)' "er.ln conver" ahall .. used onl, for r.sldenn.1 'lr~'"
C. No n.ld....... .1lI1I b. COftal'toottel or 10Clttel an H.d prop.-I, MIller 'hIn .Ight !MInd"d" 1ft, .Clt*"1 f.. o.
f1oor'.pact Oft '11. "'1'1 ltoor, whlcll ...1111 .. IXChlll". of porch"i',t.P', Willet, br.."wa,., cerporh, g"".,,.., tt
c.'er..
,. No. IIQI" '11.. one ,..lcllftCl ,h.11 b. .....C,te1 or '0C1I'. on lb. 101 "',..In conv.,....
O. No.,.'I.O' "'. "'fllf", "'.etM 'on tb. lot h~.f.. COAY"" ....11 b. nearer Ill'" ,.. .ft. to 'lie .Ide HMdtr, II
of ..Id 'Iot ftClI" ftNrer thM flft, 'ftt to ''''.lron, pro'.er., IIna of 1M Ibon _"err.", pro,..'" prcwlfN, IIowIYtr
If .11lt _... Of two or 1Illl'"' 10" "'all. Ilec' 10.... 'hili tor OA' '..IfIftC., tli. boUlldll', II... btfwtlft tlM> 10" so
""_11 bI n,....,11d II .....,itlng fer tM "'post of 4.t....lfIIl'" .Ite .., b...." 0' 'b. r............
1. 110 Out.... loll", 01' ".1"1.. ....11 .. ......1_ upon 'hi "...... clllCl'lhd Ii...ln.
....No.... ,-:-.1111", tent,.INcII, or J..,....., .tractur.....I'.. 1000,'IIlt.. Nf' ~ot f!JIf" "'....t en, '1.1' are-
Id.nee flCII" ...... ...,'..Iklf"l." I'ruet",ol t...." Alt...... ,..ItIM oa ..lei '01.
'. These r_t,fctloa ,;.. ....jMI. 10 bI'nt lit..., _If 1IIf, clllClllecl or cIIIn... .. 'fay 'r., .. to lilt pre....I'
. WI', or .. t~ lIi!" .-acmrldtd Jot or ,..., 'weo', ""'."Ift ~I .-.out III " tai:oll.... Lind., he., 1ft' .
,1Ia....... of IlOt I... '......XI'. taJ.,... CIfII' 01 ,... '''hr~ '0" or ,rIa 0' 'he .... 10 'llhlc:b ...... r..trlc--
lion. 1"1" ... r~'I" t~ OI'lce~of ,Ite ....1.1.... 01 h.... of .... 1lInoY.. ~" Ior'b CIrO' 'aa.
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ANIMAL AND PLANT HEALTH INSPECIION SERVICE
'RECORD OF ACQUISITION, DISPOSITION OR TRANSPORT
OF ANIMAlS (Other Than Dogs and Cats)
SALE 0 EXCHANGE OR TRANSFER ~TION
I INSTRUC11ONS: CoI:npIete "I' r ".a... hems 1 UNoup 13. Original and one ~ to accompany
anltnilfS. WIten deItvery Is made - hems 14 through 20 IIIUSI be cornpIBIed. 0rigtnaI retained br Buyer
(Receiver) and copy one ret"" 10,~ (SeIIeJ 01 DQnI;Ir). Copy, two 10 be retained by Dealer (Seller
or Donor). Attach Continuation Sheet, (APHIs FORM 7020A) " Ae8dBd.
. OF
S. DATE OF DISPOSIT1OH
..>-2-9-0.3
4. DEALER'S LICENSE NO.
SS=C'-,IOI
.' ~ OR)!!l"O~._-.. mciudolJpCodO)
.~ C47fJ../V Zt70 .', .
~M t' /9f('tfL/r/(/ 11 A~ 14'
I tth/4;J~ fiX- 21YJZ-
I
...B~pR~." lNameMd. AcIl:1reN.IncludeZipCode)
t/q7~/J7tZ1(5 -.zoo
. .::.7~ :1.4iLcJstd )).eir~
CJ4d~~
7. USDA LICENSE NO. tII_.,J
..1;]-
A. B. C. D. E. AGE. SEll IL l
F. 0. RECEIVER'S USE
CON- -
TAINER NO. PIlIEVIOUS -. EST.
IIlVOOCE SI'I!CIES WEIGHT REIoWIICS J. K.
I TAG NO.. ANI- NO. TAT1OOS, NO. NO. f/OoJ /CGO<IIIIcWt,%:.)
CRATE IIALS /11- TAG NOS. VOUIlG AIlUl.T
OR_ (II__
NO. ~
~ , i~
I A ~.
I~ 0
I ~ !~
1/ ~
/4 ~
I 1/ ~
~ /
I '/4 ~
1/ ~
I I~ ~
.. IDIHTIPlCATOH OF ANIMALS BelNQ DELIVERED
I ~
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.
DELIVERY BY COMMERCIAL CARRIER
~NO._~ 1~{'/lz9
:3'/~ 7.
11. BIlL OF LADING NO.
o _'sT_
(SeIfer or Donor)
12. NAMe AND ADDRESS OF COMPANY OR flAM
'sTrucIc
'''MAMUIIIl''''ftRftjOllES8 lRUCI( .fLyu1l 'IV
/l(P7iCII .~-
t3f) /lJoMaIfj 'elli J
td!ml"ijh- ~zNof
DEUVERY RECEIPT. TO BE COMPLETED BY BUYER OR RECEIVER
DRE~CTEo__"'_
17. NUII8ER ALIVe
! 0.'lA ~Jd v./,
(Rep/..... \IS FORM ,s-~ which I. ~ obIoIo"'. ond
APHIS Fotm 7020 (10-SO) whk;h _ be "lied.)
63
ORIGINAL. BUYER'S COPY (ReceIver)
I
This record Is authorized by law (7 use 2131.2156). Failure 10 maintain this record can r~~ull in a suspension or
revocation 01 license and/Of Impnsonmenllor not more than t year, or a line 01 nol more Ihan $1 000 or both
See reverf>e side lor
adllilional illlofmalion
FORM APPROVED
OMB NO O~79.00J6
I
u.s. DEPARTMENT OF AGRICULTURE 1. INVOICE HO. 2. PAGE
ANIMAL AND PLANT HEAlTH INSPEcnON SERVICE
RECORD OF ACQUISITION, DISPOSITION OR TRANSPORT 10F
OF ANIMALS (Other Than Dogs and Cats) 3. DATE OF DISPOSITION
o SALE o EXCHANGE OR TRANSFER ri DONATION /1/;/03
INSTRucnONS, Comptele appUcable Items 1 through 13. Original and ~e copy to accompany 4. DEALER'S LICENSE NO.
animals. When delivery Is made. Ilems 14 Ihrough 20 must be completed. Onglnal retained by Buyer
(Receiver) and copy one relurned 10 Dealer (SeI~r or, Donor'" Copy Iwo to be retained by Dealer (Seiter S-S-- C -0/5"'7 .'
or Donor). Attach Continuation Sheel (APHIS FORM 7020A) as needed.
4. SEUER OR DONOR (Heme and Add",.s. inclUde Zip COde) " ~. . , "
r 6. BiJVE~' ~ RECEIVER (Name ~nd AddrflSl, inC;f.8 Zip Code) ~
.:I,i717e m fffl/ 's Zod ,. rnOI1'C-~ -r HowlU"::-cJ '6Ujh!,n
., . ,. oho:.w/(fie.'ff! I
~a:;J f:'o-dt&!ol,J.A ;)~ ., j 30 fJ1... ".,~, . '
,W:/ h1lfvjf<,n' I' tJ.G "i:l81/(J 9,' .
(!)lIl dbou e,n, /'J.e d.yt/31
1. USDA LICENSE NO. (" any)
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.. IDENTlFICATON OF ANIMALS BEING DELIVERED
A. B. C. O. "- AGE SEX H. I.
F G. RECEIVER'S USE
CON. PREVIOUS INDIVIDUAL EST.
a TAlNER NO, INVOICE IDENT., SPECIES WEIGHT REMARKS J. K.
TAG NO., ANI. NO. TAnoos, NO. NO. (Ibs.) (Condition, efc.)
CRAlE MALS (i'any) TAG Nos. YOUNG ACULT
OR PEN (It applicable)
NO.
I )" r,m",*7j,:/MI ~ ~
BelL('6
I~ /<
I I~ ~
7 ~
I~ ~
I I~ ~
r7 /
I M~ ~
[~ ~
I
r7 ~
I
I. DELIVERY BY (")C" one)
~ Buyer's Truck
o Deater's Truck
(Setter Of Donor)
12. NAME AND ADDRESS OF COMPANY OR FIRM
DEUVERY BY COMMERCIAL CARRIER
10. lRUCKUCSO"l'NO, N~J># 631r,'7711 1/.,<' 11..'LLOFLADlNGNO.
""'3 - l.;l<4,,/I.;J9 #~bL~
. 18~,o'lCJ' H.eL'r:
I
13. NAME AND ADDRESS OF TRUCK DRIVER
mon,'c.-o-- -t ~fM.d J,6L1;/..J/),
laO. monlLw/( '7r-f/-; J
1-0 ,Ilhi)'~f-"r,) !J,e. pi</O'f
9/0-711-Q%1l
I
DELIVERY RECEIPT. TO BE COMPLETED BY BUYER OR RECEIVER
. ANIMALS DELIVERED WERE (- one)
IN APPARENT GOOD CONDITION 0 POOR CONOffION
15. TOTAL NUMBER RECEIVED 11. NUMBER DEAD
o REJECTED (Attach explanation (ot rejectjon)
17. NUMBER AIJVE
I
11.nnE
20. lE, I
II ~/fU
I
(RiJpJac98 VS FORItI 1lJ.20, whO is now obaoIele, and
APHIS Form 7020 (10-90) which may be u$8d.)
nRlnlUal _ allY1:DtR r.nfIV 1D_1IIl1u-'
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4629 U.S. Highway 701 South
Clarkton, NC 28433
Phone: (910)862-3000
Date: APR 8 03
Time: 17:56
Account: 5949
HERLAR & PAT FAIRCLOTH
222 FAIRCLOTH DR.
CHADBOURN, NC 28431
Item .
4200103
4000321
.4000009
3000201
3000201
4200103
4000321
4000009
3500079
3500079
3000333
PatIent
TEDDY
TEDDY
TEDDY
TEDDY
BALOO
BALOO
BALOO
BALOO
BALOO
TEDDY
TEDDY
. TAX EXEMPT
Operator: LAB
Description Pr Qty Units Price
ANESTHESIA BEAR SMALL WBM 1.00 EACH 48.000
NEUTER-BEAR SMALL WBM 1.00 EACH 35.500
DECLAW-BEAR WBM 1.00 EA 125.000
FENTANYLJDURAGESIC PATCH 25UG WBM 1.00 EACH 33.750
FENTANYLJDURAGESIC PATCH 25UG WBM 1.00 EACH 33.750
ANESTHESIA BEAR SMALL WBM 1.00 EACH 48.000
NEUTER-BEAR SMALL WBM 1.00 EACH 35.500
DECLAW-BEAR WBM 1.00 EA 125.000
NAIL TRIM NC WBM 1.00 EACH 0.000
NAIL TRIM NC WBM 1.00 EACH 0.000
AMOXICILLIN SUSPENSION 100ML WBM 1.00 BTL 9.350
Total
48.00 '"
35.50 .
125.00 .
33.75 .
33.75 .
48.00
35.50 .
125.00
0.00 '"
0.00 '"
9.35 .
SUBTOTAL
493.85
TAX:
0.00
TOTAL THIS VISIT
493.85
PREVIOUS ACCOUNT BALANCE:
0.00
PAYMENTS:
Check:
TOTAL:
CHANGE:
TOTAL NOW DUE:
Check. -1126
-493.85
-493.85
0.00
0.00
Speclalln81nlcti_ for TEDDY' Please contact us if there Is exte$SNe swelling or pain at the SUIgel}' site following SUlgery. No special
dietary or acIiviIy I88trict1ons ara necessary.
Spactallnstructlons for TEDDY: II is besllo use shredded newspapar for Iltler for 2 weeks. During this time your pat may show some
sensillvlty on the front paws. Please contact us if there i. excessive paIn or drainage.
DId you know that Our prices ara almost alWays lower than the 'intemer pharmacies? Shop end compare! We will meat or beal any
advertised price from any intemat animal pharmacies.
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ACES: Animal Care Equipment & Services, Inc.
Contents
· I'l)'-e~ & Gl]l$p~Tl' <0.
. Snake Handling '.'
. Protection
Gloves <0.
-- ..
. JIIets & NetJ:illl1~ .
. Chemical
Capture
· Traos & Carriers
. C!Ig~ Accej;~
. Noise Control
. BowlsfWaterers .;;.
. Beds & Benches
. Cre@ationffillriJ!!
. ID Tags & Bands
. Air Purifiers
. Disinfectants
. Cleaning
~ystem~
· ~lothil)g
. Yeterinary
~
. Uniform Acces.
. Safety/Rescue
. Architectural.....
..
. Videos/ Boo~
, . Training .....
. VehicleslAcces. ..
. DonationslMisc.
.~.Jo
..
."...
..
."..
..
.'..
..
.~.,
..
-"I'.
..
-",
..
4t
~~..
.,~.
>
.~.,
..
-".
..
Chemical Capture
."'.
..
_"I'
..
_,It.
..
......
..
-,It.
..
-'..
..
"".
..
http://www.animal-care.coml031.htm
JI!!!I!'-'" ~;,-;;;:.~ I!I!!!!!r!
--.
X-TENDER POLE SYRINGE
Page I of2
02/03/2004
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ACES. Animal Care Equipment & Services, Inc.
o.~lt't
.
Rugged enough for use on bears, the X-Tender telescopes up to
8-1/2' and uses disposable 12cc Monoject syringes. Comes with
needle guard and needles. A tough pole when extra length is
needed.
.."..
.
Chemical Capture
ACES specializes in the complex field of Chemical Capture
.;. which involves using drugs delivered by pole syringe,
blowpipe, or tranquilizer gun to capture an animal that cannot
be captured by any other means. We offer:
'.' . National chemical capture training courses
. The most modem equipment
. Systems tailored to your needs
Call ACES and talk with a representative about your chemical
capture needs. Ask about our free loan videos detailing each
system, and chemical capture courses in your areas. ACES, the
place to get expert advice on all aspects of chemical capture! 1-
800-338-2237
...
http://www.animal-care.coml031.htm
Page 2 of2
02/03/2004
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Uetmls: Counter Assault
Contents
· pJlles_8/; (}IjlSp~ers ~.
. Sl!ake Handling O@?
. Protection
GI'!'.'eji ~.
. .
. Nets & Net Guns <1:i'
. Chemj~al
Capture
. rraps & Carriers
. Cag"-",_Acc~_,,,
. Noise Control
. Bowls/Wate~rji 'f;'
. Beds & Benches
. Cr~I!!~!iQniBurial
. ID T~gs & B.wIds
. Air Purifiers
. msinfe~tants
. Cleaning
Systems
. Clothing
. Veterinary
Eglljp~
. Uniform Acces.
. Safety/Rescue
. Architectural
. Videos/ Books
· Training ...."..
W
. Vehicles/Acces.
. Donations/Misc.
."",
\lIIii
.'f'./iJ'
.
.,....
.
~"".ll'
.
~
.'" ;f
'II~..,(
...&0
W
..',....
W
Safety/Rescue
.,.fI.
.
COUNTER ASSAULT
'f;' lbree times more powerful than other pepper sprays, Counter
Assault was developed for grizzly bear defense and extreme
..... police combat. Pepper spray is a natural substance used to deter
· both human and animal attack. Use only in self-defense.
Counter Assault's spray pattern is a perfect balance between
stream & fog and it reaches well out in front of you for early
stopping power. The larger the cannister, the greater the range.
Duty holsters recommended. Non-flammable, non-toxic. Check
your local area for legality.
-
http://www.animal-care.comlI62.htm
Page I of I
1/18/2004
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David E Rice
To: clofgren@charter.net, donblake@aol.com, eweaver@ec.rr.com,
hickmonj@bellsouth.net, jstunstall@andrewandkuske.com,
freemanm@wrightcorp.com, MCSpeck@bizec.rr.com,
ppsmithsr@aol.com, bgreer@nhcgov.com, iamsmiles@bizec.rr.com,
aquamedic9@aol.com
cc: Marilyn RobertslNHC@NHC
Subject: Accreditation Questions - Site Visit Team
01/20/200404:27 PM
NHCBH Members,
The following questions were taken from the guidance document on the accreditation of
NC local health departments. I have attached documents and responded to the sample
questions to assist you in your preparation for the Site Visit Team (SVT) for
accreditation. Please review in preparation for the Site Visit on February 24-26, 2004.
My guess is that only the Chairman and a couple of Board members will be interviewed.
However, until the SVT gives me further instructions, I wanted to send these questions
for your review. Please call me (343-6591) if you have questions.
Thanks,
Dave
Sample Questions for Site Visits
The Board of Health
Questions should be general and encompassing in nature with respect to the overall
functioning of the health department. Questions should elicit knowledge of:
. Overall understanding of the agency's programs and services (See Attached
Orientation Presentation on our Web site:
http://www.nhcgov.com/HLTH/HLTHdeptlnfo.asp )
. Familiarity of goals and objectives of the agency including approval and revisions
(See attached Vision-Mission document and strategic planning priorities)
iii Ii)
Vision - Mission - Motto.' Strategic Planning 3-22-03.1
. Involvement in planning process (strategic plan) (See strategic planning
Document)
. Committee structures of the Board (See attached committees and bylaws
(Articles VI and VII) documents)
[i!J [i!J
BOH Committee Assignments 2004 BYLAWS.rtf
. Number of board meetings per year and overall attendance; how many, if any,
meetings have been cancelled due to lack of quorum?(See bylaws (Article V)
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document - No meetings have been cancelled in the 6+ years since I've been
Health Director)
. Appropriate composition of the Board: How are Board members appointed? By
whom? By what process? (See bylaws (Article III) document)
. Orientation program for board members re Role of the Board of Health, Le., Are
Board members appropriately trained re: their statutory powers and rule-making
authority? (Assess, Address, Assure Manual - Health Director/Association of
NC Boards of Health orientation)
. Interaction between Board members and LHD/staff (appropriate interpretation of
policy making role vs. internal management of agency)
. Appropriate role in adjudications (Represented by County Attorney, Access to
UNC Institute of Government)
. Methods of communication down to staff and up from staff
. Involvement in contract negotiations (Approve Grants and Contracts)
. Approval of annual budget (Reviewed by NHCBH Executive Committee -
Recommended to Board of County Commissioners by NHCBH during
February meeting)
. Insurance policies for the agency (NHC Risk Manager advises Board and Staff.
Policies on file)
. Relationship with LHD and Senior Staff (Division Directors)
. Performance appraisal of the LHD; how often is it performed and by whom?
(Performed by NHCBH Executive Committee with input from all Board
members. Appraisal conducted annually and reported at monthly NHCBH
meeting)
. Who hires/fires the LHD? (NHCBH)
. Has the Board exercised its rule-making authority in this county/district? When and
for what purpose? (Yes - NHCHD Website lists Board of Health regulations at:
http://www.nhcgov.com/HLTH/NHCBH-Rules.asp )
. Involvement of Board in the community: Does the Board serve as an advocate for
the LHD in the governmental budget process; in the community as a whole; in the
media? (Yes - Chairman of NHCBH represents the Board and Staff at NHC
Budget Hearing. Other Community - media representation as needed)
. Problems that the health unit currently faces (Access to health care, emerging
health risks, Staff development and continuing education, facility utilization,
preventive services, and information technology (strategic planning priorities))
. Involvement of agency in the community (Documented by NHCBH minutes and
Staff)
. Research activities (Grants from universities)
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U.S. Department o~.,
Homeland Security
United Stetes
Coast Guard
Commanding Officer . .
United States Coast Guard
Marine Safety Office
721 Medicel Center Drive
Suite 100
WilmlnglDn. NC 28401
Stall Symbol:
Phone: (910)772-2200
Fax: 1910) 772-2205
Emei:
16601
January 16,2004
Dr. David Rice
Director
New Hanover County Health Department
2029 South 17th Street
Wilmington, NC 28401
Dear Dr. Rice:
It is a great pleasure to invite you to serve as a member on the Area Maritime Security (AMS)
Executive Committee for North Carolina. You were chosen based upon your skills, experience
and expertise in the medical field, and the vital service your participation will contribute to the
safety and security of the Nation's ports and waterways.
In carrying out this voluntary position, I encourage you to review the Code of Federal
Regulations, Title 33, Part 103, particularly Sections 300, 305, and 310, which describe the
establishment, composition and responsibilities of all AMS Committees, and which will provide
the foundation for the North Carolina AMS Executive Committee upon which you will serve if
you accept the appointment.
By accepting the appointment, you will be guided by the rules in Title 33 of the Code ofFederal
Regulations, Parts 101 and 103, by the Committee's charter, and to act in good faith and to the
best of your abilities in the application of the policies and procedures established by the North
Carolina AMS Executive Committee. If you choose to accept this invitation, your appointment to
the North Carolina AMS Executive Committee will be for two (2) years.
To accept this appointment, please complete and return to me by January 27,2004 the enclosed
Acceptance of Appointment letter with your signature indicating that you understand and accept
your commitment and responsibilities as a member of the North Carolina AMS Executive
Committee. Upon receipt of your acceptance letter, you will be sent a Letter of Appointment and
further information regarding your future participation.
I look forward to hearing from you and serving with you on the North Carolina AMS Executive
Committee in the immediate future.
Sincerely,
97<. -6~' , ... _ ~It
?f. M. HAR
Captain, U.S. ast Guard
Federal Maritime Security Coordinator
Enclosure: Acceptance of Appointment Letter
Copy:
North Carolina AMS Executive Committee
Commander, Fifth Coast Guard District (m)