Specialty Care includes the following: Skilled Nursing, High Tech I.V. Therapies,Psychiatric Nursing, Maternal-Child Health, Enterostomal Therapy, Medical SocialWork, Physical, Occupational & Speech Therapy, Home Health Aides, Private ServicesNursing, Hospice & Palliative Care, Home Health Aides, and Homemakers.Wellness Programs include the following: Community Education, Support Groups,Immunization Clinics, Health Screenings, Worksite Wellness, Child Day Programs,Adult Day Health Programs, Prostate, Breast, and Cervical Cancer Initiatives, a SeniorExercise Program (Young at Heart), the Mobile Health Link Van, Medical Interpreters,and Senior Information Services.The <strong>Orleans</strong> <strong>Town</strong> appropriation enabled the V.N.A. of Cape Cod to provide thefollowing services for residents of <strong>Orleans</strong> in the year 2007: 1 certified home nursingvisit to adults; 2 physical therapy visits; 1 medical social worker visit; 2 home visits tonew mothers and babies; 9 immunizations at town clinics for resident adults andchildren, and 18 immunizations for resident children at the Nauset Middle School. Inaddition to these immunizations, 786 flu immunizations were provided. Weekly bloodpressure screening clinics provided 375 blood pressures screens, 25 residents werescreened for cholesterol, 25 residents were screened for glucose, 14 residents werescreened for skin cancer, 15 residents were screened for colorectal cancer, 32residents were screened for bone density, and 40 cases of communicable disease wereinvestigated for the <strong>Town</strong> of <strong>Orleans</strong> and the Massachusetts Department of PublicHealth. 6 community wellness programs were provided, and also a Health Fair at the<strong>Orleans</strong> Council on Aging. The VNA Public Health Nurse completed 27 home visits forassessment and referrals.In addition to the funding sources such as Medicare, Mass Health, Private insurance or<strong>Town</strong> Appropriation, the V.N.A. actively seeks funds through grants, and philanthropy.These funds are needed to broaden the scope of community services offered and tohelp support needed home health services for those <strong>Orleans</strong> residents whose healthinsurance coverage is inadequate or nonexistent.The V.N.A. is committed to and continually striving toward understanding and meetingthe needs of the community. Please feel free to address any questions or comments tothe Public Health and Wellness Programs of the V.N.A., located at our Dennis office,telephone 888-557-9994.Respectfully submitted,Carole Sandquist, Public Health and Wellness Contracts CoordinatorWASTEWATER MANAGEMENT STEERING COMMITTEEIn 2007, progress on the development of a comprehensive wastewater managementplan (CWMP) was accelerated. The Needs Assessment report, a major component ofthe plan, was finalized and presented to the public. The report evaluated the 5 reasonsfor centralized collection and treatment of wastewater: (1) sanitary needs, (2) drinkingwater protection, (3) surface and groundwater protection, (4) convenience & aesthetics,and (5) economic development. <strong>Of</strong> these, the protection of surface and groundwater165
was found to the most pressing need in <strong>Orleans</strong> because of impacts to the naturalenvironmental caused by nitrogen loading from septic systems.Early in the year, the much-anticipated water quality reports for our three Cape Cod Bayestuaries were received (Rock Harbor, Little Namskaket Creek, Namskaket Creek). Thereports indicate the maximum amount of nitrogen loading that each of the estuaries canassimilate, beyond which the system will experience accelerated eutrophication.Overall, the reports indicate that 25% of the nitrogen must be removed from the threewatersheds in order to meet the Total Maximum Daily Loading standard.A similar report is anxiously awaited for Nauset Estuary, which will complete the MEPproject for <strong>Orleans</strong>. The report was contracted for a 2005 delivery, and the committeehas been moving forward with a “placeholder” for nitrogen removal based on bestavailable information.Late in 2007, the <strong>Town</strong>’s consulting engineering firm Wright-Pierce delivered the nextmilestone report, the Alternatives Screening Report. This document develops andevaluates all the alternatives for collection of wastewater, treatment, transport, anddisposal. The report developed nine treatment options, ranging from a series ofpackage plants throughout the town to a single centralized facility. By applying acomprehensive set of review criteria, the committee pared down the options to the threebest alternatives for further study. The three options a decentralized array of facilities, acentralized plant at the Tri-town Septage Treatment Plant site, and a South <strong>Orleans</strong>centralized facility. Public meetings on the report are scheduled for January.In the upcoming year, each of the options will be studied in detail to determine which isthe best option for <strong>Orleans</strong>. The committee anticipates presenting report to the 2008Annual <strong>Town</strong> Meeting, followed by an extensive public review process and a request toendorse the final plan at a Special <strong>Town</strong> Meeting in October 2008.In anticipation of having an approved plan in the near future, the committee worked todevelop a draft financing policy that can be applied to construction projects to ensurethat costs are shared fairly among property owners. The policy is expected to splitcapital costs between taxpayers and “bettered” properties in a manner that will balancecosts and benefits while keeping the cost to the average homeowner as low aspractical. The final CWMP will contain detailed costs for sewering phases.The committee also made recommendations to the Charter Review Committee onamending the Home Rule Charter to allow for the administrative structure necessary toimplement and operate a sewer treatment operation.The committee’s efforts continue to be supported by the Planning Department staff, forwhich the committee is grateful.Respectfully submitted,Augusta McKusick, Chair166
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Orleans AnnualTown ReportFor Year 2
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ORLEANSANNUAL TOWN REPORTSof theBoa
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Population Statistics:INTERESTING F
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TOWN OFFICIALSELECTEDTERMSEXPIREMod
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Community Preservation Com. (9)Harr
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Shellfish & Waterways ImprovementAd
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Election Workers(R) Carolyn Hibbert
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Registrar of VotersJean Rusch, Chai
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Christine H. Lorge, Treasurer/Colle
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REGISTRAR & ELECTIONS Regular Pay O
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FIRE/RESCUE DEPT. Regular Pay OT Ot
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MARY ELLEN LAVENBERG 17,779.20 17,7
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JAMES KAVANAUGH 4,183.25 4,183.25EL
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Longevity,GrantsCENTRAL OFFICE Regu
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ROSS JOHNSTON 71,204 0 71,204TIMOTH
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Longevity,GrantsNAUSET MIDDLE SCHOO
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KAREN CURTIS 25,634 350 25,984KATHL
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Balance: July 01, 2006 to June 30,
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Balance: July 01, 2006 to June 30,
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TOWN OF ORLEANS, MASSACHUSETTSSCHED
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CAPITAL PROJECTS FUND CONT.Revenue
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ORIGINAL REVISED BALANCE BALANCE BA
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ORIGINAL REVISED BALANCE BALANCE BA
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ORIGINAL REVISED BALANCE BALANCE BA
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TOWN OF ORLEANSCOMBINED BALANCE SHE
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TOWN CLERKThe year 2007 started wit
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ANNUAL TOWN MEETING“DOINGS”May
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Agreements for acceptance of any su
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ARTICLE 2. TOWN / SCHOOL BUDGET (FY
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following the completion of the de-
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Summary: The Jonathan Young Windmil
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ARTICLE 6. FUND WASTEWATER MANAGEME
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ARTICLE 9. FUND POLICE STATION RENO
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containers. Said funds to be spent
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MOTION: To indefinitely postpone Ar
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1. General Requirementsa. A site pl
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ACTION:Voted, voice vote carries by
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The concepts were well received, an
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3. Restoration. A nonconforming str
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This article would clarify the lang
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developments would be encouraged. T
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MOTION:ACTION:To accept and adopt A
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Selectmen and/or the Conservation C
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SPECIAL TOWN MEETING“DOINGS”Oct
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ARTICLE 2. TRANSFER ARTICLETo see i
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offices of the Board of Selectmen a
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MOTION: To accept and adopt Article
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ARTICLE 14. CLOSING ARTICLEAnd to a
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Question 1:Shall the Town of Orlean
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Question 7:Shall the Town of Orlean
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2007 SHELLFISH PERMITS133 Out-of-St
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The Assembly of Delegates adopted a
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The Board of Assessors approved 101
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taken within a few hours of exposur
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BUILDING DEPARTMENTSummary of Permi
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home computers. This “live” str
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projects. This year, the MPO endors
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- Page 130 and 131: As specified in the Town Charter, a
- Page 132 and 133: Many personnel changes have taken p
- Page 134 and 135: FOURTH OF JULY COMMITTEEThe Orleans
- Page 136 and 137: Highway Department:The major projec
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- Page 140 and 141: I would like to again thank all the
- Page 142 and 143: November 16:• Plans prepared by P
- Page 144 and 145: ponds by reducing the use of fertil
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- Page 148 and 149: parents, Band and Chorus concerts,
- Page 150 and 151: Monitoring and protection of Endang
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- Page 154 and 155: PLANNING DEPARTMENTIn 2007, the Pla
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- Page 176 and 177: Renewable Energy/Wind Committee - T
- Page 178 and 179: Fourth of July CommitteeMeets the 2
- Page 180 and 181: TOWN OF ORLEANS COMMITTEES, BOARDS
- Page 182 and 183: INDEXAccounting Reports:Combined Ba
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