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Lincoln County Board of Health - Lincoln County Montana
Lincoln County Montana Public Health Department


Board of Health

The City-County Board of Health for Lincoln County works to prevent disease and illness, ensures a healthy environment and promotes healthy choices by setting county-wide policies and regulations to protect the health of Lincoln County residents.


Next Board Meeting Dates

Tuesday, June 8, 2021
Time: 6:00 PM - 8:00 PM
Location: Lincoln County Courthouse, 512 California Avenue, Libby 
Agenda: Click here for agenda
     These documents are on the agenda for discussion: HB 121HB 257, Draft Class IV Asbestos Cell O&M

This meeting will be available on Zoom.  Please see the agenda for call in instructions.

Written comments or questions to the Board should be submitted to .  Written comments are accepted at any time, but must be received at least seven days prior to the next Board Meeting to be addressed at that meeting.

Current By-Laws


Current Board Members

Lincoln County Representative: Jan Ivers (Chair)
Ms. Ivers joins the board and brings a wide range of medical experience. Jan is currently an instructor of Nursing at the Flathead Valley Community College and has been an RN at Cabinet Peaks Medical Center and St. Johns Hospital. Jan has past medical technology experience and is a former Registered Sanitarian for Sanders County. In 2014, Jan joined the Peace Corp and was assigned to Malawi, Africa working as a nursing instructor with the University of Malawi.

Jan was born in Glasgow, Montana, but has lived in Libby for the last 14 years. She enjoys sewing, quilting, reading, Sudoku, bicycling and more recently, national politics. Jan is married to husband, Keith, of 37 years, who teaches French in the Libby School districts. Together they have two daughters and two grandchildren. They also have two dogs, one an squirrel hunting hound and the other a rescue cocker spaniel.

Lincoln County Representative: Sara Mertes (Vice Chair)   
Dr. Mertes is a Family Medicine Practitioner and Medical Director at Cabinet Peaks Family Medicine.  She moved to Montana from Washington after spending a year working in rural New Zealand as a general practitioner.  Within her practice, she has a keen interest in women's health as well as wilderness and prevention medicine.  Shortly after moving to Montana, she met and married her husband, Jake.  Together, they enjoy hiking, traveling, skiing, biking, cooking, and backpacking in the Cabinet mountains.

Lincoln County Representative: Vacant
Bio coming

Lincoln County Commissioner: Josh Letcher   
Mr. Letcher was born and raised in Lincoln County, graduating from Lincoln County High School and attended Flathead Valley Community College. He has worked in a multitude of fields including timber, oil, construction and real estate; owning and operating his own business for over 15 years. He has served on several boards including the Tobacco Valley Rod and Gun Club, Lincoln County Planning board, and the Lincoln County Local Government Review Board. Since he was younger he’s had an interest in public land use and resource management. Commissioner Letcher and his wife Tara have three children and as Commissioner for District 3, he looks forward to making Lincoln County great again.

City of Libby Representative: Amy Fantozzi  
Bio coming 

City of Troy Representative: Jim Seifert (Secretary)  
Mr. Seifert has spent most of his life in Lincoln County, moving here in 1955.  He graduated from the University of Montana with a degree in Pharmacy and went on to start and own Kootenai Drug in Troy from 1978 to 2005.  He then provided relief work as a pharmacist and hospital pharmacist from 2006 until he retired in 2018.

Jim and his wife, Jennifer, raised three boys with the help of their village (Troy).  His son Peter followed in his footsteps and is a pharmacist owner of Bitteroot Drug in Hamilton, MT.  Jim enjoys skiing, bicycling, hiking, fishing, gardening, reading and spending time with his granddaughters.  He says that his key to success is "thoughful processing then hard work."

Town of Eureka Representative: Debra Armstrong  
Bio coming

Operating Procedures

Operating Procedure #1 - Focus Area Liaisons
Operating Procedure #2 - Public Comment
Operating Procedure #3 - Variance Request
Public Information Request


BOH Regulations

1.  Control of Air Pollution

2.  Animal Control Policies and Regulations

3.  Wastewater Treatment and Disposal

4.  Solid Waste Regulation

5.  Reserved for Proposed Water Well Protection - Pending

6.  Food Catering Regulation

7.  Notices of Violation & Abatement Order Review Process

8.  Asbestos Pollution


Public Health Emergency Preparedness Plans

-Communicable Disease Response Plan

-Non Pharmaceutical Intervention Plan:
     NPI plan

-Pandemic Influenza Plan:
     Pan Flu plan

-Rabies Policy

-Foodborne Illness Plan

-Truck Wreck Protocol

-HAN Protocol

-Sample Transport Plan:
     Sample Transport plan


Posted Documents

Lincoln County Health Officer Order 7.21.20 

Lincoln County Health Officer Order 4.23.20, Phase 1 Reopening

Doney Crowley Settlement Statement

March 23, 2020 Order of the Lincoln County Health Officer

March 18, 2020 Covid-19 Guidance


BOH Position Statement
Motion re Public Comment Periods 11.13.19

Rabies Prevention & Control Policy

Public Health Emergency Letters
ICSC Report of Recommendations Adopted 14 MARCH 2018

OU4/OU7 Operations & Maintenance Documents 

EPA Institutional Control Implementation and Assurance Plan (ICIAP): Public Comment from BOH, Final Document, ICIAP Responsiveness Summary

EPA Operations and Maintenance (O&M) Plan: Public Comment from BOH, Final Document, O&M Plan Responsiveness Summary

DEQ Operations and Maintenance (O&M) Manual: May 2020 version

Remedial Action Completion Report for Libby (OU4) and Troy (OU7): Click here

Libby (OU4) and Troy (OU7) Operational and Functional (O&F) Determination Letter: Click here

Libby Asbestos Superfund Oversight Committee Documents (LASOC)

Federal O&M Shortfalls: Considerations for State Funding Documents presented at February 10th LASOC Meeting and February 12th BOH Meeting: Remarks, Estmate Breakdown, and Motion

Options for Making Recommendations to DEQ for Reimbursement Requests Between Meetings (09-29-2020): Click here


Jinnifer Mariman Cover Letter 10-15-18 Mailing


Past Meeting Agendas

Past Meeting Minutes

Institutional Control Steering Committee